Very careful consideration is required regarding the psychiatric standards of fitness to drive large goods vehicles (LGVs) and passenger carrying vehicles (PCVs). The Royal College of Psychiatrists produced a commentary and guidance on this matter in 1981, and this was updated in 1984. A further review over the course of 1991–92 has led to this updated guidance. It should also be noted that since 1984 European legislation has altered, and continues to do so.
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