Recurring concern

Inadequate driver licensing controls for road safety

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First reported 8 Aug 2014•Latest report 1 Apr 2026

Definition

What this concern includes

Includes licence-status accuracy, medical-fitness review and graduated or risk-based restrictions for inexperienced, medically high-risk or otherwise higher-risk drivers.

Not included

  • Driver training or enforcement where licensing controls are adequate
  • Vehicle design, road layout or telematics controls that do not affect licensing entitlement
  • Individual unlawful driving despite an accurate and appropriate licence decision
Reports
24

Distinct published reports

Individual concerns
38

A report can raise multiple concerns

Date range
2014–2026

First to latest report issue date

Stated actions
27

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 Transport21
Driver and Vehicle Licensing Agency6
Driver and Vehicle Standards Agency3
Association of British Insurers1
Brake1
Cambridgeshire County Council1
Chartered Insurance Institute1
Clough Williams-Ellis Foundation1
Emsworth Surgery1
Financial Conduct Authority1
General Optical Council1
Gwynedd Council1
Recipient name withheld1
Snap Group Limited1
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. 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
  2. West Yorkshire (Western)

    AI-generated summary

    Joseph Samuel Walsh and Tobias Crowther Barraclough · 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

    Joseph Samuel Walsh was driving a car carrying four passengers after alcohol and cocaine had been consumed when the vehicle collided with a wall on 20 October 2023. Joseph died at the scene, and Tobias Crowther Barraclough later died from his injuries on 12 November 2023; the surviving passengers were injured. The report raises concerns about the absence of legal restrictions on young or newly qualified drivers and the carrying of young passengers in circumstances such as these.

    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 legal restrictions on the licences of young or newly qualified drivers

    Wider context from the report

    “• Currently there are no legal restrictions upon the licences of young and /or newly qualified drivers and the current vehicle licensing regime permits the carrying of young persons as passengers in circumstances such as these • Young drivers may be more likely to be involved in a collision with similar aged passengers in the car. • I would ask you to consider the appropriateness of reviewing the current provisions since I am concerned that there will be further like tragic deaths. ”

    Source location

    Joseph Samuel Walsh and Tobias Crowther Barraclough · Prevention of Future Deaths report
    Page 2 · 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

    Vehicle licensing regime permitting the carrying of young passengers

    Wider context from the report

    “• Currently there are no legal restrictions upon the licences of young and /or newly qualified drivers and the current vehicle licensing regime permits the carrying of young persons as passengers in circumstances such as these • Young drivers may be more likely to be involved in a collision with similar aged passengers in the car. • I would ask you to consider the appropriateness of reviewing the current provisions since I am concerned that there will be further like tragic deaths. ”

    Source location

    Joseph Samuel Walsh and Tobias Crowther Barraclough · 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

    Graduated driving licences are not being considered as a response to disproportionate risks affecting young drivers.

    Verbatim wording from the response

    “Whilst we are not considering Graduated Driving Licences, we absolutely recognise that young people are disproportionately victims of tragic incidents on our roads. As work progresses on the new road safety strategy, we are exploring options to tackle the root causes of this without unfairly penalising young drivers.”

    Source location

    Response from Department of Transport
    Page 2 · response
    Published 15 January 2025

    Open published response
  3. West Yorkshire (Western)

    AI-generated summary

    Joseph Samuel WALSH · 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

    Joseph was driving on Brow Lane on 20 October 2023 when his vehicle collided with a wall, and he was pronounced deceased at the scene. The report raises concerns about the absence of legal restrictions on young or newly qualified drivers and the carrying of young passengers, noting the potential for further similar deaths.

    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 legal licence restrictions for young and/or newly qualified drivers

    Wider context from the report

    “Joseph was aged 18 at the time of his death following the collision and had passed his driving test in May 2023. This was five months prior to the collision. At the time of the collision, he was legally carrying 5 young friends. Currently there are no legal restrictions upon the licences of young and /or newly qualified drivers and the current vehicle licensing regime permits the carrying of young persons as passengers in circumstances such as these Young drivers may be more likely to be involved in a collision with similar aged passengers in the car. I would ask you to consider the appropriateness of reviewing the current provisions since I am concerned that there will be further like tragic deaths. ”

    Source location

    Joseph Samuel WALSH · Prevention of Future Deaths report
    Page 1 · 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

    Vehicle licensing regime permitting the carrying of young persons as passengers in these circumstances

    Wider context from the report

    “Joseph was aged 18 at the time of his death following the collision and had passed his driving test in May 2023. This was five months prior to the collision. At the time of the collision, he was legally carrying 5 young friends. Currently there are no legal restrictions upon the licences of young and /or newly qualified drivers and the current vehicle licensing regime permits the carrying of young persons as passengers in circumstances such as these Young drivers may be more likely to be involved in a collision with similar aged passengers in the car. I would ask you to consider the appropriateness of reviewing the current provisions since I am concerned that there will be further like tragic deaths. ”

    Source location

    Joseph Samuel WALSH · Prevention of Future Deaths report
    Page 1 · 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

    Graduated Driving Licences are not currently being considered, although other options to address young-driver risk are being explored.

