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Dizziness, driving, and the Driver and Vehicle Licensing Agency: audit of advice given to patients, and design of a patient information leaflet

  • J D Sinnott (a1), H Mahoney (a2), A S Wilkinson (a3) and S J Broomfield (a3)

Abstract

Background

Evidence from the literature shows that clinicians’ knowledge of rules and legislation surrounding driving can often be poor. A closed-loop audit was conducted to gauge the level of driving advice given to patients with dizziness.

Methods

The clinical notes of 100 patients referred to the vertigo clinic at a tertiary referral centre were retrospectively searched for evidence of driving advice. Education sessions were undertaken and a patient information leaflet was developed before a second cycle of the audit.

Results and conclusion

The proportion of patients having documented evidence of receiving driving advice increased from 6.3 per cent to 10.4 per cent. It is therefore clear that, despite this improvement, a significant proportion of patients’ notes did not contain documentation about driving. This is likely because of many reasons, including individual interpretation by clinicians. This paper provides a reminder of the rules, and discusses their interpretation and implementation in an increasingly medicolegal environment.

Copyright

Corresponding author

Author for correspondence: Mr Joseph D Sinnott, 39c Chandos Road, Redland, Bristol BS6 6PQ, UK E-mail: j.d.sinnott@gmail.com

Footnotes

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Mr J Sinnott takes responsibility for the integrity of the content of the paper

Footnotes

References

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9Driver and Vehicle Licensing Agency. Assessing Fitness to Drive – A Guide for Medical Professionals. Swansea: Driver and Vehicle Licensing Agency, 2018
10Gheriani, H, Leonard, D, Donnelly, M, Kane, R. Vertigo & driving--between the law and ethics. Ir Med J 2004;97:102
11Cohen, HS. Disability and rehabilitation in the dizzy patient. Curr Opin Neurol 2006;19:4954
12General Medical Council. Confidentiality: Patients’ fitness to drive and reporting concerns to the DVLA or DVA General Medical Council. In: https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/confidentiality---patients-fitness-to-drive-and-reporting-concerns-to-the-dvla-or-dva/ [27 July 2019]

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