Table 1

DVLA restrictions to driving for common conditions discharged from the emergency department13

ConditionGroup 1 entitlementGroup 2 entitlement
First epileptic seizure/solitary fitOne year off driving with medical review before restarting drivingAfter a first unprovoked seizure, drivers must demonstrate 10 years freedom from further seizures, without anticonvulsant medication in that time
Cerebrovascular disease: Including stroke due to occlusive vascular disease, spontaneous intracerebral haemorrhage, TIA, and amaurosis fugaxMust not drive for at least one month. May resume driving after this time if recovery is satisfactory.Recommended refusal/revocation for at least 12 months after a stroke or TIA.
Loss of consciousness/loss or altered awareness likely to be unexplained syncope and low risk of recurrence These have no relevant abnormality on CVS and neurological examination and normal ECGCan drive four weeks after the eventCan drive three months after the event
Loss of consciousness/loss or altered awareness likely to be unexplained syncope and high risk of recurrence Factors indicating high risk: (a) abnormal ECG (b) evidence of structural heart disease (c) syncope causing injury, occurring at the wheel or while sitting or lying (d) > 1 episode in six monthsCan drive four weeks after the event if the cause has been identified and treated If no cause identified then require six months offCan drive three months after the event if the cause has been identified and treated. If no cause identified, then licence refused/revoked for one year