Recurring concern

Failure to reliably assess driver fitness and driving safety

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First reported 14 May 2014•Latest report 8 Dec 2025

Definition

What this concern includes

Includes failures in dedicated driver fitness or driving-safety assessment processes, including DPRA assessments, use of current driving guidelines, assessment of driving standards or ability after collisions, consideration of relevant health or age-related fitness factors, and evaluation of conditions encountered during early independent driving.

Not included

  • Excludes vehicle licensing entitlement, registration and formal licence-issuance controls where the concern is the licensing system itself.
  • Excludes generic driver training, supervision or enforcement deficiencies where no failure to assess driver fitness or driving safety is identified.
  • Excludes vehicle design, road infrastructure and individual unsafe driving incidents where no assessment-control deficiency is asserted.
  • Excludes clinical fitness assessments unrelated to a person's ability to drive safely.
Reports
13

Distinct published reports

Individual concerns
18

A report can raise multiple concerns

Date range
2014–2025

First to latest report issue date

Stated actions
17

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

Department for Transport8
Driver and Vehicle Licensing Agency5
Association of British Insurers1
Brake1
Cambridgeshire County Council1
Chartered Insurance Institute1
DHL Supply Chain Limited1
Driver and Vehicle Standards Agency1
Financial Conduct Authority1
Snap Group Limited1
South East Coast Ambulance Service NHS Foundation Trust1
South Wales Police1
Transport for London1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. Coventry and Warwickshire

    AI-generated summary

    Harry Joseph Purcell and Matilda (Tilly) Grace Seccombe · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Harry Joseph Purcell and Matilda (Tilly) Grace Seccombe sustained fatal injuries in a single-vehicle collision on 21 April 2023, when a recently qualified 17-year-old driver travelled at excessive speed on a rural road and lost control. The report raised concerns about the combined risks of driver inexperience, peer passengers, vehicle loading and rural-road conditions, as well as issues concerning driver licensing, insurance oversight, unsafe-driving content shared on Snapchat and the lack of coordinated responses to unsafe behaviour.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to assess new drivers’ understanding of passenger effects on braking, stability and handling

    Wider context from the report

    “2. New drivers are not required to demonstrate an understanding of how passengers affect braking, stability and handling. The standard driving test does not require experience on rural roads with tight bends, undulations or variable grip. Given that collision risk is highest in the early post-test period, there is a concern as to whether current licensing arrangements adequately reflect the conditions young drivers commonly face or include a structured progression stage aligned to this risk. ”

    Source location

    Harry Joseph Purcell and Matilda (Tilly) Grace Seccombe · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of the standard driving test to require experience on challenging rural roads

    Wider context from the report

    “2. New drivers are not required to demonstrate an understanding of how passengers affect braking, stability and handling. The standard driving test does not require experience on rural roads with tight bends, undulations or variable grip. Given that collision risk is highest in the early post-test period, there is a concern as to whether current licensing arrangements adequately reflect the conditions young drivers commonly face or include a structured progression stage aligned to this risk. ”

    Source location

    Harry Joseph Purcell and Matilda (Tilly) Grace Seccombe · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of qualification competencies to cover early independent-driving conditions

    Wider context from the report

    “3. The inquest heard that newly qualified drivers may have limited experience of rural roads, vehicles under load or situations that significantly affect handling. Test requirements do not involve passengers or load-related vehicle dynamics, raising concern about whether the competencies assessed at qualification correspond to those required during the early stages of independent driving. ”

    Source location

    Harry Joseph Purcell and Matilda (Tilly) Grace Seccombe · Prevention of Future Deaths report
    Page 4 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement updates to the car practical driving test, including additional higher-speed-road driving where locations allow.

    Verbatim wording from the response

    “Following a successful five-month trial, the DVSA introduced updates to the car practical driving test from Monday 24 November 2025. As a result of these changes, learner drivers will spend more time on higher-speed roads during their driving test, where location allows. These changes aim to enhance road safety, address collision rates in rural areas and align the test more closely with real-world driving conditions.”

