A driving assessment will be arranged for drivers diagnosed with dementia (Image: … 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’). www.alzheimers.org.uk, British Psychological Society 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. Appeal to the person's sense of responsibility 5. Driving evaluation At the earliest stages, a person with Alzheimer's disease may begin to have difficulty with complex tasks such as driving. This can be done without the person’s permission, however, this is best avoided if possible. Here’s our Privacy Policy. 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. After you've been diagnosed with dementia, the GP should arrange to see you from time to time, to check how you're managing. 2115499. If DVLA/DVA decides that a person with dementia can keep driving, they will send them a new driving licence. 3. Dementia UK provides specialist dementia support for families through our Admiral Nurse service. To help us improve GOV.UK, we’d like to know more about your visit today. It is a legal requirement to inform both the DVLA and the person’s insurance company when they receive a diagnosis of dementia. Confusion Over Colors, Words, or Road Rules. Online groups and discussions boards may also be a useful way of sharing experiences. DVLA/DVA may: In all cases, DVLA/DVA will tell the person in writing. Once these have been received, the DVLA will make a decision as to whether the person can continue to drive, choosing from one of three options: 1. © Dementia UK 2021. Dr Alison Evans, of Alzheimer's Research UK, backed the idea of a driving assessment. You will need a valid driving license for this assessment. www.dementiauk.org/changing-roles-and-relationships, Dementia UK leaflet on Dealing with stigma How to keep driving after a dementia diagnosis. People with a diagnosis of dementia often want to continue driving. We’ll send you a link to a feedback form. Based on the doctor’s report, medical advisers at DVLA/DVA will decide if the person can keep driving. If you are worried about a person with dementia driving, you may find it helpful to do the following: If the person with dementia has been told that they can continue driving, it may be beneficial to suggest the following to them, to help keep them confident and safe: If a person with dementia is no longer able to drive, they and their family might need some support adapting to this change. It has been shown to have an accuracy of 79% in classifying drivers with dementia as safe or unsafe in relation to an on-road driving test. The person’s eyesight is also checked. Read more about this and find out what happens if DVLA/DVA decides a person with dementia can keep driving. They won’t have to pay a fee for this and DVLA will send a reminder letter. A diagnosis of dementia does not automatically mean that the person must stop driving and many people with dementia can continue to drive following a diagnosis. Assessing driving ability in people with dementia is a serious challenge. Supportive Conversation × Frank has early stage Alzheimer's and the doctor said it's no longer safe for him to drive. how dementia will affect your driving or employment, if this applies to you; where you can get financial and legal advice; You should also be given written information about 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." The DVLA requires the person to fill out a ‘Declaration of Voluntary surrender’ which can be found on the DVLA website, or can be requested over the phone. 2. Although stopping driving can be a challenging time, it does not mean that you and the person you care about cannot live a fulfilling life. One Aldgate A diagnosis of any form of dementia does not necessarily prevent anyone from driving. They can get in touch with their licensing agency by post, on the phone or online (see ‘Driving and dementia – other resources’ for full contact details). London driving@hertsability.org.uk; Herts Ability Opening Hours: Mon - Thu 9am - 5pm Fri 9am - 4:30pm ; Dementia. For people with early dementia, this may be up to three years. The loss of a driving licence can present other opportunities for people with dementia and their partner, for example, finding more local groups and going on walks together as opposed to driving. The person should also have regular check-ups with their doctor to see how their dementia is progressing. As long as the person listens to what is said by the instructor, and agrees to give up if they are classed as unsafe. It will usually be valid for one year. There is a charge for this service. Driving is a complex task, requiring the use of various skills, including navigation, spatial awareness and speed of reaction. A study highlighted the negative consequences of stopping people with dementia from driving.w11 Stopping driving can limit access to family, friends, and services and is an independent risk factor for entry to a nursing home.w12 Traffic medicine has evolved significantly since the 1990s, with more emphasis on preserving mobility. People can self-refer or be referred by a … The assessors will work with the person to help them keep driving if this can be done safely. To help a person with decisions about driving: 1. Once the person has returned it, DVLA/DVA will speak to their doctor. This is in case the assessment finds that the person is unsafe to drive. 