Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether he has made recent progress on developing national guidance for Auditory Verbal therapy for deaf children.

Integrated care boards (ICBs) are responsible for the provision and commissioning of services to meet the needs of their local populations, including services for non-hearing children.

Auditory verbal therapy (AVT) is one type of therapy to support children with hearing loss, and it is important that local commissioners have the discretion to decide how best to meet the needs of their local population, informed by the best available evidence and guidance.

NHS England supports ICBs to make informed decisions about the provision of audiology services so that they can provide consistent, high quality, and integrated care. In November 2025, NHS England appointed two national specialty advisers for hearing and associated conditions who are considering care pathway improvements for hearing services. Based on consideration of the current evidence on AVT, NHS England has no plans to develop such national guidance.

The National Institute for Health and Care Excellence’s (NICE) prioritisation board considered childhood hearing loss as a potential guideline topic in August 2024. NICE concluded that there is limited evidence available in this area and that the 2015 NHS England Action Plan on Hearing Loss and guidance issued in 2019 addresses care for this population. It is understood that Auditory Verbal UK are in the process of developing the evidence base for the intervention. The NHS England Action Plan on Hearing Loss is available at the following link:

https://www.england.nhs.uk/wp-content/uploads/2015/03/act-plan-hearing-loss-upd.pdf