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DVLA Crackdown, More Than 140,000 Driving Licences Revoked

Should Drivers Over 70 Face Compulsory Eyesight, Reflex and Fitness-to-Drive Assessments?

More than 140,000 driving licence entitlements have been revoked, refused or voluntarily surrendered following medical notifications to the Driver and Vehicle Licensing Agency (DVLA), according to figures obtained through a Freedom of Information request.

The figures have inevitably generated headlines about a DVLA “crackdown”, but there is an important distinction to make.

The data does not mean that 140,000 people were automatically banned simply because they had a particular illness or disability.

According to data obtained by Marshall Motor Group, there were 140,981 records from the beginning of 2024 to 28 May 2026 where a GB licence holder had their entitlement revoked, had a new application refused, or voluntarily surrendered their entitlement after a medical condition was notified.

The figures break down as:

  • 68,164 cases during 2024
  • 61,436 during 2025
  • 11,381 between 1 January and 28 May 2026

That works out to approximately 160 cases per day across the period analysed.

Which Medical Conditions Are Being Reported?

More than 2.1 million full or provisional GB driving licence holders now have a medical condition recorded with the DVLA.

Among Group 1 drivers, principally car and motorcycle licence holders, some of the most frequently recorded conditions in 2026 included:

  • Diabetes
  • Pacemakers
  • Glaucoma
  • Epilepsy
  • Dementia
  • Parkinson’s disease
  • Multiple sclerosis
  • Sleep apnoea
  • Stroke
  • Visual problems

However, it is essential to stress that the presence of one of these conditions does not mean the person will lose their driving licence.

Many people living with chronic illnesses and disabilities drive safely for decades. Some may require adaptations to their vehicle, additional medical evidence or a shorter-term medical licence so that their fitness to drive can be reviewed periodically.

The DVLA itself can decide that a person may continue driving, needs a shorter licence, requires vehicle adaptations, or must stop driving.

This is why medical fitness must be assessed individually rather than assuming that a diagnosis automatically makes someone dangerous.

Eyesight Is Emerging as a Major Road-Safety Concern

Eye-related problems featured prominently among licence decisions.

For Group 1 drivers in the 2026 data, there were:

  • 910 cases linked to eyesight failing to meet the required standard
  • 425 involving visual-field refusal
  • 187 following failed roadside eyesight tests

Eyesight below the required standard was also the most commonly recorded condition associated with licence decisions among Group 2 bus and lorry drivers in the data.

Current law already requires motorists to meet minimum eyesight standards.

Drivers must be able to read a modern vehicle number plate from 20 metres, with glasses or contact lenses if necessary, as well as satisfy minimum visual-acuity and visual-field requirements.

A driver who cannot meet the legal eyesight standard must not continue driving.

What Happens When You Tell the DVLA About a Medical Condition?

Notifying the DVLA does not automatically result in the loss of a licence.

Depending upon the circumstances, the DVLA may:

  • Contact the driver’s GP or consultant;
  • Request additional medical evidence;
  • Arrange a medical examination;
  • Arrange an eyesight assessment;
  • Request a driving assessment or driving test;
  • Issue a shorter-term medical licence;
  • Require adaptations to the vehicle; or
  • Determine that the person is currently medically unfit to drive.

The DVLA may therefore investigate an individual’s actual fitness to drive rather than relying purely upon the name of their condition.

Drivers also have responsibilities.

A motorist can face a fine of up to £1,000 for failing to tell the DVLA about a medical condition that could affect their ability to drive safely, and prosecution may be possible if that person subsequently becomes involved in an accident.

What About Drivers Over 70?

This is where the debate becomes particularly important.

There is currently no maximum legal age for driving in Great Britain.

However, a person’s normal driving entitlement expires when they reach 70. They must then renew their licence and renew it again every three years.

Under the existing system, drivers aged 70 and over must declare that they meet the necessary eyesight requirements and disclose relevant medical conditions.

The question is whether self-declaration alone remains sufficient.

As people age, eyesight, peripheral vision, cognitive processing, mobility and reaction times can change gradually. The person affected may not necessarily notice how significant that deterioration has become.

That does not mean every 70-year-old driver is unsafe.

A healthy and alert 78-year-old could potentially be a considerably safer driver than a reckless 25-year-old.

Age itself should therefore never be treated as evidence of incompetence.

Nevertheless, there is a legitimate road-safety argument for introducing objective assessments at a point where age-related deterioration becomes statistically more likely.

Government Has Already Considered Mandatory Eye Tests From 70

This is no longer merely a hypothetical debate.

In January 2026, the Department for Transport launched a consultation specifically considering mandatory eyesight testing for drivers aged 70 and over when renewing their licences.

The Government said it was considering moving away from the existing system of self-declaration for eyesight standards.

The consultation acknowledged that ageing can be accompanied by changes including deteriorating vision and cognitive decline and considered measures including mandatory eyesight tests, cognitive assessments, medical assessments and greater involvement from healthcare professionals.