    Verbatim wording from the response

    “Whilst we are not considering Graduated Driving Licences, we absolutely recognise that young people are disproportionately victims of tragic incidents on our roads. As work progresses on the new road safety strategy, we are exploring options to tackle the root causes of this without unfairly penalising young drivers.”

    Source location

    Response from Department of Transport
    Page 2 · response
    Published 15 January 2025

    Open published response
  4. North West Wales

    AI-generated summary

    Wilfred John Fitchett 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

    On 19 November 2023, a vehicle carrying four young men left the A4085, entered a water-filled drainage ditch and all four died from drowning; the vehicle was found on 21 November 2023. The report raises concerns about the absence of legal restrictions on young or newly qualified drivers carrying young passengers and the risk of further deaths in similar circumstances.

    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 legal restrictions on the licences of young and newly qualified drivers

    Wider context from the report

    “b. Currently, there are no legal restrictions upon the licences of young and/or newly qualified drivers and the current vehicle licensing regime permits the carrying of young persons as passengers in circumstances such as these. c. It is noted that young drivers are exponentially more likely to be involved in a collision with each similar aged passengers in the car. d. I am concerned that deaths will continue to occur or will occur into the future where younger persons are carried in motor vehicles being driven by newly qualified and/or young drivers. ”

    Source location

    Wilfred John Fitchett and 3 others · Prevention of Future Deaths report
    Page 2 · 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

    Vehicle licensing regime permitting young passengers to be carried by young and newly qualified drivers

    Wider context from the report

    “b. Currently, there are no legal restrictions upon the licences of young and/or newly qualified drivers and the current vehicle licensing regime permits the carrying of young persons as passengers in circumstances such as these. c. It is noted that young drivers are exponentially more likely to be involved in a collision with each similar aged passengers in the car. d. I am concerned that deaths will continue to occur or will occur into the future where younger persons are carried in motor vehicles being driven by newly qualified and/or young drivers. ”

    Source location

    Wilfred John Fitchett and 3 others · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  5. 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
  6. 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 individual concern was interpreted

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

    PFD Monitor interpretation

    Lack of an upper legal age limit for drivers

    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 1 · 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
  7. Hampshire, Portsmouth and Southampton

    AI-generated summary

    Andrew BIDDLECOMBE · 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

    Andrew BIDDLECOMBE died on 10 July 2020 after the motor car he was driving collided with a sign-post and rolled over, causing fatal head and neck injuries. It could not be ascertained whether he suffered a medical episode or whether poor eyesight and mobility hindered him in avoiding the collision. The concerns included that he had not been advised about the impact of his medical conditions on safe driving or the legal requirement to notify the DVLA, and that the practice did not inform the DVLA of relevant medical conditions.

    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 inform the DVLA of medical conditions relevant to safe driving

    Wider context from the report

    “The deceased was 70 years of age. The deceased had several medical conditions including Parkinson’s disease; had suffered possible epileptic seizures; had bilateral posterior capsular opacity. The deceased was known to have problematic double vision and was partially sighted in his right eye. The deceased was known to have poor mobility. The deceased was prescribed medications namely Ipninia XL a medication with a recognised side-effect of sudden sleep onset episodes and Ramipril a medication with recognised side-effects of blurred vision, confusion and dizziness. It was known that the deceased was a current driver, noting the Parkinson’s review in February 2020. The deceased had not been advised of the impact of his medical conditions on his ability to drive safely nor had he been advised of the legal requirement to notify the DVLA of his medical conditions. The practice did not inform the DVLA of the deceased’s medical conditions relevant to the deceased’s ability to drive safely. ”

    Source location

    Andrew BIDDLECOMBE · 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

    Write to patients with epilepsy or Parkinson’s disease to remind them of DVLA notification responsibilities and identify current drivers for record updates.

    Verbatim wording from the response

    “Emsworth Surgery have undertaken a significant event analysis as part of the action arising from the Regulation 28 Report received. We have reviewed the templates that could be used for chronic disease review to ensure there are questions relevant to the patient’s driving status. We have also written to all our patients on the Epilepsy and Parkinson’s Disease register to remind them of their responsibilities to inform the DVLA of their diagnosis. We have asked the patients on these registers to inform us if they are current drivers so we can ensure their records are up to date. Finally, we have sent a medication leaflet to all patients on Ropinirole detailing possible side effects including sudden drowsiness to remind patients of these and the importance of reporting side effects.”

    Source location

    2021-0053-Response-from-Emsworth-Surgery_Published
    Page 2 · response
    Published 1 March 2021

    Open published response
  8. County Durham and Darlington

    AI-generated summary

    William Edward TURNER · 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

    William Edward TURNER, aged 74, died at the scene after a multi-vehicle collision on 8 October 2019, when a vehicle travelling in the opposite direction went out of control and caused a head-on collision. The report raised concern about whether the driving-licence surrender periods for people with epilepsy should be revisited or reviewed in light of the circumstances.

