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    Driving Risk Assement Audit Presentation Draft

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    1) Doctors have a duty to advise patients on how their medical condition may impact driving ability, inform them of legal notification requirements to the DVLA, and consider fitness to drive when managing the patient's condition. 2) If a patient's fitness to drive requires notification but they will not notify themselves, the doctor must notify the DVLA. 3) For psychiatric conditions, the DVLA will decide if the driver can keep their license, have a restricted license for a set time period, need vehicle adaptations, or must stop driving based on information from the patient, doctor, and possible driving assessment.

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    Driving Risk Assement Audit Presentation Draft

    Uploaded by

    z
    57 views15 pages
    1) Doctors have a duty to advise patients on how their medical condition may impact driving ability, inform them of legal notification requirements to the DVLA, and consider fitness to drive when managing the patient's condition. 2) If a patient's fitness to drive requires notification but they will not notify themselves, the doctor must notify the DVLA. 3) For psychiatric conditions, the DVLA will decide if the driver can keep their license, have a restricted license for a set time period, need vehicle adaptations, or must stop driving based on information from the patient, doctor, and possible driving assessment.

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    Driving Risk Assessment in psychiatric patients

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    1) Doctors have a duty to advise patients on how their medical condition may impact driving ability, inform them of legal notification requirements to the DVLA, and consider fitness to drive when managing the patient's condition. 2) If a patient's fitness to drive requires notification but they will not notify themselves, the doctor must notify the DVLA. 3) For psychiatric conditions, the DVLA will decide if the driver can keep their license, have a restricted license for a set time period, need vehicle adaptations, or must stop driving based on information from the patient, doctor, and possible driving assessment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    57 views15 pages

    Driving Risk Assement Audit Presentation Draft

    Uploaded by

    z
    1) Doctors have a duty to advise patients on how their medical condition may impact driving ability, inform them of legal notification requirements to the DVLA, and consider fitness to drive when managing the patient's condition. 2) If a patient's fitness to drive requires notification but they will not notify themselves, the doctor must notify the DVLA. 3) For psychiatric conditions, the DVLA will decide if the driver can keep their license, have a restricted license for a set time period, need vehicle adaptations, or must stop driving based on information from the patient, doctor, and possible driving assessment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    Driving and psychiatry

    conditions
    What I have learnt
    Duties of a doctor regarding patient driving
    • Duties of a doctor
    • advise the individual on the impact of their medical condition for safe driving ability
    • advise the individual on their legal requirement to notify DVLA of any relevant condition
    • treat, manage and monitor the individual’s condition with ongoing consideration of their fitness to
    drive
    • notify DVLA when fitness to drive requires notification but an individual cannot or will not notify DVLA
    themselves
    • Document
    • Can speak with the DVLA medical adviser
    • Driver has the overall legal responsibility, and they need to tell DVLA if any changes to
    their physical health/mental health that can impact driving
    • Patient must surrender their driving license when doctor advises patient to stop driving,
    or any other medical condition that affect ability to drive safely for 3 months or more
    Process of referral to DVLA
    • Patient will need to complete a medical questionnaire (M1 form) and submit to DVLA
    • DVLA will decide if sufficient information is provided or to seek more information from
    health care professional or a driving assessment

    • Decision
    • 1) keep license
    • 2) have a shorter license but must be reviewed - 1, 2, 3 or 5 years
    • 3) need to adapt the car by fitting special controls
    • 4) must stop driving and give up your license
    • DVLA will give reason why and if patient can apply again
    • Patient can appeal decision
    Driving assessment

    One of 20 approved driving assessment centres around the UK

    Drivingmobility.org.uk

    DVLA/DVA will refer the driver to a centre near their home and will pay for the assessment.

    Self referral can be done or healthcare professional referral in some centres

    Carried out by a specialist occupational therapist and an advanced driving instructor.


