Renal and respiratory disorders: assessing fitness to drive

Question

Accepted Answer

✘- Must not drive

! - May continue to drive subject to medical advice and/or notifying DVLA

✓- May continue to drive and need not notify DVLA

Chronic renal failure

	Group 1 Car and motorcycle	Group 2 Bus and lorry
Continuous ambulatory peritoneal dialysis (CAPD) or haemodialysis	! - May drive and need not notify DVLA unless the condition is associated with a disability likely to affect driving and/or significant electrolyte disturbance (likely to result in clinical symptoms).	! - May drive and need not notify DVLA unless the condition is associated with a disability likely to affect driving and/or significant electrolyte disturbance (likely to result in clinical symptoms). Individual assessment is required for relicensing.

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

	Group 1 Car and motorcycle	Group 2 Bus and lorry
	! - May drive and need not notify DVLA unless any complications are associated with: ■ cough syncope ■ disabling dizziness ■ 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 DVLA unless any complications are associated with: ■ cough syncope ■ disabling dizziness ■ 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.

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

	Group 1 Car and motorcycle	Group 2 Bus and lorry
	! - May drive and need not notify DVLA unless there is cerebral metastasis (refer to malignant brain tumours, Chapter 1, neurological disorders).	✘- Must not drive and must notify 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 1 years following definitive treatment. Subsequent licensing requires: ■ satisfactory treatment success ■ no brain scan evidence of intracranial metastases (refer to malignant brain tumours, Chapter 1)