7 Renal and Respiratory Disorders - DVLA Assessing Fitness to Drive Guide

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PatientPlus articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use, so you may find the language more technical than the condition leaflets.

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The 'Assessing fitness to drive: guide for medical professionals' is produced by the Driver and Vehicle Licensing Agency (DLVA) and is a guide for medical professionals to help them with enquiries from the public about driving with various conditions.

Advice for medical professionals for drivers with renal and respiratory disorders.

X - Must not drive! - May continue to drive subject to medical advice and/or notifying the DVLA√ - May continue to drive and need not notify the DVLA
 Group 1
Car and motorcycle
Group 2
Bus and lorry
Continuous ambulatory peritoneal dialysis (CAPD) or haemodialysis! - May drive and need not notify the DVLA if there are no complications.

No restriction to the 'til 70 licence unless it must be refused or revoked due to:

♦ severe electrolyte disturbance
or
♦ significant symptoms, including the examples of
- sudden disabling attacks of giddiness or fainting
- impaired psychomotor or cognitive function.

X- Must not drive and must notify the DVLA.

Individual licensing will be assessed against the presence of any:

♦ severe electrolyte disturbance
or
♦ significant symptoms, including the examples of
- sudden disabling attacks of giddiness or fainting
- impaired psychomotor or cognitive function.

All other renal disorders

 Group 1
Car and motorcycle
Group 2
Bus and lorry
Continuous ambulatory peritoneal dialysis (CAPD) or haemodialysis! - May drive and need not notify the DVLA unless the condition is associated with a disability likely to affect driving.! - May drive and need not notify the DVLA unless the condition is associated with a disability or any significant symptoms likely to affect driving.

Disorders of respiratory function - including asthma and COPD

Group 1
Car and motorcycle
Group 2
Bus and lorry
! - May drive and need not notify the DVLA unless any complications are associated with:

♦ disabling giddiness
♦ fainting
or
♦ loss of consciousness.

Such sequelae need reference to requirements under 'Transient loss of consciousness' (see Chapter 1, neurological disorders). See also cough syncope in Chapter 1.

! - May drive and need not notify the DVLA unless any complications are associated with:

♦ disabling giddiness
♦ fainting
or
♦ loss of consciousness.

Such sequelae need reference to requirements under 'Transient loss of consciousness' (see Chapter 1, neurological disorders). See also cough syncope in Chapter 1.

Obstructive sleep apnoea

Refer to guidance concerning this condition under excessive sleepiness Chapter 8, miscellaneous conditions.

Primary lung carcinoma

Group 1
Car and motorcycle
Group 2
Bus and lorry
! - May drive and need not notify the DVLA unless there is cerebral metastasis (refer to malignant brain tumours, Chapter 1, neurological disorders).X- Must not drive and must notify the DVLA. Only those drivers with non-small cell lung cancer staged T1 N0 M0 may be considered individually for licensing.

Other lung tumours require no driving for 2 years following definitive treatment. Subsequent licensing requires:

♦ satisfactory treatment success
♦ no brain scan evidence of intracranial metastases (refer to malignant brain tumours, Chapter 1).

© Crown copyright. Reproduced under the terms of the Open Government Licence.

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.

Original Author:
DVLA
Current Version:
Peer Reviewer:
DVLA
Document ID:
13244 (v5)
Last Checked:
17/06/2016
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