Assessment Manager: LB2 Page 1 of 13

Schedule of Accreditation issued by

United Kingdom Accreditation Service

2 Pine Trees, Chertsey Lane, Staines-upon-Thames, TW18 3HR, UK

8855

Accredited to

IQIPS Standard

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

The Great Western Hospitals NHS

Foundation Trust

The Great Western Hospital (Audiology)

Marlborough Road

Swindon

SN3 6BB

United Kingdom

Contact: Mr Salim Suleman

Tel: +44 (0) 1793 604198

Fax: +44 (0) 1793 604203

E-Mail: Salim.Suleman1@nhs.net

Website: www.gwh.nhs.uk

Examinations performed by the Organisation at the locations specified below

Locations covered by the organisation and their relevant activities

Service locations:

Activities performed away from the primary location listed above:

Primary location details Activity Location code

Address Local contact

The Great Western Hospitals NHS Foundation Trust The Great Western Hospital (Audiology) Marlborough Road Swindon SN3 6BB United Kingdom

Salim Suleman

Audiology A

Other location details Activity Location code

Savernake Hospital London Rd Marlborough SN8 3HL

Audiology B

Fairford Hospital The Croft Fairford Gloucestershire GL7 4BB

Audiology C

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 2 of 13

Other location details Activity Location code

Paediatric Audiology West Swindon Health Clinic Link Avenue Swindon SN5 7DL

Audiology

D

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 3 of 13

DETAIL OF ACCREDITATION

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology Adult Hearing Services

Assessment : Otoscopy History Taking Pure Tone Audiometry Tympanometry & Reflex Testing Loudness Discomfort Levels

Otoscopes: Heine Mini 3000 USB video otoscope

Audiometers: Affinity 2.0 Guymark Toy boxes Calisto

A

Tympanometers:

Titan Madsen Zodiac 901 Tympstar

Hearing Aid Fitting

System: Affinity 2.0 Hi-pro box

Impressions:

Dreve Injector

Electrophysiological

testing: Accuscreen Biosence Nav Pro

Balance:

Interacoustics vHIT Interacoustics eclipse (VEMP) Interacoustics micromedical VNG/Caloric

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 4 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology Adult Hearing Services Rehabilitation: COSI Impression Taking Hearing Aid Fitting Real Ear Measurement Real Ear to Coupler Differences Hearing Aid Diagnostics and Adjustments Unaided & Aided Soundfield Thresholds BKB sentences or other Speech material AB word list Q-Sin High Frequency Audiometry

A

Audiology Complex Adult Services

Assessment: Otoscopy History Taking Pure Tone Audiometry Tympanometry & Reflex Testing Loudness Discomfort Levels Distraction Testing Visual Reinforcement Audiometry Performance Test McCormick Toy Test Play Audiometry Otoacoustic emissions – Transient Evoked Cortical Electric Response Audiometry Screening/Automated OAE BKB Sentences of Other Speech Material

A

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 5 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology Complex Adult Services

Rehabilitation: COSI Impression Taking Hearing Aid Fitting Real Ear Measurement Real Ear to Coupler Differences Hearing Aid Diagnostics and Adjustments

A

Unaided & Aided Sound Field Thresholds Hyperacusis Questionnaire

Audiology Complex Adult Services

Tinnitus: Tinnitus Handicap Inventory Tinnitus Counselling Hyperacusis Questionnaire

A

Audiology

Complex Adult Services Balance: Caloric Irrigation Test Electronystagmography Videonystagmography Dix-Hallpike for BPPV Vestibular Rehabilitation Vestibular Rehabilitation Benefit Questionnaire

A

vHIT Vestibular Evoked Myogenic Potential (VEMP) testing

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 6 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology Paediatric Audiology Services

Assessments : Otoscopy History Taking Pure Tone Audiometry Tympanometry & Reflex Testing with Interpretation of Results Distraction testing Visual Reinforcement Audiometry Performance Test McCormick Toy Test Play Audiometry

A

Audiology

Screening/Automated OAE:

A

Cortical Electric Response Audiometry High Frequency Probe Tone

Tympanometry Cochlear Microphonic Testing

Audiology Paediatric Audiology Services Rehabilitation: Impression Taking Hearing Aid Fitting Real Ear Measurement Real Ear to Coupler Differences Hearing Aid Diagnostics and Adjustments Unaided & Aided Soundfield thresholds Transition to Adult Services

A

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 7 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology Adult Hearing Services

Assessment: Otoscopy History Taking Pure Tone Audiometry Tympanometry & Reflex Testing Loudness Discomfort Levels

Otoscopes: Heine Mini 3000 USB video otoscope

Audiometers: Affinity 2.0 Guymark Toy box Calisto

B

Tympanometers:

