First Voice presented major new data at the 6th Annual Newborn Screening Conference in Perth. The presentation raised a number of important questions about pathways to early intervention from screening and families dropping through these gaps. There was particular discussion of children with mild and moderate losses, those Auditory Neuropathy Spectrum Disorder (ANSD), children who pass the initial screening but develop hearing loss before the age of five and those having difficulty accessing much needed Cochlear Implants.