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Living well with long-term health conditions

Continuing to drive in later life could help you to stay independent. There are steps you can take to stay safe on the roads for longer.
Your driving licence expires automatically when you reach 70. If you want to continue driving, you need to renew it then and every three years after that. You can do this free of charge, either online or by post, and you can renew it any time before the extension ends. You’ll need to fill in a form to declare any health conditions you have and that you are still fit to drive.
Although you might still be able to drive, you might not be certain of your confidence or ability. It always helps to have a second opinion – other people can spot problems you may not have noticed. You could:
If you're worried about your driving, or want to reassure yourself or others that you're safe to drive, you can get an assessment. This isn’t a test, so there’s no pass or fail. It’s also a good way to get practical advice on how to improve your driving.
The assessment usually takes place in your own car and lasts up to an hour.
If you have a medical condition that could affect your driving, or you’re disabled, you can take a specialist driving assessment. This is a more detailed driving assessment at a mobility centre. A specially trained driving instructor will assess how your condition affects your driving. You can also involve a health or care professional, such as an occupational therapist, in the assessment.
Your assessor may recommend adaptations that could be made to your car to make driving easier – for example, an adjusted seat to make it easier to get in and out of the car.
You can find more information and search for a driving assessment on Older Drivers. Or, contact Driving Mobility to find your local mobility centre and arrange an assessment.
If you’re disabled and need a new car, you may be able to join the Motability scheme. This lets you lease a new, specially adapted car, as well as covering servicing, maintenance, repairs and breakdown assistance. To qualify, you need to receive any of the following:
If you’re not receiving any of these benefits but have mobility problems, you can call our Helpline on 0800 319 6789 for a benefits check, or use our online benefits calculator to get an idea of what you may qualify for.
Our factsheet Extra help with essential costs if you’re on a low income has more information about grants you could get to help pay for car adaptations.
If you find driving tiring or stressful, changing your driving habits could help to keep you on the road safely for longer. Being more careful can help boost your confidence with driving.
If you can’t easily drive the distances you used to, you could consider driving to a local station and making the rest of the journey by train or coach.
There are some health conditions that you must report to the DVLA, such as epilepsy, dementia or Parkinson’s disease – Gov.uk has a list of all the conditions you're required to report. Reporting a medical condition doesn’t necessarily mean you must give up driving. You only need to surrender your licence if the DVLA decides that you don’t meet the required medical standards for driving, or if your GP says you cannot drive for three months or more. You can reapply for your licence if you meet the medical standards again.
If you're diagnosed with a health condition that the DVLA needs to know about and you don't tell it, you could be fined up to £1,000.
You should also report any medical conditions that could affect your driving to your insurer. Your insurance may not cover accidents that are caused by a health condition you haven't told them about.
It can be a difficult decision to stop driving. You may worry about how you’ll stay independent without your car. There are other ways to get out and about, which may be cheaper and less stressful than driving – see our page about getting around more easily.
If you’re a family member or friend who is unsure of how to approach the subject, our webpage Talking about…giving up driving has some tips on how to start the conversation.
Use our checklist below to help you consider whether to get a second opinion on your driving.
Read our factsheet about getting out and about in later life, Help with getting around.
Gov.uk has more information about renewing your driving licence and how to apply online or by post.
Visit olderdrivers.org.uk or drivingmobility.org.uk/find-a-centre to find driver assessments near you.