Equality of access to health care for adults with learning disability has been in the spotlight in the UK in recent years due to publication of several reports. Adults with learning disability are thought to account for a significant proportion of the diabetic population in the UK. A list of adults known to the learning disability health facilitation team, Bradford, Yorkshire, UK, was crossed checked against the list of adults known to be eligible for diabetic retinopathy screening held by general practice groups. Various criteria were devised by which the quality of the service and equality of access could be measured. Overall 91% had been offered diabetic retinal screening; however, 35% of patients did not have a recorded screening outcome. Adults with learning disability and diabetes represent a very small proportion of the total local diabetic population. National audit standards require that 80% of patients with diabetes undergo retinopathy screening, and currently, this standard is not being met for adults with learning disability. There are many barriers to diabetic retinopathy screening for a patient with learning disability, and suggestions for ways to improve equality of access are discussed.