Question

A 45-year-old man had a first unprovoked generalised tonic–clonic seizure 3 weeks ago. He has been reviewed by a neurologist who has started treatment for epilepsy and advised him not to drive. Today he attends his GP surgery with a DVLA medical questionnaire and insists you sign to say he is fit to drive. He refuses to inform the DVLA, saying he will lose his job if he stops driving. What is the most appropriate course of action?

Accepted Answer

Advise him to stop driving and notify the DVLA; if he refuses and continues to drive, inform the DVLA in the public interest

Answer

Sign the form as requested to preserve the doctor–patient relationship

Answer

Refuse to sign the form but take no further action

Answer

Immediately inform the police about his intention to drive

Answer

Inform his employer directly without telling him

Practice question