PFD report

Ian Paul HARRIS · Prevention of Future Deaths report

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Issued 16 Jan 2025•Shropshire, Telford and Wrekin

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
2

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised1

  1. Failure of HGV medical licence assessments to verify driver-provided medical information against medical records
    Part of recurring concern: Failure to reliably assess driver fitness and driving safetyPart of recurring concern: Inadequate driver licensing controls for road safety
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

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

    Stated by Driver and Vehicle Licensing AgencyUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

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. ”

Is this part of a recurring concern?

Yes — Failure to reliably assess driver fitness and driving safety; Inadequate driver licensing controls for road safety.

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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

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

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Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. 1

    Continue working with relevant stakeholders to raise awareness of how medical conditions may affect fitness to drive.

    Stated by Driver and Vehicle Licensing AgencyStated in progressThe respondent said that this action was in progress when they made their response on 17 January 2025.
  2. 2

    Continue exploring potential options for further improvements to fitness-to-drive arrangements.

    Stated by Driver and Vehicle Licensing AgencyStated in progressThe respondent said that this action was in progress when they made their response on 17 January 2025.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    The submitted D4 reports disclosed no health concerns requiring DVLA medical investigation.

    Stated by Driver and Vehicle Licensing AgencyDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

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

Continue working with relevant stakeholders to raise awareness of how medical conditions may affect fitness to drive.

Verbatim wording from the response

“I am grateful to you for bringing your concerns to my attention. I can assure you that we are not complacent, we take road safety very seriously and are focused on ensuring that only those who are fit to drive are granted a licence. The DVLA will continue to work closely with all relevant stakeholders to raise awareness of the impact medical conditions may have on fitness to drive and continue to explore any potential options for further improvements.”

Source location

Response from DVLA
Page 2 · response
Published 17 January 2025

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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

Continue exploring potential options for further improvements to fitness-to-drive arrangements.

Verbatim wording from the response

“I am grateful to you for bringing your concerns to my attention. I can assure you that we are not complacent, we take road safety very seriously and are focused on ensuring that only those who are fit to drive are granted a licence. The DVLA will continue to work closely with all relevant stakeholders to raise awareness of the impact medical conditions may have on fitness to drive and continue to explore any potential options for further improvements.”

Source location

Response from DVLA
Page 2 · response
Published 17 January 2025

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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 submitted D4 reports disclosed no health concerns requiring DVLA medical investigation.

Verbatim wording from the response

“I can confirm that the information provided to the DVLA on Mr Harris’s D4 medical reports did not raise any health concerns which would have required the DVLA to conduct medical investigations into his fitness to drive.”

Source location

Response from DVLA
Page 2 · response
Published 17 January 2025

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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026