Month: June 2025

First Auracast™ Hearing Clinic in the UK

auracast phone app

Auracast™ is here, and we’ve got it at Harley Street Hearing

Auracast™ isn’t a futuristic concept – it’s real, and it’s live right now. We’re proud to announce that Harley Street Hearing is the first hearing clinic in the UK to install the Auracast™ system. In fact, it’s one of the very first installations in the world.

Today, I want to walk you through everything I’ve learnt so far about this revolutionary new hearing technology, and why it’s a game changer.

Why we need this breakthrough in hearing technology

If you wear hearing aids, you’ve likely experienced the frustration of trying to hear announcements in places like airports, train platforms, theatres, or cinemas – especially with all the background noise.

Wouldn’t it be amazing if your hearing aids could connect directly to the venue’s sound system, providing clear, high – quality audio streamed straight to your ears?

That’s exactly what Auracast™ offers. And it’s not some far – off innovation; it’s available for you to use right now!

What is Auracast™?

Auracast™ is a new broadcast audio feature made possible by Bluetooth Low Energy (LE) Audio, a next-generation standard in wireless connectivity. It enables high-fidelity, low-latency audio to be broadcast to an unlimited number of compatible devices – including hearing aids, headphones and earbuds.

Unlike telecoils or infrared systems, Auracas™t is a true broadcast signal, more like an FM radio transmission than a paired Bluetooth device. You walk into a space, press a button on your phone (or use an app), and instantly connect to the venue’s audio. It’s that simple.

In a recent poll on the Hearing Tracker YouTube channel, viewers shared the top environments where they believe Auracast™ will make the most impact: airports, train stations, and watching TV at home all came out on top. And we completely agree – these are everyday challenges, even for people with typical hearing.

auracast phone app

Over a decade in the making

This technology has been over ten years in development. Top hearing aid manufacturers, especially the Danish company GN, makers of ReSound and Beltone, have played a key role.

Auracast™ is already integrated into several of their latest models, including:

  • ReSound Nexia
  • ReSound Vivia
  • ReSound Savi

It’s even set to feature in the next generation of NHS hearing aids.

Global showcase at the Sydney Opera House

To demonstrate the capabilities of Auracast™, GN partnered with Hearing Australia, NAL, Samsung, Google, and Bluetooth SIG for a special showcase at the Sydney Opera House.

Attendees, including journalists, audiologists, and hearing aid users, experienced the world’s first public Auracast™ broadcast, including live speeches and a string quartet, streamed directly to hearing aids and Auracast-enabled devices.

The feedback? Astounding. Users described the audio as rich, immersive, and as if they were sitting on stage with the performers.

How Auracast™ works

In the demonstration, microphones on stage transmitted audio via the Auri TX2N transmitter, broadcasting up to 100 metres with crystal-clear quality. With the ReSound 3D app, users simply selected the relevant channel (e.g. “Drama Theatre”) and tuned in instantly.

And it’s not just for hearing aid users. The technology is also available to those using Auracast-compatible headphones or RX1 receivers, making this one of the most inclusive accessibility technologies to date.

Inside the Auracast™ system

Auri TX2N Transmitter

This professional-grade, plug-and-play device features:

  • Dual Bluetooth 5.3 radios
  • Support for analogue mic/line or Dante inputs
  • Switchable 24V phantom power
  • Up to 100m range
  • Unlimited connections—no pairing required

RX1 Receivers

For users without Auracast-ready hearing aids, RX1 receivers offer:

  • Bluetooth 5.3 for real-time audio
  • Dual 3.5 mm jacks for headphones or neck loops
  • OLED display (shows battery, channel, signal, volume)
  • Low latency (29–45 ms) for perfect AV sync
  • Rechargeable battery with 20+ hours of use
  • USB-C or docking station charging

This means even those with traditional hearing aids using telecoils can experience Auracast™ via the neck loop option.

ampetronic auri system

Looking to the future

Auracast™ isn’t a prototype. It’s not the future. It’s the now of hearing technology. Installation is straightforward, and although we haven’t set it up at the clinic just yet, it will be live at Harley Street Hearing very soon.

What does Harley Street Hearing think?

If you want to benefit from this incredible technology, you’ll need Auracast-enabled hearing aids, but not all new models support it yet. Want to know which ones do? Check out our latest blog on the Best Hearing Aids of 2025.

Unsure if this feature, or some of the hearing aids in our Best Of 2025 blog are right for you? Head in for a hearing assessment and a consultation with one of our expert audiologists.

I Installed the UK’s First AuraCast™ System | Ampetronic Auri Unboxing and Review… Video

Matthew Allsop is a Partner at Harley Street Hearing, and Europe’s biggest hearing technology Youtuber for Hearing Tracker, where he shares his honest opinion on all new hearing aid technology. Hearing Tracker is the world’s first truly independent resource for hearing aid customers. You can view his video on Auracast™ below.

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Comparing the Best Hearing Aids of 2025 so far

oticon intent miniRITE hearing aid

You’re never going to believe this — it’s only been two months since I covered the best hearing aids of 2025, and already three of the big six hearing aid manufacturers have released brand-new models.

I’ll be honest — I can barely keep up myself, so I completely understand if you’re feeling the same way. But I never want to leave you in the dark. So, I’ve pulled together this updated guide to make sure you’re right up to date with the latest innovations in hearing aid technology.

