Geoffrey Toase and Michael Midgley

1. 1. lack of encouragement to request medical history

   “DVLA Doctors are not actively encouraged by the DVLA to request further information about an applicant's medical history”

2. 2. failure to seek specialist medical information

   “The DVLA does not generally seek further information from any identified Speciality Doctor that may be involved in an applicant's medical care and treatment; any requests for further information are usually directed to an applicant's General Practitioner (GP)”

3. 3. inadequate tick-box forms

   “The forms sent to an applicant's GP by the DVLA for the purpose of obtaining further information are largely tick box in nature and do not provide sufficient scope for the GP to provide more detailed information and this therefore does not allow for a full assessment to be conducted by the reviewing DVLA Doctor”

4. 4. inability to assess combined medical conditions

   “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”

5. 5. unverified medical self-declaration

   “There is no apparent system in place to verify the accuracy of the information provided by an applicant within their medical self-declaration and that this information is generally accepted by the DVLA without question”

6. 6. loss of GP verification

   “The information provided by an applicant within their medical self-declaration is no longer sent to their GP by the DVLA alongside any request for further information, which limits any scope for the GP to identify if the information contained within a medical self-declaration is accurate”

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