DVLA Flashcards
What motorists are included in group 1 vs group 2 in DVLA guidance?
Group 1 = Car and motorcycle
Group 2 = Bus and lorry
What is the DVLA guidance for group 1 drivers after first unprovoked/ isolated seizure?
Notify DVLA
Must not drive for 6 months from seizure date or 12 months if underlying factor that may increase risk
DVLA guidance for group 1 with epilepsy or multiple unprovoked seizures?
Notify DVLA
Must not drive for 12 months from date of most recent seizure
What is the DVLA guidance for group 2 drivers with first unprovoked/ isolated seizure?
Notify DVLA
Must cease driving for 5 years from date of seizure
License can only be restored if after 5 years a neurologist has made a recent assessment and clinical factors or investigation results indicate no annual risk of more than 2% of further seizure
Also requires that no epilepsy medication was needed throughout the 5 years
DVLA guidance for group 2 with epilepsy or multiple unprovoked seizures:
Notify DVLA
Must remain seizure free for 10 years (without epilepsy medication) before license can be restored
When does dizziness affect driving license?
Defined as ‘liability to sudden and unprovoked or unprecipitated episodes of disabling dizziness’
Sudden defined as ‘without sufficient warning to allow safe evasive action when driving’
Disabling defined as ‘unable to continue safely with the activity being performed’
If meets above criteria, to stop driving and must notify DVLA
*
For Group 2 drivers, they must remain symptom-free for 1 year before relicensing
DVLA guidance for group 1 after stroke and central venous thrombolysis:
-Must not drive but may not need to notify DVLA
-Can resume driving after 1 month if satisfactory clinical recovery
-DVLA notified if residual neurological deficit 1 month after episode: visual field defects, cognitive defects, impaired limb function
DVLA guidance for group 1 after single TIA?
Must not drive for 1 month, don’t need to notify DVLA
DVLA guidance fro group 1 after multiple TIAs:
Notify DVLA
Must not drive
No driving for 3 months
DVLA guidance for group 2 after stroke, central venous thrombolysis or TIA:
Notify DVLA
Must not drive
Licence will be refused or revoked for 1 year, relicensing may be considered if: -there is no debarring residual impairment likely to affect safe driving
-there are no other significant risk factors
If central venous thrombosis or <50% carotid artery stenosis and no prev hx of CVD then licence can be issued
Recurring TIAs ot stroke will require functional cardiac testing
Group 1 DVLA guidance for angina?
Must not drive when symptoms occur -at rest
-with emotion
-at the wheel
Driving can resume after satisfactory symptom control
Don’t need to notify DVLA
DVLA group 2 guidance for angina?
Notify DVLA
Must not drive when symptoms occur
Licence will be refused if sx continue
Regain licence if - no angina for 6 weeks
- the requirements for exercise or other functional tests can be met
When can you start driving after a myocardial infarction?
Depends on what intervention given:
Medical management = 4 weeks
Emergency or elective PCI= 1 week
CABG = 4 weeks
DVLA guidance for type 1 diabetes:
3 yearly licence so long as:
- adequate awareness of hypoglycaemia
-no more than 1 episode of severe hypoglycaemia with awake in last 12 months and most recent episode occurred > 3months ago
-Practices regular glucose monitoring
How does age affect driving?
No bar to driving
DVLA needs confirmation at age 70 that no medical disability is present
3-yearly licence issued subject to satisfactory completion of form