Harley Street Hearing is fully independent, meaning I can recommend whatever hearing aids I believe are best – no brand loyalty, no bias. That means I’ve got hands-on experience with almost every device on the market. So whether you’re upgrading your current hearing aids or buying a pair for the very first time, this post will help you cut through the noise and feel confident ahead of your next audiologist visit.

Meet the newest hearing aids of 2025

Let’s start with a physical comparison of the latest hearing aids released this year. In this roundup, I’ll be covering:

  • Oticon Intent
  • Phonak Audéo Infinio
  • Starkey Edge AI
  • Widex Allure
  • Signia IX
  • ReSound Vivia

Here’s a quick run-through of what’s on offer from each brand:

Oticon

The Intent miniRITE is currently the only model on Oticon’s newest platform.

Phonak

Two models available:

Starkey

Part of the Edge AI family with three RIC models:

  • mRIC R
  • RIC RT
  • RIC 312

Widex

One model on the Allure platform:

The Resound Vivia family, released in February 2025, includes:

  • RIE312
  • RIE13
  • Micro RIE

Signia

Four RIC models in the IX family:

Smallest hearing aid of 2025

If looks are your top priority, the ReSound Vivia RIE is the smallest receiver-in-canal hearing aid on the market, followed by the Starkey mRIC R, Phonak Audéo Infinio, and then Widex Allure.

However, choosing based solely on appearance can lead to compromises in features and performance. Discretion can come at a cost — quite literally — so I recommend taking all features into account before making a decision.

If you’re more interested in bold, design-led hearing aids, check out the Signia Styletto, Phonak Slim, or Widex SmartRIC. Just note: not all of these are available on their latest platforms, which means you could be stepping backwards in tech.

resound vivia hearing aids

Feature #1: Suitability

Each hearing aid make/model has its own individual fitting range, which is essentially the level of hearing loss that it’s capable of dealing with.

And if you’re thinking, “Well, I’ll just get the most powerful hearing aid out there so that it will last as long as possible,” you’re right to an extent. But in some instances, a more powerful hearing aid does require a more powerful speaker, and the more powerful the speaker, the bigger it is. So again, if discretion is the most important thing for you, then selecting the correct power level is essential.

On top of that, the power of the speaker also affects its frequency response too, with more powerful speakers tending to provide less high-frequency gain. So it’s important—very important in my opinion—that the power level is just right for you and your hearing loss.

If you ask me, one of the many reasons that the receiver-in-canal style of hearing aids are the best out there is because their speakers are fully interchangeable, making them suitable for varying degrees of hearing loss, and so if your hearing happens to change, then you won’t necessarily need to look at new tech in the future, as the hearing aid can be physically adapted to meet your needs.

Phonak ActiveVent Receiver

Phonak’s ActiveVent is, without question, my favourite unique receiver technology, which has been around for a few generations of hearing aids now, and I’d recommend that you stick around, as you’ll like what this thing does.

Within the custom mould, there is a built-in moving piston that changes its position depending on your listening environment, allowing either more or less sound to be diverted naturally via your ear canal or, on the contrary, via the hearing aids.

In turn, this can enhance how clearly you’ll hear, it will enhance how well you hear in noise, how your voice sounds, and how music or calls sound when they’re being streamed from your phone.

Now, if you’re wondering why this matters, there are both positives and negatives to having your ear canals either open or closed, and depending on your hearing loss, sometimes it’s beneficial to have a hearing aid that can do both on different occasions — which, until ActiveVent was released by Phonak, wasn’t possible.

For example, in a quiet environment, you might want the vent to be open, allowing all sound in and out, giving you a nice, natural feeling, connecting you with your environment. Yet, when you’re in noise, it’s better to have your ears completely closed, so that all of the sound that you’re hearing is via your hearing aids, maximising their ability to remove background noise.

If you think about it, if there’s any noise travelling down your ear canals which hasn’t been through the hearing aid and processed by the hearing aid, then it won’t have been cleaned up and it won’t have had any of the noise reduction capabilities applied.

ReSound M&RIE Receiver

Now, to highlight the impact that it has on music, when streaming is activated from your phone, ActiveVent will close, blocking sound both in and out, enhancing music and giving it a greater depth and richness.

Alternatively, ReSound have their own unique receiver technology called M&RIE, which stands for Microphone & Receiver-In-Ear, and is the only receiver technology available that has an extra microphone sitting at the entrance of your ear canal.

ReSound boasts that by having this extra microphone in the ear, this allows the hearing aid to take into account the shape and size of your personal anatomy, which will have a significant impact on the sound, giving you a more immersive hearing experience with greater depth and also a sense of spatial awareness.

This microphone is automatically enabled in a quiet environment, when you want to hear everything that’s going on around you, and then, when the hearing aids detect any degree of background noise — let’s say in a restaurant, for example — this additional microphone switches off, and then the directional microphones on the hearing aids kick in, giving you the most effective speech understanding and background noise that ReSound can produce.

As a result, ReSound claims that this improves sound localisation by around 15% when compared to omnidirectional BTE microphones, and around 10% when compared to hearing aids that provide pinna compensation.

Feature #2: The Tip

If this part of your hearing aid isn’t right, then your hearing aids will not function as well as they should do.

It’s easy to think that the tip is just about comfort, but there’s way more than that to consider when choosing the right setup for you.

