Ruth Hadley MISHAA
Clinical Audiologist & Hearing Therapist

Audiologists are qualified clinicians who can help diagnose and treat hearing and balance disorders in adults and children.

Ruth Hadley is a highly experienced Clinical Audiologist with advanced audio and vestibular diagnostic and rehabilitative skills. She worked for over 15yrs in the NHS as a Chief Audiologist and Hearing Therapist in Bristol, UK before relocating to Kinsale with her family in 2017. West Cork is familiar to Ruth as her family is from Cork City.

At Kinsale Hearing Ruth Hadley offers Paediatric Hearing Assessment (+4 yrs), Balance Rehabilitation, Tinnitus Management, Hearing Therapy and Hearing Aid Fittings. She is available for domiciliary and hospital visits within the Kinsale district.

Ruth is a registered clinician with RCCP (The Registration Council for Clinical Physiologist UK), a member of the British Academy of Audiology (BAA), the British Society of Audiology (BSA) and a member of the Irish Society of Hearing Aid Audiologists (ISHAA) and Irish Academy of Audiology (IAOA).


Adult Hearing Assessment

1Hr Adult Hearing Assessment

Full History; Otoscopy; Puretone Audiometry (Air-and Bone Conduction); Uncomfortable loudness measurements (ULLs); Tympanometry; COSI Questionnaire; Speech audiometry (optional); Impression taking (optional); Hearing aid selection (optional); Advice on treatment and rehabilitation options

Paediatric Hearing Assessment

30-45Min Paediatric Hearing Assessment (+4yrs)

Full History; Otoscopy; Puretone Audiometry or Play Audiometry and Tympanometry; Advice on treatment and rehabilitation options

Balance Rehabilitation Assessment

1Hr Balance Rehabilitation Assessment

Full Audio-vestibular History; Otoscopy; Puretone Audiometry (optional); Tympanometry (optional); Full Balance “Bedside” testing; DHI and/or other outcome questionnaires; Advice on onward referrals and balance rehabilitation options

1Hr Tinnitus Assessment

1Hr Tinnitus Assessment

Full History; Hearing assessment; Subjective Tinnitus measurements (Pitch-matching, Loudness etc); Tinnitus Questionnaire; Tinnitus Information; Advice on management options

All assessments will be individually tailored on a personal needs basis with the goal to complete a standardised test battery to get as much information on the auditory/vestibular system as possible and hopefully, make a diagnosis on the same day. Depending on the client's developmental, attention and fatigue levels sometimes the assessment has to be split across two appointments. Full assessment reports can be provided at an extra cost for educational needs. Recommendations for onward referrals to other health care professionals ie. GPs, ENT and Speech and Language Therapy, to aid a diagnosis and treatment will also be provided, if needed.

****If you suspect any ear wax blockage prior to any appointment at Kinsale Hearing please have this checked by your Nurse Practitioner at your registered GP and make sure this has been removed completely****


1Hr Hearing Aid Fitting

15 years’ aural rehabilitation experience in the NHS has taught Ruth that when it comes to hearing aid selection, fitting procedures are as important as, if not more important than, the technology/price tag.

Digital hearing aids can be programmed to the individual client’s needs depending on their daily type of activities. To ease the habituation process, a hearing aid needs to be fitted to the individual’s ear by using Real-Ear Measurements (REMs), taking all the individual acoustical parameters of the client’s ear into account. REMs are also used to verify the actual hearing aid fit in addition to Visible speech mapping (VSPM) which is a method of showing the benefit of the hearing aid objectively. Both techniques are paramount for a successful hearing aid fitting.

Click link for some information on purchasing hearing aids from the Cork Deaf Association

30 Min Hearing Aid Review

After a 4-week trial period, the hearing aid, more often than not, needs fine-tuning as the client has started to habituate to the aid/s. This appointment is important to give the audiologist the opportunity to make adjustments to the hearing aid while taking subjective real-live situations into account.

15 Min Hearing Aid Repair

Hearing aids do need some minor maintenance, most of which can be done at home like cleaning and re-tubing. We are happy to undertake any minor maintenance or repairs at the practice. For more serious repairs, the aids will have to be sent back to the manufacturer. Every purchased hearing aid will have a 2-year manufacturer’s guarantee.

30 Min Hearing Therapy (HT)

Hearing Therapy sessions provide information on communication tactics for clients, family and significant others. Information and practical help is given for people who have dexterity, dual sensory loss or memory problems requiring additional help to adapt to their hearing aids or explore alternative communication tactics and listening devices. It also provides counselling, relaxation and communication advice to people who are affected by hyperacusis or have central processing issues (reduced ability to discriminate speech in background noise).
Information on environmental aids and assistive listening devices for TV, telephone, doorbells, fire alarms and other alerting devices can be given.

30 Min Balance Rehabilitation

Ear related balance disorders can effect people in different ways:
-Feeling of swaying or rocking
-Feeling unsteady on the feet
-Spinning sensation upon movement, particularly when involving movement of the head (up; down; side to side)

Patients with peripheral vestibular/balance disorders such as labyrinthitis or vestibular neuritis (an inner ear infection usually caused by a virus) typically experience an acute episode of very severe dizziness for 24-72 hours, accompanied by nausea or vomiting. Symptoms start reducing with central compensation over a period of days and weeks, though this may be incomplete and can cause chronic dizziness. Following the acute phase, treatment with gaze and balance exercises have reported high success rates with improving central compensation. These customised exercises are known as Vestibular Rehabilitation or Balance Rehabilitation.
If you have been diagnosed with Ménière’s disease, the classic symptoms being vertigo (drop) attacks, vomiting, hearing loss, tinnitus and aural pressure, Balance Rehabilitation may be beneficial.

