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Children with disabilities are 28 times more likely to experience eye health issues compared to the general population. In Tower Hamlets, the Royal London Hospital offers a vision screening service to additional needs schools, where participation was previously hindered by a 27% non-return rate of consent forms. This project aimed to improve participation in eye checks among children with learning disabilities by addressing barriers to consent and enhancing accessibility. The service shifted from an opt-in to an opt-out consent process, provided Bengali-translated forms to address language barriers, and introduced an e-consent portal sent directly to parents. These changes led to a 33% increase in participation, with 213 pupils screened, 87 of whom had never had an eye test before. The opt-out consent process reduced administrative burden and increased access to care for children who had missed screenings due to consent issues. The use of Bengali-translated forms and the e-consent system effectively met the needs of a significant proportion of the population, where 47% of families spoke Bengali. This project demonstrates that small, targeted changes can significantly reduce health inequalities, improve healthcare access, and make services more inclusive for vulnerable populations. The approach is adaptable to other healthcare services seeking to address health disparities, showcasing how simple adjustments can lead to meaningful improvements in health outcomes for disadvantaged communities.