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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. 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’). Some carers feel this is an indication that the person’s dementia is progressing. Geri Taylor’s accident wasn’t the first sign of trouble. Dementia UK provides specialist dementia support for families through our Admiral Nurse service. We hope that you found this resource helpful. 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. Registered office at Alzheimer's Society, 43-44 Crutched Friars, London, EC3N 2AE, Alzheimer's Society is a registered Charity No. The wife is disabled by arthritis and the husband has been slowly developing dementia. By this stage, a few people will be found to be unsafe to drive and the assessment will end here. 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 People with a diagnosis of dementia often want to continue driving. 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. … This includes notifying the DVLA, your insurance company and GP. 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. It is better at identifying those who are safe, than unsafe on the road. The DVLA will always write to the licence holder with their decision. 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. Formal dementia driving assessments are available, but who decides when a patient should be referred for one of these? Back at the centre, the assessors tell the driver what they have found. Driving is a complex task, requiring the use of various skills, including navigation, spatial awareness and speed of reaction. 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. may also ask you to complete a driving assessment at a DVLA driving assessment centre. 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. '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. Dementia; Dementia: assessment, management and support for people living with dementia and their carers. 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. If the decision is that the person can drive safely, they’ll be advised how to do this confidently. 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. You can arrange an independent assessment of your driving performance and safety whilst you still hold a licence to drive. Driving Assessments for people with Dementia. Overall, it can take about two hours. Driving “I did my driving assessment and I passed… I felt 10 feet tall. It is better at identifying those who are safe, than unsafe on the road. The DVLA will then send a questionnaire and a permission request to the person’s GP and/ or consultant, to obtain medical reports. 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. Dad has had his licence rescinded - he's furious! 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. 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. The Dementia Drivers' Screening Assessment (DDSA) is a neuropsychological battery designed to assist in this process. www.dementiauk.org/staying-healthy, Dementia UK tips for better communication www.bps.org.uk, Counselling Directory Tel: 020 8036 5400 This is the main part of the assessment. The content below is reflective of our leaflet. Results >8 or <5 on the GPCOG patient section were assumed to be cognitively intact or impaired, respectively. Dementia UK is a registered charity in England and Wales (1039404) and Scotland (SCO47429). Appeal to the person's sense of responsibility 5. The person with dementia must also bring their driving licence and any glasses they need for driving. Begin the conversation as soon as possible and involve the doctor 2. 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). Ongoing dementia assessment After you've been diagnosed with dementia, the GP should arrange to see you from time to time, to check how you're managing. To help a person with decisions about driving: 1. 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 is an assessment to look at your ability to keep you, your passengers and other road users safe. There are 850,000 people in the UK with dementia, 1 many of whom are still driving. This can be done without the person’s permission, however, this is best avoided if possible. Dementia is important in relation to driving. Your doctor may ask for feedback from the person with dementia and a caregiver separately to assess risks. more common dementias i.e. In these cases, the person must get in touch with the centre directly and pay for the assessment. The assessment is carried out by an Occupational Therapist and an advanced driving instructor and usually lasts between one and two hours. Like memory tests, on their own brain scans cannot diagnose dementia, but are used as part of the wider assessment. DVLA/DVA may: In all cases, DVLA/DVA will tell the person in writing. If they decide that you have to stop driving, you will have to return your driving licence. Most mobility centres provide an aftercare service for people who have stopped driving (see Sources of support). 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. If at any point, the licence holder decides that they want to stop driving and give up their licence, then they need to write to the DVLA to inform them. 