    Source location

    Response from Department for Transport and DVSA
    Page 3 · response
    Published 18 December 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Review and update driving-test-centre routes to include relevant high-speed, high-risk rural roads where locations allow.

    Verbatim wording from the response

    “Reviewing and refreshing all current routes will take time. The expectation is that by 31 March 2026, each Driving Test Centre will have reviewed and updated all routes to be more relevant and to include high speed, high risk rural roads where location allows.”

    Source location

    Response from Department for Transport and DVSA
    Page 3 · response
    Published 18 December 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Consult on a Minimum Learning Period and related pre-test measures, including a possible mandatory modular learner syllabus.

    Verbatim wording from the response

    “Whilst we are not considering further restrictions on newly qualified drivers such as carrying passengers or driving at night, we are consulting on a Minimum Learning Period in England, Scotland, and Wales before learner drivers can take their practical driving test.”

    Source location

    Response from Department for Transport and DVSA
    Page 2 · response
    Published 18 December 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The driving test cannot replicate every scenario a driver may encounter after qualification.

    Verbatim wording from the response

    “Turning to the concerns raised regarding the scope of the current driving test: the object of the driving test is to ensure that the candidate is well grounded in the basic principles of safe driving and is sufficiently practised in them to be able to show, at the time of the test, that they are a competent and considerate driver and are not a source of danger to themselves or to other road users. If a candidate reaches the required standard they will pass their test. However, it is not intended to, and could not, replicate every scenario a driver may encounter after qualification.”

    Source location

    Response from Department for Transport and DVSA
    Page 2 · response
    Published 18 December 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Because vehicle loading and passenger dynamics vary, the test relies on core competencies to support safe adaptation across different conditions.

    Verbatim wording from the response

    “Vehicle loading and passenger dynamics are important aspects of safe driving, but these situations vary significantly depending on vehicle type and usage. For this reason, the test focuses on core competencies such as hazard perception, vehicle control, and decision-making, which are fundamental to adapting safely to different conditions. Learner drivers have the option to carry passengers during their learning journeys.”

    Source location

    Response from Department for Transport and DVSA
    Page 3 · response
    Published 18 December 2025

    Open published response
  2. Lancashire and Blackburn with Darwen

    AI-generated summary

    Mary Frances Cunningham and 3 others · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mary Frances Cunningham, Grace Foulds, Anne Elizabeth Ferguson and Peter Anthony Westwell died in separate road traffic collisions involving drivers whose eyesight was below the legal standard for driving. The report raises concerns about the UK licensing system, including reliance on self-reporting, the lack of periodic visual checks, and the limitations of the number-plate test. It states that the DVLA continued to license the drivers involved despite their impaired vision.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of periodic visual checks for licensed drivers

    Wider context from the report

    “A driver's visual acuity is only checked at the time of the driving test by reading a number plate at 20 m. A driver may then hold a licence until 70 years of age during which time there is no check that they meet the visual legal standards to drive a car. During this time a driver is required to self-monitor and self-refer visual conditions to the DVLA. During this time a variety of ocular diseases may develop, some of which are silent and of which the driver of which the driver may not be aware that that they are suffering from a disease that would compromise the driver's ability to comply with the legal standards to drive a car. ”

    Source location

    Mary Frances Cunningham and 3 others · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to assess visual fields during licence renewal

    Wider context from the report

    “At 70 years of age and every three years thereafter, a driver self-reports on a licence application that they can read a number plate 20 m and have not been informed that their vision falls beneath the legal limit for driving. Over the age of 70 the incidence of diseases that affect the eye rises sharply and not all can be detected by the driver unless they undergo an ophthalmic assessment. There is no question of the renewal application as to whether or not the driver's visual fields are sufficient to meet the legal standards for driving. Visual fields can only be assessed by an ophthalmic assessment using specialist equipment. ”

    Source location

    Mary Frances Cunningham and 3 others · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Inadequacy of the 20 m licence plate test for visual fitness assessment

