I mean I’ve had to come up here on the Tuesday because they wan

..I mean I’ve had to come up here on the Tuesday because they wanted to check my weight www.selleckchem.com/products/MDV3100.html and then I think it was the Wednesday to have my eyes done and I’m thinking, do I need to come up twice [laughs]. Patient 8 (Region 1, Regular) Transport Getting to and from screening appointments was important pragmatically for many patients, who had to overcome a range of issues. One health professional recognised that transport issues and the proximity of screening to patients’ homes potentially affected uptake, apparently understanding patients’ reticence to travel—although without the insight into the difficulties that some patients experienced: Most patients around here like

to go to things that are within walking distance or within a bus stop, if that. So transport is an issue. …they know the surgery, ‘oh the surgery is next door, I know the girls

there, they’re always there’…So maybe I need to have the retinopathy screening done at the surgery and they’d all come [laughs]. Health Professional 1 (Region 3) Patients are advised not to drive to/from DRS appointments, because the mydriasis drops cause blurred vision and photosensitivity (detailed later). The pragmatic repercussions of this were especially noteworthy for working age people. However, alternative travel arrangements also emerged as impractical because blurred vision caused an inability to navigate efficiently. I am tied to either making them [screening appointments] in the afternoon and then getting home, so I have to work out how to get into work in the morning that doesn’t involve driving, or I have to be there [GP practice] earlier, say lunch time or something, I have to take a half day. Patient 5 (Region 2, Regular) Because of the drops, it makes it difficult for

the people’s journey…it’s like a cobweb on top of your eyes and… No I can’t see at all…We have to have the eye drops so it’s very hard to either walk it back …I felt I was blinded temporarily and got into a taxi and then got out of the car somehow. I had to cross the road and I was just looking like that [stares blankly] Carfilzomib because I was waiting for the taxi and I had to do like that [waves arms]… Patient 5 (Region 3, Non-regular) Screening experiences This theme incorporates experiential accounts of the actual screening appointments of patients, including negative experiences of lengthy appointments in high street optometry practices, compared with efficient GP practice appointments. Mydriasis drops caused severe side-effects and subsequent adverse effects for some patients, who discussed strategies to overcome them. Appointment length In one region, appointments lasting for several hours at optometry practices were potentially a deterrent.

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