RNID: For deaf and hard of hearing people.

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Audiovisual
Any information that combines sound (audio) - for example music, voices and sound effects - with images (visual). As such, a television, DVD player or video recorder can be described as audiovisual equipment.

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Block Alphabet
A simple communication system used by deafblind people. Using your forefinger and following a set pattern, trace simple block capital letters on the palm of a deafblind person with each letter traced directly on top of the last.
British Sign Language (BSL)

British Sign Language (BSL) is the language of the British Deaf Community. It is the most widely used method of signed communication in the UK. It is difficult to say how many people use BSL as their first or preferred language but estimates suggest around 50,000.

In March 2003, after many years of campaigning, BSL was recognised as a language in its own right.

BSL is a complex language that has developed over time and is not a translation of English. It uses hand shapes and movements, facial expressions and shoulder movements. It is structured in a completely different way to English and like any language it has its own grammar and syntax. Linguists generally agree that BSL is a topic-comment language. For example, the question in English "What is your name?" becomes the sequence "Your name what?" in BSL.

BSL/English interpreter

A BSL/English interpreter helps deaf and hearing people communicate with each other.

Deaf people who use BSL as their preferred language and hearing people who speak English use BSL/English interpreters to communicate effectively. The interpreters translate from one language into the other.

BT TextDirect
BT TextDirect is a service that gives textphone users greater access to the telephone system. You can use the service if you are a textphone or telephone user and want to talk to a textphone user. Where the call is being made between people using a telephone and a textphone, an RNID Typetalk operator will automatically join the call and translate typed words to voice and spoken words to text.

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Cochlea
The cochlea is part of the inner ear. It is a spiral tube about 3.5 centimetres long which coils 2.7 times. When sound waves enter the cochlea, hair cells trigger an electrical pulse in the auditory nerve. Different frequencies of sound are picked up by different hair cells, depending on where in the spiral tube they are located. The nerve passes electrical impulses to your brain, which recognises them as different sounds, for example people talking or footsteps.
Cochlear implant

A cochlear implant is an electronic device that gives a 'sensation' of hearing if you are profoundly deaf.

Each cochlear implant is made up of two parts: an external part and an internal part. The external part is worn like a hearing aid and has a sound processor. This translates sounds into electrical signals and then sends these to the internal part. The internal part is surgically implanted in your ear. It transmits electrical signals from the sound processor to your hearing, or auditory, nerve. These signals are recognised as sounds by your brain.

Colour blindness

Colour blindness is an inability to distinguish between certain combinations of colour. About 8% of males and 0.5% of females have some form of colour blindness. Red-green colour blindness is most common, followed by yellow-blue colour blindness.

To avoid problems for our users, our website does not rely solely on colour to distinguish between objects. For example, all text links are underlined.

Communication support worker (CSW)

CSWs support deaf people in different ways to help them to access information and communicate with hearing people. They can do this in a range of ways, for example by taking notes, lipspeaking or using British Sign Language (BSL) or Sign Supported English.

CSWs are not usually qualified BSL/English interpreters, though more are now training at this level.

Confidentiality
If you send information about yourselves to us we guarantee that your data will be handled sensitively and not passed to other departments or organisations without your prior consent.
Cued speech

Cued speech is a communication system that combines mouth movements with visual 'cues' for the sounds (phonemes) of spoken language. For example, when cueing English, there are eight handshapes for consonant phonemes and four locations near the mouth to distinguish vowel phonemes. A handshape and a location together cue a syllable.

Cued speech is used in many different languages, but common examples include: helping deaf children see and absorb the same phonemic language as hearing children; working with adults who are deaf or hard of hearing; and helping adults with a sudden hearing loss.

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Data Protection Act 1998

The Data Protection Act covers personal data in electronic and manual formats (for example paper files). The key points of the act state that any data (information) collected by an organisation must be done so fairly and legally, and that the information stored about a person must be kept accurate and up-to-date and not kept for longer than is necessary. Also, security measures must be put into place to stop unlawful or unauthorised processing of personal data and accidental loss or damage to personal data.

The Act also gives rights to the individuals as regards to the data stored about them. Amongst other things, individuals are entitled to request a copy of all personal data stored on them and can prevent their details being used for direct marketing. They can also stop their details being used in a way that is likely to cause distress or discomfort.

Deaf

Someone with a severe or profound hearing loss will describe themselves as deaf. A deaf person will be able to hear little or no sound. They might rely a lot on lipreading, British Sign Language (BSL) may be their first or preferred language, and they may wear a hearing aid.

At RNID, we use the term "deaf people" as general description when talking about people with all degrees of deafness, including deaf, deafened and hard of hearing people.

