Medical Standards Of Fitness to Drive
Topic 1 (April 2010)

Echocardiogram testing for DVLA

Further to the previous alert in November 2009 as shown below: “RE: CHANGES TO DRIVING STANDARDS – Following the meeting of the Secretary of State for Transport’s Honorary Medical Advisory Panel on Driving and Disorders of the Cardiovascular System held on 17 September 2009.

The following amendments to the standards in the DVLA Exercise Tolerance Test protocol for Group 2 Entitlement (VOC – LGV/PCV) for licence holders/applicants.

Should Atrial Fibrillation develop de novo during Exercise Testing, provided the individual meets all the DVLA Exercise Tolerance Test criteria, the individual will be required to undergo an Echocardiogram and meet the licensing criteria, just as any individual with pre-existing Atrial Fibrillation.”

Please be aware that unless additionally requested, the Echocardiogram should only be conducted if the individual develops Atrial Fibrillation during the Exercise Tolerance Test procedure. If no Atrial Fibrillation is noted then the Echocardiogram is not required. If the Echocardiogram is completed when no Atrial Fibrillation is detected then the DVLA will not be liable to pay the costs of the procedure.
Topic 2 (April 2010)

Alert to latest edition - “At a Glance Guide to the Medical Standards of Fitness to Drive”

The February 2010 (Incorporating March 2010 amendments) edition of the “At a Glance Guide to the Current Medical Standards of Fitness to Drive” is now available and can be downloaded at:

The standards aim to reflect current clinical practice including advances in technology, coupled with an understanding of relevant risk factors for safe driving.

Medical advice given to patients by their doctors based on out of date medical licensing standards may disadvantage patients and could jeopardise public road safety.

The publication can be downloaded in PDF format at and, more specifically, through EMIS, INPS secure GP Medical Information Systems and Hard copies of the booklet are available on request for £4.50 (cheques made payable to DVLA Swansea) from Drivers Medical Group, DMSDG, DVLA, Swansea SA99 1DF Tel: 01792 782336 (answer machine for Medical Professionals Only).
This email has been forwarded to you by EHiS on behalf of DVLA.
If you do not wish to receive further emails, please click here