Continuing to drive

There are certain medical conditions which need to be reported to the DVLA as they can impact someone’s ability to drive.

It is the legal responsibility of the driver to report their condition to the DVLA.

If someone does not do this, and there are concerns that they may continue to drive unsafely, a family member, friend or healthcare professional can contact the DVLA directly.

Wherever possible, this should be discussed openly with the person first. However, concerns can be raised with the DVLA without the driver’s consent if there is a significant safety concern.

After a dementia diagnosis, a driver must also notify their car insurance provider. Failure to inform the DVLA or car insurance provider about a dementia diagnosis may affect the validity of a driving licence or insurance policy.

If the person with dementia wants to continue to drive, and the DVLA approves this, they should consider taking a driving assessment through a specialist driving assessment service for reassurance.

This provides an opportunity to have someone’s driving skills and ability assessed to check that they’re still able to drive safely.

The assessment may also provide advice about adaptations, strategies or future planning.

Some people with dementia may be upset about being told not to drive. It can feel like a loss of independence. It may be helpful to have a think about what all the alternative options are. These might include:

• Setting up a family and friends rota for getting to places, activities and appointments
  
• Exploring community bus service options
  
• Using taxis
  

People living with dementia may be eligible for a Blue Badge if their condition affects their mobility, safety when walking, orientation, or ability to undertake a journey.

A Blue Badge entitles someone to park closer to their destination. This enables easier access for someone with a mobility problem or hidden disability.

Applications are considered individually by the local authority and supporting evidence may be required. The badge is the property of the local issuing council.

It may help to:

• Choose a calm moment and avoid raising the issue during times of stress, confusion or frustration
  
• Think about who the person is most likely to respond well to and whether they should help lead the conversation
  
• Focus on safety and wellbeing, rather than blame or criticism
  
• Acknowledge that giving up or reducing driving may feel like a significant loss
  
• Listen to the person’s worries and concerns, including fears about losing independence or becoming isolated
  
• Explore practical alternatives together, such as lifts from family or friends, community transport, taxis, bus passes or local support schemes
  
• Focus on what the person can still do and how they can continue to stay socially connected and independent
  
• Consider suggesting a specialist driving assessment for reassurance and objective advice
  
• Be prepared for the conversation to take place over time, with gentle revisiting if needed
  
• Seek professional advice if there are increasing concerns about safety