    Wider context from the report

    “The 20 m licence plate test is a rough and ready roadside assessment of visual acuity. The 20 m licence plate test is unfit to accurately assess visual acuity to confirm that a driver meets the legal standard and makes no assessment of visual fields that are also a requirement. The European Council of Optometry and Optics in 2011 stated in respect of the 20 m licence plate test "this practice is unacceptable as the licence plate is not performed under control conditions and the results are not directly comparable with the underlying European standards which specify an assessment of visual acuity" and that member states using the licence plate test "should do more to improve their system of addressing drivers' vision". The UK took no action during the nine years it remained a member of the European Union. The Association of Optometrists and the College of, optometrists both expressed the views of their organisation that the licence plate test was a poor proxy for a sight test both in terms of the information provided and the fact that it provided no visual health check to detect undiagnosed ocular and general diseases that may affect a driver's ability to drive. ”

    Source location

    Mary Frances Cunningham and 3 others · Prevention of Future Deaths report
    Page 4 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Consider inquest evidence and potential legal changes to driver licensing for people with medical conditions, including self-declaration.

    Verbatim wording from the response

    “The DVLA will also consider the evidence presented during the inquest hearing, to inform potential changes to the law that governs driver licensing for those with medical conditions. Work in this area is ongoing and includes consideration of the process of self-declaration and the challenges posed by an ageing population where certain conditions, including vision conditions, may become more prevalent. Consideration is also being given to policy options as part of the Government’s Road Safety Strategy, which is being developed and the details of which will be provided in due course.”

    Source location

    Response from Department for Transport
    Page 4 · response
    Published 25 April 2025

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    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Continue working with the visual-disorders advisory panel to discuss concerns and consider alternatives to the number-plate vision test.

    Verbatim wording from the response

    “Its simplicity provides drivers with a good indication that they can meet the required visual acuity standards for driving and can scan information accurately from a distance. I acknowledge that there are concerns about the efficacy of the number plate test and the DVLA will continue to work closely with the Secretary of State for Transport’s Honorary Medical Advisory Panel on visual disorders and driving to discuss the points raised in your report and consider possible alternatives.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 25 April 2025

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    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The number plate test remains a practical baseline assessment because it is straightforward, cost-effective and functional in real time.

    Verbatim wording from the response

    “The number plate test is currently the baseline assessment for visual acuity as it is straightforward, cost effective and easily administered, making it a practical and functional assessment of vision in real time.”

    Source location

    Response from Department for Transport
    Page 1 · response
    Published 25 April 2025

    Open published response
  3. Shropshire, Telford and Wrekin

    AI-generated summary

    Ian Paul HARRIS · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Ian Paul Harris was driving on the A483 at Sweeney, Oswestry, on 23 August 2024 when his car collided with an oncoming heavy goods vehicle after he lost control, most likely due to a medical condition. The report raises concerns that he provided inaccurate information about his medical condition when renewing his HGV licence, and that an independent GP completed the medical examination without access to his medical records. It questions whether drivers should be required to obtain the report from their own GP or whether independent GPs should have access to relevant medical records.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of HGV medical licence assessments to verify driver-provided medical information against medical records

    Wider context from the report

    “• For whatever reason the deceased did not seek the medical report from his own GP, who would have known about his medical condition and who therefore would not have been able to support the application. Instead the deceased went to an independent GP and that GP completed the medical examination report based solely on what the deceased had told him (and without disclosing his medical condition) without having access to his medical records. • A statement from DVLA relating to this inquest tells us that a driver is recommended to have their own GP complete the examination and the D4 medical report but there is no obligation on drivers to see their own GP. • The concern is if a driver is prepared to provide inaccurate information to the DVLA there is nothing to prevent him doing the same to an independent GP who has no means of checking the accuracy of the information given to them. It then raises the question, what is the purpose and value of a driver being able to provide information to an independent GP who is not in a position to confirm its accuracy? • In my view, consideration should be given as to whether a report from the driver’s own GP should be required or, if not, an independent GP should be able to have access to the medical records themselves. ”

    Source location

    Ian Paul HARRIS · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Own-GP D4 examinations are not required because they may impose significant time and cost impacts, and GPs need not provide this private work.

