Concierge audiology · London
Private audiology assessment, full diagnostic workup for hearing loss, tinnitus and balance.
A comprehensive private audiology assessment — full diagnostic hearing test, tinnitus workup and balance screen, delivered by a HCPC-registered clinical audiologist. Same-day report and referral into ENT, hearing-aid or vestibular pathways.
Why patients choose us
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HCPC-registered clinical audiologist
Your assessment is delivered — and reported — by a registered clinical audiologist, not a hearing-aid dispenser.
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Same-day audiogram and report
A full diagnostic audiogram, tinnitus and balance screen, with a written report on the day.
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Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Key facts
The private audiology assessment, at a glance.
Six things worth knowing before you book — what is included, who delivers it, and how it fits with ENT.
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Full audiology diagnostic workup
Otoscopy, pure tone and speech audiometry, tympanometry, acoustic reflexes, tinnitus and balance screen.
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60–90 minute appointment
A single, unhurried visit — long enough to test properly and explain the result.
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HCPC-registered clinical audiologist
Assessed by a registered clinical audiologist, not a retail hearing-aid dispenser.
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Same-day audiogram and report
Findings are discussed at the end of the visit, with a written report the same day.
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Complements ENT and vestibular pathways
A shared-care assessment that slots cleanly into ENT, hearing-aid or vestibular follow-up.
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Includes hearing-aid needs assessment
If hearing aids are on the table, the appointment sets the baseline for fitting.
Indicative pricing
What a private audiology assessment costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A standard private audiology assessment in our network: £180–£280, with a report the same day.
| Assessment | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Private audiology assessment (standard) | £180–£280 | 60 min | Same-day |
| Assessment with tinnitus workup | £260–£420 | 75 min | Same-day |
| Assessment with vestibular / balance screen | £300–£500 | 90 min | Same-day |
| Paediatric audiology assessment | £200–£360 | 60 min | Same-day |
| Hearing-aid needs assessment (add-on) | £120–£220 | 30 min | Same visit |
| Urgent same-week appointment | £280–£480 | 75 min | Same-week |
Prices vary by clinic, whether tinnitus or vestibular work is added, and whether a hearing-aid needs assessment is included. We come back with a firm quote within one working day.
The problem
A hearing test is only as good as who runs it.
A retail hearing screen exists to sell hearing aids. A private audiology assessment exists to answer the clinical question — what is the loss, what is causing it, and what should happen next. We route you to a clinical audiologist, not a dispenser.
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Struggling to hear in noise?
A full speech-in-noise assessment quantifies the real-world problem, not just tone thresholds.
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Persistent tinnitus?
Tinnitus pitch and loudness matched, with a plan — reassurance, TRT or ENT.
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Dizziness with hearing change?
A vestibular screen alongside the audiogram — and a same-week ENT route if needed.
The assessment
From booking to plan — what happens, in order.
One clinician from first message to written plan — a single 60–90 minute visit.
Phase 1 · Before
Concierge, off-stage for you
Phase 2 · On the day
60–90 minutes at the clinic
Phase 3 · After
Written plan, same day
- 01
Before
Booking and history
A short, confidential form. Symptom timeline, noise exposure, tinnitus, dizziness, previous ear surgery, medications.
- 02
On the day
Otoscopy
A direct look at the ear canals and eardrums — wax, perforation, effusion, cholesteatoma features.
- 03
On the day
Pure tone audiometry
Air and bone conduction thresholds across 250 Hz to 8 kHz, with high-frequency testing where indicated.
- 04
On the day
Speech audiometry
Word recognition in quiet and noise — the real-world measure of how you understand speech.
- 05
On the day
Tympanometry and acoustic reflexes
Middle-ear pressure and mobility, plus stapedial reflex thresholds — the objective middle-ear check.
- 06
On the day
Tinnitus and balance screen
Tinnitus pitch and loudness match, minimum masking level, and a bedside vestibular screen for dizziness.
- 07
After
Structured plan
A written report and a plan — reassurance, hearing-aid pathway, vestibular rehab, or onward ENT referral.
Typical end-to-end: 1–5 days. Urgent cases: same week.
What it shows
When a private audiology assessment is the right test.
A private audiology assessment answers specific clinical questions — the type and degree of hearing loss, the burden of tinnitus, and whether balance needs a closer look. These are the presentations we see most.
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Sensorineural hearing loss
Cochlear or auditory-nerve loss — the commonest adult pattern on audiometry.
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Conductive hearing loss
Middle-ear or ossicular problems — wax, effusion, otosclerosis, perforation.
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Age-related presbycusis
The classic high-frequency, symmetrical downslope of ageing hearing.
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Noise-induced hearing loss
The characteristic 4 kHz notch after occupational or recreational noise exposure.
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Ménière’s disease features
Fluctuating low-frequency loss with vertigo, tinnitus and aural fullness — a specific pattern.
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Otosclerosis
Conductive loss with Carhart’s notch — a treatable middle-ear cause.
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Tinnitus severity
Pitch, loudness and minimum masking level — the objective measure of tinnitus burden.
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Red flag: sudden sensorineural hearing loss — urgent ENT
A sudden unilateral drop is a same-week ENT emergency. We route you straight in.
Next steps
The pathways your assessment can lead into.
What the assessment sets you up to do next — hearing aids, tinnitus therapy, vestibular rehab, or onward ENT.
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Hearing-aid fitting
Independent, technology-agnostic hearing-aid fitting once the audiogram supports it.
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Tinnitus retraining therapy
Structured TRT with counselling and sound therapy for chronic tinnitus.
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Vestibular rehabilitation
Physiotherapist-led balance retraining for BPPV, vestibular hypofunction and post-labyrinthitis dizziness.