For example, it can affect:

  • the clarity and sharpness that your hearing aid provides,
  • how full and rich it sounds,
  • how good it sounds when streaming from your phone, and
  • most importantly for most of you, how well it copes in background noise.

Now, I’m not saying that it happens often, but the easiest option for both you and your audiologist is to fit you with a generic rubber tip. And as a result, I’ve had plenty of patients land in my clinic with hearing aids from other practices that haven’t been working well — and all I’ve needed to do, just one simple change, was make a custom mould, perform real ear measurements, and sprinkle on a little magic. That has transformed the tech into a brand new set of hearing aids.

So if I were you and being fitted with a hearing aid, I would ask your audiologist if custom tips are suitable for you — as I do personally try and fit them on as many hearing aids as possible, where appropriate.

Feature #3: User controls

When it comes to controlling hearing aids, some of my patients like the ability to adjust their settings — and others don’t like to make any adjustments whatsoever.

Each hearing aid manufacturer has their own way of allowing you to make adjustments to the settings, which I’ve split into two groups for you today:
firstly, physically, and secondly, via each manufacturer’s respective app.

Physical Controls

There are four different categories for physical adjustments. Bear with me, because it’s worth learning about this first group — which I personally feel are the most versatile, and is therefore my favourite group.

Group 1: Rocker Switches (My Favourite)

These hearing aids have a rocker switch built in, meaning there are technically two buttons on each hearing aid. Because they’re soft keys, their functions can be customised for your needs, such as:

  • Volume control

  • Mute function

  • Changing programmes (e.g. connecting to a loop system, TV, or even a restaurant mode)

  • Answering or hanging up phone calls

rocker switch hearing aids

Group 2: Single Button

The second group of hearing aids has just a single button, which still gives you some degree of adjustability, but in my opinion, it’s a little bit more fiddly.

What I mean by that is:

  • The right hearing aid button will turn the volume up

  • The left hearing aid button turns both hearing aids down

Other than that, the functionality is pretty similar to group one.

single button hearing aids

Group 3: Tap Control

Now, this is a pretty cool feature. Some hearing aids have tap control, which is a spin-off of the accelerometers built into the devices (I’ll cover this more later when talking about automatic setting adjustments based on your movement).

From a user control point of view, these hearing aids let you:

  • Answer or decline phone calls by tapping your ear

  • And in the case of Phonak Infinio, you can even activate Siri or Google Assistant — without needing to take your phone out of your pocket

Not everyone uses this, but those who do absolutely love it.

tap control heaering aids

Feature #3: App-Based Controls

The downside of adjusting your hearing aids using physical buttons is that it can clearly be a bit fiddly. And while your hearing aids will beep in your ears to notify you of any changes you’ve made, it’s not the same as being able to see what you’re doing on your phone.

That’s why adjusting your hearing aid settings using each manufacturer’s individual app has been a game-changer in audiology.

Plus, it gives you access to a ton of other features not possible using a button or two.

Now, my plan isn’t to go into too much detail on the apps today — because honestly, they’re all fairly similar, and this is already a lengthy video!

But if I had to choose my two favourite apps, I would hands down recommend:

  • Phonak’s myPhonak app

  • ReSound’s Smart 3D app

They’re the most reliable, user-friendly, and intuitive, and they give you access to loads of useful controls you won’t find in other apps.

Feature #4: Water resistance

Every hearing aid that I’m covering today has an IP68 water resistance rating, meaning they can technically be submerged in a metre and a half of water for 30 minutes, and they should still function afterwards.

Now, this isn’t just a rating reserved for hearing aids — you’ll also find it in things like your smartphone, which you might even be watching me on right now.

That said, two manufacturers — Phonak and Starkey — have gone the extra mile and put their hearing aids through some seriously rigorous testing to ensure they can handle the hammering they’re likely to get in daily life.

This includes robustness testing like:

  • Simulated sweat tests

  • Seawater, saltwater, and chlorinated water exposure

  • Freshwater testing in a pressurised chamber

Phonak’s Protection

Phonak are boasting that they’ve:

  • Added additional microphone protection

  • Sealed the seams with silicon

  • And coated the internal components with a parylene coating — which I’m told is the same protection system NASA use on their spacecraft

Starkey’s Approach: Pro8 HydraShield

On the other hand, Starkey have developed their Pro8 HydraShield waterproofing, which includes:

  • A Kevlar-reinforced receiver — the same Kevlar used in military-grade bulletproof vests

  • Redesigned acoustic ports

  • An internal microphone mesh barrier

  • Silicon-sealed casing

  • And specially coated internal components too

starkey pro8 hydrashield waterproofing

I’d say for the majority of you watching, the standard IP68 rating will be more than enough.

However, if you live a lifestyle that demands next-level protection, then one of those two models — Phonak or Starkey — may just be the right hearing aid for you.

Feature #5: Battery power

So there are three groups when it comes to batteries and rechargeability today:

Firstly, we have those that use disposable batteries, and it may surprise you to learn that the battery life isn’t determined by the hearing aid, but more by the size of the battery itself, with smaller batteries needing changing more often. These hearing aids use a size 312 battery, which will last anything from around 5 to 7 days.

And then, finally, there’s the unique ReSound Vivia RIE13, which is the only hearing aid using a disposable size 13 battery that I’m covering today, which should last you from 7 to 10 days before it needs changing.