    Verbatim wording from the response

    “The DVLA recommends that drivers ask their own GP to complete the D4 medical report as the GP will have access to medical records and could provide medical information that may be required. However, it is not a legal requirement for drivers to ask their own GP to carry out the examination and complete the D4 report. Making it a requirement for a driver’s own GP to carry out the examination and complete the form may have significant impacts on drivers and the transport industry in terms of time and costs. Also, GPs are not obliged to complete D4 medical reports as this is classed as private work and is not carried out on the NHS.”

    Source location

    Response from DVLA
    Page 2 · response
    Published 17 January 2025

    Open published response
  4. Cornwall and Isles of Scilly

    AI-generated summary

    Dorothy Jennifer Nias · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Dorothy Nias was involved in a road traffic collision on the A39 at Devoran, Truro, after confusing the brake and accelerator pedals in her automatic vehicle. She sustained multiple injuries, experienced a gradual deterioration in her condition and died on 6 November 2023; concerns included her continued driving despite prior minor incidents and the absence of a required medical fitness assessment for drivers over 70.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of medical fitness-to-drive assessment for drivers over 70

    Wider context from the report

    “It was clear from the evidence that there were concerns raised by family members to Miss Nias regarding her ability to continue to drive having had a number of minor incidents prior to this collision. Despite encouragement to use alternative means of transport she was described as independent and chose to continue. The accident was caused by confusion between her brake and accelerator pedals in an automatic transmission vehicle, allowing her speed to increase without restriction and as a result she was unable to negotiate the roundabout leading to the collision. At present there is no upper age limit for drivers. Drivers over 70 are required to apply for a new licence every 3 years and there is no requirement for there to be any form of medical check or assessment to confirm fitness to drive. The applicant must make a self-declaration. ”

    Source location

    Dorothy Jennifer Nias · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Conducted a call for evidence on driver licensing for people with medical conditions.

    Verbatim wording from the response

    “In 2023, the DVLA carried out a call for evidence about driver licensing for people with medical conditions. The call for evidence sought views on the current legislative basis for assessing fitness to drive and what changes may be made. This was an important first step in gathering a wide range of views and evidence that may support future changes to the legal framework. The DVLA is considering the research and evidence provided and the need for any further research that may be required to inform potential changes to the legislative framework governing driver licensing for those with medical conditions. This will include the process of self-declaration. There are no plans for changes to the current driver licensing requirements while the analysis of the call for evidence responses continues.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 26 November 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Analyse call-for-evidence research and evidence to assess whether further research or legislative changes are needed, including self-declaration.

    Verbatim wording from the response

    “In 2023, the DVLA carried out a call for evidence about driver licensing for people with medical conditions. The call for evidence sought views on the current legislative basis for assessing fitness to drive and what changes may be made. This was an important first step in gathering a wide range of views and evidence that may support future changes to the legal framework. The DVLA is considering the research and evidence provided and the need for any further research that may be required to inform potential changes to the legislative framework governing driver licensing for those with medical conditions. This will include the process of self-declaration. There are no plans for changes to the current driver licensing requirements while the analysis of the call for evidence responses continues.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 26 November 2024

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    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The Secretary of State for Transport will provide the substantive response on behalf of both interested persons.

    Verbatim wording from the response

    “My team has worked with Department of Transport colleagues on this matter and a full and substantive reply to your report, agreed on behalf of both Interested Persons, will be sent by the Secretary of State for Transport.”

    Source location

    Response from DVLA
    Page 1 · response
    Published 26 November 2024

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    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    No changes to driver licensing requirements are planned while the DVLA analyses call-for-evidence responses and determines whether further research is needed.

