Don’t worry we won’t send you spam or share your email address with anyone. To help us improve GOV.UK, we’d like to know more about your visit today. In all cases of ICD implantation (including prophylactic ICD implantation) driving must stop permanently and: All patients must have regular medical review. 2. ✘- Must not drive for at least 6 weeks and must notify DVLA. ✘- Must not drive for at least 6 weeks after surgery. We’ll send you a link to a feedback form. ✘- Must not drive for 3 months and must notify DVLA. Following a TIA you will have to stop driving for a month if you have a Group 1 (car and motorcycle) licence. - May drive, but must notify DVLA. - Must not drive for 1 month following implantation and must notify DVLA. Note: ‘well controlled’ blood pressure means clinically relevant to aortic dissection, not the DVLA standard for hypertension. DVLA rules for a Group 2 driving licence (large vehicles and lorries) based on how you treat your diabetes Use these tables to check the DVLA rules that apply to you. Marfan syndrome and other inherited aortopathies Group 1 car and motorcycle Group 2 bus and lorry ! ✘- If therapy delivery was due to an inappropriate cause such as atrial fibrillation or programming issues driving may resume 1 month after complete control of any cause to the satisfaction of the cardiologist, and DVLA need not be notified. Note: ‘well controlled’ blood pressure means clinically relevant to aortic dissection, not the DVLA standard for hypertension. We use some essential cookies to make this website work. You can be fined up to £1,000 if you do not tell DVLA about a medical condition that affects your driving. Medical practitioners are asked to confirm that the applicant complies with the Group 2 medical standards, set by the Driver and Vehicle Licensing Agency (DVLA). Licence will be refused or revoked if CHD is complex or severe. Confidential medical information VOCH1 ONLINE Rev Sept 14 PART A: ABOUT YOU Please answer the questions on this form in BLOCK CAPITAL letters using BLACK INK Title: Surname: Date of Birth: Date o)High blood pressure Fee £100 (£20 VAT) total £120. For more strenuous activities, such as driving a forklift at night or throughout the day or transporting hazardous material or waste, the medical should be completed to a group 2 standard- hence the same as for HGV/ PCV drivers. Categorisation of myocardial infarction into Type and Type 2 infarction. Definition of the term ‘incapacity’. ✘- Must not drive for at least 4 weeks but need not notify DVLA. Any responsibility for determining higher medical standards - May drive and need not notify DVLA, except: ! The New York Heart Association (NYHA) classification is used to grade the severity of functional limitations in a patient with heart failure (1): See Appendix C for the definition of ‘severe’ asymptomatic aortic stenosis. The same medical standards apply for drivers of police, fire, coastguard, ambulance and health service vehicles as they do for all drivers holding Group 1 and 2 licences. Medical examination report for a Group 2 (lorry or bus) licence Ref: D4 PDF , 13.3MB , 8 pages This file may not be suitable for users of assistive technology. ! We’d like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. You will need to visit a diabetes Consultant and get a statement every year. You may be prosecuted if youâre involved in an accident as a result. medical standards of fitness to drive published by the Drivers Medical Unit of the Driver and Vehicle Licensing Authority ( DVLA) Only for public road • Group 1 (holders of ordinary driving licence); and • Group 2 (heavy goods vehicle (HGV) and The DVLA specify in their INF4D form regarding group 2 licenses that “An applicant or existing licence holder is likely to be refused a Group 2 licence if they cannot meet the recommended medical guidelines for any of the following: ! ! Note: for Group 2 cases, the exercise or other functional test requirements will need to be met in all cases of abdominal aortic aneurysm irrespective of the diameter. The same medical standards apply for drivers of police, fire, coastguard, ambulance and health service vehicles as they do for all drivers holding Group 1 and 2 licences. The major change affecting professional drivers is that all medication can be continued before an exercise test. ✘- Must not drive and must notify DVLA if the aneurysm diameter is greater than 5.5 cm. Fill in form VOCH1 and send it to DVLA. There is detailed advice on medical standards of fitness to drive in At a Glancepublished by the Drivers Medical Unit of the Driver and Vehicle Licensing Authority (DVLA). - May drive and need not notify the DVLA if no aneurysm. The address is on the form. These include: implantable cardioverter defibrillators; aortic aneurysm and aortic dissection; high blood pressure (hypertension); cardiomyopathies; aortic stenosis; and congenital heart disease. In the interests of road safety, those who suffer from a medical condition likely to cause a sudden disabling event at the wheel or who are unable to safely control their vehicle from any other cause, should not drive. Several standards relating to a range of cardiac and related conditions have been clarified and/or supplemented to take account of changes in medical and related therapies. Advice for medical professionals to use when assessing drivers with cardiovascular disorders. New section added called ‘Thoracic aortic aneurysm with bicuspid aortopathy’. ✘- Must not drive for 1 week and must notify DVLA. Marfan Syndrome and other inherited aortopathies - Group 1 standard amended to reference surgical treatment