According to a recent poll that I put out there on YouTube, the majority of you watching use rechargeable hearing aids rather than disposable batteries. And again, I can split rechargeability into two different groups:

Firstly, those that will provide around 24 hours of life, which has rightly been the industry standard since rechargeability came onto the scene.

rechargeable hearing aids with 24 hours of battery life

And then secondly, we have a group of rechargeable hearing aids, such as those from Signia and Widex, in which you can get up to 35 hours per 3-hour charge, with Starkey boasting a whopping 51 hours of charge.

rechargeable hearing aids with over 35 hours of battery life

Now, in my opinion, these hearing aids were not built with an extended battery life so that you can go partying in Cancun for three days without the need to sleep — but, believe it or not, it’s because lithium-ion batteries in general (which is the same chemistry that’s in your phone, your laptop, etc.) are known over time to deteriorate in health, which means that after a few years, a full charge may not last you for a full day.

Now, whilst this doesn’t matter so much with a laptop or a phone, if your hearing aid battery stops lasting for a full day, then you’re in a bit of trouble. So, the advantage of some of the newer releases means that in the future, if the health of the battery does start to decline, they should still last you for a full waking day.

So, as far as batteries go, the patients that prefer disposable batteries are those that tend to travel a lot and don’t want to have to remember to carry their chargers with them, or those that like the security of carrying batteries around with them instead.

With rechargeable batteries, yes, there are differences in the overall life of the batteries of these hearing aids, but I personally don’t feel that this is a reason to choose one manufacturer over another, as long as they will last you for a full working day.

If they don’t last a full day over time, most manufacturers are pretty good now, and if your batteries do start to deteriorate, they’ll replace them under the warranty.

Feature #6: Technology levels

Now, not only are there various models of these hearing aids available, but each also comes in different technology levels too, each with differing features around the hearing aid’s ability to cope in background noise, around how they’ll provide you with clarity and distinction, and also around how they’ll cope in more complicated listening situations. Now, keep in mind that you’ll pay more for a more advanced hearing technology level and prices can vary depending on the audiologist that you see.

This table compares the different features in the various technology levels of the Oticon Intent. These are the differing features within the family of Phonak Infinio hearing aids. Here are all of the differences between the Starkey Edge AI hearing aids. Next, this table shows the various features that you’d have access to in the Widex Allure family of hearing aids. The penultimate table outlines the features in each of Resound’s Vivia family of hearing aids, and then finally, this table contains all of the information that you need to know about the features within the Signia IX hearing aids.

Yes, I get it, there is a lot of information on each of these tables and there is way too much information to cover in today’s video without making it 14 hours long. And I’ve got to be honest now, I don’t think I can keep up this level of enthusiasm for as long as it would take to cover them all. But I would suggest taking a solid look through each of these tables, looking at the features that resonate with you, and then having a good chat with your audiologist about its suitability for your hearing loss and your hearing difficulties.

Now, that nicely brings me on to the subject of audiologists, and I’ve got to say to you: to make sure you get the best out of your ears, I am begging you to make sure that you find yourself an independent audiologist who has access to hearing aids from all hearing aid manufacturers. Why do I say this? Well, most chains—in fact, all chains—and a few independent practices only work with a handful of hearing aid manufacturers, and in that instance, you’re not necessarily going to be recommended what’s best for you, but whichever hearing aid technology they have access to or personally get the best deal on.

Feature #7: Artificial Intelligence

Phonak, Oticon, Starkey, and Resound utilise a form of offline artificial intelligence within their hearing aids, meaning they have trained them to categorise the environment that you’re in and accurately decide upon the most appropriate setting for you in that particular moment in time. Oticon claim that their hearing aids are trained from 12 million sound scenes, Resound 13 million, Phonak 22 million, and Starkey claim their tech is making up to 80 million adjustments per hour.

So, there’s clearly some pretty powerful computational power going on inside these little powerhouses, ensuring that you’re being delivered the right sound for your hearing loss and environment. Not only that, but the hearing aids are designed—when they know which situation you’re in—to focus on the person that’s in front of you and reduce and attenuate the sounds that you don’t want to be hearing.

Now, it’s worth me mentioning that other manufacturers, such as Widex and Signia, also use artificial intelligence within their hearing aids; however, in quite a different way. Both manufacturers allow you to make adjustments to your hearing aids via their apps, and then the changes that you make are compared to thousands of other hearing aid users for similar environments, with the hearing aids then adjusting the settings accordingly. If you ask me, the only downside to this form of AI being built into hearing aids is that it requires your input, and the majority of people that I see would rather let the hearing aids do everything as automatically as possible.

starkey edge ai g2 neuroprocessor

Feature #8: Motion sensors

Working alongside its artificial intelligence, Oticon, Phonak, Starkey, and Signia utilise accelerometers or motion sensors in their hearing aids. Now, this concept isn’t new in itself, with Signia first introducing motion sensors in their tech in 2019; Phonak in 2020; Starkey in 2023; and then Oticon finally joined the party in 2024.