    Verbatim wording from the response

    “In 2023, the DVLA carried out a call for evidence about driver licensing for people with medical conditions. The call for evidence sought views on the current legislative basis for assessing fitness to drive and what changes may be made. This was an important first step in gathering a wide range of views and evidence that may support future changes to the legal framework. The DVLA is considering the research and evidence provided and the need for any further research that may be required to inform potential changes to the legislative framework governing driver licensing for those with medical conditions. This will include the process of self-declaration. There are no plans for changes to the current driver licensing requirements while the analysis of the call for evidence responses continues.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 26 November 2024

    Open published response
  5. North West Kent

    AI-generated summary

    Alice Olivia CLARK · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Alice Olivia Clark died after being trapped in a SECAMB ambulance involved in a road traffic collision on the A21 on 5 January 2022. Concerns included complaints about unsafe driving that were not appropriately dealt with, the absence of a formal complaint procedure, and the way ambulance driving standards were assessed.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of regular time-bound review of driving standards

    Wider context from the report

    “(3) Driving standards are assessed by 'drive outs' with managers - should this be carried out by independent assessors and completed within a set time i.e. every 6 months or equally cctv reviewed on a regular basis of driving standards. ”

    Source location

    Alice Olivia CLARK · Prevention of Future Deaths report
    Page 2 · concerns

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    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of independent assessment of driving standards

    Wider context from the report

    “(3) Driving standards are assessed by 'drive outs' with managers - should this be carried out by independent assessors and completed within a set time i.e. every 6 months or equally cctv reviewed on a regular basis of driving standards. ”

    Source location

    Alice Olivia CLARK · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Run a weekly multidisciplinary Driving Standards Review Panel to assess concerns, determine outcomes and monitor repeated concerns.

    Verbatim wording from the response

    “In March 2023 a new weekly Driving Standards Review Panel was formed. This comprises supervisors from Operations, Risk, Security, Patient Safety, Driving Standards and Professional Standards. Any driving concern that has been raised and progressed through to Driving Standards is discussed, an outcome which can range from words of advice, through to face-to-face meeting and follow up Driver Training, to formal HR procedures; a concern could also be referred to the Police.”

    Source location

    Response from South East Coast Ambulance Service
    Page 1 · response
    Published 18 December 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Maintain five-yearly response-driver reassessments, annual theory training and return-to-work driving assessments before resuming full driving duties.

    Verbatim wording from the response

    “In addition, Section 19 of the Road Traffic Act 2008 is well embedded into the Trust and has been for more than three years. This requires every response driver to be reassessed within every 5 years. In addition, there is yearly theory learning via our Key Skills course, which is mandatory training for all drivers. If any driver has been out of the Trust for any reason such as maternity or long-term sickness, they are given a driving assessment with a fully qualified Driving Instructor from the Driving Team on their return to work and they are asked to complete the online modular training before returning to full driving duties.”

    Source location

    Response from South East Coast Ambulance Service
    Page 3 · response
    Published 18 December 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Qualified assessments, five-year reassessment, annual training and incident-triggered CCTV reviews are considered sufficient instead of independent six-monthly assessments or regular CCTV review.

    Verbatim wording from the response

    “Official driving assessments are carried out by a fully qualified driving instructor inline with Section 19 criteria and follow the standard objectives from qualifications taught by the awarding body (Futurequals). The assessments are bespoke training to the individual’s needs and are carried out by the Driver Training team only. Any reviews from the Driving Standards Review Panel are now carried out by dedicated, qualified Driving Instructor from the SECAmb Driving Team who works directly with the Review Panel to ensure any referrals are completed in a standardised and timely manner. A written report is then forwarded to the local supervisor as well as to Driving Standards. A ‘drive out’ with a local supervisor may be part of an outcome in an informal manner as a wider supporting mechanism.”

    Source location

    Response from South East Coast Ambulance Service
    Page 3 · response
    Published 18 December 2024

    Open published response
  6. Cambridgeshire and Peterborough

    AI-generated summary

    Louis Steven James THOROLD · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Louis Steven James THOROLD died in hospital after being struck by a van that left the road following a collision on the A10 Ely Road. The report raised concern that drivers over 70 could continue driving through an online self-certification process without independent medical scrutiny, including where undiagnosed dementia may affect their ability to perceive hazards.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of independent medical scrutiny of the continued ability of drivers aged over 70 to drive

    Wider context from the report

    “During the inquest I heard evidence that drivers who reach 70 years of age and are therefore required to reapply for their driving licence at that point(and thereafter every 3 years) do so via an online self-certification process and that there is no need for independent medical scrutiny or input unless there is an issue which is specifically drawn to the attention of a medical practitioner. In this case one of the drivers involved in the road traffic collision was driving with undiagnosed dementia which effected their cognitive ability to perceive hazards on the road. I am concerned that if drivers beyond the age of 70 continue to drive without independent medical scrutiny of their continued ability to drive then there is a risk of deaths occurring in similar circumstances. ”

    Source location

    Louis Steven James THOROLD · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Conduct a Call for Evidence on driver licensing for people with medical conditions.