Titan Madsen Zodiac 901

Hearing Aid Fitting System: Affinity 2.0 Hi-pro boxes

Impressions: Dreve Injector

Audiology Adult Hearing Services

Rehabilitation: COSI Impression Taking Hearing Aid Fitting Real Ear Measurement Real Ear to Coupler Differences Hearing Aid Diagnostics and Adjustments Unaided & Aided Soundfield Thresholds BKB sentences or other Speech material AB word list Q-Sin High Frequency Audiometry

B

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 8 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology Complex Adult Services

Assessment: Otoscopy History Taking Pure Tone Audiometry Tympanometry & Reflex Testing Loudness Discomfort Levels Distraction Testing Visual Reinforcement Audiometry Performance Test McCormick Toy Test Play Audiometry BKB Sentences of Other Speech Material

B

Audiology

Complex Adult Services Rehabilitation: COSI Impression Taking Hearing Aid Fitting Real Ear Measurement Real Ear to Coupler Differences Hearing Aid Diagnostics and Adjustments Unaided & Aided Sound Field Thresholds Hyperacusis Questionnaire

B

Audiology Complex Adult Services

Tinnitus: Tinnitus Handicap Inventory Tinnitus Counselling Hyperacusis Questionnaire

B

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 9 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology

Paediatric Audiology Services Assessments: Otoscopy History Taking Pure Tone Audiometry Tympanometry & Reflex Testing with Interpretation of Results Distraction testing Visual Reinforcement Audiometry Performance Test McCormick Toy Test Play Audiometry BKB Sentences or other speech material AB Word Lists

B

Audiology

Paediatric Audiology Services Rehabilitation: Impression Taking Hearing Aid Fitting Real Ear Measurement Real Ear to Coupler Differences Hearing Aid Diagnostics and Adjustments Unaided & Aided Soundfield thresholds Transition to Adult Services

B

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 10 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology

Adult Hearing Services Assessment: Otoscopy History Taking

Otoscopes: Heine Mini 3000 USB video otoscope Audiometers: Affinity 2.0

Tympanometers: Titan Kamplex: KLT 26 Guymark Toy boxes Hearing Aid Fitting System: Affinity 2.0 Hi-pro boxes Impressions: Dreve Injector

C

Audiology

Adult Hearing Services Rehabilitation: COSI Impression Taking Hearing Aid Fitting Real Ear Measurement Hearing Aid Diagnostics and Adjustments BKB sentences or other Speech material AB word list Q-Sin High Frequency Audiometry

C

Audiology Complex Adult Services

Assessment: Otoscopy History Taking

C

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 11 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology

Complex Adult Services Rehabilitation: COSI Impression Taking Hearing Aid Fitting Real Ear Measurement Hearing Aid Diagnostics and Adjustments

C

Audiology Paediatric Audiology Services

Rehabilitation: Impression Taking Hearing Aid Fitting Real Ear Measurement Hearing Aid Diagnostics and Adjustments

C

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 12 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology

Paediatric Audiology Services Assessments: Otoscopy History Taking Pure Tone Audiometry Tympanometry & Reflex Testing with Interpretation of Results Distraction testing Visual Reinforcement Audiometry Performance Test McCormick Toy Test Play Audiometry Screening/Automated OAE BKB Sentences or other speech material AB Word Lists

Otoscopes: Heine Mini 3000 Audiometers: Affinity 2.0 Parrot Automated McCormick Test

Tympanometers: Titan Maico (Race Car) ABR: Biosence Nav Pro OAE: Accuscreen Guymark Toy box Hearing Aid Fitting System: Affinity 2.0 Hi-pro boxes

D

Complex Paediatric Audiology

Services Assessments: Automated Auditory Brainstem Response (NHSP) Otoacoustic Emissions Tests - Transient Evoked High Frequency Probe Tone Tympanometry Cochlear Microphonic Testing Auditory Brainstem Response- Thresholds

Impressions: Dreve Injector

8855

Accredited to IQIPS Standard

Schedule of Accreditation issued by

United Kingdom Accreditation Service 2 P ine Trees , Cher t sey Lane, S ta i nes -upon-Thames , TW 18 3HR, UK

The Great Western Hospitals NHS Foundation Trust

Issue No: 003 Issue date: 19 September 2017

Examinations performed by the Organisation at the locations specified below

Assessment Manager: LB2 Page 13 of 13

Activity

Type of Examination/Procedure

Performed

Equipment used

Location

Code

Audiology Paediatric Audiology Services

Rehabilitation: Impression Taking Hearing Aid Fitting Real Ear Measurement Real Ear to Coupler Differences Hearing Aid Diagnostics and Adjustments Unaided & Aided Soundfield thresholds

D

END