If you’re sat there thinking to yourself, “Why on earth would a hearing aid have built-in motion sensors?” — that’s a fair enough question to ask. Hold on tight, because you’re going to love this. Essentially, they provide information to your hearing aids based on your movement, anticipating, with greater accuracy, the specific needs for your listening situation. In practice, this means that if you’re sat down in a restaurant, you’d normally want to hear the person speaking in front of you, and perhaps a little to the side too. However, as soon as you stand up and start walking, we would normally want to be able to hear the person by our side as we’re walking along, as it’s unlikely that you’ll have somebody walking in front of you and walking backwards. The motion sensors help the hearing aids to recognise that and adjust themselves accordingly.

Whilst this is available with Oticon, Phonak, Starkey, and Signia, some manufacturers only include this feature in their rechargeable models, so in my opinion, this should be another factor that pushes you towards rechargeable hearing aids.

Now, one last point on these motion sensors. If you’re thinking, “Matthew, your review is fantastic; however, you’ve missed out Resound’s hearing aids,” — you’re right, I have. But they’re solely used as a tap control feature for answering and hanging up phone calls, like so. They’ve got nothing to do with improving hearing in different listening situations.

In my opinion, the world of hearing aids is an incredibly difficult one to navigate. You’ll see different reviews online where hearing aid users conflict with one another, and to be honest, when it comes down to sound quality, online reviews can be pretty useless. Other people’s hearing won’t be the same as yours, they won’t have the same challenges as you, and remember, hearing aids come as a blank canvas. It’s the role of your audiologist to (A) choose the most appropriate hearing aid technology for you, and (B)—which is way more important—to set them up appropriately for you using gold standards.

Matthew Allsop is a Partner at Harley Street Hearing, and Europe’s biggest hearing technology Youtuber for Hearing Tracker, where he shares his honest opinion on all new hearing aid technology. Hearing Tracker is the world’s first truly independent resource for hearing aid customers. You can view his video comparing the best hearing aids of 2025 below.

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The 5 Best Earplugs for Festivals

alpine tune

As festival season kicks into full swing, it’s time to talk about something many music lovers overlook: ear protection. Spending hours near high-volume speakers can cause lasting hearing damage, including conditions such as tinnitus.

The good news? There are plenty of high-quality earplugs available that protect your ears without compromising sound quality.

1. Loop Experience 2

loop experience 2

  • Noise Reduction: ~18 dB
  • Best For: Style, high-fidelity protection

Key Benefits: These sleek, fashion-forward earplugs deliver excellent sound clarity and include a variety of tip sizes for a secure fit. Popular at major festivals like Glastonbury and Boomtown, they’re perfect for anyone who values both sound quality and style.

2. Alpine Tune

alpine tune

  • Noise Reduction: ~19 dB
  • Best For: Premium sound clarity

Key Benefits: Ideal for long sessions or loud venues, these earplugs offer a high level of protection without distorting sound. Designed for comfort with a sleek design, they’re great for music lovers who don’t want to compromise on their hearing health.

3. EarPeace Music Pro

earpiece music pro

  • Noise Reduction: 17–26 dB (interchangeable filters)
  • Best For: Versatility and multi-day use

Key Benefits: Featuring interchangeable filters, these earplugs offer a discreet, comfortable fit and professional-grade sound clarity, ideal for those who love a variety of music genres.

4. Flare Earshade

flare earshade

  • Noise Reduction: ~31 dB
  • Best For: Comfort and durability

Key Benefits: Featuring heat-reactive memory foam that moulds to the shape of your ear canal, these earplugs provide powerful noise reduction without compromising comfort. The metal stem adds durability, making them a great option for regular gig-goers.

5. ACS Pacato

acs pacato acs pacato ear buds

  • Noise Reduction: ~16 dB or ~19 dB (two options to choose from)
  • Best For: Professional-grade clarity

Key Benefits: These earplugs from a trusted UK brand offer flat frequency reduction, preserving the natural balance of music. They’re ideal for musicians and serious music fans who want professional-level sound quality on a budget.

Considering Custom-Moulded Earplugs?

Not all hearing protection is created equal. While off-the-shelf options can provide reliable protection, the fully tailored, custom-moulded earplugs offer unmatched comfort and performance.

At Harley Street Hearing and Musicians’ Hearing Services, we offer custom earplugs that are made to the exact shape of your ears. This ensures:

  • A secure, comfortable fit – even during high-energy performances
  • Even, balanced sound filtering for clear music and conversation
  • No risk of plugs falling out or causing discomfort

We’ve been supporting the UK’s entertainment industry with tailored hearing protection and advice for over two decades, so you can be assured that our expert audiologists can help you find the right solution to enjoy live music safely and comfortably. To arrange your custom ear mould fitting, get in touch with us today.

This summer, don’t leave your hearing to chance. Whether you opt for stylish, off-the-shelf options like Loop or Alpine, or choose the bespoke comfort of custom-moulded protection from Harley Street Hearing, make sure ear protection is included in your festival essentials.

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What is microtia? Insights from Romy on Sasha Says Podcast

romy microtia podcast

I recently had the privilege of joining Sasha Gardner on her Sasha Says microtia awareness podcast. Sasha, who was born with microtia, has created a fantastic platform to discuss the journeys of individuals with this condition, as well as the challenges and solutions available.

This podcast is a valuable resource for anyone interested in learning more about microtia, whether it’s from the perspective of someone living with the condition, a parent of a child with microtia, or a medical professional.

