Primary care

Question 1

Driving: Hypertension

Answer 1

No need to notify DVLA
Can drive unless significant treatment SE

group 2 - CANNOT drive if BP >= 180 mmHg

Question 2

Driving: Elective angioplasty

Answer 2

1 week off driving

Question 3

Driving: CABG

Answer 3

4 weeks off driving

Question 4

Driving: acute coronary syndrome

Answer 4

4 weeks off unless successful angioplasty 9then 1 week)

Question 5

Driving: angina

Answer 5

STOP driving if symptoms at rest/when driving

Question 6

Driving: pacemaker insertion

Answer 6

1 week off driving

Question 7

Driving: ICD implantation

Answer 7

sustained ventricular arrhythmia - STOP for 6 months

prophylaxis - STOP for 1 month

BAN for group 2

Question 8

Driving: successful catheter ablation for an arrhythmia

Answer 8

2 days off driving

Question 9

Driving: aortic aneurysm >= 6 cm

Answer 9

notify DVLA
annual review

> = 6.5 cm NO DRIVING

Question 10

Driving: heart transplant

Answer 10

6 weeks off driving

Question 11

Group 2 drivers and diabetes

Answer 11

no severe hypo in last 12 months
full hypo awareness
adequate control and regular monitoring (memory of last 3 months)
understanding of risks, no other diabetic debarring complications

Question 12

Group 1 drivers and diabetes

Answer 12

hypo awareness, no more than 1 hypo requiring assistance and no visual impairment
DVLA contacts drivers

Question 13

Driving: Alcohol misuse

Answer 13

license revoked until 6 months of abstinence/controlled drinking leading to normal bloods

Question 14

Driving: alcohol dependancy

Answer 14

license revoked until 6 months of abstinence/controlled drinking leading to normal bloods

Question 15

Driving: cannabis, amphetamines, ecstasy, LSD

Answer 15

license revoked until 6 month abstinence
DVLA may require urine test

Question 16

Driving: heroin, cocaine, methadone

Answer 16

license revoked until 1 year of abstinence +- consultant letter

Question 17

Driving: unprovoked/isolated seizure + no abnormality on scan/EEG

Answer 17

6 months off driving

Question 18

Driving: established epilepsy/multiple unprovoked seizures

Answer 18

may drive if 12 months seizure free

no seizure for 5 years - ‘til 70 license

Question 19

Driving: withdrawal of epilepsy medication

Answer 19

do NOT drive until 6 months after last dose

Question 20

Driving: simple syncope/faint

Answer 20

no restriction

Question 21

Driving: single episode of explained and treated syncope

Answer 21

4 weeks off driving

Question 22

Driving: single unexplained ep of syncope

Answer 22

6 months off driving

Question 23

Driving: two or more episodes of syncope

Answer 23

12 months off

Question 24

Driving: stroke/TIA

Answer 24

1 month off
inform DVLA if residual deficit

Question 25

Driving: multiple TIAs over a short time

Answer 25

3 months off inform DVLA

Question 26

Driving: craniotomy for meningioma

Answer 26

1 year off

Question 27

Driving: pituitary tumour

Answer 27

craniotomy - 6 months off TSS - no residual impairment

Question 28

Driving: narcolepsy

Answer 28

STOP at dx, restart when symptom control

Question 29

Driving: chronic neurological disorder

Answer 29

inform DVLA PK1 form

Question 30

What psychiatric conditions can you not drive with?

Answer 30

Severe depression/anxiety with memory/concentration problems, behavioural disturbance or suicidality Any acute illness - psychosis/mania Severe disability

Question 31

What psychiatric conditions must you inform the DVLA of?

Answer 31

- Severe depression/anxiety with memory/concentration problems, behavioural disturbance or suicidality - Any acute illness - psychosis/mania - Severe disability - Schizophrenia - Pervasive developmental disorders and ADHD - Dementia - Learning disability - Personality disorder

Question 32

Driving: visual field defect

Answer 32

STOP driving until able to meet national guidelines

Question 33

Driving: monocular vision

Answer 33

notify DVLA may drive if acuity and field is okay in other eye

Question 34

Driving: blepharospasm

Answer 34

consultant opinion is required