'Driving with Dementia or Mild Cognitive Impairment' - created by Newcastle University and the National Institute for Health Research (NIHR) - helps medical teams with the appropriate assessment and management of people living with the condition. Conclusion References. The person with dementia must also bring their driving licence and any glasses they need for driving. You can arrange an independent assessment of your driving performance and safety whilst you still hold a licence to drive. These tests are known as cognitive assessments, and may be done initially by a GP. It may also be good to hear this from other members of the family, or family friends, or the person’s GP, It may be beneficial to suggest alternatives to driving, and some of the benefits of this. • Performance on tests compared with the overall decision by the centre on participants fitness to drive. However, there are many steps that you must follow upon being diagnosed to determine whether driving is still an option. Scores on the Mini-Mental State Examination are not predictive of driving risk or motor vehicle crashes. If an on-road assessment is required, then the DVLA will refer the licence holder to a centre close to them. Your doctor may ask for feedback from the person with dementia and a caregiver separately to assess risks. NICE guideline [NG97] Published date: 20 June 2018. The driving assessment takes about two hours and generally includes the following steps: The person with dementia answers questions about their medical and driving history, and any driving problems they may have. The DVLA will conduct a reassessment every year; however, it is a good idea for people close to the person with dementia to monitor their driving skills throughout the year and speak to the person’s GP if they are concerned. Not everyone will need a brain scan, particularly if the tests and assessments show that dementia is a likely diagnosis. Help us improve GOV.UK. In some cases, a person with dementia will continue to drive despite encouragement not to, or will decide not to inform the DVLA of their diagnosis. It can be very worrying for families if the person they care about continues to drive as there can be concerns about the person’s safety. It is carried out by a specialist occupational therapist and an advanced driving instructor. We hope that you found this resource helpful. It can also mean a lot of change for their partner, or another person who cares for them. The assessment is not like a learners’ driving test. It is better at identifying those who are safe, than unsafe on the road. It may be easier to stay safe on the road if they: Even if DVLA/DVA decides the person can keep driving, it may be helpful for them to plan ahead for when they must stop completely. There are several possible results at this stage. The driving assessment is carried out by a specialist occupational therapist and an advanced driving instructor. The person drives with the advanced driving instructor in the passenger seat and the occupational therapist in the back. www.dementiauk.org/emotional-impact-of-the-diagnosis, Dementia UK leaflet on Changing roles and relationships www.gov.uk/dementia-and-driving, Dementia UK leaflet on the Emotional impact of the diagnosis Dementia is important in relation to driving. If a person wants to keep driving after being diagnosed with dementia, they must take certain steps and let DVLA/DVA decide. Some carers feel this is an indication that the person’s dementia is progressing. This part happens in a dual-control car, which has a brake on the passenger’s side as well as the driver’s side. Like memory tests, on their own brain scans cannot diagnose dementia, but are used as part of the wider assessment. Introduction. It is important to acknowledge this is how they may be feeling and allow them to talk about this openly, even if you are unable to provide a resolution. It can be difficult to know what to do, what decisions need to be made, who to tell, what support is available and what happens next. 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. It will take only 2 minutes to fill in. In such cases, the person’s GP, if informed, may disclose relevant medical information to the DVLA. DVLA/DVA will ask someone to take a driving assessment if they are not sure if the person can still drive safely. The Dilemma - You have been the GP to an elderly couple for over 20 years. If they don’t, they can be fined up to £1,000. Simple driving assessments for people who just need a little help and advice on how to improve their driving by organisations such as RoSPA, the IAM and Local Authorities. It may also be worth finding local dementia groups such as memory cafes, in which the person is able to talk about this experience with others who are in a similar position. Results >8 or <5 on the GPCOG patient section were assumed to be cognitively intact or impaired, respectively. www.dementiauk.org/staying-healthy, Dementia UK tips for better communication Dementia; Dementia: assessment, management and support for people living with dementia and their carers. Stopping driving can be seen as a loss of independence and it is important to ensure that the person with dementia feels respected throughout, Try to drive in daylight and during quieter times on the roads, Try to keep driving to familiar routes with short distances, Reduce distractions such as turning off the radio and limiting conversations, Try to have a passenger in the car to help with navigation, Find local services such as peer support groups which are nearby, to help reduce any social isolation caused by stopping driving Invite friends and family over to your house to prevent the need to travel, Set up an account with a local taxi service and order taxis in advance, Find local voluntary agencies which may be able to assist with transport services, Order shopping online to reduce any burden of travelling. The assessment is carried out by an Occupational Therapist and an advanced driving instructor and usually lasts between one and two hours. 