    Verbatim wording from the response

    “The DVLA recently published a Call for Evidence (CfE) on driver licensing for people with medical conditions. The CfE ran for 12 weeks and was an early stage request for input into a review of the legislative framework. Evidence has been gathered from members of the public and a range of experts across organisations. The CfE closed on 22 October and the responses are currently being analysed.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 7 September 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Analyse responses to the Call for Evidence on driver licensing for people with medical conditions.

    Verbatim wording from the response

    “The DVLA recently published a Call for Evidence (CfE) on driver licensing for people with medical conditions. The CfE ran for 12 weeks and was an early stage request for input into a review of the legislative framework. Evidence has been gathered from members of the public and a range of experts across organisations. The CfE closed on 22 October and the responses are currently being analysed.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 7 September 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    There is little evidence that mandatory testing or medical examination for older drivers would improve road safety.

    Verbatim wording from the response

    “We have considered whether any changes to this policy are justified and proportionate. Driver licensing arrangements are designed to be balanced and proportionate for all drivers, and we are of the view that the current process for drivers renewing their licence at 70 strikes the appropriate balance between fairness, road safety and the individual. There is little evidence to suggest that introducing a stricter regime which includes mandatory testing or medical examination would improve road safety. For this reason, we do not propose to change the current approach.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 7 September 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Current licensing arrangements for drivers renewing at age 70 are considered a proportionate balance of fairness, road safety and individual interests.

    Verbatim wording from the response

    “In regard to older drivers, it is recognised that health can deteriorate in later life and driving licences expire at age 70 and are then renewed at least every three years. Applicants renewing a licence from age 70 must declare that they meet the legal eyesight standards for safe driving and confirm whether they have any relevant medical conditions which may affect safe driving. These regular renewals provide a timely reminder for drivers to consider their health in the context of driving.”

    Source location

    Response from Department for Transport
    Page 2 · response
    Published 7 September 2023

    Open published response
  7. West Sussex

    AI-generated summary

    Kathleen Grace Fancourt · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Kathleen Fancourt was killed when a Peugeot car struck her mobility scooter as she crossed Broyle Road at a pedestrian crossing on 16 September 2021. The report raises concern that drivers over 70 must renew their licences every three years but are not required to undergo medical checks, leaving potential medical conditions to self-declaration and potentially posing risks to other road users.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to require medical fitness checks for drivers over 70

    Wider context from the report

    “This accident was caused by a driver who was 95 years old. At present there is no upper legal limit for drivers. Whilst drivers over 70 are required to apply for a new licence every 3 years there is no requirement for there to be any form of medical check to confirm their fitness to drive. It is left to a self declaration of any medical condition by the driver. There is a concern that if no checks are carried out a driver may be oblivious to their enduring medical condition and this may pose a serious risk to other road users. In 2020 (the last figures publicly available) there were 174 fatal accidents cause by drivers over the age of 70 years old. The Government’s own statistics confirm that “driver illness or disability (mental or physical)” was the 4th most common contributory factor to these deaths. ”

    Source location

    Kathleen Grace Fancourt · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Existing medical declaration, notification, investigation and age-70 renewal arrangements are considered balanced and proportionate without additional medical checks.

    Verbatim wording from the response

    “The current driver licensing arrangements are underpinned by a legal requirement that all drivers, of any age, must inform the DVLA if at any time they develop a medical condition that may affect safe driving. All drivers must meet the appropriate health standards for driving and a licence will only be issued to those who meet those standards.”