How microtia affects hearing

For those unfamiliar, microtia is a congenital condition where the outer ear (pinna) does not fully develop. Depending on the severity of the microtia, it can have a significant impact on hearing, particularly the ability to capture and direct sound through the ear canal.

Some individuals with microtia may also experience a narrowed or closed ear canal, or possibly an absent eardrum. Sound then cannot be channelled and passed on to the inner ear (cochlea) the way it typically would be, leading to conductive hearing loss. The degree of hearing loss may vary depending on the degree of microtia.

romy cohen on sasha says microtia podcast

Traditional hearing aids and bone-conduction devices

One of the key topics I discussed with Sasha was the variety of hearing aids and devices available for those with microtia. Traditional hearing aids are typically the first choice for individuals with sensorineural hearing loss and some types of mixed or conductive hearing losses.

Traditional hearing aids amplify sound, making it easier for the person to hear. However, with the conductive hearing loss associated with microtia, a traditional hearing aid may not be effective. This is where bone-conduction hearing devices come in. Bone-conduction devices bypass the outer and middle ear altogether by sending sound vibrations directly through the bones of the skull to the cochlea. Some bone-conduction devices can be worn with headbands, with behind-the-ear adhesives, or even surgically implanted for long-term use.

Modern hearing aid technology has never been better, and we are very fortunate to have such a wide range of options available. It’s so important for anyone with hearing loss to work with an audiologist who can recommend the right device based on their specific needs, lifestyle and degree of hearing loss.

The importance of an individualised approach

What I appreciated most about my conversation with Sasha was the focus on the individual, as the journey with microtia may look different for everyone. Whether someone chooses to undergo surgery or not, whether they opt for hearing devices or even a combination of both, the most important thing is that each person’s unique needs are met. It’s also crucial that anyone with hearing loss has access to professionals who understand their experiences, as well as support networks. On her podcast, Sasha shares insights and journeys from others with microtia, showing us how different people may navigate the challenges associated with this condition.

My time on Sasha’s microtia podcast was a wonderful opportunity to share insights into how audiology and hearing aid technology can assist those with microtia. A big thank you to Sasha for providing this platform and for her commitment to raising awareness about microtia and hearing loss.

If you’re living with microtia or know someone who is, I encourage you to check out the podcast below and explore the resources available. If you have questions about hearing devices or would like to learn more about how audiology can help, please feel free to reach out.

Expert Ears: Audiologist Romy from Harley Street Hearing on Hearing Aids

Click here to listen on Spotify.

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You need custom hearing aid tips and here’s why

custom made earmold for hearing aids

This might ruffle some feathers, but it needs saying: the hearing aid industry needs a wake-up call – and it starts with something as seemingly insignificant as the rubber dome on your hearing aid.

If you wear hearing aids or provide hearing care, this article could transform the way you think about hearing aid fittings. And no, I’m not just trying to create a stir. I’ve seen first-hand how small changes – like switching from a generic rubber dome to a custom tip – can revolutionise a person’s hearing experience.

So, let’s talk about it. No fluff. Just facts.

Why this matters: A personal & professional wake-up call

I nearly didn’t write this. Why? Because I know there’ll be some audiologists or providers who will cry foul, argue nuance, and ask for a break. But if you’re delivering a gold-standard service, this isn’t aimed at you.

This is for the 75% of hearing aid users still wearing generic, medical-grade silicone domes—even when those domes might be the very thing holding them back.

Let me start with a personal story. My own grandma (yes, Gran—thank you!) was struggling. Despite wearing hearing aids fitted elsewhere, she wasn’t hearing well and was constantly battling feedback. After switching her to custom moulds, her hearing improved dramatically.

She’s not alone. Many of my patients come to me after being underwhelmed by their current setup, often due to poorly chosen domes. So, if you’re using a standard rubber dome, here’s why you might want to reconsider.

custom made earmold for hearing aids

5 advantages of custom tips

1. Comfort (Not the main reason – but worth mentioning)

Custom tips are made specifically for the shape of your ear. Whether through impressions or advanced 3D scanning, a custom mould gives you a secure, tailored fit that many people find far more comfortable than generic options.

But truthfully? Comfort isn’t the most important reason to make the switch.

2. Significant boost in sound quality

Generic domes often allow sound – especially low frequencies – to leak out. This compromises bass and clarity.

With custom moulds:

  • Bass response improves, giving you richer sound for music and speech.
  • Speech clarity increases because the mould prevents feedback, allowing the hearing aids to amplify higher frequencies effectively.

3. Better hearing in background noise

Open domes allow environmental noise to enter the ear canal unprocessed. This interferes with the sound processed by your hearing aid.

Custom tips reduce that interference. They allow your hearing aids to take control, cleaning up background noise and improving speech recognition—especially in busy places like cafés or restaurants.

You can own the most advanced hearing aids on the market, but if you’ve got the wrong tip on the end, you’re not hearing their full potential.

4. Precise venting for acoustic control

Custom moulds allow for precise control of vent size. This means your audiologist can finely balance:

  • Natural ambient sounds
  • Amplified sounds
  • Airflow (to reduce the occlusion effect, where your voice sounds boomy

You get the best of both worlds—natural sound where you need it, and amplification where it counts.

