Eye Society – key messages video transcript including descriptions Headings refer to timings in the video where voiceover and descriptions take place. 0:00 to 0:18 Voiceover: Here at RNIB we’ve created this amazing mechanical automaton to highlight some of the key challenges in eye care today. As a result of new discoveries over the past decade, conditions that would have led to blindness are now treatable. This is a huge and welcome step forward. Description: The video opens on a wide shot of the “Eye Society” Automaton, a multi level free standing exhibit featuring several scenes containing detailed mechanical models. The view starts on a scene at the base of the exhibit featuring a model town with small vehicles moving round a circular road and tiny people barely two centimetres tall moving on rotating platforms into model optician shops. It then pans upwards past two scenes featuring larger models roughly six inches high in an eye clinic setting on to an operating theatre scene populated with slightly larger models of headless chickens and finally to the top of the exhibit where a large vintage looking clock displays vanes featuring the universal access symbol for sight loss. 0:19 to 0:28 Voiceover: Increased access to interventions has also revolutionised eye care. Cataract surgery now ranks as the 3rd most common procedure on the NHS. RNIB – supporting blind and partially sighted people Registered charity number 226227 Description: A model patient about six inches in height is lying down on a bed in the operating theatre scene while two metal arms move in and out from their face flashing blue in a model simulation of laser eye surgery. 0:29 to 0:39 Voiceover: But people are living longer which means demand for eye treatment here in Britain is on the rise. Losing or keeping your sight can also depend on where you live. Description: First the focus is on older people standing in various positions in the model town scene at the base of the Automaton after this we see one of the optician’s shops in the scene with model patients moving on a motorised turntable into its entrance. 0:40 to 0:44 Voiceover: If you’re lucky enough to live here you would be able to access treatment quickly. Description: A leafy, well presented area in the model town scene appears with a sign that reads, “Welcome to Royal Brilchester”. A lorry moves around the road in the scene with the message “Wait folks” written on its side in the brand style of a well-known supermarket chain. The camera then focuses on the opticians shop in this area where model patients are quickly moving around a turntable into the entrance. 0:45 to 0:52 Voiceover: In areas with higher levels of social deprivation, demand for eye care is high but access to treatment is often much slower. rnib.org.uk Description: A run down area of the model town scene is revealed. A model of a child can be seen playing around a burnt out car and discarded fridges next to a “no dumping” sign. At the bottom of the frame we can see a sign that reads, “Dumpington Tunnel”. The camera then focuses on “Hoots” the opticians shop in this area the scene where model patients are moving much more slowly around a turntable into the entrance. 0:53 to 0:55 Voiceover: In effect it’s a postcode lottery. Description: A white van speeds round the road in the model town scene featuring a loose parody of the national lottery logo accompanied by the words, “postcode lottery” 0:56 to 1:05 Voiceover: Losing your sight all too often means losing your job. You have to stop driving and are far more likely to rely on carers in day-to-day life. Description: First a wide shot moves its focus through the various buildings in the model town scene. Then a shot of the road appears with a parody of a road sign overhead that reads, “Ageing Population – NEXT TURN” and finally the focus moves to a model of an old person in the town scene being supported by a model carer. 1:06 to 1:12 Voiceover: People with sight loss are also more likely to fall, meaning further NHS treatment. Description: First the camera is focused is on a model of an old lady in the Brilchester area of the model town scene and then focus moves to a nearby model that appears to have fallen over with a paramedic crouched down next to it and a pillow placed under its head. rnib.org.uk 1:13 to 1:18 Voiceover: Sight loss can lead to anxiety, social isolation, loss of confidence and self-esteem – even clinical depression. Description: First the camera comes into focus on a sign that reads, “Brilchester Heights – an area of outstanding anxiety”. It then pans up to reveal a figure sitting on the fence above this location as if about to jump. 1:19 to 1:30 Voiceover: Many patients tell us they have to spend months waiting for appointments at their local eye clinic. These delays can lead to permanent sight loss as many eye conditions progress rapidly. Description: The video cuts to the right side of the middle level of the exhibit where there is a scene depicting a hospital waiting room with a sign underneath that reads, “The Long Wait”. This scene is full of larger models, each roughly six inches high sitting in a line and a model nurse with a stern look on her face standing at one end. At one end of the row a skeleton sits in a chair, its eyes light up and it turns to the model of an adult man next to it who taps his foot impatiently. A model of an African carribean lady sitting next to the man is reading a leaflet about sight loss. The head of the final model in the row rotates from that of an adult to reveal the face of a very old person. 