1. Fitness To Drive Basima Ansar 20/01/2009

2. Source Of Information For Medical Practitioners At a glance Guide to the current Medical Standards of Fitness to Drive Available to download on DVLA website www.dvla.gov.uk

3. Guidance available NEUROLOGICAL DISORDERS CARDIOVASCULAR DISORDER DIABETES MELLITUS PSYCHIATRIC DISORDERS/DISORDER DRUG AND ALCOHOL MISUSE AND DEPENDENCY VISUAL DISORDERS RENAL DISORDERS RESPIRATORY & SLEEP DISORDERS MISCELLANEOUS CONDITIONS OLDER DRIVERS

4. Driving licence types Group 1: car / motorcycle, min age 17 y expire at 70 y, renew 3 yearly Group 2: Lorries/ buses, min age 21 y initially valid till 45 y, renew 5 y till 65 y then renew yearly. Med examination needed for renewal, fee apply

5. Disabled Drivers CARS (Group 1) Driving is possible in both static and progressive or relapsing disorders but vehicle modification may be needed. A person in receipt of the higher rate mobility component of the Disability Living Allowance may hold a driving licence from 16 years of age.

6. Determining Fitness to drive Patients with any disorder which may cause danger to others if they drove should be advised not to drive and contact DVLA. DVLA gives advice when they can restart to drive.

7. Notification to DVLA GMC Guidance If condition impairs the ability to drive safely and Pt Cannot/Will not inform DVLA: Make them aware of their inability and legal duty to inform DVLA Unable to understand - doctor informs If refuses to accept diagnosis – 2 nd opinion ( should not drive till then)

8. If continue to drive persuade them – involve next of kin. If do not stop disclose Info to Medical advisor DVLA, inform pt before and after doing so.

9. Neurological Disorders disorderGroup 1Group 2 Epilepsy3 yearly, 7 yr s. free with med 10 y seizure free 1st fit1 yr restriction10 yr s. free Simple faintNo restriction LOC4 weeks, no cause 6 m 3 months, no cause 1 y Chronic eg MS,parkinsons Can retain- assessment Revoked - assessment Sudden attack of giddiness Stop till symptoms better Stop, 1 yr symptom free CVA/TIAStop 1 month1 yr- assessment

10. CVS Angina: cease when symptomatic Elective Angioplasty: 1 week CABG : 4 weeks ACS/MI: 4 weeks AF /SA disease: stop if incapacitating, restart when controlled for 4 weeks Heart Failure: continue if not distracted

11. DIABETES MELLITUS Insulin treated: recognise Hypo, 1/2/3 y MUST inform DVLA Tab treated: no restrictions Exenatide/Gliptins: if in combination with SU

12. When to inform in DM treatment with insulin laser treatment to both eyes problems with vision in both eyes problems with the circulation or sensation in your legs or feet more than one episode of disabling hypoglycaemia impaired awareness of Hypo

13. Psychiatric Problems Severe Anxiety/Depression: stop esp if suicidal Acute Psychosis: stop till symptom control for 3 m Dementia: inform DVLA- needs assessment Alcohol dependency- 1 y alcohol free- assess Drugs: 6-12 m stop, methadone user /assess.

14. EYE/ Renal/Resp Visual acquity: should meet requirement Cataract: must meet requirement Visual field defect: stop driving CRF: needs med enquiries Sleep disorder: stop driving till symptom free Resp: need not inform

15. That WAS DRY Thanks for listening