5. Better streaming & call quality

If you stream music or take calls via Bluetooth, a custom tip is a game-changer. It traps sound, especially bass, inside the ear canal—resulting in:

  • Fuller, more vibrant audio
  • Improved clarity on calls
  • Reduced external noise interference

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When not to choose a custom tip

Before you rush out and demand custom moulds, it’s worth knowing when they might not be suitable:

1. They take getting used to

They can feel different and may not sound right at first. But trust the process—your brain adapts. Don’t let short-term discomfort derail long-term results.

2. Some clinics charge extra

Yes, custom tips involve extra work and some clinics charge for them. Personally, I believe they should be standard where needed. Fitting hearing aids without proper tips is like selling a car without tyres.

3. Time

Rubber domes can be fitted same day. Custom moulds usually take a couple of weeks. But, again, they’re worth the wait.

4. Hearing loss type

If your hearing loss is mild in the low frequencies but worse in the highs (common in age-related hearing loss), then a vented dome may be better—at least initially. Still, talk to your audiologist about trying a custom tip with a large vent.

So, should you get custom tips?

  • If you’ve ever struggled with:
  • Poor clarity in background noise
  • Uncomfortable or loose domes
  • Feedback or whistling
  • Flat or tinny sound when streaming

…it might not be your hearing aids—it might just be the tip on the end.

So here’s my challenge to you: next time you see your audiologist, have the conversation about custom tips. Go in informed. Ask the right questions. Because when it comes to hearing, small changes can make a world of difference.

If you’re confident your tip is right, it might be time to review whether your hearing aids themselves are the best fit for you. Click here to explore my top picks for the best hearing aids of 2025.

Your Audiologist is Wrong: You Need Custom Hearing Aid Earmolds | Pros and Cons… VIDEO

Matthew Allsop is a Partner at Harley Street Hearing, and Europe’s biggest hearing technology Youtuber for Hearing Tracker, where he shares his honest opinion on all new hearing aid technology. Hearing Tracker is the world’s first truly independent resource for hearing aid customers. You can view his video on custom hearing aid tips below.

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Matthew Allsop featured in Audiology Worldnews

matthew allsop audiology world news

We’re excited to share that Matthew Allsop, Partner Audiologist at Harley Street Hearing and Musicians’ Hearing Services, has been profiled in the latest edition of Audiology Worldnews. Known to many as “The Hearing Guy”, Matthew has become a familiar face online thanks to his clear, jargon-free YouTube videos demystifying hearing technology for the public.

matthew allsop audiology world news

In this feature, Matthew discusses his journey from clinic to camera, his commitment to patient empowerment, and why transparency and authenticity are at the heart of everything he does, both in practice and online.

From his early content filmed for individual patients to now reaching over 250,000 monthly viewers via the HearingTracker channel, Matthew’s impact is clear: bridging the gap between complex hearing tech and the real people who need it.

“The heart of every video is empowerment. Hearing technology is life-changing, but it’s often shrouded in jargon, marketing noise, and confusion.” – Matthew Allsop

The full article is available to read in the May–June 2025 issue of Audiology News UK. To access it, you’ll need to subscribe to their free digital edition.

Click here to subscribe and read the feature.

If you’re interested in the future of audiology, digital communication in healthcare, or how content creators like Matthew are elevating hearing care worldwide — it’s well worth a read.

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Looking for the best audiologists in London? That’s Harley Street Hearing

No 2 Harley Street Office

If you’re looking for expert hearing care in London, you’ve come to the right place. At Harley Street Hearing, we’re proud to be one of the city’s leading independent audiology clinics – and we’ve been doing this for over 25 years.

Why choose Harley Street Hearing?

A team you can trust

Our team of audiologists is second to none – highly qualified, hugely experienced, and genuinely passionate about helping people hear better. One of our partners, Matthew Allsop, is a familiar face in the audiology world. He’s Europe’s top hearing technology YouTuber with more than 68,000 subscribers on Hearing Tracker, and he’s on a mission to make hearing health clear, honest, and accessible for everyone.

microsuction ear wax removal

A legacy of innovation

We were the first UK clinic to introduce Lyric, the world’s only 24/7 invisible hearing aid – and we’re now Europe’s number one Lyric provider. But what really sets us apart is the trust we’ve built. Most of our patients come to us through personal recommendations – from friends, family, GPs, and top ENT consultants across the country. We’re fully registered with the Health and Care Professions Council, and we welcome self-referrals.

Everything you need, all in one place

We offer a full range of audiology services, tailored to your individual needs:

What our patients say

With over 3,000 reviews, we’re proud of the kind words people share about us. One of our long-time patients recently said:

“You can expect the best, and most attentive service from all the staff at Harley Street Hearing. Been going there for over 10 years.”

That means a lot to us.

hearing implants

Unrivalled patient care

We know hearing loss can feel overwhelming. That’s why our whole team – from audiologists to front desk – takes the time to listen, understand, and guide you through the process. No pressure, no rush – just honest, expert advice.

And because we’re an independent clinic, we’re not tied to any one hearing aid brand. That means we’ll always recommend what’s right for you, working with all the major manufacturers. We’re also approved by most private medical insurers.

More than just appointments

Want to learn more about hearing health? Our blog is packed with helpful insights. In one of our most popular posts, audiologist Matt Frost talks about how your brain adjusts to new hearing aids – it’s a fascinating read if you’re curious about how the process really works.

Where to find us

You’ll find us at both ends of Harley Street, as well as in Golders Green and Hampstead – so wherever you are in London, we’re not far away. View our clinic locations.

