Consultation on Commissioner Guidance Documentation for Balance Services

Consultation on Commissioner Guidance Documentation for Balance Services


NHS England recently undertook an information gathering process on clinical audiology as part of their preparation for the Commissioning Framework document.

A multidisciplinary working group was asked to provide specific information on balance disorders deemed (by NHS England) to useful for commissioners, and within a very short timescale produced a document which included general information on vestibular disorders, a referral pathway (reflecting the diverse nature of existing services across the UK and allowing future service development), and proposed outcome measures and KPIs for vestibular services.

Although the information was not used in the published Commissioning Framework, which concentrated on Hearing Loss in Adults, the document is a useful draft which could be further refined to reflect the multidisciplinary nature of balance disorders.

The group is opening the document up for further consultation, with the aim of producing guidance for commissioners of balance services. The document can be found here:


Note: The NHS England consultation process was Audiology specific, and the authors fully acknowledge that further development is needed to reflect the diversity of balance services throughout the UK. Please note that the flow diagram not intended to present an “ideal service” or a single service model, but a general guide to existing referral routes which allows for future service developments.

Commenting on the Document:

Please use the form below to enter your comments and return it to by 28/09/2016.


Comments will then be collated with those from the members of other professional bodies involved in the care of patients with dizziness. All feedback will be further discussed at a multidisciplinary meeting ‘The Balance Challenge’ (5/6th October).

As we anticipate receiving comments from a broad spectrum of clinicians it would be helpful if you would be as specific as possible so that we can incorporate your views into the final document. We would also be grateful if you could send us the document in Word format, as converting it to other formats makes it extremely difficult to combine feedback and the document is being produced by volunteers in their own time.

Many thanks in advance for your feedback which will be vital in optimizing pathways for patients with dizziness.

Debbie Cane (MSc CS Senior Clinical Scientist and Lecturer in Audiology)