1. Fitness to the drive in the Netherlands
Ruud Bredewoud, MD
chief medical advisor
CBR
Brussels
November 25th 2005

2. Driving licenses Mayor of place of residence driving license CBR
medical certificate of fitness to drive

3. Medical certificate Group 1 categories at 1st issue
above 70 yrs every 5 years
Group 2 categories
every 10 years

4. Application for group 1 Under 70 years personal declaration (€19)
questionnaire
70 years of age or older
personal declaration (€19)
medical examination (€75)

5. Contents Visual acuity & field Blood pressure Urine (glucose)
Limbs and spinal column
Mental condition
Physical condition

6. Three party system Minimal requirements
Minister of transport / Dutch Health Council
Medical examination
any doctor
Decision on fitness to drive
medical advisor of CBR

7. Further investigation
Specialist (€45 - €125)
ophthalmologist, neurologist, psychiatrist, cardiologist etc.
On road test (for free)
expert on practical fitness to drive

8. On road test
“Because there are no scales to define fitness to drive, the meaning of the medical report is to inform the CBR on the impairments. The outcome of the on road test will provide the final conclusion”
Dutch health council 2001

9. Diagnoses vs impairment
Minimal requirements
Diagnoses based
examination decisive
for example abuse of alcohol
Impairment based
on road test decisive
for example visual field, cognitive

10. Some figures Applicants 70 yrs and older 2004: 137.000
2004:
refused: (3,2%)
restrictions: (3,9%)
shorter validity: (5,9%)

11. Decision by CBR Fit Fit for a limited period Fit under restrictions
Unfit

12. The End