    Source location

    Response from Department for Transport
    Page 1 · response
    Published 10 March 2023

    Open published response
  8. South Wales Central

    AI-generated summary

    David Edwin BLINMAN · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    On 28 December 2018, David Edwin BLINMAN was walking home when he was struck by, or fell into the path of, a reversing articulated lorry and was crushed by its rear wheels. His death was declared at the scene. Concerns included inadequate risk assessments and mitigating measures for pedestrians in vehicle blind spots, the inability to conduct 360-degree checks while reversing without additional measures, and insufficient regard to Rule 202 of The Highway Code.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to incorporate current applicable driving guidelines into DPRA risk assessment

    Wider context from the report

    “(4) Risk Assessors should have regard to current applicable driving guidelines, such as here, Rule 202 of The Highway Code when assessing risk and completing the DPRA ”

    Source location

    David Edwin BLINMAN · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Complete incorporation of Inquest learning into the revised UKI DPRA Safety Arrangement.

    Verbatim wording from the response

    “Turning now to address your letter; firstly I would like to thank you for raising these concerns. As set out below, DSC was already conducting a fundamental review to its Delivery Point Risk Assessment (DPRA) Safety Arrangement to create a more consistent UK and Ireland (UKI) standard. The matters identified at the Inquest and within your letter have been used to inform and develop the process further before implementation.”

    Source location

    2021-0054-Response-from-DHL-Redacted
    Page 2 · response
    Published 1 March 2021

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Release and adopt the revised UKI DPRA Safety Arrangement as consistent business-wide best practice.

    Verbatim wording from the response

    “In addition, the fundamental review of the UKI DPRA Safety Arrangement has been completed and the standardised Safety Arrangement will be released to the DSC UKI business by the end of April 2021. This new Safety Arrangement is to be adopted as consistent best practice across the business in the individual contract DPRA processes. We have ensured that lessons learnt from the Inquest have been comprehensively reviewed and are in the process of being included before the UKI roll out.”

    Source location

    2021-0054-Response-from-DHL-Redacted
    Page 2 · response
    Published 1 March 2021

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Apply the revised Nisa DPRA process across delivery locations using risk-based prioritisation and weekly management oversight.

    Verbatim wording from the response

    “The DPRA process for the Nisa account has been specifically reviewed by the contract’s Account Management, under the direction of the Vice President of Operations and in conjunction with their Safety Team. The revised Safety Arrangement has already been introduced for that account. The Nisa contract has around 4,100 delivery points and a risk based approach will be adopted to reviewing order of the DРRAs for the account. We anticipate that this process will take in the region of six months to complete across all delivery locations and will be managed and controlled by a weekly management call containing representatives from all operating locations.”

    Source location

    2021-0054-Response-from-DHL-Redacted
    Page 2 · response
    Published 1 March 2021

    Open published response
  9. Swansea and Neath Port Talbot

    AI-generated summary

    Brian Griffiths · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Brian Griffiths died in hospital on 2 October 2019 after being struck and pinned by a vehicle that unexpectedly accelerated at a Tesco Express store and petrol station on 30 September 2019. The principal concern was that an opportunity may have been missed after an earlier collision in April 2019 to obtain an independent assessment of the driver's fitness to drive, including through an elderly-driver referral scheme.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to arrange an independent assessment of driving ability after a collision

    Wider context from the report

    “On 29th April 2019 (5 months prior to the fatal collision) the driver had been involved in another collision at the same location of the Tesco Petrol station in the Gower. The collision was damage only and the road traffic officer dealt with the collision by way of SI70 (exchange of details). The other driver involved was later treated for whiplash but this was not disclosed at the scene. No D751 medical referral was considered by the road traffic officer but no medical factors were disclosed or identified that would support the submission. There is no obligation to submit the form based only on the fact that the driver was elderly. An opportunity was missed at the time of the collision in April 2019 for an independent assessment of the driving ability of the driver. I was informed at the Inquest that there are a number of police forces which have elderly person driver referral schemes / fitness to drive which can be used as an alternative to a prosecution for minor driving offences or collisions. Dyfed Powys have a scheme that has been running for 4 years after an initial pilot and it has been used as a successful tool to take unsafe elderly drivers off the road The schemes involves a cognitive test and also a driving test to assess the standard of an individual’s driving. ”

    Source location

    Brian Griffiths · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Engage Dyfed Powys Police to understand its elderly person referral scheme and inform consideration of a similar South Wales Police scheme.

