Fitness to Drive: A new approach to road safety in Harlow

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AS individuals age, maintaining independence and mobility becomes increasingly important. Driving plays a vital role in enabling older adults to stay connected with their communities, access essential services, and retain their independence.

However, age-related changes in vision, reaction time, and cognitive function can present challenges on the road. Addressing these concerns through targeted road safety measures not only supports elderly drivers but also contributes to safer roads for all.

Essex Police’s Roads Policing Investigations team review all allegations of road traffic offences, upholding the law and keeping everyone safe.

Sergeant Pete Sharpe, who oversees the team, ensures that dangerous drivers are prosecuted, but for some drivers, he will offer an alternative to court.

The Roads Policing Unit sergeant works with professionals at East Anglian DriveAbility to offer Fitness to Drive assessments.

“Some drivers who are involved in road-related incidents are offered the chance to take part in an assessment that is run by qualified occupational therapists and experienced driving instructors who undertake driving assessments of those referred. The aim is to reduce collisions by improving their standard of driving, keeping them driving for longer and safely.

Investing in road safety initiatives that consider the unique needs of elderly drivers is a proactive step towards building inclusive, age-friendly communities. These measures not only protect older adults but also foster a culture of safety and respect on the roads.”

East Anglian DriveAbility, a not-for-profit charity, receives referrals from DVLA, Motability, NHS and GPs, and self-referrals alongside Essex Police.

A decision to be referred to the Medical Fitness to Drive Assessment can be made if any of these three conditions are met: those who are suspected to have notifiable medical conditions that have contributed to the offences or already driving an adapted vehicle and those over 70 years.

On the assessment day, the driver will be asked to complete some tasks designed to find out what driving behaviour occurred that saw them referred to the course and includes:

  1. Driving licence checks for any medical related codes such as needs adaptations or corrective glasses.
  2. Existing medical issues and any medication that could affect driving.
  3. Conducting DVLA standard eyesight tests, including peripheral vision.
  4. Observing physical control of the vehicle to see how quickly someone can respond in emergencies.
    Before going out on the road, there is a cognitive assessment involving a range of tasks to see how the person processes information and how quickly they respond: it assesses their spatial awareness and how they judge distances, skills required to park and maintain lane control. For anyone who has significant difficulty but no diagnosed condition, it is recommended they see their GP.
    After the important risk assessment checks, the client is taken out in a dual control car for a drive with a qualified driving instructor and the occupational therapist. The route considers everyday driving and checks what action the driver takes at roundabouts, speeds, how they deal with roadsigns and markings and hazard perception.
  5. At the end of the day, outcomes achieved can be that the person is safe to drive, may be safe to drive following tuition and further assessment or not safe to drive and will be referred to the DVLA and may need to surrender their driving licence.
    Yvette Bateman an occupational therapist who has been undertaking Fitness to Drive assessments for Essex Police for 10 years, said: “The tasks are not designed to make people fail, but to give them confidence to drive on today’s busy roads and even brush up on some skills.
    “We welcome self-referrals from older drivers and their families, too. Educational programmes tailored to older drivers can reinforce safe driving habits and update them on changes in road laws and vehicle technologies.
    “Undertaking this assessment could reassure everyone involved that their loved ones are safe to drive.”
    As part of road safety considerations for elderly drivers, the assessors offer the chance for drivers who need vehicle adaptations to try out these features in specially designed cars. Features such as larger mirrors, automatic braking systems, and lane departure warnings can compensate for physical limitations and improve overall driving performance.
    Benefits of Supporting Elderly Drivers:
  • Enhanced Independence: Safe driving options allow older adults to maintain control over their daily routines and social engagements.
  • Reduced Isolation: Mobility enables participation in community activities, reducing feelings of loneliness and promoting mental well-being.
  • Improved Public Safety: By proactively addressing the needs of elderly drivers, communities can reduce accident rates and promote safer road environments for all users.

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