At first contact, ensure language preference is recorded.

NHS appointment letters and information automatically translated if language preference specified.

Increase awareness of access to retinal screening service regardless of benefit status.

Review availability and location of retinal screening appointments.

Increase social prescribing roles to assist vulnerable population groups.

Collaboration between trusts to increase awareness and reassurance of screening (eg Making Every Contact Count).

Increase in social prescribing roles for vulnerable population groups, including outreach services.

Collaboration between trusts to increase awareness and reassurance of screening (eg Making Every Contact Count).

Collaboration between trusts and local religious institutions.

Increase in social prescribing roles for vulnerable population groups.

Development of a mental health – physical health link for health inequalities.

Development of a robust data sharing system between services; for example, blood tests, patient address, patient GP, inpatient/community status, date of last screening appointment and frequency of recall.

Collaborative working between NHS trusts to improve long-term health outcomes.

This project has shown potential to improve screening uptake, however, investment is required to continue and develop joint working. Due to generalisability, the project has the potential to be expanded among other trusts and screening specialisms.

A process to bridge the gap in physical health in SMI populations, particularly in community settings.

Expansion of physical health specialties within mental health inpatient settings.