Get in touch with us

Thinking about hearing aids? Want a second opinion or just have a few questions? We’re here to help. Get in touch and speak to someone who really listens.

Wearing ear protection at festivals & why it’s important

festival hearing protection

The sun is shining and festival season is just around the corner for UK music lovers! It’s an exciting time as we prepare to see some unforgettable performances but there’s an often-overlooked part of the festival prep: protecting our ears. 

Loud music at festivals can cause both temporary and permanent hearing damage, regardless of how long you spend there. Thankfully, this is preventable and wearing proper ear protection is one of the most effective ways to keep your ears safe whilst still taking part in all the fun. 

Whether you’re heading to Glastonbury, BST Hyde Park, or a local weekend festival, the risk to your hearing remains the same. This blog will highlight the importance of hearing protection and how you can keep your ears safe. 

How loud is too loud? Understanding the risk 

Sound levels at live music events are often much louder than you might think, even the ones outdoors. These types of events often exceed 100 decibels (dB), especially if you’re close to the speakers.  

To put that in perspective, anything above 85 dB can start to damage your hearing after prolonged exposure. 

In the UK, the recommended safe limit for noise exposure is 85 dB over an 8-hour period. However, because sound levels increase on a logarithmic scale, every 3 dB increase (which is a doubling of sound) halves the amount of time you can safely be in that space. 

This means that at 88 dB, only 4 hours is considered safe, and at 91 dB, it drops to 2 hours. By the time you reach 100 dB – common at music festivals – your ears can begin to suffer damage in just 15 minutes. 

At a typical festival: 

  • General crowd noise: 90–100 dB 
  • Main stage area: 100–110 dB 
  • Front row near speakers: 110–120 dB 

Exposure even on one occasion to unsafe levels of sound without protection can cause noise-induced hearing loss (NIHL), a condition that is often permanent. This shows just how easy it is for this to happen at a one-off festival, it doesn’t have to be long-term exposure over months or years. 

custom hearing protection

What happens to your hearing after loud noise exposure? 

The tiny hair cells in our inner ear are responsible for translating sound waves into signals our brain can understand, and these are what can be damaged by loud noise exposure. Once these delicate hair cells are damaged, they don’t regenerate. 

This isn’t meant to scaremonger and we’re not saying that when you attend a festival, you’ll lose your hearing. In fact, there are many different common symptoms of hearing damage after festivals which include: 

  • Ringing in the ears (tinnitus) 
  • Experiencing a sensation of ‘fullness’ in the ears 
  • Temporary or permanent muffled hearing 
  • Increased sensitivity to certain sounds 

In some cases, these symptoms might disappear within a few days, but repeated exposure can lead to lasting harm.  

Why it’s important to wear ear protection at festivals 

For all the keen festivalgoers out there, don’t panic! You can still enjoy the full festival experience without putting your hearing at risk, if you use hearing protection. 

Wearing hearing protection significantly reduces your exposure to harmful decibel levels while still allowing you to hear music clearly. Modern custom-fitted earplugs are designed to reduce sound evenly across frequencies so that music remains clear and vibrant, not muffled. 

The benefits that come with wearing hearing protection can be life-changing and include: 

  • Preventing hearing loss and tinnitus 
  • Maintaining sound clarity (with high-fidelity filters) 
  • Reducing fatigue from prolonged noise exposure 
  • Helping you enjoy the festival for longer 

hearing protection for festivals

Custom ear protection for festivalgoers 

Not all hearing protection is created equally and while off-the-shelf options offer basic protection, custom earplugs offer far superior benefits. 

As they are moulded exactly to the shape and size of your ear, they provide the perfect fit with no discomfort or risk of falling out.  

Harley Street Hearing offers custom-moulded earplugs with balanced filtering, which ensures even levels of sound reduction so you can still hear music and speech clearly and naturally in a way that isn’t muffled as with other off-the-shelf earplugs. 

We are also Musicians’ Hearing Services, providing hearing protection and advice for the UK entertainment industry. 

Tips for protecting your hearing at festivals 

Of course, using hearing protection at festivals is one of the most important things you can do to protect your ears, but it’s not the only thing you can do. Some additional steps you can take to keep your hearing safe include: 

  1. Don’t stand too close to the speakers

This may sound obvious, but it can make all the difference. The sound levels near speakers can be dangerously high so standing even a few metres further back can significantly reduce noise exposure. 

  1. Take breaks from the noise

There’s no shame in finding a quiet area to rest between performances and even the shortest break can give your ears (and your legs!) time to recover and reduce overall strain. 

  1. Stay hydrated

Dehydration can cause a whole host of health implications and safety risks, especially on a hot day, and it can also make your ears more susceptible to damage. Making a conscious effort to stay hydrated can support blood flow and ear health, so be sure to drink plenty of water throughout the event. 

  1. Watch for warning signs

Any signs of ringing, buzzing, or muffled hearing all signal that your ears have been overexposed. If these symptoms persist after the event, visit an audiologist for advice. 

  1. Wear custom ear protection

Of course, this had to be our final point. Whether you’re attending your first festival or you’re a seasoned festivalgoer, ear protection is a must-have.  

Our expert audiologists can provide custom solutions that let you enjoy live music safely. To book an appointment for your custom ear mould fitting, get in touch with us. 

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