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No formal assessments have been made. NHS England published \u2018The Commissioning Framework for Hearing Loss Services\u2019 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>
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>
There is agreed national education and training for people working in hearing services.<\/p>
<\/p>
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