It will take only 2 minutes to fill in. EC3N 1RE, Tel: 020 8036 5400 Scores on the Mini-Mental State Examination are not predictive of driving risk or motor vehicle crashes. Stroke Drivers Screening Assessment, to be purchased. A formal petition must be lodged with the magistrate’s court within six months; however, during this time the person is still not allowed to drive. A DVLA driving assessment can be completed at one of 17 accredited driving assessment centres around the UK. Once the person has returned it, DVLA/DVA will speak to their doctor. If the decision is that the person can drive safely, they’ll be advised how to do this confidently. The Dilemma - You have been the GP to an elderly couple for over 20 years. This is not a driving test but an assessment of ability to continue driving; The person’s licence is cancelled and they … Practice dilemma - Driving with dementia. "On the other hand, some studies show as many as 76% of people with mild dementia can pass an on-road driving test and can safely drive." www.drivingmobility.org.uk/ find-a-centre/, Driving and Vehicle Licensing Agency www.gov.uk/government/organisations/driver-and-vehicle-licensing-agency, Dementia UK – the Admiral Nurse Dementia Helpline DVLA/DVA will ask someone to take a driving assessment if they are not sure if the person can still drive safely. How to keep driving after a dementia diagnosis. The Dilemma - You have been the GP to an elderly couple for over 20 years. If you are concerned about any other conditions that a person has, it is important to visit your GP, or write to them, if you are caring for someone from a distance. Giving up driving can be very difficult for a person with dementia and can often cause a lot of frustration and feelings of loss, particularly if they have driven their whole life. The assessment will be at one of 20 approved driving assessment centres around the UK, or at one of their related ‘satellite’ centres (see Driving Mobility centres under ‘Driving – other resources’). In England, Wales and Scotland this is the Driver and Vehicle Licensing Agency (DVLA). It is a good idea for those close to the person with dementia to stay aware of their driving skills. The content below is reflective of our leaflet. Begin the conversation as soon as possible and involve the doctor 2. Here’s our Privacy Policy. If they don’t, they can be fined up to £1,000. This test was designed as a GP screening tool for dementia. If the DVLA decides you are safe to continue driving, they will issue you with a new licence that is valid for a limited period. Help us improve GOV.UK. Nevertheless, all practitioners involved in the assessment and care of people with dementia should be assessing the risks, and this should be reviewed at the annual care plan . If they decide that you have to stop driving, you will have to return your driving licence. Government advice on dementia and driving Driving can be part of maintaining independence and an active life. There are two components: a cognitive assessment conducted with the patient, and an informant questionnaire (only considered necessary if the results of the cognitive section are equivocal, ie score 5-8 inclusive). There is a charge for this service. Stopping driving can mean a loss of independence for a person with dementia and therefore it can help to encourage them to take more control over other aspects of their life, for example, finding other means of transport. A person may do this if they have a valid licence but want some extra advice or teaching. UK law on driving and dementia is clear. These guidelines, endorsed by the BGS, set out the responsibilities of clinicians to their patients and provide a framework for thinking about the management of their driving safety. Back at the centre, the assessors tell the driver what they have found. DVLA/DVA may: In all cases, DVLA/DVA will tell the person in writing. If you have any feedback, please send an email to: feedback@dementiauk.org. If you have a medical condition or disability which may affect your driving, you should take an assessment at a Mobility Centre, rather than just a simple driving assessment or refresher training. Brain scans are often used for diagnosing dementia once the simpler tests have ruled out other problems. His wife doesn't drive, but knows it's time to discuss finding alternative transportation. 