The incidence of diabetes in the UK is six times higher among people of South Asian origin compared with their European counterparts. This qualitative study explored the barriers to, and incentives for, accessing diabetic retinopathy screening by the South Asian population in Nottingham. The findings suggest that lack of understanding is a significant factor in low attendance rates. Health professionals and services should maximise all opportunities to reinforce the benefits, and engagement strategies should be adapted to the characteristics and beliefs of subgroups in this community.