DVLA Flashcards
Cardiovascular disorders:
Hypertension
Unacceptable Rx. side effects,
-Stop driving
-No need to notify DVLA
Group 2 Entitlement the disqualifies from driving if resting BP consistently 180 mmHg systolic or more and/or 100 mm Hg diastolic or more
Acute coronary syndrome
4 weeks off driving
1 week if successfully treated by angioplasty
angioplasty (elective)
1 week off driving
CABG
4 weeks off driving
angina
driving must cease if symptoms occur at rest/at the wheel
PPM insertion
1 week off driving
ICD-implantable cardioverter-defibrillator
Prophylactically: cease driving for 1 month
Sustained ventricular arrhythmia: cease for 6 months
Having an ICD results in a permanent bar for Group 2 drivers
successful catheter ablation for an arrhythmia
2 days off driving
aortic aneurysm
6cm or more
-notify DVLA
-annual review (Licensing will be permitted subject to annual review)
6.5 cm or more
-disqualifies patients from driving
heart transplant
-6 weeks off driving
-no need to notify DVLA
DVLA: neurological disorders
Epilepsy/seizures - all patient must not drive and must inform the DVLA
1st unprovoked/isolated seizure:
-6 months off if all normal (imaging,EEG etc).
-12 months if these conditions are not met
Established epilepsy or multiple unprovoked seizures:
-Seizure free for 12 months - may qualify for driving licence
-Seizures free for 5 years - (with medication if necessary) a ‘til 70 licence is usually restored
-Withdrawal of epilepsy medication:
–should not drive whilst anti-epilepsy medication is being withdrawn and
–for 6 months after the last dose
Syncope simple faint:
no restriction
Syncope single episode, explained and treated:
4 weeks off
Syncope single episode, unexplained:
6 months off
Syncope two or more episodes:
12 months off
Stroke or TIA:
1 month off driving,
No residual neurological deficit may not need to inform DVLA
Multiple TIAs over short period of times:
3 months off driving and inform DVLA
Craniotomy e.g. For meningioma:
1 year off driving
Pituitary tumor: Craniotomy/Trans-sphenoidal surgery
-Craniotomy: 6 months off driving
-Trans-sphenoidal surgery: ‘can drive when no residual impairment likely to affect safe driving’
Narcolepsy/Cataplexy:
-Cease driving on diagnosis
-Can restart once ‘satisfactory control of symptoms’
chronic neurological disorders e.g. multiple sclerosis, motor neuron disease:
DVLA should be informed, complete PK1 form (application for driving licence holders state of health)
DVLA ALL
Specific rules
Hypertension:
-can drive unless treatment causes unacceptable side effects, no need to notify DVLA
-if Group 2 Entitlement the disqualifies from driving if resting BP consistently 180 mmHg systolic or more and/or 100 mm Hg diastolic or more
-angioplasty (elective) - 1 week off driving
-CABG - 4 weeks off driving
-acute coronary syndrome- 4 weeks off driving
–1 week if successfully treated by angioplasty
Angina - driving must cease if symptoms occur at rest/at the wheel
PPM-Pacemaker insertion - 1 week off driving
ICD-implantable cardioverter-defibrillator (ICD)
-for sustained ventricular arrhythmia: cease driving for 6 months
-prophylactically then cease driving for 1 month.
-Having an ICD results in a permanent bar for Group 2 drivers
Successful catheter ablation for an arrhythmia- 2 days off driving
Aortic aneurysm of aortic diameter
-6cm or more - notify DVLA. Licensing will be permitted subject to annual review.
-6.5 cm or more disqualifies patients from driving
Heart transplant: do not drive for 6 weeks, no need to notify DVLA
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DVLA: neurological disorders
Epilepsy/seizures - all patient must not drive and must inform the DVLA
1st unprovoked/isolated seizure:
-6 months off if all normal (imaging, EEG etc.).
-12 months if these conditions are not met
Established epilepsy or multiple unprovoked seizures:
-seizure free for 12 months - may qualify for a driving license
-seizures free for 5 years - (with medication if necessary) a ‘til 70 licence is usually restored
-withdrawal of epilepsy medication: should not drive whilst anti-epilepsy medication is being withdrawn and for 6 months after the last dose
Syncope:
simple faint: no restriction
single episode, explained and treated: 4 weeks off
single episode, unexplained: 6 months off
two or more episodes: 12 months off
Other conditions:
-Stroke or TIA: 1 month off driving, no need to inform DVLA if no residual neurological deficit
-Multiple TIAs over short period of times: 3 months off driving and inform DVLA
-Craniotomy e.g. For meningioma: 1 year off driving*
-Pituitary tumor:
–craniotomy: 6 months;
–trans-sphenoidal surgery: can drive if no residual impairment likely to affect safe driving
-Narcolepsy/cataplexy: cease driving on diagnosis, can restart once ‘satisfactory control of symptoms’
-Chronic neurological disorders e.g. multiple sclerosis, motor neuron disease: DVLA should be informed, complete PK1 form (application for driving licence holders state of health)
*if the tumour is a benign meningioma and there is no seizure history, licence can be reconsidered 6 months after surgery if remains seizure free
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DVLA: visual disorders
Visual field defects:
-Driving must cease unless confirmed able to meet recommended national guidelines for visual field
Monocular vision:
-Must notify DVLA
-Remaining eye: may drive if acuity and visual field is normal in the remaining eye
Blepharospasm:
-consultant opinion is required
