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<p>No formal assessments have been made. NHS England published ‘The Commissioning
Framework for Hearing Loss Services’ to provide guidance to the health and care system
to address inconsistencies including in access and variation in provision. NHS England
also produced national guidance for more local Joint Strategic Needs Assessments.</p><p>Clinical
commissioning groups are responsible for the commissioning of hearing loss services
based on the local needs of their population including for elderly people. They use
a local commissioning process that determines how providers deliver care for the National
Health Service area they are responsible for including in residential and nursing
homes. This is not monitored nationally.</p><p>There is agreed national education
and training for people working in hearing services.</p><p> </p><p> </p>
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