Driving and dementia: a clinical decision pathway

Int J Geriatr Psychiatry. 2015 Feb;30(2):210-6. doi: 10.1002/gps.4132. Epub 2014 May 27.


Objective: This study aimed to develop a pathway to bring together current UK legislation, good clinical practice and appropriate management strategies that could be applied across a range of healthcare settings.

Methods: The pathway was constructed by a multidisciplinary clinical team based in a busy Memory Assessment Service. A process of successive iteration was used to develop the pathway, with input and refinement provided via survey and small group meetings with individuals from a wide range of regional clinical networks and diverse clinical backgrounds as well as discussion with mobility centres and Forum of Mobility Centres, UK.

Results: We present a succinct clinical pathway for patients with dementia, which provides a decision-making framework for how health professionals across a range of disciplines deal with patients with dementia who drive.

Conclusions: By integrating the latest guidance from diverse roles within older people's health services and key experts in the field, the resulting pathway reflects up-to-date policy and encompasses differing perspectives and good practice. It is potentially a generalisable pathway that can be easily adaptable for use internationally, by replacing UK legislation for local regulations. A limitation of this pathway is that it does not address the concern of mild cognitive impairment and how this condition relates to driving safety.

Keywords: ageing; dementia; driving; pathway.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Traffic / prevention & control
  • Automobile Driving* / legislation & jurisprudence
  • Automobile Driving* / psychology
  • Critical Pathways / organization & administration*
  • Decision Making
  • Dementia*
  • Humans
  • Safety
  • United Kingdom