Aim: To review the published standards for driving and consider the Importance of an assessment of cognitive function in determining suitability to resume driving after a stroke.
Method: A literature-based essay, using articles relating to driving after stroke and cognitive function and driving.
Results: The DVLA has guidelines on driving following a stroke and the visual standards required to drive. There are no standards for the level of cognitive function required to resume driving. Cognition is difficult to evaluate in relation to driving and there is no one lest that can clearly predict whether a patient is safe to drive. Currently, where a decision cannot be made on the basis of medical reports the gold standard for fitness to drive is an onroad assessment.
Conclusion: Cognitive function makes a significant contribution to the ability to drive and evaluation of visual function alone is not sufficient when determining whether a patient is fit to drive.