1:31 to 1:41 Voiceover: Insufficient capacity in eye units is often to blame for delays and cancelled appointments. Staff work long hours under intense pressure, sometimes working in their free time to meet demand. rnib.org.uk Description: A model patient is lying in a bed in the operating theatre scene at the top of the exhibit. A giant syringe labelled “AMD Treatment” sits above his head with cogs driving a mechanism that pushes its plunger in and out. A headless chicken dressed in a surgeons outfit stands next to the bed. The camera then cuts to a close up of a series of cogs that are spinning in this area of the model, we can see small model eye balls being pushed up a tube that runs from the base of the exhibit all the way up to this top level where they then run down tubes, stuck in a perpetual loop. 1:42 to 1:53 Voiceover: Eye Clinic staff have told us about their chaotic working conditions. They often feel they are running from one crisis to another. Patients are concerned when their appointments are delayed or cancelled. Description: First there is a close up shot of the stern nurse in the waiting room scene who shakes her head and the camera then cuts to the operating theatre scene at the top of the model where the three headless chickens flap their wings dramatically. One is dressed as a surgeon, one a doctor and one a nurse. The camera then cuts back to the waiting room scene where there is a close up of a patient’s watch and then his tapping foot. 1:53 to 2:00 Voiceover: This puts clinic staff at risk of burnout and patients at serious risk of unnecessary sight loss. Description: We can see a close up of the consultant sitting in his office in the scene on the left side of the second tier of the exhibit. He turns to face the camera and then it cuts to an aerial view panning around the model optician shops in the model town scene at the base of the model. rnib.org.uk 2:01 to 2:07 Voiceover: Urgent action is needed now to prevent a looming capacity crisis in eye care. Description: In the office scene a model head moves around a large disk with two eyes rolling from a chute into its sockets at a certain point before it eventually stops in position at the head of a model patient sitting opposite a model consultant. The patient raises his hands and the consultant types on his keyboard. 2:08 to 2:15 Voiceover: For some patients there isn’t any treatment and without the right support they can be left feeling isolated and afraid. Description: The consultant shakes his head and the patient raises his hands to his eyes. The model head then moves again around the large disk depositing the patient’s eyes on to a chute that funnels them down to a dustbin with “waste” written on its lid. 2:16 to 2:24 Voiceover: For others treatment is available. But delays in the system mean they don’t receive timely care and can lose some of their sight needlessly. Description: The consultant and patient can be seen once again interacting. The camera then cuts to a view of the operation area on the top level of the Automaton and then the focus is on the dustbin in the consultant’s room scene where the patient’s eyes end up when no support is available. 2:25 to 2:33 Voiceover: A sight loss advisor can provide emotional and practical support to patients, and help them manage their eye condition. rnib.org.uk Description: A model of a sight loss adviser pops out of the doorway in the consultant’s room scene holding a bucket in her hands. 2:34 to 2:38 Voiceover: With the right support they can start to rebuild their lives. Description: The eyeballs from the patient roll down the ramp and are caught in the bucket held out by the model sight loss adviser. 2:39 to 2:50 Voiceover: All the figures in the automaton are designed to sum up what we believe at RNIB. That all patients should have rapid access to treatment and there should be advice and support in place for them. Description: In a recap of areas covered earlier in the video the first shot pans slowly across the model town scene and then in a second shot the view pans across the faces of the patients in the waiting area scene. Finally first a wide angle and then a close up shot of the sight loss adviser is displayed. 2:51 to 2:56 Voiceover: For more information visit eyesociety.org.uk Description: On screen text matching voiceover 2:57 to 2:59 Voiceover: RNIB Supporting people with sight loss Description: RNIB Logo rnib.org.uk