Workforce and job planning

Physician workforce

The number of audiovestibular medicine physicians recorded in the 2018–19 census of consultants and higher specialty trainees in the UK is:

Role

Total

Proportion working less than full time (LTFT)

Consultant

51

45%

Higher specialty trainee

17

67%*

*HST LTFT percentages are calculated from JRCPTB data to give overall figures which may differ from those in the census

These figures relate to physicians who work substantively for the NHS.


Job planning

The job plan below is an example included as guidance and not intended to be prescriptive. Activities will vary according to population served, demographics and location. For further information, see the BMA/NHS Employers guidance from 2011.

Service

Workforce requirements

Paediatric hearing clinic

The team in the community: audiological services consist of audiovestibular physicians or paediatricians in child health (who have gained additional competencies in audiology) and paediatric audiologists.

The more specialist centres: 30–45 minutes should be allowed for seeing a new patient and 15–20 minutes for a follow-up appointment.

Paediatric auditory processing disorders

The small team required consists of an audiovestibular physician, audiologists with training in APD testing and preferably a specialised speech therapist with experience in APD rehabilitation. One and a half hours should be allowed for seeing a new patient and 30 minutes for a follow-up appointment.

Paediatric aetiological investigations

Medical professionals with training in aetiological investigations and child development, eg audiovestibular physicians, paediatricians and ENT specialists. 45 minutes should be allowed for seeing a new patient and 20–30 minutes for a follow-up appointment.

Paediatric cochlear implants

Medical professionals with training in audiovestibular medicine and cochlear implants, eg audiovestibular physicians, paediatricians and ENT specialists. 45 minutes should be allowed for seeing a new patient and 20–30 minutes for a follow-up appointment.

Paediatric tinnitus/hyperacusis

Medical professionals with training in audiovestibular medicine. Clinical psychologists with expertise in tinnitus/hyperacusis. 30–45 minutes should be allowed for seeing a new patient and 15–20 minutes for a follow-up appointment.

Paediatric speech clinic

The service is best used in conjunction with local professionals, ie specialised speech and language therapists. One hour should be allowed for seeing a new patient and 20–30 minutes for a follow–up appointment.

Adult hearing services

The specialist and supra-specialist services consist of a multiprofessional team including an audiovestibular physician, audiologist, hearing therapist or audiologist with hearing rehabilitation skills, clinical psychologist, cognitive behavioural therapist, speech and language therapists and possibly a psychiatrist. 30–45 minutes should be allowed for seeing a new patient and 15–20 minutes for a follow-up appointment.

Adult tinnitus services

The specialist and supra-specialist services consist of a multiprofessional team, including an audiovestibular physician, audiologists, hearing therapist or audiologist with hearing rehabilitation skills, clinical psychologist, cognitive behavioural therapist, speech and language therapists and possibly a psychiatrist. 30–45 minutes should be allowed for seeing a new patient and 15–20 minutes for a follow-up appointment.

See the DH good practice guide for suggested components of a tinnitus network.

Paediatric balance services

Audiovestibular physician, audiologist with 1 year’s training in paediatric vestibular testing, preferable to have a specialised paediatric physiotherapist with expertise in vestibular conditions. One hour should be allowed for seeing a new patient and 20–30 minutes for a follow-up appointment.

Adult balance services

The specialist and supra-specialist services consist of a multiprofessional team including an audiovestibular physician, audiologists, vestibular physiotherapist, clinical psychologist and cognitive behavioural therapist. 45 minutes should be allowed for seeing a new patient and 20–30 minutes for a follow-up appointment.

18/09/2018