Audiologists must lead change amid calls for earwax removal regulation and AI reshaping the sector

Audiologists must lead change amid calls for earwax removal regulation and AI reshaping the sector

Action is needed both to improve access to earwax removal and regulation to ensure patients can access high-quality care closer to home.

That’s a key recommendation from the 2025 access to care report, published by Specsavers, which sets out both challenges and opportunities facing the community audiology sector.  

Gordon Harrison, chief audiologist at Specsavers, says: ‘Wax build-up can affect the results of hearing tests and delay device fittings. NHS access is limited as many GPs and other providers have withdrawn services.

‘This unregulated area risks poor care from unqualified providers, especially affecting those with limited dexterity unable to self-treat.’

He adds that the charity RNID reports that 2.3 million people need earwax removal yearly, yet more than eight million lack NHS access due to service gaps across many Integrated Care Board areas.

‘Wax removal is intrusive yet unregulated. NICE recommends wax removal in primary or community care to reduce hospital use and unsafe services. Patients must be protected – guidance is not enough.

‘Commissioning it as an Any Qualified Provider service from primary care audiologists, would enable commissioners to set standards,’ notes Mr Harrison.

The report also highlights how AI is transforming audiology – helping prevent, diagnose, and treat hearing issues. Mr Harrison says: ‘It speeds up testing, predicts risks like falls, and personalises care through smart hearing devices which enhance sound quality, reduce noise, and connect via Bluetooth to phones and TVs.

‘The real prize is better patient outcomes.

‘We must lead this change responsibly, use data ethically and break down siloed care. AI gives us the chance to do better – and we must seize it.’

Sonam Sehemby, head of audiology clinical training at Specsavers, adds a rallying cry for audiologists to lead change. ‘To stay relevant in our fast-evolving field, clinicians need structured CPD, product education, employer support, feedback and opportunities for progression,’ she says.

‘Audiologists must lead change – not wait for it – especially with AI reshaping the field.’

The report is available to download from specsavers.co.uk/reports/access-to-care-2025.