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ENT referral
Named-consultant ENT referral for surgical or medical management.
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Cochlear implant candidacy assessment
Formal candidacy work-up when hearing aids no longer deliver useful benefit.
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Assistive listening devices
Loop systems, FM systems and captioned telephony for real-world listening.
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Hearing conservation programme
Custom hearing protection and monitoring for noise-exposed workers and musicians.
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Structured audiology follow-up
A pre-agreed follow-up schedule — annual, six-monthly or symptom-triggered.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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HCPC-registered clinical audiologists with British Academy of Audiology accreditation
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Sound-treated audiology booths calibrated to BSA / IEC standards
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Same-day audiogram, tympanogram and written report
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Onward ENT, vestibular or hearing-aid pathway where indicated
Red flags
When it isn’t an audiology appointment — it’s ENT.
These presentations bypass the audiology diary and go straight to same-week ENT — often with steroids, imaging, or A&E on the same day.
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Sudden sensorineural hearing loss
A sudden unilateral drop in hearing is a same-week ENT emergency — steroid treatment is time-critical.
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Unilateral tinnitus
Persistent one-sided tinnitus warrants MRI to exclude a vestibular schwannoma.
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Pulsatile tinnitus
Tinnitus that beats with your pulse needs vascular imaging — it is not simple tinnitus.
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Vertigo with hearing loss
The combination suggests inner-ear or retrocochlear pathology — a same-week ENT and MRI review.
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Cholesteatoma
Foul discharge, hearing loss and a retraction pocket on otoscopy — urgent ENT.
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Facial nerve weakness
Any facial weakness with ear symptoms is an emergency — same-day ENT / A&E.
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Otorrhoea with pain
Discharge with severe pain — think malignant otitis externa in diabetics and the immunosuppressed.
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Post-head-injury hearing change
New hearing loss after head trauma needs imaging to exclude temporal-bone fracture.
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Suspected vestibular schwannoma
Asymmetric sensorineural loss or unilateral tinnitus — contrast MRI of the internal auditory meatus is the answer.
Reading your report
An audiogram can look intimidating. It isn’t.
Whatever the finding, the report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that’s normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
Indication and history
Your details, the reason for the assessment, and the symptom timeline that shapes interpretation.
- 02 Technique
Tests performed and calibration
Which tests were performed, in which booth, with which calibration standard.
- 03 Findings
Audiogram, tympanogram and reflexes
Thresholds vessel-by-frequency, tympanogram type, reflex thresholds and speech scores.
- 04 Impression
The conclusion: read this first
Diagnosis, severity, and the concrete next step — hearing aid, ENT referral, or reassurance.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about private audiology assessment.
Quick answers on what is included, how it differs from a high-street hearing test, cost, referrals, sudden hearing loss and hearing aids.
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What does a private audiology assessment include?
Otoscopy, pure tone air and bone conduction audiometry, speech audiometry in quiet and noise, tympanometry, acoustic reflex thresholds, a tinnitus pitch and loudness match, and a bedside vestibular screen. A written report is issued the same day.
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How is it different from a high-street hearing test?
A high-street hearing test is a screening pure tone audiogram delivered by a hearing-aid dispenser to decide whether to sell you hearing aids. A private audiology assessment is a full diagnostic workup by an HCPC-registered clinical audiologist, with a report that ENT and your GP can act on.
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How much does a private audiology assessment cost in London?
A standard diagnostic assessment is typically £180–£280 in our network. Adding tinnitus workup, vestibular screen or hearing-aid needs assessment raises the price. We confirm a firm figure within one working day.
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Do I need a GP referral?
No — most clinics accept self-referral for a private audiology assessment. We can arrange a fast-track private GP if a formal referral is needed for insurance or onward ENT pathway.
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I have sudden hearing loss on one side — should I book this?
No — sudden unilateral hearing loss is a same-week ENT emergency, because steroid treatment is time-critical. Call us and we will route you straight to ENT, not to audiology.
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Will the assessment tell me if I need hearing aids?
Yes — the audiogram, speech scores and the hearing-aid needs assessment together answer whether hearing aids are indicated, what technology tier is appropriate, and what benefit to expect. The recommendation is independent of any dispenser.
Sources
Guidance this page follows.
- British Society of Audiology. Recommended procedures and practice guidance.
- British Academy of Audiology. Professional standards for audiology practice.
- NICE. Hearing loss in adults: assessment and management (NG98).
- American Speech-Language-Hearing Association. Audiology practice portal.
Last reviewed 2026-07-30. Next review due 2027-07-30. Reading time ~5 minutes.
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In practice, in London
Where private audiology assessment sits in a private London pathway
With private audiology assessment, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. Waiting lists on the NHS for private audiology assessment vary widely by borough and by how the GP letter reads. Privately in London, we can normally offer a slot inside the same week, sometimes within 48 hours if there’s a cancellation. The difference isn’t clinical quality — the consultants are frequently the same faces you’d see on the NHS — it’s the calendar.
A private private audiology assessment pathway in London usually looks like this: an initial consultation, any diagnostics booked at a nearby facility (most within Zone 1 or 2), and a written report sent to you and your GP within a few days. The consultants we work with hold NHS posts alongside their private lists, which keeps the standards consistent across both settings. For private audiology assessment specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
Honesty about expectations is part of the job. A private private audiology assessment appointment in London won’t change the underlying medicine — the guidelines, the consultants, and the equipment are largely the same as on the NHS. What it changes is speed, continuity, and the amount of time you get to actually talk through the findings. Everyone we route to is GMC-registered and works within CQC-regulated facilities.
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