Medical reports for noise-induced hearing loss claims
Independent medico-legal reports for noise-induced hearing loss and occupational deafness claims, prepared by consultant ENT and audiovestibular experts using pure tone audiometry and written to CPR Part 35 standards.
Expert Medical Examination is an independent medical reporting organisation. We prepare independent medico-legal reports for people with noise-induced hearing loss and occupational deafness, working with the solicitors and insurers who handle these claims. A noise-induced hearing loss claim turns on the audiogram and the noise history, so each instruction is matched to a consultant ENT surgeon or audiovestibular physician who examines the claimant, arranges pure tone audiometry and sets out whether the pattern of hearing loss is consistent with exposure to harmful noise at work. We provide the medical evidence; we do not give legal advice or manage the claim itself.
The assessment weighs the audiogram against the person's occupational noise history and considers the differential diagnosis, separating any noise-related loss from age-related hearing loss, known as presbycusis, and other constitutional causes, and addressing tinnitus where it is reported. Diagnosis follows the recognised medico-legal approach set out in the Coles, Lutman and Buffin (CLB) guidelines, and every report is prepared to comply with CPR Part 35. If you are a solicitor or insurer looking for a medical reporting organisation (MRO) to handle noise-induced hearing loss claims, our ENT and audiovestibular experts and CPR Part 35 process are built for exactly that.
Audiometry and ENT expertise
Each claim is examined by a consultant ENT surgeon or audiovestibular physician and supported by pure tone audiometry, the standard hearing test in these cases. The expert reads the audiogram, takes a full clinical history and, where the thresholds need confirming, can arrange further testing before reaching an opinion.
Causation and apportionment
The report addresses whether the hearing loss is consistent with noise exposure at work, then apportions it against age-related hearing loss, known as presbycusis, and any other cause. This separation of noise-related loss from constitutional loss is central to a noise-induced hearing loss claim and is set out clearly for the court.
Independent and CPR Part 35 compliant
Every report carries the declarations and statement of truth that CPR Part 35 and Practice Direction 35 require, and is checked for compliance before delivery. The expert's overriding duty is to the court, so the opinion on diagnosis, causation and prognosis is independent of the party who instructs us.
Independent medical evidence for noise-induced hearing loss claims
Occupational deafness usually develops slowly over years of exposure, and the medical picture has to be untangled from ordinary age-related change. We provide clear, independent reports that set out the audiometry, the likely cause of the hearing loss and the prognosis, so the claim can be assessed on sound medical evidence.
- Pure tone audiometry to map hearing thresholds
- Consultant ENT and audiovestibular expert reports
- Causation and apportionment against age-related hearing loss
- Occupational noise exposure history review
- Differential diagnosis of other causes of hearing loss
- Tinnitus assessment where reported
- Diagnosis following the recognised CLB medico-legal approach
- Condition and prognosis opinions for occupational deafness
- Responses to Part 35 questions within agreed timescales
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