Note: If there are health problems in addition to a vestibular/balance disturbance, this may compromise the recovery rate or the full potential of Vestibular Rehabilitation.

****Gradual withdrawal from Betahistine (Serc) and other vestibular suppressants is recommended wherever possible, as these prevent central compensation and prolong symptomatology****

30 Min Tinnitus Management

Tinnitus can be described as the perception of sound such as ringing, buzzing, whooshing, whistling or a musical hallucination either in one or both ears, or in the head, independent of any outside sound being present. It is common among hearing impaired people.
Tinnitus can also be associated with other hearing problems such as hyperacusis which is an over-sensitivity to certain frequencies of sound, or difficulty tolerating everyday noises. Pulsatile and/or unilateral (one-sided) Tinnitus should be further investigated.

It is important that clients with troublesome Tinnitus receive reassurance and encouragement in the early stages, as well as information to aid understanding.
The management options are individually chosen and can include all, or a combination of, the following:

  • Sound Therapy [Sound enrichment devices]

  • Mindfulness Cognitive-Based Therapy

  • Hearing Aids

  • Sound Generators [White noise generators/Maskers]

  • Relaxation

  • Group Support

  • Talking Therapy [Tinnitus is often made worse by higher levels of stress. Talking therapies can help by reducing stress]

  • Understanding Tinnitus [Tinnitus is often made worse by worrying about what it is and what it means]

Some of the above management options will be offered by fellow therapists when appropriate.

The Cork Deaf Association hosts Tinnitus support groups throughout the year


Ruth Hadley's Audiology training was conducted in Germany at the University Hospital Bonn, Department of Ear, Nose and Throat from 1997-2000.
She also has a Graduate Diploma in Technical Audiology (2005) from the University College London (UCL), UK and Postgraduate Diploma in Rehabilitative Audiology (2010) from the University of Bristol, UK

Ruth is extremely committed to delivering a high quality, evidence based and safe service for clients living in West Cork and further afield.
Any treatment received at Kinsale Hearing will be of the highest clinical standard, adhering to BSA (British Society of Audiology) recommended procedures and NICE (National Institute for Health and Care Excellence) Guidelines as recommended by the HSE Audiology NARG review 2011, as well as the Irish Academy of Audiology (IAOA).

Since she relocated to Kinsale, Ruth has been teaching and examining at University College Cork on the MSc Audiology programme where she continues to teach and examine on a contractual basis while running her own private practice in Kinsale.

She also works at Cork Deaf Association in Cork City as Clinical Support offering advice on various Tinnitus Management Options.

As an Advanced Clinical Audiologist at the University Hospital Bristol NHS Trust, her special interests were seeing clients with complex hearing impairments for assessment and aural rehabilitation such as clients with additional needs (ie. Dementia/Alzheimers/Parkinson’s/Stroke patients) and Dizziness & Vertigo assessments.
She also co-ordinated the local audiology young adult transition service in Bristol and was the multi-disciplinary link to the Bristol Acoustic Neuroma Service and Community Speech & Language Service.

Ruth is a registered clinician with RCCP (The Registration Council for Clinical Physiologist UK), a member of the British Academy of Audiology (BAA), the British Society of Audiology (BSA) and a member of the Irish Society of Hearing Aid Audiologists (ISHAA) and Irish Academy of Audiology (IAOA).

Impression-taking appointment

Please contact us at Kinsale Hearing - we provide custom-made moulds, swim plugs, noise protection and musicians’ ear plugs.

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Training & Talks

Kinsale Hearing can provide deaf awareness sessions and basic hearing aid maintenance training for those within caring professions, working at residential care homes and hospitals.

Tax Relief & PRSI

Non-Medical Card Holders

The Treatment Benefit Scheme is provided under the Department of Social Protection. The scheme is available to insured workers, retired people, and their dependent spouses who have the required number of PRSI Contributions.

Kinsale Hearing has a contract with the Department of Social Protection. The Department pays a maximum contribution of €500 towards each hearing aid, every 4 years. Read more about the Treatment Benefit Scheme on the Department of Social Protections Website

Medical Card Holders

Medical Card Holders are entitled to free hearing aid services from the HSE. If you wish to obtain a hearing aid on your medical card you must first consult with your G.P.

Private Health Insurance cover

Hearing aid prescriptions are generally not covered by private health insurance companies in Ireland. Depending however, on your level of cover, the cost of a hearing test may be reimbursable. Contact your Health Insurance Company for further information.

Tax Relief

You may claim tax relief in respect of the cost of certain medical expenses paid by you. This includes the cost of hearing aids.

Click here for the Revenue website for further information on MED1 Tax Relief Scheme

Read more about the Treatment Benefit Scheme on the Department of Social Protections Website

Contact Us

Kinsale Hearing
Kinsale Health & Wellbeing Centre, Emmet Pl.
Kinsale, Co. Cork P17 H589

 Phone: 021 6010223