May 2019 Stuff.co.nz 

Nearly 200 New Zealanders currently meet Ministry of Health criteria for cochlear implant surgery, but most will likely never hear again – unless the government increases funding, experts say. 

Neil Heslop, the general manager of the Southern Cochlear Implant Programme, said the number of people eligible for the funded procedure each year had not changed in more than five years.  It was "now inadequate" and did not take into account increasing demand or wait times, he said. 

Neil Heslop

Neil Heslop, general manager of the Southern Cochlear Implant Programme, said current funding is "inadequate".

The Southern Cochlear Implant Programme, one of two cochlear implant providers nationwide, looks after adult and paediatric patients south of Taupō.  It receives five referrals for every funded adult cochlear implant. If things kept going at the current rate, there could be 500 adults waiting for an implant within four years, Heslop said. Heslop and SCIP were calling on the Health Minister to increase the annual number of adult procedures from 40 to 120 in Budget 2019, to address the most urgent cases.  Unlike other surgical procedures, cochlear implants are not covered by health insurance. The devices and operation cost about $50,000. The speech processors need replacing every seven years, to the tune of about $10,000.  "For adults, as well as children, cochlear implants restore hearing and completely change lives," Heslop said. 

The Ministry of Health funds cochlear implants for people with severe to profound hearing loss, where hearing aids prove ineffective for acquiring or maintaining spoken language.  For those who meet criteria, children under 19 are funded for bilateral (two) implants. Adults are funded for one. 

Minister of Health Dr David Clark told Stuff priority was given to those with the "greatest need and ability to benefit".  Newborns and children were prioritised for cochlear implants because hearing was "critical to children's learning", he said.

Adults waited 24 months on average for funding. Adults whose need and potential benefit from an implant was greatest were prioritised, and would "receive an implant faster", he said. Clark said some funding had been reprioritised in the current financial year to provide an additional 24 implants, "but taking money from other services is not a long-term solution".  In 2017/18, the previous government provided a one-off increase of $6.5 million for an extra 60 cochlear implants. This did not roll over to 2018/19.  Currently, the Ministry of Health invests $8.43m per year to the Cochlear Implant Programme. The Ministry of Health was meeting with advocates to understand their concerns and was discussing options for a "sustainable answer to this unmet need", Clark said.

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