Great Ormond Street Hospital
Speech and Language Therapy: Cochlear Implants
Great Ormond Street Speech and Language Therapy Cochlear Implant Service
GOSH Cochlear Implant programme (CIP) aims to provide the best service to
young congenitally deaf children and to children with a sudden or progressive
hearing loss in order to maximise their auditory potential and oral capabilities.
Children are seen for assessment for suitability for implant and subsequently
for switch on of the device.
A number of therapy sessions are offered during the first six months post
Progress is reviewed on a three monthly basis up to two years.
Children are reviewed annually until five years post switch on.
Children are reviewed thereafter on an individual need basis.
Children are seen at home/school when necessary
Referrals must be made in writing
The desired mode of communication of the child is oral
Referrals accepted from any geographical area within commuting
Referrals accepted from:
Referrals are accepted from Consultant Audiologists/ or ENT
Age of referral:
There is no minimum age
The congenitally deaf child should be under the age of 3 years at the
time of referral.
Referral age of between 0 and 13 years for children with
progressive or sudden hearing loss
Maximum age of referral is 15
The deaf child must be suspected to have a severe to profound
(greater than 90dB four frequency average) unaided hearing loss.
Audiogram must be included
The deaf child will have an average, low frequency, aided hearing loss
of greater than 40dB, and an average, high frequency loss of greater
Progressive or sudden loss (e.g. meningitis or wide vestibular aqueduct
Children should have established listening skills and rely upon
Process of hearing aid fitting must have commenced
Children are discharged to an Adult Cochlear Implant
Programme between the ages of 16 and 18 depending upon