PQS Update – Diabetic Retinopathy Screening in Staffordshire

PQS Update – Diabetic Retinopathy Screening in Staffordshire

October 8, 2019

Contractors wishing to claim under the Pharmacy Quality Scheme Prevention domain must from 1st October 2019 have commenced checks on all patients with diabetes aged 12 years or over, that they have had foot and eye checks (retinopathy) in the last 12 months; checks must continue until 31st January 2020. Full details of the requirements of this quality criterion can be found on the PSNC website at: https://psnc.org.uk/pharmacy-quality-scheme-patients-with-diabetes/.

Following comments from LPCs in other areas, we have contacted the Staffordshire Diabetic Retinopathy Screening Service to clarify how diabetic patients are to be signposted, should they NOT have had their annual screening check. The service is run by the Midlands Partnership Foundation Trust – you can find more information about retinopathy screening on their website.

Firstly, here’s a brief explanation of the process:

  1. GP codes a patient as either type 1 or type 2 diabetic (adults and children 12 years and over)
  2. At the end of each month, this generates an electronic message via a system called GP2DRS – this extracts the relevant data from all Staffs & Stoke practices’ records
  3. Newly diagnosed patients – MPFT have 89 days after receipt of the data to offer a screening appointment
  4. Patients already diagnosed and screened will get an annual recall letter by post
  5. All appointments are made for closest screening clinic; all can be amended online or by phone  on 01785 783283
  6. DNA or cancelled appointments generate a 2nd and if necessary 3rd letter, also the patient will get a phone call or text if MPFT have a relevant number
  7. After 3rd attempt, an unscreened patient is referred back to GP to seek re-engagement in process

Thus, once a patient has been coded as type 1 or type 2 diabetic, the patient should enter the system; if on making your enquiry with the patient they have not had a screen within the last 12 months and they are not newly-diagnosed, you should refer the patient to the DRS on the phone number above – do NOT refer back to the GP.

There are a few “stumbling blocks” in the system, which contractors should be aware of:

  • Occasionally, a GP may tell a patient they are pre-diabetic but tells them to call the DRS for a screen – these patients are not eligible for retinopathy screening;
  • Pregnant ladies who have been diagnosed with gestational diabetes are also not eligible for screening;
  • Patient loses weight and gets told by their GP that they are in remission from diabetes – the patient then thinks they don’t need a check but they ARE still included in the programme and should be screened – please refer back through the booking phone line above to ensure they do get their check;
  • Patients who change address but don’t tell the GP, patients moved into a care home but correspondence goes to a family member – again, advise the patient (or carer where relevant) to contact the booking line to ensure they are picked up for screening. The DRS have the facility to contact the patient via a “care of” address to ensure they get a regular recall.

Should you have any other query regarding the DRS, please call the contact line (01785 783283) or use our Contact Us form.




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