An independent specialist audiology practice with particular experience of military NIHL instructions. Reports are prepared in accordance with CPR Part 35 and the expert's overriding duty to the court, applying the rM-NIHL diagnostic methodology of Moore, Lowe and Cox (2022) considered by the High Court in Abbott v MoD [2026] EWHC 941 (KB).
Crown Audiological Services Ltd is a specialist medico-legal audiology practice established in 2026 by Adil Patel BSc (Hons) Audiology. Adil has four years of clinical and medico-legal experience and is a HCPC-registered audiologist. The practice accepts instructions from solicitors, insurers, and claims handlers, with particular experience of defendant-side military NIHL cases.
Every report produced is the independent professional opinion of Adil Patel, prepared in accordance with CPR Part 35 and the expert's overriding duty to the court. The practice's clinical methodology applies the rM-NIHL diagnostic framework of Moore, Lowe and Cox (2022), which was considered by the High Court in Abbott v MoD [2026] EWHC 941 (KB).
The practice's interpretation of the Abbott judgment is its own; nothing on this website should be read as judicial endorsement of this practice. Instructing solicitors are encouraged to read the judgment in full.
All reports are prepared in accordance with CPR Part 35 and the expert's overriding duty to the court. Standard turnaround is agreed at the point of instruction.
Specialist audiological assessments in military NIHL claims, applying the rM-NIHL methodology of Moore, Lowe and Cox (2022) considered by the High Court in Abbott v MoD [2026]: individual AAHL percentile assessment from in-service audiogram series, ISO 7029:2017 corrections, de minimis quantification, and tinnitus causation analysis — provided as the expert's independent opinion to the court.
Beyond military NIHL, this practice provides comprehensive medico-legal audiological services for solicitors, insurers, and claims handlers across the full spectrum of hearing loss litigation — including industrial NIHL, acoustic shock, occupational noise exposure, and hearing loss following accidents or medical procedures.
All reports meet CPR Part 35 requirements and are structured for direct use by legal teams without further clinical interpretation.
Every report produced by this practice is the independent professional opinion of Adil Patel BSc (Hons) Audiology, prepared in accordance with CPR Part 35 and the expert's overriding duty to the court (CPR 35.3), which takes precedence over any obligation to the instructing party. The practice accepts instructions from any party in litigation; the expert's opinion is not influenced by who instructs.
The following methodology is applied to military NIHL instructions and is informed by the diagnostic framework considered by the High Court in Abbott v MoD [2026] EWHC 941 (KB). It is offered as the practice's own clinical approach; instructing solicitors should satisfy themselves of its applicability to the facts of any individual case.
Service records, military audiogram series, noise exposure history, GP records, and AFCS documentation reviewed before the assessment commences. The individual AAHL percentile is established from the in-service audiogram series at this stage, in line with the approach considered in Abbott [2026].
Pure-tone audiometry conducted in a sound-treated environment using calibrated equipment (certificate available on request). Air and bone conduction measured at 0.25, 0.5, 1, 2, 3, 4, 6, and 8 kHz bilaterally. Minimum three threshold measurements per frequency. Test-retest reliability verified within ±5dB at all frequencies.
Middle ear function assessed bilaterally. Conductive pathology excluded before sensorineural attribution. Acoustic reflex thresholds documented.
Diagnosis applied using rM-NIHL (Moore, Lowe & Cox 2022) informed by the approach considered in Abbott [2026]: individual AAHL percentile applied (rather than an automatic 50th percentile), ISO 7029:2017 norms with 2.4dB baseline correction, 6 kHz TDH39 artefact considered case by case. Service-attributable loss separated from presbycusis. De minimis threshold quantified. Tinnitus onset chronology assessed and cross-referenced with audiometric series.
Full written report addressed to the court. Verbatim PD35 §3.3 statement of truth. Court duty confirmed. All documents reviewed listed. Military audiogram series considered as contemporaneous evidence where relevant. Report delivered within the timescale agreed at instruction.
The Abbott [2026] judgment indicates that the application of an automatic 50th percentile AAHL is not appropriate where contemporaneous in-service audiograms are available. A claimant whose in-service audiograms show consistently better-than-average hearing should not be assessed as though they had average hearing — doing so risks inflating the attributed NIHL. This practice applies individual percentile assessment on every military NIHL instruction.
Abbott v MoD [2026] EWHC 941 (KB) provides important judicial guidance on military NIHL diagnosis, quantification, and damages. The table below sets out, for each generic finding, the corresponding clinical approach taken by this practice. This is the practice's own interpretation of the judgment; instructing solicitors should read it in full and reach their own view.
Adil Patel is a HCPC-registered audiologist with four years of clinical and medico-legal experience. He holds a BSc (Hons) in Audiology and is registered with the Health and Care Professions Council (HAD004854). His clinical work has included audiological assessment across a range of NIHL and personal injury cases.
Adil established Crown Audiological Services Ltd in 2026 to provide specialist medico-legal audiological services. All reports are personally prepared and personally signed by Adil. He provides his independent professional opinion to the court in accordance with CPR Part 35.
His clinical approach applies the rM-NIHL diagnostic methodology of Moore, Lowe and Cox (2022), which was considered by the High Court in Abbott v MoD [2026] EWHC 941 (KB). He is available to provide reports and expert witness attendance throughout England, Wales, and Scotland.
The practice was established in 2026 with a clinical methodology informed by the Abbott judgment from the outset — individual percentile assessment, military audiogram series analysis, de minimis quantification, and Woodrup v Nicol hearing aid analysis. Each instruction is approached on its own facts.
The practice's overriding duty under CPR 35.3 is to the court, not to any instructing party. Reports set out the expert's independent clinical opinion on the basis of the evidence available, identifying both the strengths and limitations of that evidence. The practice has particular experience of defendant-side military NIHL instructions but accepts instructions from any party.
Every credential is publicly verifiable before instruction is placed. HCPC registration is searchable at hcpc-uk.org. Companies House registration is publicly accessible. Professional indemnity insurance certificate is provided on request.
Email your letter of instruction to instructions@crownaudiology.co.uk. Include: claimant details, nature of claim, documents available, and any specific issues for consideration. We will acknowledge receipt within 4 working hours.
All available records reviewed prior to assessment: service records, in-service audiograms, GP notes, AFCS documentation. Individual AAHL percentile established from military audiogram series. Any documentation gaps flagged to instructing solicitor before assessment.
Assessment conducted at the practice or at a venue of your choosing. Full ISO 8253-1 protocol applied. Nationwide availability. Results reviewed same day.
Fully compliant report delivered by secure email within 10 working days of assessment. Audiogram appended. Statement of truth signed. Available for supplementary reports and CPR 35.6 replies within agreed timescales.
To instruct this practice, to request a fee schedule, or to discuss a specific case in confidence, contact Adil Patel directly. All enquiries are handled personally.