296645. Following a diagnosis, it is often better if the person with dementia decides to stop driving themselves, as this not only reduces any risks to them and others, but also helps them to maintain their sense of control. Screening tools cannot specifically identify the subtype of dementia, but they provide evidence that impairment exists and prompt a more formal evaluation [ Galvin, 2012 ]. Registered office at Alzheimer's Society, 43-44 Crutched Friars, London, EC3N 2AE, Alzheimer's Society is a registered Charity No. www.dementiauk.org/emotional-impact-of-the-diagnosis, Dementia UK leaflet on Changing roles and relationships Two leading experts on dementia and memory loss examine the impact that diagnosis can have on people who drive. may also ask you to complete a driving assessment at a DVLA driving assessment centre. There is a charge for this service. It may also be helpful for the person with dementia to discuss these feelings with other professionals or people who have been through the same thing. Admiral Nurses give families the compassionate one-to-one support, expert guidance and practical solutions they need to face dementia with more confidence. I know [at some point] I will give up driving.” Three steps you must take following a diagnosis of dementia Step 3: Complete an ‘on-road’ driving assessment Your insurance company and your doctor may ask you to complete an ‘on-road’ driving assessment. The assessment is carried out by an Occupational Therapist and an advanced driving instructor and usually lasts between one and two hours. We hope that you found this resource helpful. A license may be given on an annual basis for review or up to a maximum three years, when dementia progression is slow and people retain sufficient skills. You may then be asked to take a driving assessment. Assessment. Tel: 020 8036 5400 The following are some tips to help ease the practicalities of losing a licence: It is not just practical factors that can make losing a licence hard. Driving and dementia: a clinical decision pathway Kirsty Carter1, Sophie Monaghan2, John O’Brien3, Andrew Teodorczuk1, Urs Mosimann4 and John-Paul Taylor1 1Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, UK 2London and Maudsley NHS Foundation Trust, London, UK 3Department of Psychiatry, University of Cambridge, Cambridge, UK This helps them get used to the car and allows the instructor to check that they are safe to go on the public road. So when a person is diagnosed with dementia, they may start to worry that they will no longer be able to drive, due to a loss in coordination and spatial awareness, or difficulty recalling directions. The wife is disabled by arthritis and the husband has been slowly developing dementia. This MedCase discusses driving assessment for a patient with mild dementia using the 2014 Clinical guideline on Dementia and Driving Safety 1 and the Hui Process, 2 a four-step approach to building relationships with Māori patients and whānau. If a person wants to keep driving after being diagnosed with dementia, they must take certain steps and let DVLA/DVA decide. Dementia is important in relation to driving. This puts the person with dementia at risk of a fine and/or prosecution, of potentially invalidating their insurance, and of the risk of harm to themselves and others. You will need a valid driving license for this assessment. Discussions about Driving in our online community, Talking Point... We will remember your selection for future visits; you can change your choices at any time, Five things you should know about dementia, Equipment, adaptations and improvements to the home, Using technology to help with everyday life, Take part in Dementia voice opportunities, Make your organisation more dementia friendly, Risk factors and treatments - we discuss evidence, All-Party Parliamentary Group on Dementia, When DVLA/DVA decides that a person with dementia must stop driving, Giving up driving after a dementia diagnosis. She said: “It can be difficult to maintain a balance between enabling a person with dementia to live independently and ensuring the safety of that person and those around them. A driving assessment can help to clarify the effect that dementia is having on your driving - this information can help the licensing agency when they are deciding whether you can continue to drive. The person drives with the advanced driving instructor in the passenger seat and the occupational therapist in the back. 2115499. Geri Taylor’s accident wasn’t the first sign of trouble. This is an assessment to look at your ability to keep you, your passengers and other road users safe. In the UK, drivers with dementia have to be referred to mobility centres for assessment of their driving skills, as there are no specialist assessment centres for dementia.There are only16 such centres in the UK (only one in the north-east original papers Naidu & McKeithDriving, dementia and the DVLA Table 2. Dementia UK is a registered charity in England and Wales (1039404) and Scotland (SCO47429). The first step for someone who is diagnosed with dementia and wants to keep driving is to tell DVLA/DVA about their diagnosis straightaway. People with symptoms of dementia are given tests to check their mental abilities, such as memory or thinking. 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