X ). You must stop driving if a doctor says you have malignant hypertension. - May drive but must notify DVLA if aneurysm diameter is between 6 cm and 6.4 cm. Moderate aortic stenosis must be under regular medical review DVLA must be notified if this progresses to severe aortic stenosis. Must notify DVLA if aortic diameter greater than 6 cm. The DVLA D4 medical form is valid for 4 months from the date of the Doctor’s signature (ie date of D4 form completion), so you must send the paperwork in to DVLA within 4 months of your medical for it to be accepted, for group 2 Users of Class 2 or 3 mobility vehicles – which are limited on the road to 4 mph or 8 mph – are not required to hold a driving licence, and they do not need to meet the medical standards for driving motor vehicles. With any revision of electrodes or anti-arrhythmic drug treatment. Group 2 DVLA medical standards apply to vocational drivers and these are stricter than Group 1 standards which apply to car driving. Medical Examination Report To be filled in by the doctor. Weâll send you a link to a feedback form. Group 2 (heavy … You can drive again when both the following apply: You must tell DVLA if you have high blood pressure. 4 March 2020 PDF updated. ✘- Must not drive and must notify DVLA. or reapplication, the higher medical standards applicable to Group 2 will apply. Still looking for what the acceptable blood pressure limits are for a class 2 medical for the PPL (JAR) In asymptomatic individuals with a high risk of significant arrhythmia. The medical standards are similar to Group 1 and Group 2 DVLA standards with addition of the audiometry hearing test and colour vision testing. ! The address is on the form. - May drive and need not notify DVLA if no aneurysm. Clarification of the standard regarding pulmonary hypertension – an established diagnosis. ✘- Must not drive for 1 month following implantation and must notify DVLA: ! ✘- Must not drive for at least 1 week but need not notify DVLA. satisfactory medical therapy (blood pressure well controlled). ‘Aortic aneurysm’ – layout changed to aid clarity. In order to get your provisional PSV/PCV licence you will need to to get a Medical Examination Report (D4) filled in by a doctor to ensure you meet the DVLA Group 2 medical standards and then you will need to send it off with your D2 application form in order to get your provisional licence. Introduction of new standard for catheter ablation. To help us improve GOV.UK, weâd like to know more about your visit today. Blood Pressure Readings Questions regarding Medical History When you complete your examination our Doctor will provide you with your certificate of medical fitness (subject to the outcome of the medical) valid from the date you pass your medical examination, as well as indicate how long it is valid for which depends on our Doctor’s findings during the medical. ‘Congenital heart disease’ – revised and re-presented section. Group 2 medical standards Medical standards required for drivers of Group 2 vehicles (lorries, buses and minibuses) are higher than those required for Group 1 (car and motorcycle) drivers. - May drive and need not notify DVLA if aneurysm diameter is less than 6 cm. Guidance for both Group 1 and Group 2 symptomatic heart valve disease has been clarified. You can change your cookie settings at any time. - Must not drive but need not notify DVLA. - May drive if left ventricular ejection fraction is at least 40%, symptoms are stable and not likely to distract the driver or otherwise affect safe driving but must notify DVLA. The applicant must fill in sections 16 and 17. Group 1 (holders of ordinary driving licence); and 2. I was enquiring re the class 2 (JAR) medical not the group 2 (DVLA) medical but many thanks anyway Surfer. 1. Any responsibility for determining higher medical standards ✘- Must not drive for at least 3 months following surgery and must notify DVLA. You do not need to tell DVLA if you have high blood pressure. ✘ - Must not drive if symptomatic or history of syncope or Torsades de pointes or QTc* greater than 500ms and must notify DVLA. 26 September 2019 Survey for medical professionals closed - link removed. The same medical standards apply for drivers of police, fire, coastguard, ambulance and health service vehicles as they do for all drivers holding Group 1 and 2 licences. For Group 2 licensing, if there is evidence of obstructive coronary artery disease on invasive or CT angiography or myocardial ischaemia on functional testing but it does not fall under any of the categories above, those individuals would need to meet the functional test requirements. Many firms base their internal fitness standards for vocational drivers on the DVLA standards for Group 2 drivers, so a review of their internal policies may be needed. ! Your consultant will be assessing if you are checking your blood levels Don’t include personal or financial information like your National Insurance number or credit card details. ✘- Must not drive and must notify DVLA – for all ACS. There are entirely new sections on: Long QT