1. 1 RNIB's Community Engagement Programme (CEP): Sharing the Glasgow Experience Dr Ken O'Neill GP and Clinical Director NHS GG&C Gozie Joe Adigwe Senior Eye Health and Equalities Officer

2. 2 The Glasgow CEP One of five pilots aimed at 'high risk' groups and tackling avoidable sight loss (2009 - 2014). RNIB Scotland had been working with ethnic minority communities from 2008 - Review of Community Eye care services A strong case put to RNIB Programme board to fund more work in Glasgow.

3. 3 The early days Setting up CEP advisory group Recruiting staff - Community Development Officer Project Initiation Document (PID) Internal/external reporting strategy Eye Health Equity profile - GG&C Public Health Resource Unit Insight research - Shared Intelligence (UK-wide) Evidence review - Prof Mark Johnson, De Montford University Stakeholder co-production events - Multi-disciplinary Commissioning evaluation team - London School of Hygiene and Tropical Medicine (UK-wide)

4. The interventions Intervention 1 A programme of eye health promotion events in the local community. Recruitment and training of Eye Health Volunteers and Community Champions to promote eye health among the target population. Intervention 2 and 3 working with health professionals to promote consistent messages to the target population with diabetes about attending both DRS appointments and optometrist eye examinations 4

5. Evaluation methods Pre- and post-intervention community surveys Analysis of service use data collected by optometrists Analysis of routinely collected data (DRS, GOS) Interviews with key informants including RNIB staff, advisory group members, primary care and DRS practitioners, community champions and volunteers Documentation and researcher field notes Cost-consequence analysis including analysis of data provided by staff logs 5

6. Headline results Intervention 1 Small increase in the proportion of survey respondents reporting having seen, read or heard information about eye health (30.6% to 33.6%) Small increase in the proportion aware of eligibility for eye examinations in Scotland (65.3% to 71.5%) Small decrease in the proportion reporting an eye examination in the previous two years (79.4% to 78.6%) Interventions 2 and 3 Increase in proportion of Pakistani patients attending DRS appointments between Q4 2012 and Q4 2013 (74.9% to 82.7%) Also a small increase among all patients over the same period (76.5% to 80.2%) (DRS data) However, small decrease in reported attendance at DRS (89.0% to 82.7%) (survey data) 6

7. Challenges and Enablers Challenges Recruiting men as volunteers and community champions Targeting a particular age group Expectations of community champions and primary health care practitioners Maintaining reach with limited resources Enablers ‘Inspirational’ Community Development worker Local volunteers Collaboration with health services and other agencies - partnership approach acknowledged across the board, Chairman's Award nominee 7

8. Next steps Developing NHS staff as Eye Care champions to deliver simple eye health messages e.g. ’go regularly for your free eye exam. It could save your sight before you notice anything yourself’. Consultants encouraged to speak to patient/community groups as a potentially useful way to communicate the importance of good attendance to eye clinic appointments. Utilising the board’s Corporate Inequalities links with community organisations to deliver this type of (eye health) programme more widely. 8

9. 9 Next steps (cont.) There is evidence that texting patients has been shown to be effective in reducing non-attendance to appointments. There is room to consider expanding this practice across diabetic and retinal clinics. Patients who attend well for appointments could be supported to spread the word of good experiences at appointments to try and dispel perceptions non-attenders may have. Glasgow Caledonia University 4th year optometry students could be supported to visit community organisations and deliver eye health sessions. © RNIB Scotland Registered charity number SC039316