    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

    Potential inadequacy of driving-licence surrender time frames for seizure risk

    Wider context from the report

    “(3) The time frames of 6 months and 12 months for surrender of the drivers licence were provided in the Regulations, which are framed and from time to time amended pursuant to recommendations of the Secretary of State for Transport’s Honorary Medical Advisory Panel on Driving and Disorders of the Nervous System, which you chair. (4) Is there scope for re-visiting these time frames in the light of the facts of this case, or at least reviewing them in the light of this case? ”

    Source location

    William Edward TURNER · 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

    Ask the medical advisory panel to review the required seizure-free period before driving licence reinstatement.

    Verbatim wording from the response

    “The rules governing epilepsy and seizures are regularly reviewed by the medical experts on Secretary of State for Transport’s Honorary Medical Advisory Panel on Disorders of the Nervous System. As road safety is our priority, I will ask the panel to review the period of time required off driving before someone who has suffered a seizure can regain their driving licence.”

    Source location

    2020-0209-Response-from-the-DVLA_Redacted.pdf
    Page 2 · response
    Published 3 December 2020

    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 12-month seizure-free standard and treatment, appointment and reporting declarations are considered sufficient to ensure only low-risk drivers receive licences.

    Verbatim wording from the response

    “It may help if I explain that for epilepsy, the fitness to drive standards are based on the risk of seizure recurrence while driving. When considering the appropriate health standards for driving, a balance needs to be made between road safety and the needs of drivers who experience seizures.”

    Source location

    2020-0209-Response-from-the-DVLA_Redacted.pdf
    Page 1 · response
    Published 3 December 2020

    Open published response
  9. 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

    Lack of mandatory objective fitness testing before automatic licence renewal for older drivers

    Wider context from the report

    “(4) ████████ was 88 at the time of the incident and there is no statutory scheme to make it mandatory for drivers over 70 or 80 to be objectively tested before they have licenses automatically renewed. ”

    Source location

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

    Open source report
  10. Cornwall and Isles of Scilly

    AI-generated summary

    Henry Prow · 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

    Henry Prow died at the scene after his car collided with a roundabout while he was returning from a medical appointment. A medical event before the collision could not be excluded. Concerns were raised about mechanisms for medical review of drivers with deteriorating or fluctuating health, the potential impact of licence surrender, and whether required vehicle modifications remained appropriate and were being used.

    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 mechanisms for formal medical review of drivers with deteriorating or fluctuating health

    Wider context from the report

    “At the inquest concerns were raised by the police and a friend as to the criteria required by the DVLA and Department of Transport for the issuing and surrendering of driving licences and the terms and conditions for ensuring appropriate modification of driver’s vehicles. Mr Prow had been a very fit and active man and worked as a training instructor in the Army for 3 years. As a result of his deteriorating poor health he lost his mobility and he was keen not to lose his driving license which would reduce his independence. At inquest it was considered that the collision was possibly preceded by Mr Prow having a medical issue/event. The DVLA appears to have limited mechanisms for drivers to be formally medically reviewed for the purpose of being medically fit to drive. In particular in cases where drivers have deteriorating health or fluctuating health (of which they may not have insight) as in the case of Mr Prow. It is understood that at present the treating GP/doctors or the driver themselves have a duty to advise the DVLA of medical issues which can affect a person’s ability to drive. A driver’s voluntary surrender of a driving licence (especially in a rural area with little public transport) may have a serious detrimental effect on their health and social/employment situation making it unrealistic expectation on the driver in many cases. There was concern, that the driver's GP/doctors could have a conflict of interests in such situations as they would have a duty to inform the DVLA of medical issues which could result in the surrender of the driving licence which could/would result in deterioration of the patient/doctor relationship e.g. such as patients withholding significant medical information with their doctors for fear of losing their licence. There were also concerns that there appeared to be no mechanism for ensuring the required modification to the vehicles were still relevant to the vehicle that they were driving at the time (he had changed cars since requirement made and his health had deteriorated) and were appropriately in place and used . ”

    Source location

    Henry Prow · 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

    Independent medical or driving assessments are already used in complex cases, so broader mandatory assessment is not adopted.

    Verbatim wording from the response

    “Your report suggests that when deciding whether someone is medically fit to drive, consideration should be given to using independent medical assessment. I can confirm that in more complex cases, the DVLA already uses independent medical or driving assessments before deciding whether to issue a driving licence.”

    Source location

    2017-0227-Response-by-Department-for-Transport
    Page 1 · response
    Published 6 October 2017

    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

    Mandatory medical or practical assessments would not be introduced without evidence of improved road safety because they could be costly and overly bureaucratic.

    Verbatim wording from the response

    “The current process focuses on those drivers who have a medical condition. It is designed to be fair and proportionate without penalising those drivers with disabilities who continue to drive safely. There is little evidence to suggest that introducing a stricter regime which includes mandatory medical or practical driving assessments would improve road safety. To impose such a requirement without the appropriate evidence would be overly bureaucratic and potentially very costly. Britain’s roads are some of the safest in the world and our road safety record compares favourably with other countries with stricter and more intrusive driver licensing regimes.”

    Source location

    2017-0227-Response-by-Department-for-Transport
    Page 2 · response
    Published 6 October 2017

    Open published response
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Data last updated 7 September 2026