syndrome; Brugada syndrome; and a completely rewritten section on cardiac failure. ✘- Must not drive and must notify DVLA if aneurysm diameter is 6.5 cm or greater. This includes a TIA. Clarification of standards for aortic aneurysm. However, the DVLA does not have responsibility for licensing workplace transport drivers if they do not drive on public roads. ✘- Must not drive for 4 weeks but need not notify DVLA. You do not need to stop driving unless a doctor says you have malignant hypertension. Licence will be refused or revoked if CHD is complex or severe. ! Symptomatic (please refer to heart failure standards if relevant). Management, human resources and occupational health should consider the implications for employees who have to meet a medical fitness standard related to the DVLA fitness requirements. The standards for professional drivers are set out in Section 2 "Cardiovascular Disorder" of the document. We also use cookies set by other sites to help us deliver content from their services. It will take only 2 minutes to fill in. Clarification of standards for implantable cardioverter defibrillator. Group 2 licence standards: “Driving licences will not be issued to, or renewed for, applicants or drivers if the maximum aortic diameter exceeds 5.5 cm”. Aortic stenosis - Clarification of Group 1 standard for symptomatic aortic stenosis. Hypertrophic cardiomyopathy (HCM) - Amendment of Group 2 standard
Current Medical Standards of Fitness to Drive (DVLA Guidance) Key advice from DVLA on fitness to drive. It lists separate medical standards for: 1. Always consult At a Glance if you have any doubt about an individual's fitness to operate workplace transport. Acute Coronary Syndrome - Title amended to include Takotsubo cardiomyopathy and clarification of Group 2 standard for Takotsubo cardiomyopathy
Pulmonary Arterial Hypertension - Title of standard amended to “Pulmonary arterial hypertension (including chronic thromboembolic pulmonary hypertension) – an established diagnosis (under the care of a specialist centre)
! To undertake this task, DVLA employs specialist medical advisors to support the application of the medical standards through a taxi driver medical. ✘- Must not drive for at least 2 weeks but need not notify DVLA. Clarification of standard for pacemaker implant versus box or battery change. - May drive subject to following provisions being met but must notify DVLA. Also refer to the following sections in this document: Refer to NYHA classification detailed below. The DVLA You can drive again when both the following apply: Donât include personal or financial information like your National Insurance number or credit card details. If you are insulin treated then you need to satisfy the following blood glucose monitoring criteria to hold a group 2 licence: Regularly monitors blood glucose at least twice daily and at times relevant to driving, (no more than 2 hours before the start of the first journey and every 2 hours while driving), using a glucose meter with a memory function to measure and record blood glucose levels. For VT ablation with impaired ventricular function (right or left) or congenital heart disease (corrected or not). You can change your cookie settings at any time. ! High blood pressure (hypertension) and driving You can be fined up to £1,000 if you do not tell DVLA about a medical condition that affects your driving. Weâd like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. All content is available under the Open Government Licence v3.0, except where otherwise stated, Check if a health condition affects your driving, Medical conditions, disabilities and driving, Reapply for a driving licence following a medical condition, Coronavirus (COVID-19): guidance and support, Transparency and freedom of information releases, a doctor confirms that your condition is well controlled, your blood pressure is consistently below 180/110mmHg, your blood pressure is consistently below 180/100mmHg. With any shock therapy, and/or anti-tachycardia pacing associated with incapacity or likely to cause incapacity (whether incapacity caused by device or arrhythmia). PDF updated 27 February 2019 PDF added. Advise to see GP if remains elevated. ! Further Information is available in the DVLA’s “At A Glance” booklet which is available to download at www - May drive if LV ejection fraction is at least 40% but must notify DVLA. Pacemaker - Clarification of Group 2 standards for pacemaker implant and pacemaker box change
! ✘ - Must not drive if history of syncope or Torsades de pointes or QTc* greater than 500ms and must notify DVLA. ✘ - Must not drive. 