DVLA GUIDE TO THE MEDICAL STANDARDS OF Cem Summary Fitness Drive On Common Ed Conditions

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YOU HAVE BEEN PROVISIONALLY DIAGNOSED WITH A CONDITION THAT WARRANTS
RESTRICTIONS ON DRIVING (TICKED BELOW). PLEASE FOLLOW THE APPROPRIATE
INSTRUCTIONS AND INFORM YOUR GP AND THE DVLA (IF INDICATED).
CEM Summary of DVLA’s At a glance guide to the current medical standards of fitness to drive (August 2011) 1/2
http://www.dft.gov.uk/dvla/medical/ataglance.aspx
CEM SUMMARY OF DVLA GUIDE (AUGUST 2011) TO THE MEDICAL STANDARDS OF
FITNESS TO DRIVE (ON COMMON ED CONDITIONS)
DISORDER
GROUP 1 ENTITLEMENT
ODL – CAR, M/CYCLE
GROUP 2 ENTITLEMENT
VOC – LGV/PCV
FIRST UNPROVOKED EPILEPTIC
SEIZURE/SOLITARY FIT
6 months off driving from the date of the
seizure unless there are clinical factors
or investigation results which suggest an
unacceptably high risk of a further
seizure, i.e. 20% or greater per annum.
5 years off driving from the date of the
seizure if recent assessment by a
neurologist indicates that the risk of a
further seizure is greater than 2% per
annum.
Reflex Vasovagal Syncope
Syncope with the 3“Ps”
(Provocation/Prodrome/Postural)
If recurrent, will need to check the “3 Ps”
apply on each occasion.
No driving restrictions.
(Except Cough Syncope)
DVLA need not be notified.
No driving restrictions
(Except Cough Syncope)
DVLA need not be notified
Loss of consciousness/ loss of or
altered awareness likely to be
unexplained syncope but with a high
probability of reflex vasovagal syncope.
No driving restrictions.
DVLA need not be notified.
Can drive 3 months after the event.
(Except Cough Syncope)
Loss of consciousness/ loss of or
altered awareness with
High Risk Factors.
(Includes more than one episode in
previous six months)
Licence refused/revoked for 6 months if
no cause identified.
Can drive 4 weeks after the event if the
cause has been identified and treated.
Licence refused/revoked for 12 months
if no cause identified.
Can drive 3 months after the event if the
cause has been identified and treated.
Presumed Loss of Consciousness/loss
of or altered awareness with Seizure
markers.
6 months off driving from the date of
episode.
If a person suffers recurrent episodes of
loss of consciousness with seizure
markers, 12 months’ freedom from such
episodes must be attained.
5 years off driving from the date of an
episode if the licence holder has
undergone assessment by an
appropriate specialist and no relevant
abnormality has been identified.
COUGH SYNCOPE
Driving must cease for 6 months if a
single episode, increased to 12 months if
multiple attacks.
5 years off driving from the date of the
last attack.
CEREBROVASCULAR DISEASE:
including stroke due to occlusive
vascular disease,
spontaneous intracerebral haemorrhage,
TIA, amaurosis fugax and intracranial
venous thrombosis.
Must not drive for 1 month. May
resume driving after this period if the
clinical recovery is satisfactory. There is
no need to notify DVLA unless there is
residual neurological deficit 1 month
after the episode;
Multiple TIAs over a short period may
require at least 3 months free from
further attacks before resuming driving
and should notify DVLA.
Licence refused or revoked for 1 year
following a stroke or TIA.
Can be considered for licensing after this
period provided that there is no
debarring residual impairment likely to
affect safe driving and there are no other
significant risk factors.
CEM Summary of DVLA’s At a glance guide to the current medical standards of fitness to drive (August 2011) 2/2
http://www.dft.gov.uk/dvla/medical/ataglance.aspx
DISORDER
GROUP 1 ENTITLEMENT
ODL – CAR, M/CYCLE
GROUP 2 ENTITLEMENT
VOC – LGV/PCV
ANGINA
Driving must cease when symptoms
occur at rest, with emotion or at the
wheel.
Driving may recommence when
satisfactory symptom control is
achieved.
DVLA need not be notified.
Refusal or revocation with continuing
symptoms (treated and/or untreated)
Re-licensing may be permitted thereafter
provided:
• Free from angina for at least 6/52
• The exercise or other functional test
requirements can be met.
• There is no other disqualifying
condition.
ACUTE CORONARY SYNDROMES
(ACS)
If successfully treated by coronary
angioplasty, driving may recommence
after one week.
If not successfully treated by coronary
angioplasty, driving may recommence
after four weeks provided:
• There is no other disqualifying
condition.
DVLA need not be notified.
All Acute Coronary Syndromes
disqualify the licence holder from
driving for at least six weeks.
Re/licensing may be permitted thereafter
provided:
• The exercise or other functional test
requirements can be met.
• There is no other disqualifying
condition.
ARRHYTHMIA
Sinoatrial disease
Significant atrio-ventricular conduction
defect
Atrial flutter/fibrillation
Narrow or broad complex
tachycardia.
Driving must cease if the arrhythmia has
caused or is likely to cause incapacity.
Driving may be permitted when
underlying cause has been identified
and controlled for at least four weeks.
DVLA need not be notified unless
there are distracting/disabling
symptoms.
Disqualifies from driving if the
arrhythmia has caused or is likely to
cause incapacity.
HYPERTENSION
Driving may continue unless treatment
causes unacceptable side effects.
DVLA need not be notified.
Disqualifies from driving if resting BP
consistently 180 mm Hg systolic or
more and/or 100 mm Hg diastolic or
more.
DIABETICS with Impaired awareness of
Hypoglycaemia
If confirmed, driving must stop.
Driving may resume provided reports
show awareness of hypoglycaemia has
been regained, confirmed by
consultant/GP report.
If confirmed, driving must stop.
Driving may resume provided reports
show awareness of hypoglycaemia has
been regained, and there are no other
debarring complications of diabetes
such as a visual field defect.
PERSISTENT ALCOHOL MISUSE
Licence revocation or refusal until a
minimum six month period of controlled
drinking or abstinence has been
attained, with normalisation of blood
parameters.
Revocation or refusal of a vocational
licence until at least one year period of
abstinence or controlled drinking has
been attained, with normalisation of
blood parameters.
ALCOHOL DEPENDENCE
Licence revocation or refusal until a one
year period free from alcohol problems
has been attained.
Vocational licensing will not be granted
where there is a history of alcohol
dependence within the past three years.
LIABILITY TO SUDDEN ATTACKS OF
UNPROVOKED OR UNPRECIPITATED
DISABLING GIDDINESS
Cease driving on diagnosis.
Driving will be permitted when
satisfactory control of symptoms
achieved.
Licence refused or revoked if condition
sudden and disabling.
Must be symptom free and completely
controlled for at least 1 year from last
attack before re-application.

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