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How to find us Cochlear Implant Programme
Contact Details
Department of Audiology
234 Great Portland Street
London
W1W 5QT
www.theportlandhospital.com
Hearing Test and Consultant Appointments:
T 020 7390 8060
Hearing Aid Appointments / Enquiries:
T 020 7390 8057
Overview for Professionals in the
Field of Adult and Paediatric Cochlear
Cochlea Implant Enquiries:
T 020 7390 8333 Implant Assessment, Surgery and
All Audiology Enquiries:
Rehabilative Specialities
F 020 7390 8053
E audiology@portlandhealthcare.co.uk
The Portland Hospital
for Women & Children
accredited by the
Health Quality Service
Programme History
The cochlear implant programme at The Portland Hospital
was started in 1997. At that stage several of the Surgeons
involved had had enquiries from abroad and the feasibility of
designing a complete package of care was investigated. The
first child came from Kuwait and received her implant on
April 2nd 1997. The rehabilitation package included 3
months intensive work together with the mother, based both
in the hospital and in Christopher Place. Her subsequent
management was eventually taken over by the speech and
hearing centre in Kuwait and her success has led to greater
confidence in managing children from remote areas. The
number of patients managed by the programme has
increased since (Fig. 1) and increasingly both children and
adults have received implants. The funding for this has come
from a variety of sources (Fig. 2). Currently HCA Healthcare
is negotiating with several of the leading insurance
companies to form a contract for the whole package of care.
Sasha lives in Moscow with her
Russian Mother and English Father.
She was implanted at 14 months and
speaks Russian and English.
Demographics
As time has passed patients have been referred from a
variety of countries (Fig. 3). We also manage patients
implanted from many countries. Currently, we have patients
who have received their implants in Australia, America,
Germany, Saudi Arabia, Pakistan and Greece, (Fig. 4).
Patients come with a variety of devices and our scientists
have become proficient with the three major devices used
(Fig. 5) Patients implanted on our programme are offered
choice of device and the choice will be affected by many
factors including availability of support at a local level.
Patients will not be offered an implant unless this support
has been investigated and found to be satisfactory (Fig 6).
Patients come to our programme from the NHS for a variety
of reasons (Fig 7). We have been able to work closely with
several NHS implant programmes to reabsorb these patients
for long term care.
Future Developments
We are increasingly mapping patients in their own homes
and schools and have taken our portable systems to Greece.
In the future we aim to implement remote mapping which is
currently being developed.
We currently have two bilateral implant users but it is too
early to publish any data.
Cochlear Implant Programme Cochlear Implant Programme
The Team Fig. 1 History of the Programme Fig. 4 Patients implanted and/or Fig. 7 Patients from or turned
managed by The Portland down by NHS
On Site Staff
14
Hospital CI Programme Patients considered to have too
Heather Bouchier Hayes 14
much residual hearing (1)
Coordinator and Speech and 12 Other Portland
Language Therapist Patients anxious to proceed to
10
9 36
implantation as soon as possible (2)
Melissa Israel
Number of Implants
Speech and Language Therapist Patients with additional difficulties (3)
and Audiologist 8
Children Adult
Stuart Thomas 6
8
12
Audiological Scientist and Speech 33
6
and Language Therapist 4
Robert Mills 4 0 5 10 15 20 25 30 35 40 45 50
Fig. 8 Future Developments
Hearing Aid Audiologist and 2
3 Number of Implants
Department Manager 2
Off-site mapping:
0
‘OTHER’ is defined as the number of patients managed by the Portland CI Program who have been
Dr. Savundra 1997 1998 1999 2000 2001 2002
implanted elsewhere. For example, we currently manage patients from Pakistan, Germany, Saudi
Arabia, America and Australia.
(patient’s home or school, including
Neruo-otologist abroad)
Dr. Hay
Paediatrician
Remote mapping:
(home and abroad)
Off Site Fig. 2 Funding Fig. 5 Devices
Angela Harding
Principle of Christopher Place & Insurance: MedEL
Teacher of the Deaf 9%
Increasingly patients are being paid for by 16%
Dirk Fowler private health insurance policies. Advanced
Psychologist Bionics
Dr. Lloyd Savvy
Self-Pay (Clarion Device)
Radiologist Embassy
Charities
Surgeons 75%
Cochlear
(Nucleus Device) Mr Smith was implanted on his 81st birthday and
Mr. Bailey continues to enjoy life and entertain us with his wit.
Mr. Fitzgerald O’Connor
Mr. Graham
Mr. Hartley Fig. 3 Patient‘s Country of Origin Fig. 6 Rehabilitation
Mrs. Leighton
Greece Family must commit to a 2-3 months stay
India
Norway 5%
9% England
41% post implantation.
Iran 2%
Russia 2%
2%
In-house and Christopher Place language
work and parental training.
Family commitment to regular
re-attendance for mapping and further
advice.
Named support at local level for overseas
Middle East
39% patients.
Adult rehabilitation is tailored to individual
Mohammed comes to see us regularly from Saudi
needs. Arabia where he attends a mainstream nursery.
Cochlear Implant Programme Cochlear Implant Programme
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