    • Questions and written test + Reaction time and limb strength + eyesight test
    • Driving on a public road
    Driving and psychiatric conditions
    Gov.uk - Assessing Fitness to drive: guide for medical professionals

    • Chapter 4 (only 7 pages long) and Appendix E

    Some of the criteria for being able to drive in some mental health
    conditions etc

    • Stable for 3/6/12 months


    • Depending on medical enquiry/report
    • Has insight
    • Adhering to treatment plan
    • No impact on concentration
    • No driving during acute illness
    • Not suicidal
    Dementia and driving
    • MCI
    • – if no driving impairment - may drive and does not need to inform DVLA
    • - if driving impaired – formal driving assessment and license review. Depending
    medical reports

    • Dementia
    • Group 1 - May be able to drive but must notify DVLA. Decision on licensing based
    on medical reports. Formal driving assessment may be necessary
    • Group 2 - Must not drive and must notify DVLA. Licensing will be refused or revoked
    Driving and psychiatric conditions
    • Mild-moderate anxiety and depression
    • Severe anxiety or depression
    • Acute psychotic disorder
    • Hypomania or mania
    • Schizophrenia – and other chronic relapsing/remitting disorders
    • Neurological developmental condition
    • Learning disability – mild or severe
    • Behavioural disorders – including post-head injury, dissociative seizures
    • Personality disorders (severe disturbance)
    Driving and psychiatric conditions
    Any psychiatric condition that does not fit neatly into the
    classifications in Chapter 4 will need to be reported to the DVLA if it
    is causing or is considered likely to cause symptoms that would affect
    driving.

    Such symptoms include, for example:


    • any impairment of consciousness or awareness
    • any increased liability to distraction
    • or any other symptoms affecting the safe operation of the vehicle
    Health Conditions A-Z on Driving on
    Gov.uk
    Must tell DVLA Only tell DVLA if it affects ability
    to drive
    • Bipolar disorder • Agoraphobia
    • Paranoid schizophrenia • Anxiety
    • Psychosis • Depression
    • Psychotic depression • Eating disorder
    • Schizoaffective disorder • OCD
    • Schizophrenia • Personality disorder
    • PTSD
    Medications/drugs and driving
    Section 4 of the Road Traffic Act 1988 does not differentiate between illicit and prescribed drugs.
    • Any person driving or attempting to drive while unfit due to any drug is liable for prosecution.

    Antidepressants - TCA

    Antipsychotics

    Opiods

    BDZs misuse- Must not drive and must notify DVLA with persistent misuse or dependence.

    Methadone/buprenorphine programme

    Any medications that caused a provoked seizure – must not drive and tell DVLA
    ECT
    likely severity of the underlying condition requiring electroconvulsive therapy
    (ECT) means the driver should be advised that they must notify the DVLA.

    A seizure induced by ECT is regarded as provoked for the purposes of fitness to


    drive and is not a bar to licensing and driving

    Must not drive until the criteria for the underlying mental condtion is fulfilled

    Driving must stop for 48 hours following the administration of an anaesthetic


    agent.
    After sectioning? -driving
    • No mention of sectioning/Mental Health act in the DVLA guide or on gov.uk site
    • Gov.uk/DVLA guide implies that patient with an acute / new psychiatric condition
    need to either notify the DVLA if necessary ± stop driving until DVLA makes a
    decision
    • No driving during acute illness
    • Driver (legally responsible) should tell DVLA of any worsening of their mental
    health/physical health that will impact driving
    • Revoking/ Licensing would depend on the DVLA’s assessment
    • Depends on the criteria i.e. stable condition for 3 months, depending on report
    Thanks for listening!
    Any questions?
    References
    • Psychiatric disorders: assessing fitness to drive - GOV.UK (www.gov.uk)
    • MIS828_interactive_020321_Final.pdf (publishing.service.gov.uk)
    • Dementia and driving - GOV.UK (www.gov.uk)
    • General information: assessing fitness to drive - GOV.UK (www.gov.uk)
    • https://www.drivingmobility.org.uk/
    • What happens after telling the DVLA about my mental health? | Mind
    , the mental health charity - help for mental health problems
    • Alzheimer society

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