Deafblind

Deafblind people have a combined sight and hearing impairment which causes difficulties with communication, access to information and mobility.

Deafblindness is also sometimes known as dual sensory impairment, dual sensory loss or multi-sensory impairment. Deafblind people may not be totally deaf and totally blind. There are about 23,000 deafblind people in the UK. Some are totally deaf and totally blind, while many others have some hearing and/or vision.

Deafblind Manual Alphabet
The Deafblind Manual Alphabet is a way of communicating with deafblind people by using your hands to sign on top of their open palm.
Deafened
A person who loses their hearing and becomes deaf after learning spoken language is described as being deafened. 
Digital hearing aid

Hearing aids are described as either analogue or digital. They both look very similar on the outside but the way the technology inside processes sounds is different.

Digital hearing aids have a tiny computer inside to process sounds. This makes it possible to customise the aid to suit your hearing loss very precisely. Many digital aids can be programmed with different settings for different sound environments, for example watching television or in a noisy environment like a pub.

Disability
A physical or mental characteristic that limits the ability of someone to function fully, such as in using a website. Frequent disabilities include: visual impairments, hearing impairments, motor (movement) impairments and cognitive (learning, language and comprehension) impairments.
Disability Discrimination Act 1995 (DDA)

The DDA aims to stop discrimination against people with disabilities. The DDA gives people with disabilities equal rights and access to employment, education, property, transport and goods, facilities or services. The DDA says that service providers, employers and similar are not allowed to treat disabled people less favourably because of their disability.

If you believe you have been discriminated against because you have a disability the DDA can be used to challenge this discrimination.

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Ear, nose and throat (ENT)
If your GP believes that you would benefit from seeing a specialist or from a hearing aid, they will refer you to the ENT department of your local hospital. If it is your first visit the ENT consultant or audiologist will examine your ears and ask about your medical history, including any family deafness.
Eardrum
The eardrum, or the tympanic membrane, covers one end of the ear canal and is part of the outer ear. When sound reaches the eardrum from the outside, it vibrates.
Earloop
An earloop is worn over the ear and increases the volume from that piece of equipment. Many different styles of earloops are available, some with volume controls. Only certain earloops will be suitable for deaf or hard of hearing people.
Earmould
A earmould is the plastic form that conducts sound waves from a hearing aid. The mould itself is normally created from an impression of your ear by an audiologist or registered hearing aid dispenser.
Earmuff
An earmuff is a protective covering worn to protect your ear from excessive noise or cold weather. Normally earmuffs come in pairs and are connected by a headband that is worn over your head.
Earplug
An earplug is an object made of soft material that fits snugly in your ear to protect your ear from damage caused by loud noise. Earplugs come in various shapes and sizes and can be custom made to provide the best protection. Some earplugs should only be used once (single use earplugs) while others can be reused many times.
Electronic notetaker

An electronic notetaker is someone who types up a summary of spoken English using an ordinary keyboard or laptop. As a speaker talks the notetaker types this information and the deaf person can read it off the screen. The notetaker and deaf person can either share a laptop or have a laptop each with a connection between the two.

The information on screen is a summary of what is being said but the deaf person will have to have confident language skills. The notetaker will often provide a transcript on floppy disk for the deaf person to take away with them.

Eustachian tube
The Eustachian tube connects the back of your nose with your middle ear. It controls air flow and makes sure the eardrum can vibrate easily. Problems with the Eustachian tube can affect your hearing.

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Feedback

Your opinions are very important to us. We have tried to make this website as easy to use as possible, and we take great care to make sure information is up to date and relevant. However, sometimes we miss things or make the odd mistake. We welcome your views, whether good and bad, so please get in touch.

Contact information and links to feedback forms can be found throughout the website.

Fingerspelling
People who use BSL also use fingerspelling. Certain words – usually names of people and places – are spelled out on the fingers. It is important to remember that fingerspelling alone is not sign language.
Frequently asked questions (FAQs)
FAQs are used to provide direct, useful answers to commonly asked questions.

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Glue ear

Glue ear is a condition in which a sticky, glue-like fluid builds up in the ear. It is an extremely common condition that affects mainly young children aged between two and five years old.

In most children, glue ear clears up on its own. However, up to 5% of children get persistent glue ear which, if left untreated, causes long term hearing loss.

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Hands-on signing

This method of communication is used to communicate with deafblind people. It is based on BSL. By placing their hands over the signer's hands, the deafblind person can feel how the signs are formed.

Some people with Usher syndrome use hands-on signing as they may visually impaired.

Hearing aid

A hearing aid uses a built in microphone to make sounds louder so that you are able to hear more comfortably. Hearing aids are battery-operated and are usually worn in or around your ear. They are available in different shapes, sizes and types. In the UK, you can either get a hearing aid free from the National Health Service or buy one privately from a registered hearing aid dispenser.

