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NHS South West London Integrated Care Board (NHS SWL ICB) recognised a lack of free and equitable NHS hearing health services in the area. To address this need, NHS SWL introduced a 12-month hearing health pilot pathway across 20 community pharmacies using TympaHealth’s innovative three-in-one platform. Once completion of their training, pharmacy staff were able to perform digital otoscopy, earwax removal and hearing checks for patients that had been referred by their GP practice for hearing health issues. NHS England followed the pilot closely and appointed NHS South, Central and West (NHS SCW) to conduct an independent evaluation to establish key learnings, outcomes and the impact of the pilot to inform the commissioning of similar services in the future.