When examining a patient with diabetes you should look for ocular changes that are not related to that condition, as well as those that are.

You should ask the patient if they are being screened for retinopathy in an NHS diabetic eye screening programme. If they are, you should ask when they last had a screening. You should clarify, as far as possible, who is responsible for the overall care and clinical management of the patient.

Even if you are not responsible for providing diabetic eye screening, you should encourage the patient to attend an NHS diabetic eye screening programme and should tell them if you believe their screening is overdue.