ABSTRACTIn 1983, a study was undertaken to document aspects of communication aids provision. Two national surveys (one of manufacturers and the other of district speech therapists), were carried out (Phase I), and then a prospective year's study, based on Phase 1 data, set up in nine selected districts (Phase 2). Data on 32 new adult users of 39 communication aids were gathered and various findings summarised: (1) the need to ensure maximum compatibility between user and aid through thorough assessment, the involvement of both user and carer, training in aid usage and regular monitoring by the therapist; (2) the extent of use isnotimportant, rather the importance placed on the degree of use by the user; (3) the need to promote more extensive clinical trials of communication aids; (4) a wider training for speech therapy students in the new technology and then post‐college opportunities to keep abreast of current developments. Regarding policy, the usefulness of a loan bank is proven, together with the need for easier access to funding. Further, direct referral procedures help to ensure speedy, effective provisio