2. Urinalysis - Glucose detected No … Clarification of standard for Implantable Cardioverter Defibrillator (ICD). GROUP 2 ENTITLEMENT as detailed in the latest edition of the document “Medical Practitioners” At a Glance Guide to the Current Medical Standards of Fitness to Drive”, issued by the Drivers Medical Group, DVLA, Swansea Changes to 'Arrhythmia' and 'Implantable cardioverter defibrillator' sections. ! As a consequence of both panel review and upcoming changes to European legislation, several changes have been made to this chapter. ✘- Must not drive for 1 month but need not notify DVLA. The DVLA has a guide to the 'Medical Standards of Fitness to Drive'. ✘ - Must not drive if symptomatic or history of syncope possibly associated to Brugada syndrome or history of sudden aborted cardiac death and must notify DVLA. - May drive and need not notify DVLA if asymptomatic and does not fall under any other category which requires notification to DVLA. - May drive if symptoms are stable and not likely to distract the driver or otherwise affect safe driving but need not notify DVLA. ✘- Must not drive for 1 week but need not notify DVLA. separate standards for aortic stenosis, see below. Blood Pressure 1 2 3 If BP above 140/90 – repeat test at 5 minute intervals when at rest. These differences reflect the size of the vehicle and the time spent driving in particular occupations. There was a major update of the DVLA regulations published in March 2016. ! ! Group 1 car and motorcycle Group 2 bus and lorry Find your treatment in the menu below to see what the DVLA say you must do. 2 March 2021 Updated PDF. - May drive if the aneurysm diameter is 5.5 cm or less. Clarification regarding coronary artery disease and Group 2 driving. Must notify DVLA. - May drive and need not notify DVLA, except: ✘- Must not drive and must notify DVLA if arrhythmia has caused or is likely to cause. ✘- Must not drive for at least 2 days but need not notify DVLA. Risk Assessment indicates DVLA Group 2 Medical standards required Yes No Part B to be completed with OH Practitioner Applicable Medical History YES NO … Read the DVLA medical standards … In all cases of ICD implanted for sustained ventricular arrhythmia associated with incapacity, driving must stop for 6 months from the date of ICD implantation and any resumption requires: ICD implantation is a permanent bar to Group 2 licensing. Note: DVLA bars Group 2 bus and lorry licensing when left ventricular ejection fraction is less than 40%. Fill in form BP1V and send it to DVLA. You do not need to inform the ✘- Must not drive if history of syncope possibly associated to Brugada syndrome or history of sudden aborted cardiac death and must notify DVLA. significant atrioventricular conduction defect, if a transient arrhythmia occurs during an acute coronary syndrome, the guidance relating to, the device being under regular review with interrogation, all the requirements as below must be met, the licence will be refused or revoked permanently, the European Society of Cardiology HCM Risk of Sudden Cardiac Death Calculator in. We also use cookies set by other sites to help us deliver content from their services. If you are diabetic and use insulin you are able to hold a group 2 DVLA licence. Donât worry we wonât send you spam or share your email address with anyone. - If mild to moderate aortic stenosis, may drive and need not notify DVLA. All medicals are carried out to group 2 driver medical standard (that of a professional HGV or PCV driver using standards set by DVLA), please ensure that is sufficient for your requirements prior to booking, and if you have a ✘- Must not drive if arrhythmia has caused or is likely to cause incapacity. Eyesight standards are explained in section F, point 1, Eyesight. Clarification of standards for hypertrophic cardiomyopathy with inclusion of the European Society of Cardiology Risk of Sudden Cardiac Death calculator (Appendix C). Inclusion of standards for pulmonary hypertension. ✘- Must not drive for at least 1 week after pacemaker implant and pacemaker box change. These standards also apply when It will take only 2 minutes to fill in. assessment report to the Group 2 medical standards. All content is available under the Open Government Licence v3.0, except where otherwise stated, Acute coronary syndrome (ACS) (to include type 1 and type 2 myocardial infarction; Takotsubo cardiomyopathy), Elective percutaneous coronary intervention (PCI), Implantable cardioverter defibrillator (ICD), Aortic aneurysm – ascending or descending thoracic and/or abdominal, Marfan syndrome and other inherited aortopathies, Heart transplant – including heart and lung transplant, Pulmonary arterial hypertension (including chronic thromboembolic pulmonary hypertension) – an established diagnosis (under the care of a specialist centre), Aortic stenosis (to include sub-aortic and supra-aortic stenosis), Heart valve surgery – including transcatheter aortic valve implantation and other cardiac or pulmonary percutaneous devices, ECG abnormality – suspected myocardial infarction, Long QT syndrome - all cases of Long QT syndrome must notify DVLA, Brugada syndrome - all cases of Brugada syndrome must notify DVLA, Miscellaneous conditions: assessing fitness to drive, Psychiatric disorders: assessing fitness to drive, Neurological disorders: assessing fitness to drive, General information: assessing fitness to drive, Diabetes mellitus: assessing fitness to drive, Drug or alcohol misuse or dependence: assessing fitness to drive, Visual disorders: assessing fitness to drive, Renal and respiratory disorders: assessing fitness to drive, Assessing fitness to drive: a guide for medical professionals, Assessing fitness to drive: guide for medical professionals, Coronavirus (COVID-19): guidance and support, Transparency and freedom of information releases, ✓- May continue to drive and need not notify DVLA. B. You must stop driving. We use some essential cookies to make this website work. Under certain circumstances, volunteer drivers may drive a minibus of up to 16 seats without category D1 entitlement.