    Verbatim wording from the response

    “South Wales Police is committed to ensuring and improving the safety of road users within the force area and identifying opportunities for early interventions for those whose driving is found to fall below the required standard. Therefore, prior to receiving your letter, the South Wales Police Serious Collision Investigation Unit (SCIU) had already engaged with colleagues in Dyfed Powys Police to fully understand the elderly person referral scheme that they have in place, to inform a review as to how South Wales Police could establish a scheme of a similar nature. In addition, Inspector ████████ Head of SCIU, has also engaged colleagues in Criminal Justice Services, the Motoring Unit and the Wales Mobility Driver Assessment Service, who facilitate the running of the courses, to discuss the implementation of the scheme in South Wales.”

    Source location

    2020-0203-Response-from-South-Wales-Police_Redacted.pdf
    Page 2 · response
    Published 1 December 2020

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Engage Criminal Justice Services, the Motoring Unit and Wales Mobility Driver Assessment Service to discuss implementing the scheme in South Wales.

    Verbatim wording from the response

    “South Wales Police is committed to ensuring and improving the safety of road users within the force area and identifying opportunities for early interventions for those whose driving is found to fall below the required standard. Therefore, prior to receiving your letter, the South Wales Police Serious Collision Investigation Unit (SCIU) had already engaged with colleagues in Dyfed Powys Police to fully understand the elderly person referral scheme that they have in place, to inform a review as to how South Wales Police could establish a scheme of a similar nature. In addition, Inspector ████████ Head of SCIU, has also engaged colleagues in Criminal Justice Services, the Motoring Unit and the Wales Mobility Driver Assessment Service, who facilitate the running of the courses, to discuss the implementation of the scheme in South Wales.”

    Source location

    2020-0203-Response-from-South-Wales-Police_Redacted.pdf
    Page 2 · response
    Published 1 December 2020

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement an elderly person referral scheme in South Wales Police by May 2021, with delivery brought forward if possible.

    Verbatim wording from the response

    “South Wales Police is committed to ensuring and improving the safety of road users within the force area and identifying opportunities for early interventions for those whose driving is found to fall below the required standard. Therefore, prior to receiving your letter, the South Wales Police Serious Collision Investigation Unit (SCIU) had already engaged with colleagues in Dyfed Powys Police to fully understand the elderly person referral scheme that they have in place, to inform a review as to how South Wales Police could establish a scheme of a similar nature. In addition, Inspector ████████ Head of SCIU, has also engaged colleagues in Criminal Justice Services, the Motoring Unit and the Wales Mobility Driver Assessment Service, who facilitate the running of the courses, to discuss the implementation of the scheme in South Wales.”

    Source location

    2020-0203-Response-from-South-Wales-Police_Redacted.pdf
    Page 2 · response
    Published 1 December 2020

    Open published response
  10. Plymouth, Torbay and South Devon

    AI-generated summary

    Evelyn Fisher · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Evelyn Fisher, aged 61, was struck by a vehicle that mounted the kerb while she was walking along a pavement in Paignton. She sustained a catastrophic head injury, never regained consciousness, and died from head injury. Concerns included the driver’s dementia and the reliance on self-reporting when renewing driving licences for older drivers, with no statutory requirement for objective testing before automatic renewal.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Reliance on driver self-reporting and recognition of unfitness to drive

    Wider context from the report

    “(2) It was probable that ████████ had started to develop dementia before this incident but had not recognised it (3) Despite ████████ renewing his licence in March 2015, as an over 70-year-old, this failed to prevent this incident as this scheme relies almost entirely on self reporting and further on a driver recognising that they may be unfit to drive. ”

    Source location

    Evelyn Fisher · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
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Data last updated 7 September 2026