DVLA Flashcards
These DVLA rules in this deck relate to what unless specifically stated?
Car/motorcycle
DVLA rules for HTN?
- no need to inform DVLA
- can drive unless Mx causes unacceptable S/Es
- If group 2 Entitlement= disqualified from driving if resting BP consistently 180S or more and/or 100D or more
What does group 2 entitlement mean?
allows you to drive large good vehicles and buses
DVLA rules for elective angioplasty?
1 week off driving
DVLA rules for CABG?
4w off driving
DVLA rules for ACS?
4w off driving OR 1w if successfully treated by angioplasty
DVLA rules for angina?
driving must cease if symptoms occur at rest/at the wheel
DVLA rules for pacemaker insertion?
1w off driving
DVLA rules for implantable cardioverter-defibrillator (ICD)?
- if implanted for sustained ventricular arrhythmia= stop driving for 6m
- if implanted prophylactically= stop driving for 1m
- Group 2 drivers= having ICD results in disqualification
DVLA rules for successful catheter ablation for an arrhythmia?
2 days off driving
DVLA rules for AAA of 6cm or more?
Notify DVLA.
Licensing will be permitted subject to annual review.
AAA 6.5cm or more= disqualified from driving
DVLA rules for heart transplant?
stop driving for 6w, not need to notify DVLA
What standards need to be met to get a group 2 license if pt is diabetic and uses insulin or other hypoglycaemic inducing drugs eg. sulfonylureas?
- there has not been any severe hypoglycaemic event in the previous 12 months
-the driver has full hypoglycaemic awareness
- the driver must show adequate control of the condition by regular blood glucose monitoring, at least twice daily and at times relevant to driving
- the driver must demonstrate an understanding of the risks of hypoglycaemia
- there are no other debarring complications of diabetes
What is a HGV licence?
same as group 2
How must a driver show adequate control of their diabetes?
regular blood glucose monitoring, at least twice daily and at times relevant to driving
applicants will need to have used blood glucose meters with a memory function to measure and record blood glucose levels for at least 3 months prior to submitting their application
Patients on insulin who want to apply for a group 2 (HGV) licence need to complete what form?
VDIAB1I
Specific points for group 1 drivers who have diabetes?
- if on insulin then patient can drive a car as long as they have hypoglycaemic awareness, not more than one episode of hypoglycaemia requiring the assistance of another person within the preceding 12 months and no relevant visual impairment.
Drivers are normally contacted by DVLA. - if on tablets or exenatide no need to notify DVLA. If tablets may induce hypoglycaemia (e.g. sulfonylureas) then there must not have been more than one episode of hypoglycaemia requiring the assistance of another person within the preceding 12 months
- if diet controlled alone then no requirement to inform DVLA
Group 1 licence?
cars and motorcylces
DVLA rules for alcohol misuse?
Persistent alcohol misuse, confirmed by medical enquiry and/or by evidence of otherwise unexplained abnormal blood markers requires licence revocation or refusal until min 6m period of controlled drinking or abstinence has been attained, with normal blood parameters
How do the DVLA define alcohol misuse?
a state which, because of consumption of alcohol, causes disturbance of behaviour, related disease or other consequences, likely to cause the patient, his/her family or society harm now, or in the future, and which may or may not be associated with dependency
DVLA rules for alcohol dependency?
same as alcohol misuse but for 1 year
DVLA rules for cannabis, amphetamine, ecstasy or LSD use?
persistent use of or dependency on these substances, confirmed by medical enquiry, will lead to licence refusal or revocation for a minimum 6 month period free of such use has been attained. Independent medical assessment and urine screen arranged by DVLA, may be required
DVLA rules for heroin, cocaine and methadone?
Same as for cannabis, amphetamine, ecstasy or LSD use but for 1 year and consultant report may be required on reapplication
DVLA rules for epilepsy/seizures?
all pts must not drive and inform DVLA
DVLA rules for epilepsy/seizures- first unprovoked/isolated seizure?
6m off if there are no relevant structural abnorm on brain imaging and no definitive epileptiform activity on ECG.
If these conditions not met then this is increased to 12m.
DVLA rules for epilepsy/seizures- for pts with established epilepsy or those with multiple unprovoked seizures?
- may qualify for licence is been free from any seizure for 12
- if there have been no seizures for 5yrs (with meds if necessary) then a ‘til 70 licence is usually restored
DVLA rules for epilepsy/seizures- withdrawl of epilepsy meds?
should not drive whilst anti-epilepsy meds is being withdrawn and for 6m after the last dose
What happens to driving licence when turn 70?
need to renew and then renew every 3yrs
DVLA rules for syncope- simple faint?
no restriction
DVLA rules for syncope- single episode, explained and treated?
4w off
DVLA rules for syncope- single episode, unexplained?
6m off
DVLA rules for syncope- 2 or more episodes?
12m off
DVLA rules for multiple TIAs over short period of time?
3m off and inform DVLA
DVLA rules for stroke or TIA?
1m off, may not need to inform DVLA if no residual neuro deficit
DVLA rules for craniotomy eg. for meningioma?
1yr off
If tumour is benign and no seizure history then can be reconsidered 6m after surgery if still seizure free.
DVLA rules for pituitary tumour?
- craniotomy= 6m
- trans-sphenoidal surgery= can drive when there is no debarring residual impairment likely to affect safe driving
DVLA rules for narcolepsy/cataplexy?
stop driving on diagnosis, can restart once satisfactory control of symptoms
DVLA rules for chronic neuro disorders eg. MS, MND?
Inform DVLA, complete PK1 form (application for driving licence holders state of health)
DVLA rules for severe anxiety and depression with any of the following: signif memory loss, signif concentration problems,, agitation, behavioural disturbance or suicidal thoughts?
Inform DVLA and must not drive
DVLA rules for acute psychotic disorder
Notify DVLA and must not drive during acute illness
DVLA rules for hypomania or mania?
Notify DVLA and must not drive during acute illness
DVLA rules for schizophrenia?
Notify DVLA and must not drive
DVLA rules for ADHD and ASD (pervasive developmental disorders)?
Inform DVLA but may be able to drive
DVLA rules for mild cognitive impairment?
may drive and do not need to inform DVLA
DVLA rules for dementia?
Inform DVLA and may be able to drive
DVLA rules for mild learning disability?
Inform DVLA and may be able to drive
DVLA rules for severe disability?
Inform DVLA and must not drive
DVLA rules for personality disorders?
Inform DVLA and may be able to drive
DVLA rules for visual field defects?
driving must stop unless confirmed able to meet recommended national guidelines for visual field
DVLA rules for monocular vision?
Inform DVLA.
May drive if acuity and visual field is normal in the remaining eye.
DVLA rules for blepharospasm?
consultant opinion required