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 may also ask you to complete a driving assessment at a DVLA driving assessment centre. The assessment is not there to ‘catch people out’ and is usually very supportive. This is not a driving test. In Northern Ireland it is the Driver & Vehicle Agency (DVA). Talking to others about this and making some changes to their usual arrangements can make it much easier to stop driving when the time comes. While a person with dementia may be able to drive safely, driving may feel a bit more difficult than before. The wife is disabled by arthritis and the husband has been slowly developing dementia. If the decision is that the person can drive safely, they’ll be advised how to do this confidently. Stroke Drivers Screening Assessment, to be purchased. Prices vary but the average cost is between £70–90. I know that some areas of the UK have driving courses where people with the illness can go for an assessment, to see if they are competent to drive, and that to me is a brilliant idea. Here is some information on the legal requirements, as well as some practical suggestions to support both the person with dementia and their family. This is not a driving test but an assessment of ability to continue driving; The person’s licence is cancelled and they … The driving assessment isn’t like a driving test. The person being assessed should go to the centre with another person who is able to drive or accompany them home using alternative transport, if necessary. DVLA/DVA will then send the person a questionnaire and a request to get medical reports from their doctor. Dementia UK, Practice dilemma - Driving with dementia. They assess how much the person’s dementia is affecting their driving and whether they can drive safely and comfortably. Most concur that simply having a diagnosis of dementia should not preclude an individual from driving (Carr & O'Neill, 2015). People with a diagnosis of dementia often want to continue driving. These assessors will make allowances for ‘poor driving habits’ which people have developed over time, as their priority is looking at overall safety, reaction time and limb strength. If DVLA/DVA asked for the assessment, the centre will send them a report. Reaction time and limb strength are tested on a special static ‘rig’. 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. E-mail: info@dementiauk.org. 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 . It is possible to appeal against a licence being revoked. Begin the conversation as soon as possible and involve the doctor 2. The aims of the strategy include: • improving diagnosis, assessment and care for people living with dementia • ensuring that all people living with dementia have equal access to diagnosis 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. This is the main part of the assessment. Registered office at Alzheimer's Society, 43-44 Crutched Friars, London, EC3N 2AE, Alzheimer's Society is a registered Charity No. The assessment is not a driving test, but is an overall assessment on the impact of dementia on the person’s driving. Most mobility centres provide an aftercare service for people who have stopped driving (see Sources of support). With ongoing support and understanding, a person with dementia and those who care for them can successfully adjust to not driving. This version is the Nottingham Assessment for Drivers with Dementia. 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. However, there are some legalities that must be followed, to ensure that the person with dementia is safe when driving. They never ask for a home visit as he always drives her to the surgery. A diagnosis of dementia can be a big shock – for the person with the condition, and their family. A thorough assessment is likely to require two visits along with collateral history from family members. The assessment is not a driving test, but is an overall assessment on the impact of dementia on the person’s driving. Driving “I did my driving assessment and I passed… I felt 10 feet tall. In this case, someone else will need to drive the person home if they came to the centre by car. A person with dementia may perceive giving up driving as a loss of independence, and deciding not to drive means accepting that one's abilities are changing. There are two different types of driver assessments: Detailed driving assessments for people with a medical condition or disability which affects their driving, or who are returning to driving after an accident or injury, are provided by mobility centres. A licence holder who is diagnosed with dementia must contact the relevant licensing agency promptly, or risk a fine of up to £1,000. This includes notifying the DVLA, your insurance company and GP. A person may do this if they have a valid licence but want some extra advice or teaching. This is an assessment to look at your ability to keep you, your passengers and other road users safe. The Dilemma - You have been the GP to an elderly couple for over 20 years. may also ask you to complete a driving assessment at a DVLA driving assessment centre. Admiral Nurses give families the compassionate one-to-one support, expert guidance and practical solutions they need to face dementia with more confidence. If you have a full or provisional driving licence, this assessment is for you. Evaluating driving safety in patients with mild cognitive impairment (MCI) or dementia can be challenging. 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. It might mean the friend or family member being called upon to drive them around more, or accompany them on public transport. Similarly, you could suggest walking as an alternative and as a way to get some fresh air and exercise, When having these conversations, it is important to stay calm so the person with dementia doesn’t feel they are being told to stop driving, but they are aware of your concerns for their safety. Call the National Helpline. UK law on driving and dementia is clear. This series of leaflets has been written by Admiral Nurses, to help you to make decisions as a family about accessing the support you need, as well as anticipate and manage some common issues. 296645. New guidelines have been published to help doctors and health care professionals assess when people living with dementia should stop driving. 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. To help us improve GOV.UK, we’d like to know more about your visit today. Tel: 020 8036 5400 Clinical assessment is required. There is a charge for this service. 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. You may then be asked to take a driving assessment. There are 850,000 people in the UK with dementia, 1 many of whom are still driving. You are here: Home / Get support / Diagnosis and next steps / Driving and dementia. Screening tools cannot specifically identify the subtype of dementia, but they provide evidence that impairment exists and prompt a more formal evaluation [ Galvin, 2012 ]. 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