Hearing impairment
Someone who finds it difficult to hear or has a level of deafness is described as having a hearing impairment.
Hi-fi
A high fidelity sound system, or hi-fi as it is more commonly known, is a piece of equipment that reproduces sound with little or no distortion. You can use a loop system with your hi-fi or television to help increase the level of the sound for you, while keeping the volume to a level that is comfortable for a hearing person.

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Induction loop
An induction loop is the same as a loop system.
Infrared system
Infrared systems are an alternative to loop systems (induction loops). They have two parts, a transmitter and a receiver.

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Lipreading
Everyone lipreads to some extent, especially in noisy situations. When you speak to someone their facial movements give you information to help you understand the meaning of what they are saying. Hard of hearing people are the biggest group of lipreaders.
Lipspeaking
Lipspeakers work with deaf and hard of hearing people who prefer to communicate through lipreading and speech. You must be a confident lipreader with good English skills to use a lipspeaker.
Loop systems

A loop system helps hearing aid users to pick up sounds at a distance. Induction loops are often found in banks, post offices, theatres and churches. The loop system transfers sound directly to your hearing aid, cutting out most background noise.

To use a loop you need to put your hearing aid onto the "T" setting. If the loop is not switched on you will probably hear a buzzing or humming noise. You should ask for the loop to be switched on: remember, this is your right under the Disability Discrimination Act (DDA).

M

Menière's disease
Menière's disease is a long-term progressive condition of the inner ear. The disease causes bouts – also known as episodes or attacks – of dizziness, tinnitus and hearing loss.
Minicom
A popular brand of textphone.
Motor impairments
Motor impairments are disabilities affecting the ability to control muscle movement, often limiting mobility. Examples include cerebral palsy, arthritis, paralysis or limb loss. Assistive technologies, such as alternative keyboards and speech input equipment, can help people with motor impairments.
Musical hallucinations
Some people with tinnitus hear music or songs instead of the buzzing, ringing, whistling, hissing or other sounds that are commonly described. Tinnitus is a medical term for the noises that some people hear 'in their ears' or 'in their head'.

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National Health Service (NHS)
If you think you would benefit from a hearing aid, the NHS can loan you a hearing aid free of charge for as long as you need it. Although the aid is yours to use, it remains the property of the NHS.
Neckloop

A neckloop can be used with the "T" (telecoil) setting on a hearing aid to help you listen to your television, hi-fi or radio, or take part in conversations.

The neckloop is a wireless piece of equipment worn around the neck. A small amplifier connected to the TV or hi-fi amplifies the sound, which is picked up by the neckloop and fed directly to your hearing aid.

Newborn hearing screening

Newborn hearing screening is a way of screening newborn babies for deafness within the first few hours, or days, of life. It used to be known as Universal Neonatal Hearing Screening (UNHS).

Newborn hearing screening is being introduced in the UK in stages and is expected to be available in all areas by the end of 2005.

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Palantype

Palantype is a method of machine shorthand used to provide a verbatim (word for word) transcript of meetings. A palantype operator records speech on a special keyboard which then appear on a monitor or screen for the deaf or hard of hearing person to read.

The operator records how words sound rather than how they are spelt. The computer changes these coded word sounds back into English and this is what appears on the screen for the deaf or hard of hearing person to read.

There are not many Palantype operators, so you should book one well in advance of when you need them.

Plain English Campaign
The Plain English Campaign is an independent organisation that campaigns for the use of clear language without jargon, gobbledygook and other confusing language. Plain English doesn’t mean changing the meaning of a sentence or being over simple. It is about making English fast to write and easy to read, and about getting the message across quickly.
Privacy

We sometimes share information with other departments within RNID or external organisations. If you provide us with information about yourself we will not give that information to any people or organisations unless you have told us you are happy for us to do this.

All data will be handled and stored according to the Data Protection Act.

Profoundly deaf
People who are profoundly deaf will have very little or no hearing. Profoundly deaf people will not have developed any spoken language skills and are likely to communicate using sign language and/or lipreading.

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Readability
This is the ease with which content can be read and understood. Readability is affected by the complexity and length of sentences, and the difficulty of the language that is used. The RNID website is written to Plain English Campaign guidelines and carries the Crystal Mark for Quality.
RNID for deaf and hard of hearing people
RNID is the largest charity representing the 9 million deaf and hard of hearing people in the United Kingdom (UK). We aim to achieve a radically better quality of life for deaf and hard of hearing people. We do this by campaigning and lobbying vigorously, by raising awareness of deafness and hearing loss, by providing services and through social, medical and technical research.
RNID SpeedText®

RNID SpeedText® is a real-time, electronic notetaking service that uses two laptop computers. A specially trained operator types a transcript of what is being said onto one of the laptops. This text is shown on the laptop the deaf person is using.

