The NSC (in full first then (NSC) has issued an exclusions document which is available below. It was also sent to each GP practice. Further copies are available from the screening office. The exclusion forms and opt out forms for patients are available below.
Consent issues have been agreed at national level and details can be found in the NSC Factsheet: transfer and management of patient information in diabetic retinopathy screening programmes.
A copy of the screening result will be sent to the registered GP. Initially this will be on paper, but longer term this will be sent to the practice electronically using a similar method to that used for blood test results.
The copy of the screening result sent to the practice will include information concerning any treatment required.
If a patient has not attended for screening following a recall letter and a reminder, a letter will be sent to their GP to ask to them to discuss this with the patient.
There is no need to send reminder letters to your patients, but you may prefer to continue to do this.
It is important for GPs to note that a read code of 'Diabetes resolved' stops patients being invited for diabetic eye screening. There has been and continues to be considerable debate on the issue of screening patients whose diabetes is considered 'resolved', for example those who are post-bariatric surgery. Until there is further evidence on the progression of retinopathy in these patients, the national guidance is as follows:
- Once there is or has been a definite diagnosis of diabetes, excluding gestational diabetes, the patient should be screened for diabetic retinopathy annually for life.
- For patients who had steroid induced diabetes whose diabetes is now 'resolved' the decision about screening should be made on a case- by- case basis. If there is any doubt, the patient should continue to be offered screening.
- If you would like a 'diabetes resolved' patient considered for removal from the screening programme, please write to our Failsafe and Communications Manager, Salisbury and North Hampshire Diabetic Eye Screening Programme, Salisbury NHS Foundation Trust, Block 8, Odstock Road, Salisbury, Wiltshire, SP2 8BJ or email Richard.Bolton@nhs.net , giving full information regarding a patient's diabetes history.
For further information and guidance please see the survey NHS Diabetic Eye Screening Programme website.
Please contact the screening office on 01722 425022 and leave a message or email: firstname.lastname@example.org and a member of the team will contact you.