Independent Expert Witness Services Supported by Specialist Hearing and Balance Diagnostics
Specialist Diagnostics, Independent Opinion and Onward Care
Specialist Diagnostics, Independent Opinion and Onward Care
Why Specialist Diagnostics Matter in Hearing and Balance Cases
Cases involving hearing loss, tinnitus, dizziness and balance disorders are often more complex than they appear. Symptoms may be subjective, fluctuating or multifactorial, and they are frequently inadequately assessed by general testing. The quality of the underlying clinical evidence can be central to establishing diagnosis, causation, severity, prognosis and functional impact.
High-quality specialist audiological and vestibular testing provides a reliable foundation for medico-legal reporting. Without it, key questions around causation and symptom consistency may remain unresolved. Our role is to provide that diagnostic depth, supporting independent consultants with accurate, specialist-level evidence in a field where the nuance of clinical findings often matters considerably.
OUR REVIEW
Trusted by Patients,
Proven by Results
EXCELLENT Based on 112 reviews Posted on Google Diana GranadosTrustindex verifies that the original source of the review is Google. I had an outstanding experience with Harley Street Vestibular Clinic and cannot recommend them highly enough. I developed severe vertigo while visiting London, and it was an incredibly frightening experience as it was my first time ever experiencing dizziness like that. I called the clinic on a Saturday, fully expecting to leave a voicemail since they were closed. To my surprise, the office manager, Preeti, returned my call that same day. I was so grateful. She was kind, reassuring, and went above and beyond to arrange an appointment for me first thing on Monday. From the moment I arrived, the entire team was professional, efficient, and compassionate. They understood how urgent and distressing my symptoms were and made every effort to see me as quickly as possible. The vestibular audiologist was exceptional—she took the time to thoroughly evaluate me, clearly explain everything she was doing, answer every one of my questions, and perform the appropriate treatment. I never felt rushed, and her expertise immediately gave me confidence that I was in the right hands. The clinic was incredibly responsive, organized, and genuinely caring throughout the entire process. They turned what was a very scary situation into one where I felt supported and well cared for. I am truly thankful to Preeti and the entire team for their kindness, professionalism, and outstanding care. If you are experiencing vertigo, dizziness, or balance problems, I would not hesitate to recommend Harley Street Vestibular Clinic.Posted on Google erika thomaziTrustindex verifies that the original source of the review is Google. Great positive experience!Posted on Google Carol BunyanTrustindex verifies that the original source of the review is Google. I could not fault my follow up appointment with Dr Aran and his team. He really does take the time to listen to your questions and really puts himself out to set you on the road to recovery . He genuinely seems interested in getting you better. I would highly recommend this practice.Posted on Google Ged RobinsonTrustindex verifies that the original source of the review is Google. Dr Benjamin Shaw was extremely thorough in his assessment of my recent attacks of vertigo. I have total confidence in his ability, once I have completed the further tests he has arranged at the Wimbledon clinic, to diagnose what is causing this issue with my health.Posted on Google Adrian LoweTrustindex verifies that the original source of the review is Google. I thoroughly recommend the Harley Street Audio Vestibular Clinic. I had an appointment with Dr Rudy Palaniappan who listened carefully to me, conducted a brilliant examination and explained everything to me with a future plan very clearly. I was really impressed!Posted on Google EvanTrustindex verifies that the original source of the review is Google. Dr Arun provided an excellent virtual consultation, took the time to understand symptoms and history and provided an initial diagnosis and treatment plan. It did not feel rushed or with any bias. Received comprehensive notes and summary promptly after the appointment. Would fully recommend.Posted on Google shahram zarafshanTrustindex verifies that the original source of the review is Google. Dr. Arun Pajaniappane is a brilliant and expert doctor. He was also incredibly friendly, making for a truly excellent experience.Posted on Google Vasile BaltacTrustindex verifies that the original source of the review is Google. I had an excellent consultation where both the doctor Arun Pajaniappane and the audiologist were highly professional, attentive, and genuinely responsive to my concerns. They listened carefully to my problems and explained everything clearly throughout the appointment. The procedures carried out were handled with great care and efficiency, which made me feel comfortable and well looked after. I very much appreciated their professionalism and patient-centred approach.Posted on Google Carol lansleyTrustindex verifies that the original source of the review is Google. My first consultation with Dr Arun Pajaniappane was an excellent experience. He listened carefully to me & did extensive tests to try to determine the correct diagnosis.
When to Refer a Medico-Legal
Hearing or Balance Case
Cases That Benefit From Specialist Diagnostic Input
This service is appropriate when an independent consultant or medico-legal expert requires high-quality audiological or vestibular testing to support their reporting. It is also relevant where existing records or basic test results do not fully explain the clinical picture, where symptoms are complex or multifactorial, or where there is a question about the consistency between reported symptoms and objective findings.
Cases involving disputed hearing loss, noise-induced damage, post-traumatic dizziness, tinnitus causation and persistent vestibular dysfunction are particularly suited to specialist diagnostic input.

How We Support Medico-Legal Cases at Harley AVM
Referrals are accepted from independent consultants, solicitors, medical agencies, insurers and case managers. Once referred, we carry out the relevant hearing and vestibular investigations to a high standard, guided by the clinical questions to be addressed and the issues in dispute. Findings are interpreted within a medical framework and documented clearly to support the expert's opinion.
Where the case proceeds to treatment or rehabilitation, we provide a coordinated clinical pathway and work closely with case managers to ensure timely, appropriate and well-documented care.

Major Insurance Providers Accepted
our services
Conditions We Are Treating At Harley Street Audiovestibular Clinic
SPECIALIST MEDICO-LEGAL HEARING AND BALANCE SERVICES
Refer a Hearing or Balance Case to Our Specialist Team
For specialist diagnostic support, independent expert opinion or onward treatment and rehabilitation in a medico-legal case, contact Harley Street Audiovestibular Clinic. We accept referrals from solicitors, consultants, insurers and case managers.