Guidance

Renal and respiratory disorders: assessing fitness to drive

Advice for medical professionals to follow when assessing drivers with renal and respiratory disorders.

✘- 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

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 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 dizziness or fainting
- impaired psychomotor or cognitive function.
! - 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 dizziness or fainting
- impaired psychomotor or cognitive function.

All other renal disorders

  Group 1
Car and motorcycle
Group 2
Bus and lorry
  ! - 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:

■ 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 the 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.

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). ✘- 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 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.
Published 11 March 2016
Last updated 7 March 2017 + show all updates
  1. Content updated.
  2. First published.