Notifiable conditions are anything that could affect your ability to drive safely.

They can include:

1) diabetes or taking insulin DVLA AND MEDICAL CONDITIONS

2) syncope (fainting)
3) heart conditions (including atrial fibrillation and pacemakers)
4) sleep apnoea
5) epilepsy
6) strokes
7) Glaucoma

DIABETES

Treatment Car/bike Bus, lorry, coach

Diet only No No
Sulfonylureas or glinides No YES
( meglitinide etc.)
Other diabetes pills No YES
INSULIN YES YES
.

Blackouts, fainting (syncope), loss of consciousness and driving

 Both categories including Bike/Car AND Bus/lorry/coach drivers must be assessed thoroughly by
specialists to see whether the condition can affect driving. In Plab 2, we will involve seniors and
specialists, depending on the cause of Syncope or LOC for this purpose( IF REQUIRED )
However we should take thorough Hx keeping in mind those DVLA related points …

Defibrillators and driving

 Again for both categories of drivers ( car/bike AND lorry/bus/coach)

You must tell DVLA if you have an implanted defibrillator, also known as an ‘ICD’
(Implantable Cardioverter Defibrillator).

Pacemakers and driving

 For both categories of license you must inform DVLA

You must tell DVLA if you have been fitted with a pacemaker

IN EXAM WE WILL REFER PT for proper assessment regarding driving issues. However if its quite evident then we
Can advice as well in a open statement ( not a definite answer )
Obstructive sleep apnoea and driving ( for both types of drivers )
You must tell DVLA if you have:
•obstructive sleep apnoea which affects your ability to drive safely
•obstructive sleep apnoea syndrome

•In exam, if situation arises regarding driving and OSA, we will involve seniors and a specialist referral
To assess thoroughly assess pt condition and then advice accordingly. However we should doing some basic
Assessment qs from our side as well. 

Warning signs could be :

excessive day time sleepiness impairing judgement
Visual problems due to lack of sleep etc

DO NOT SPEND TOO MUCH TIME ON ASSESSING ONLY DVLA CONDITIONS AS WE GOTA
ADDRESS and deal WITH OTHER CONCERNS AS WELL.
Epilepsy and driving
This condition is ALARMING regarding Driving.
You must tell DVLA if you’ve had any epileptic attacks, seizures, fits or blackouts .
YOU SHOULD STOP DRIVING RIGHT AWAY
regardless of car/bike/bus/lorry

Your licence may be taken away. When you can reapply for it depends
on the type of attack you had.
You can reapply for licence if you haven’t had an attack for at least a year.
GP will discuss in details.

In exam DO NOT spend all time on DVLA lol…as we have to cover all aspects of safety
regarding epilepsy
Stroke (cerebrovascular accident) and driving
Car or motorcycle licence
You only need to tell DVLA if you’re still having problems 1 month after the stroke

Bus, coach or lorry driver licence

You must tell DVLA if you’ve had a stroke (or TIA).

So in the exam assess the situation and timeline and occupation and address accordingly.
Again don’t spend too much time only on DVLA issues AS we have to cover rest of the situation and
advices as well.
Glaucoma and driving
Car or motorbike licence

Both eyes are affected by glaucoma - MUST TELL DVLA

Only 1 eye is affected glaucoma  1) If other eye is normal  NO NEED TO INFORM DVLA

2) a)you have a medical condition in your other eye

b) you can’t meet the visual standards for driving MUST
INFORM DVLA

Again keep it simple and try to ask Hx questions by keeping above points and involve specialists
for proper assessment as a specialist can tell which category our pt falls into 

Bus, coach or lorry licence ( glaucoma )

You must tell DVLA if your glaucoma affects one eye or both eyes