Fitness to drive


RSA Fitness to Drive

The Road Safety Authority have produced an excellent "Sláinte agus Tiomáint" document detailing information for doctors and others regarding patient's fitness to drive.

Just a few points:

You have an ethical and legal duty to maintain patient confidentiality.

A doctors duty is to:

  • Assess the person’s medical fitness to drive based on the current Sláinte agus Tiomáint medical standards.
  • To advise the person regarding the impact of their medical condition or disability on their ability to drive and
    recommend restrictions and ongoing monitoring as required.
  • To advise the person of their responsibility to report their condition to the NDLS if their long-term or permanent
    injury or illness may affect their ability to drive.
  • To report to the NDLS regarding a person’s fitness to drive in the exceptional circumstances where there is a risk
    to the public and the driver cannot or will not cease driving.

There is a considerable difference between the restitctions on Category 1 (car, motorbike, tractor) and Category 2 (bus, lorry etc) licence holders.

Please read the document but .... it is very comprehensive so I have added a few links to specific recommendations for different groups of conditions below.


Neurological disorders

Epilepsy standards for Group 1 and 2.

  • 1st unprovoked seizure
  • Provoked sezures
  • Vertigo
  • Brain tumours
  • Head injury
  • Subdural/subarachnoid bleed

Cardiovascular disorders

  • Syncope
  • Stroke / TIA
  • Angina
  • ACS

Drug and alcohol misuse and dependence

Visual disorders

Respiratory and sleep disorders


Content By Dr Íomhar O' Sullivan 22/04/2016. Last review Dr ÍOS 27/05/21.