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Private Hearing Aids vs NHS Hearing Aids. What’s the difference?

Posted by Paul Harrison on 14th November 2017 in Articles
Private Hearing Aids vs NHS Hearing Aids

Private Hearing Aids Vs NHS Hearing Aids. What’s the difference?

It is essential that you get any problems with your hearing checked out as soon as possible by your doctor. Even if you have already decided that you would prefer to buy hearing aids privately, your GP or Ear, Nose and Throat (ENT) specialist can check your ear health and spot any treatable causes of your hearing loss such as infection or illness.

Hearing tests are provided free on the NHS which can not only work out the level of your hearing loss, but also the cause behind it. Many private hearing aid dispensers also carry out free hearing tests but if you need treatment, you will need to see an ENT consultant

There are a few factors which may influence your decision whether to get hearing aids privately or through the NHS  Everyone is different and what may be suitable for one person may not be right for another.

Waiting times

Once you have made the decision to go ahead with hearing aids, are you prepared to wait or would you rather have them sooner? The time it takes to wait for a fitting and get the mould or hearing aid made can vary between the NHS and private dispensers.

A private company can usually see you much quicker, within a week or two, for the initial test and creating a mould. Depending on the style of hearing aid you choose you could wait between one and three weeks for your hearing aid to be fitted.

Whilst the NHS is reducing their waiting times, you could still wait around six weeks for your hearing test and a further six weeks for them to be fitted. This will vary depending on which part of the country you live in


Style is one of the major factors in choosing a hearing aid. Many people are put off getting hearing aids altogether because they remember hearing aids looking big, ugly and cumbersome.

Modern, digital hearing aids are more discrete and much more powerful. The NHS provide Behind The Ear (BTE) styles which have a small box behind the ear and a thin tube linking the box to the front of the ear. Whilst many hearing aids use earmoulds, others can have an open fitting where the tube sits just inside the ear canal without an earmould. This style is more discrete and harder for others to see. It also lets air circulate within the ear canal. This style is suitable for mild to severe hearing loss.

Private hearing aid dispensers can offer the full range of hearing aids form Behind the Ear and Receiver in Canal styles which have a small case behind the ear, to styles which fit inside the ear canal and are nearly impossible to see. Other styles include full and half shell which fit in the outer ear.

These all offer great sound quality although not all the Invisible in Canal (IIC) styles are suitable for more severe hearing losses. You will also be able to choose from a wider range of colours, so that you can show off your hearing aid as an accessory or blend it with your hair and skin tone.


The NHS offers digital hearing aids which can be fine tuned to your exact hearing loss. They have different program settings so that you can focus the microphones all around you or in front of you, making it easier to listen to people speaking when there is background noise. They also have a ‘t’ setting allowing you to use loop systems or Bluetooth sound streamers.

The range of technology on offer from private hearing aids can be overwhelming. They have a larger number of channels for sound processing and may have sound compression programs which alter the frequency of sound to bring it within your hearing range. More microphones offer more choice of where to focus your listening whilst others can give a surround sound effect. Other programmes include speech recognition to enhance conversations, telephone listening programs and features which assess your listening environment and find tune the hearing aids to give you better clarity.

Wireless technology allows two hearing aids to work together so they are always on the same settings and you can use a remote control to change your program. Some hearing aids are compatable with Apple devices and you can stream sound from your iPhone, iPod or iPad directly to your hearing aids.


The major factor when choosing hearing aids is the cost. There is no cost for NHS hearing aids or for follow up appointments if you need them adjusted You can get replacement batteries and tubing for free from your clinic, if you don’t want to go there, they can be posted to you. Any problems with your hearing aid, if due to normal wear and tear, will be sorted out without any extra cost. You will also get a new hearing aid when your current one reaches the end of its life, which is usually five or six years.

The hearing aid is only on loan, and remains the property of the NHS. If it is lost or broken due to negligence you will be liable for the cost of replacement or repair so it is wise to get them insured.

The cost of private hearing aids can vary between a few hundred pounds and a few thousand depending on the style and model you choose The more programs and features that you want, the more expensive they will be. However even those at the cheaper end are still very powerful and effective.

Find out what will be included in the cost of your hearing aids, and be sure that you will use all the programs that you are paying for. Ask if the cost of follow up appointments is included if you need your settings changed. Find out about the cost of batteries and replacement tubing as well as any other equipment to keep your hearing aids working at their best.

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Paul Harrison
Hearing Aid Advisor
Unlike most national retailers we are not owned by any manufacturer, this means we can offer the full choice of all makes and models of hearing aids
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