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recurance

Inadequate medical assessment of drivers' health conditions

Closely relatedConfidence 0.80 · moderate4 reports · 2017–2025No published response to an earlier report One-page brief (print or PDF)

Driver and Vehicle Licensing Agency received 4 coroners' reports about this hazard between 11 Sept 2017 and 12 Nov 2025.

They came from 4 different coroners in 4 coroner areas. A similar concern was raised again 3 times after the first warning.

A published response was found for 3 of the 3 earlier reports, stating 2 specific actions.

4
reports
4
different coroners
2017–2025
years
0.80
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Henry Prow↗

    11 Sept 2017 · Emma Carlyon · Cornwall and the Isles of Scilly

    “The DVLA appears to have limited mechanisms for drivers to be formally medically reviewed for the purpose of being medically fit to drive.”
    Original on judiciary.uk ↗

    Driver and Vehicle Licensing Agency responded.Response (PDF) ↗

  2. 4 years later

    Raised again · 1st time

    Billy Warwick-Jones↗

    10 Sept 2021 · Lydia Brown · West London

    Closely relatedConfidence 0.80 · moderatea different coroner
    “Consideration should be given to more frequent, rigorous testing and to consider the duties that should be placed on the driver, their medical practitioners and also family members/carers to report changes in presentation or health to the Driver and Vehicle Licensing Agency.”
    Original on judiciary.uk ↗

    Driver and Vehicle Licensing Agency responded, stating 1 specific action.Response (PDF) ↗

    “we have contacted the Royal College of General Practitioners (RCGP) to alert them to these issues, so they can consider how best to raise awareness of this particular case and its implications with their members.”
  3. 2 years 11 months later

    Raised again · 2nd time

    Geoffrey Toase and Michael Midgley↗

    12 Aug 2024 · Jessica Swift · Kingston Upon Hull and the East Riding of Yorkshire

    Closely relatedConfidence 0.85 · higha different coroner
    “Current DVLA working practices do not appear to allow DVLA Doctors to consider the interplay between different medical conditions an applicant may be suffering with.”
    Original on judiciary.uk ↗

    Driver and Vehicle Licensing Agency responded, stating 1 specific action.Response (PDF) ↗

    “the DVLA can also issue a licence for a shorter period, typically between one and five years, allowing driving fitness to be more regularly monitored”
  4. 1 year 3 months later

    Raised again · 3rd time

    Christopher Sampson↗

    12 Nov 2025 · Adam Hodson · Birmingham and Solihull

    Identical hazardConfidence 0.90 · higha different coroner
    “Drivers may not self-report medical conditions due to a variety of reasons. This can be due to due to a lack of understanding, insight, or simply because someone has not explicitly told them what to do or how to do it”
    Original on judiciary.uk ↗

    Driver and Vehicle Licensing Agency responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗

  5. All reports to Driver and Vehicle Licensing Agency

Next

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error