The Government’s Road Safety Strategy also stated that options for cognitive testing of older motorists would be developed.

Should Reaction Times and Reflexes Also Be Tested?

In my view, eyesight should form only part of the assessment.

There is a strong argument for drivers over 70 undergoing a straightforward periodic fitness-to-drive examination that could consider:

  • Eyesight;
  • Peripheral vision;
  • Reaction time;
  • Reflexes;
  • Cognitive processing;
  • Ability to recognise hazards;
  • Physical ability to operate the vehicle safely; and
  • Where necessary, a practical driving assessment.

Such assessments should be designed around functional ability rather than disability labels.

Someone should not lose their licence because they have multiple sclerosis, Parkinson’s disease, diabetes or another condition if that condition does not prevent them from driving safely.

Equally, someone without a diagnosed disability should not remain on the road simply because they have never reported a medical condition if their eyesight, cognitive processing or reactions have deteriorated to an unsafe level.

The fundamental question should always be:

Can this person safely control a vehicle and respond appropriately to hazards on the road?

What Should Happen If Someone Fails?

If compulsory fitness-to-drive testing were introduced and a driver failed to meet the required safety standard, they should not simply be permitted to continue driving because losing their licence would be inconvenient.

Public safety has to take priority.

Where a failure could be corrected, for example, through new prescription glasses, cataract treatment, medication review, vehicle adaptations or rehabilitation, there should be a clear route to treatment, reassessment and relicensing.

However, where an individual cannot satisfy the minimum standard required to operate a vehicle safely, their licence should be refused, suspended or revoked until they are able to demonstrate that they are fit to drive.

There should also be appropriate rights of appeal and reassessment.

This would be considerably fairer than an automatic age-based driving ban.

Why An Automatic Ban at 70 Would Be Wrong

There is an important distinction between saying:

“Everyone over 70 is unsafe to drive”

and saying:

“Everyone over 70 should periodically demonstrate that they continue to meet objective safety standards.”

The first risks unfair age discrimination.

The second is a road-safety policy that can be debated on evidence.

There are millions of older motorists who drive competently and responsibly. Driving can also be enormously important for independence, particularly for disabled people, carers and people living in rural communities where public transport may be inadequate.

Taking someone’s licence away unnecessarily can result in social isolation and loss of independence.

For this reason, any testing regime should be proportionate, accessible and based upon ability.

Road Safety Must Apply Equally

The same principle should ultimately apply to drivers of every age.

A younger driver experiencing uncontrolled seizures, serious visual impairment, cognitive difficulties or another condition that substantially interferes with safe driving should be subject to the same medical standards as an older driver experiencing equivalent difficulties.

Likewise, being disabled should never in itself be treated as evidence that someone cannot drive.

Modern vehicle adaptations allow people with significant physical disabilities to drive perfectly safely.

The purpose of DVLA medical rules should therefore be risk prevention, not disability discrimination.

Prevention Is Better Than Tragedy

A motor vehicle can become a lethal weapon when the person controlling it cannot see an approaching pedestrian, respond quickly enough to an unexpected hazard or distinguish the accelerator from the brake.

Testing someone’s ability before a serious collision occurs is preferable to investigating their fitness to drive after somebody has been killed or permanently injured.

A compulsory eyesight assessment from age 70 therefore appears increasingly difficult to argue against, provided it is affordable, accessible and evidence-based.

There is also a reasonable case for considering reaction-time and cognitive assessments as part of future renewals.

Passing such an examination should allow an older person to continue driving with confidence.

Failing it should trigger further investigation, treatment or assessment, and where the required safety standard genuinely cannot be met, the individual should not be permitted to drive until it can.

That is not about punishing older people.

It is about applying one fundamental principle to everyone who gets behind the wheel:

The right to drive must come with the ability to drive safely.

Editor’s Note

Disabled Entrepreneur UK supports the independence and mobility of disabled and older people and recognises the vital role that driving can play in everyday life. Medical diagnoses and disabilities should never automatically be equated with dangerous driving.

At the same time, road users, including pedestrians, cyclists, passengers and other motorists, have a right to expect that everyone licensed to operate a vehicle meets appropriate standards of eyesight, cognition and physical ability.

A fair system should therefore assess fitness to drive, not someone’s worth, age or disability.

Further Reading & Resources

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Editor - Founder |  + posts

Renata The Editor of DisabledEntrepreneur.uk - DisabilityUK.co.uk - DisabilityUK.org - CMJUK.com Online Journals, suffers From OCD, Cerebellar Atrophy & Rheumatoid Arthritis. She is an Entrepreneur & Published Author, she writes content on a range of topics, including politics, current affairs, health and business. She is an advocate for Mental Health, Human Rights & Disability Discrimination.

She has embarked on studying a Bachelor of Law Degree with the goal of being a human rights lawyer.

Whilst her disabilities can be challenging she has adapted her life around her health and documents her journey online.

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