The adults we see through SCIP are in most cases born with normal hearing; their world is a hearing world. They may start to lose their hearing in late childhood or early adulthood – mostly slowly over time, sometimes suddenly. A typical patient has used hearing aids for many years, but eventually hearing aids become ineffective. They lose access to spoken communication, which they, their families, their colleagues, their social networks, all use - almost exclusively. Their jobs rely on spoken language and are placed at risk. They withdraw, become isolated and experience depression and anxiety. Family relationships suffer. The benefits of an implant are life changing. It connects, or reconnects people, with home, school, work, and their communities. The team of SCIP specialists support the full spectrum of a CI journey, from initial assessment through to post-surgery rehabilitation. Patients are never discharged from SCIP as the programme is mandated to look after a CI recipient’s equipment for its lifetime. A SCIP patient is a patient for life.