Fleet News

Disclose to the DVLA if a patient should not be driving, doctors told

DVLA, GMC, fitness to drive

Doctors must inform the DVLA, or DVA in Northern Ireland, if a patient continues to drive against medical advice and fails to do this themselves.

New draft guidance from the General Medical Council (GMC) emphasises a doctor’s duty to disclose information to the DVLA or DVA, where the patient has failed to act.

The strengthened guidance is part of a public consultation on the GMC’s core guidance on confidentiality, which aims to offer greater clarity for doctors on how to balance their legal and ethical duties of confidentiality with their wider public protection responsibilities.

Feedback from doctors is that they often feel anxious about being criticised if they disclose information – but the GMC’s guidance is clear that confidentiality is not absolute.

Doctors should disclose information if it is necessary to protect individuals or the wider public from risks of death or serious harm – whether that is from violent crime, serious communicable diseases, or the risks posed by patients who are not fit to drive.

The overhauled guidance provides extra clarity that, if a patient does pose a risk of serious harm to the public by continuing to drive when they are not fit to do so, the doctor should contact the DVLA or DVA, even if they do not have the patient’s consent to do so. These steps should only be taken as a last resort, if efforts to encourage the patient to act responsibly fail.

The guidance also emphasises that when they diagnose a patient’s condition, or provide treatment, doctors should keep the patient’s ability to drive safely at the forefront of their minds.

Niall Dickson, chief executive of the General Medical Council, said: “Doctors often find themselves in challenging situations. This is difficult territory – most patients will do the sensible thing but the truth is that a few will not and may not have the insight to realise that they are a risk to others behind the wheel of a car.

“A confidential medical service is a public good and trust is an essential part of the doctor-patient relationship. But confidentiality is not absolute and doctors can play an important part in keeping the wider public safe if a patient is not safe to drive.

“We are clear that doctors carrying out their duty will not face any sanction - and this new guidance makes clear that we will support those who are faced with these difficult decisions.”

Steve Gooding, director of the RAC Foundation, said: “Thirty-seven million drivers depend on the car for getting about and for those with serious medical conditions there is a real fear around losing their license.

“But, with the right treatment many illnesses will not lead to people having to hang up the keys. The worst thing motorists can do is ignore medical advice. If they don’t tell the DVLA about something that impacts on their ability to drive safely then their GP will.

“Depriving someone of their ability to drive can create its own set of social and health issues and doctors will take reasonable steps to help keep people mobile though not at the cost of endangering the wider public.

“Ultimately the way forward must be for doctor and patient to work together rather than in isolation.”

The consultation on Confidentiality, including reporting concerns to the DVLA, will run from today (November 25) to February 10, 2016.

The GMC have also launched a short questionnaire to gather the views of patients and doctors. Both documents are available on the GMC’s website.

The final guidance is expected to be published in late 2016.


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Comments

  • Ean Lewin - 25/11/2015 11:14

    Should this also apply to employers who have positive confirmations of drink or drug driving from a company driver especially those with PSV or HGV licenses?

  • Les Hammond - 25/11/2015 11:42

    This is a welcome change but it may not go far enough, what about the people who drive away from Hospital with eyepatches, neck braces and limbs that are encased in plaster, companies must include these things and general fitness to drive in risk assessments back to work interviews.

  • Robert Murray Willis - 25/11/2015 12:11

    Does this apply to England and Wales? The Mobileye alerts drivers in the event when a driver becomes drowsy or distracted or is approaching the car ahead to quickly, or your car wanders across the white line. Cut the crashes saves lives and the cost of the insurance excess and inconvenience during repair. Reducing accidents and retrofitting this Mobileye ADAS system to your car can be done anywhere in the UK.

  • Diarmuid Fahy - 25/11/2015 12:33

    I have mixed feelings about this. It's abundantly clear that a number of drivers don't notify DVLA when they've been told not to drive, but I hope this doesn't dissuade people from seeking medical help when they should. In any case, it reinforces the fact that every fleet operator should have a robust licence verification system in place.

  • Norman Harding - 26/11/2015 14:56

    How will the doctor know whether the driver is taking the medical advice to refrain from driving? If, as in the case of the Glasgow RCV driver, the driver fails to tell his employer of health issues he is just as likely to imply to his doctor that he is not driving. Personally, I think that doctors should be compelled to notify DVLA of health issues that could affect ability to drive AND DVLA should be compelled to inform a drivers employer. If DVLA dont have a record of health issues then it wont show up when an employer carries out a licence check. But even if DVLA does have a health related record the employer may not do a check for another 3 months and in that time a driver could have a very serious accident which the employer will get associated with through default and innocent members of the public get hurt. It's all avoidable if the system was changed!

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