Aims: Cochlear Implant (CI) services require a multidisciplinary care model. Whilst many isolated barriers to CI access have been identified, this study uses validated tools to identify barries and apply a wholistic approach to CI access within the Australia and New Zealand (ANZ) healthcare systems. Methodology: The study uses the access framework outlined by Levesque et al. (2013), which includes five dimensions of accessibility: approachability, acceptability, availability and accommodation, affordability, and appropriateness. The framework is applied to analyse the healthcare system and patient factors affecting access to CI services. A literature review was performed and analysed to identify key barriers and propose solutions. Results: The study identifies many barriers to CI access, including lack of awareness and visibility of hearing loss services, stigma associated with hearing loss, workforce and service limitations, high costs of travel and accommodation for patients, and inadequate referral pathways. The study also highlights the importance of national guidelines for CI surgery and the need for collaboration between state and federal levels to improve access. Proposed solutions include developing national guidelines, increasing public health education, decentralising services, and incorporating technological innovations to reduce costs and improve service availability. Conclusion: This study demonstrates that improving access to CI services is possible but requires cross disciplinary collaboration and an appetite to adopt change. With the establishment of global guidelines and ongoing work in Australia to contextualise those guidelines, there is an established network of collaboration, making implementation of these solutions an exciting possibility within ANZ. Reference: Levesque J, Harris MF, Russell G. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Journal for Equity in Health. 2013;12(18)