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 licence holder can ask the agency for a copy of this. Once the person has returned it, DVLA/DVA will speak to their doctor. If DVLA/DVA decides that a person with dementia can keep driving, they will send them a new driving licence. It is a good idea for those close to the person with dementia to stay aware of their driving skills. Admiral Nurses give families the compassionate one-to-one support, expert guidance and practical solutions they need to face dementia with more confidence. may also ask you to complete a driving assessment at a DVLA driving assessment centre. But driving is also an important tool of independence and can contribute to a person’s sense of self and self-esteem. Government advice on dementia and driving 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. A request for further information, either via medical details or by an on-road driving assessment A common one used by GPs is the … 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. Print copy below 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. The Dilemma - You have been the GP to an elderly couple for over 20 years. If you have a full or provisional driving licence, this assessment is for you. It’s an overall assessment of the impact dementia is having on a person’s driving and whether they’re able to drive safely and in comfort. Most people in the early stages of dementia are physically capable of controlling a car. This is not a driving test but an assessment of ability to continue driving; The person’s licence is cancelled and they … It might mean the friend or family member being called upon to drive them around more, or accompany them on public transport. Find a Driver Assessment Near You. The DVLA will talk to your medical team and may, if it feels it is necessary, ask you to attend a driving assessment at a mobility centre. 2 Dementia UK Driving and dementia When someone who drives receives a diagnosis of dementia, one of the first concerns they and their family often have is whether they can continue to drive. Perhaps everyone should have a driving assessment these days, dementia or not. 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. The assessment of driving risk can be difficult for clinicians, not least because there is ... 1.2 As our population continues to increase in age, so too will the prevalence of dementia in the UK, which is estimated to reach over 1 million by 2025 [2]. Some people choose to have an assessment without DVLA/DVA asking them to. A driving assessment will be requested. This version is the Nottingham Assessment for Drivers with Dementia. Driving is something that many people take for granted; it can represent independence and a sense of freedom. If you have not been diagnosed with dementia but are experiencing difficulties with your memory, your GP or consultant may refer you for a driving assessment at a mobility centre. This test was designed as a GP screening tool for dementia. If DVLA/DVA decides that a person with dementia can keep driving, they will send them a new driving licence. 3. Call the National Helpline. If DVLA/DVA asked for the assessment, the centre will send them a report. If a person wants to keep driving after being diagnosed with dementia, they must take certain steps and let DVLA/DVA decide. If they don’t, they can be fined up to £1,000. Should you not have a driving licence then please contact us as we may be able to offer an off road assessment. 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. which drives in UK • 1 Taking anti-depressants and hypnotics, both proven to hinder driving Who did the equation misclassify? New guidelines have been published to help doctors and health care professionals assess when people living with dementia should stop driving. NICE guideline [NG97] Published date: 20 June 2018. If you have any feedback, please send an email to: feedback@dementiauk.org. It will take only 2 minutes to fill in. 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. The assessment is done in a supportive way and is understanding of the bad habits that many drivers pick up, such as not indicating or turning the steering wheel while parked before moving off. 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. This is not a driving test. You will need a valid driving license for this assessment. These skills can be affected by dementia, depending upon the type of dementia someone has and the part of the brain that is affected. 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. You can arrange an independent assessment of your driving performance and safety whilst you still hold a licence to drive. It can also mean a lot of change for their partner, or another person who cares for them. Help us improve GOV.UK. 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. Based on the doctor’s report, medical advisers at DVLA/DVA will decide if the person can keep driving. The Prime Minister's Challenge on Dementia 2020 sets out the UK Government's strategy for transforming dementia care within the UK. Brain scans are often used for diagnosing dementia once the simpler tests have ruled out other problems. The assessment of driving risk can be difficult for clinicians. They won’t have to pay a fee for this and DVLA will send a reminder letter. DVLA/DVA will then send the person a questionnaire and a request to get medical reports from their doctor. E-mail: info@dementiauk.org. 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. [] See also separate Screening for Cognitive Impairment article.. One in three people over the age of 75 are still driving and older drivers are generally safer than younger drivers. Cognitive assessment is central to the diagnosis and management of dementia and should be performed in all people with suspected dementia [Sorbi, 2012]. Two leading experts on dementia and memory loss examine the impact that diagnosis can have on people who drive. 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. You may then be asked to take a driving assessment. Help us improve GOV.UK. Driving and dementia Giving up driving; For information about the on-road assessments read On-Road Driving Assessment (ORDA) Information by the National Programme Office for Traffic Medicine RCPI/RSA; Eamon: When driving is becoming an issue. They never ask for a home visit as he always drives her to the surgery. We’ll send you a link to a feedback form. We can be contacted by telephone on 0300 300 2240 or by email at info@rdac.co.uk Driving is a complex task, requiring the use of various skills, including navigation, spatial awareness and speed of reaction. 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