Challenges to the efficiency of the referral process. Results displayed are the percentage of respondents who identified each issue (± 95% confidence intervals). Referrer education included education of GPs and ENT specialists. A need to educate audiology staff on referral was not identified. Support from Trust included Trust managers and commissioners. Support from other clinicians included the other stages of the referral pathway and clinical psychology. Specialist training referred to specific training for audiologists on tinnitus management.