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Welcome to PRACDRIVA

PRACDRIVA (Practical Clinical Driver Assessment) is an international resource providing Guidelines to support practitioners in the driver assessment of people with a disability or health condition. The resource is aimed at:

  1. Driving assessors currently carrying out practical clinical driver assessments
  2. A range of health care professionals such as occupational therapists, physiotherapists, general practitioners and consultants
  3. Driving instructors/driving teachers and educators
  4. Administrative departments in countries and organisations who are developing their processes in the field of practical clinical driver assessment


PRACDRIVA is the result of partnership working between Driving Mobility and CIECA during the period 2017 -2020 involving subject matter experts who were interested in  developing an international approach to clinical driver assessment. 

PRACDRIVA aims to provide practical and realistic online guidance about medical fitness to drive assessment for authorities, organisations and individual clinicians and practitioners.

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By Prof Desmond O’Neill MD FRCPI, Director, National Office for Traffic Medicine, Ireland 23 June 2022


for the ideal driver assessment

In this section we introduce the Guidelines forming the framework for
the ideal driver assessment, providing an insight as to how these were formed. Each Guideline is then presented individually.

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Medical Conditions

This section provides information for the assessor on the clinical aspects of specific medical conditions and disabilities. Requirements of the specific condition should be taken into consideration when referring to the Guidelines for the ideal driver assessment. 

Dementia and Mild Cognitive Impairment (MCI) 

Dementia is defined as a decline in cognition that prevents the person carrying out their normal activities.

Parkinson’s Disease

Parkinson’s disease is a progressive neurological condition that starts with cell death of a small area deep in the brain, the substantia nigra. The substantia nigra produces dopamine

Multiple Sclerosis

MS is an autoimmune disorder of the central nervous system (brain and spinal cord) that is characterised by demyelination (i.e., damage to the insulating sheathes of the nerves). 

Huntington’s Disease

Huntington’s disease (HD) is an autosomal dominant neurodegenerative disorder, which is characterized by motor, cognitive and emotional-behavioural symptoms. 

Vehicle Adaptations

The vehicle adaptation section lists the more commonly used vehicle adaptations

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PRACDRIVA is an initiative managed by Driving Mobility, a registered charity number: 298178.
A company limited by guarantee. Registered number: 2192584.

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