If you want to book an RNID SpeedText® operator you need to contact RNID. You should book as far in advance as possible.

RNID Typetalk

RNID Typetalk is the only national telephone relay service which allows deaf, deafblind, deafened, hard of hearing and speech-impaired people to communicate with hearing people anywhere in the world.

RNID Typetalk is run by the RNID and funded by BT, and brings the benefits of the telephone to individuals and employees with communication difficulties.

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Screen reader

A screen reader is a program that reads out a computer display for the visually impaired people or those who do not have access to a monitor.

A screen reader can be used with other equipment to produce a Braille or voice output. Some screen readers can be customised by the user to help them navigate websites. For example, the screen reader might be set to only read out links on a page.

Severely deaf
People who are severely deaf rely a lot on lipreading, even if they wear a hearing aid. BSL might be their preferred language and they will only be able to hear loud sounds of over 70 decibels (dB).
Sign language

This is a language of hand shapes, facial expressions and movements that are used as a form of communication by some deaf and hard of hearing people.

Contrary to popular belief sign language is not international. Sign languages are as diverse as spoken languages. Deaf people in different countries do not use the same sign language, but some sign languages have a similar structure. In the UK there are around 50,000 British Sign Language users.

Sign Supported English (SSE)
Unlike BSL, SSE is not a language in its own right. Instead it is like a kind of English with signs. Many people you see signing may be using SSE.
Signed Performances in Theatre (SPIT)
SPIT is a leading national body for promoting BSL interpreted performances of mainstream theatre.
Speech to text system
This is voice-recognition software that changes spoken language into text. It is especially useful for people with motor impairments.
STAGETEXT®
This is a charity that provides open captioning (subtitles) equipment for theatres and other venues to give deaf and hard of hearing people access to live performances.
Standard Manual Alphabet
The Standard Manual Alphabet uses hand shapes to represent the 26 letters of the written English alphabet. Learning the Standard Manual Alphabet is often the first step in learning to communicate with deaf and hard of hearing people. The Standard Manual Alphabet is not sign language.

T

"T" (telecoil) setting

Most hearing aids have a "T" setting for the telecoil. This lets you use special listening equipment, such as a "loop system" or a telephone that is "hearing aid compatible".

Many public places will display a sign so that you know they have a loop system installed. However, sometimes the loop system might not be turned on even though it should be. If you think the loop system is turned off you should ask a member of staff to turn it on for you: this is your right under the Disability Discrimination Act (DDA).

T-loop

This is a loop system that helps deaf people who use a hearing or loop listener to hear sounds more clearly. A loop system uses a cable that circles the listening area and a loop amplifier to reduce or cut out background noise.

To pick up the signal from a loop system you will need to switch your hearing to the "T" setting.

Textphone

A textphone can be used to receive and make phone calls. Textphones have a small display screen and keyboard so you can type what you want to say and read what is being typed in reply. Some textphones have a voice telephone handset and others can be used with a separate voice telephone.

If you are severely or profoundly deaf you may want to use a textphone.

Tinnitus
Tinnitus is a medical term for the noises that some people hear 'in their ears' or 'in their head'. These noises can take many forms, with descriptions ranging from whistling, humming and tissue paper rustling to kettles boiling. It is sometimes called "musical hallucinations" as some people hear what sounds like music or songs.

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Usher syndrome
Usher syndrome is a common condition that affects both hearing and vision. The major symptoms of Usher syndrome are hearing impairments and retinitis pigmentosa, an eye disorder that causes a person's vision to worsen over time. Some people with Usher syndrome also have balance problems.

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Video interpreting

Using a video interpreter is just like using any kind of interpreter, except that they will appear on a video screen, rather than in person. Video interpreters provide communication support between deaf British Sign Language (BSL) users and hearing people.

Video interpreting is not a replacement for having an interpreter there in person. But if you have access to the equipment - a videophone and Integrated Services Digital Network (ISDN) phone line - then an interpreter can be booked for short one to one meetings at very short notice.

Videophone
A videophone allows you to see and talk or sign to someone at the same time. Picture quality is good enough for sign language communication, although you may need to sign a little more slowly than usual.
Visual impairment
This is a general term for disabilities affecting sight, including blindness, colour blindness and low vision. Wherever possible the RNID website has been designed to support users with visual impairments who use assistive technologies such as Braille displays, screen readers and screen magnifiers. All the text on the RNID website can be enlarged by changing your browser's settings to help you to read it.

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