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lisar  
#1 Posted : 03 July 2013 09:23:25(UTC)
Rank: Forum user
lisar

Hello, One of my part time drivers has just notified me verbally that he has to tell me about a change with driving regulations. He has type 2 diabetes. I have also been sent a link from 2011 http://www.diabetes.co.u...ht-forward-97656530.html Can anyone shed any light on this as its news to me and do not follow issues in this area as we have a fleet duty of care manager but he is on holiday. Regards
firesafety101  
#2 Posted : 03 July 2013 09:43:03(UTC)
Rank: Super forum user
firesafety101

Type 4 is OK unless taking insulin. If taking insulin DVLA need to be notified, and if experiencing blackouts. DVLE will issue short term licenses and will exclude driving more than light vehicles i.e. cars. Please note that as far as I know it is only if taking insulin, otherwise keep on truckin'
Canopener  
#3 Posted : 03 July 2013 09:58:59(UTC)
Rank: Super forum user
Canopener

Lisa, I am not quite sure what you are asking but the 'rules' depend on what sort of treatment, the level of control and what sort of licence/vehicle being driven. It is NOT as simple as "Type 4 [type 2?] is OK unless taking insulin.". The key issue is whether the person has sufficient control over their blood sugar and in particular whether they have suffered from hypoglycaemia, and on how many occasions. There is a risk of hypoglycaemia when taking exenatide (byetta) especially when used together with sulfonylurea (glipizide). For comprehansive (rather than anecdotal) information see https://www.gov.uk/diabetes-driving
firesafety101  
#4 Posted : 03 July 2013 10:11:02(UTC)
Rank: Super forum user
firesafety101

OK so some people think they know it all? I am type 2 diabetic and regularly test my blood and keep records. I saw the nurse yesterday for my 4 month check up and am OK. I can drive what I like, heavy goods are OK as I still have my licence, and I have not experienced blackouts or hypo attacks. My wife is type 2 and takes medication, she has notified DVLA who issued a short term licence for cars only. She has never experienced blackouts or hypo/hyper attacks. I don't know what type 4 is, there is no such thing? Yes have a look at all the web sites for up to date information, I'm telling it as it is for someone affected by diabetes. It takes all sorts and affects people in different ways.
lisar  
#5 Posted : 03 July 2013 10:23:38(UTC)
Rank: Forum user
lisar

Hi Fire safety 101, Does the employee need to notify his employer though. What as an employer do we need to do if anything. Ive looked at a few .gov links and cant seem to get to grips with duty of employer or am I looking in wrong direction?
walker  
#6 Posted : 03 July 2013 10:26:18(UTC)
Rank: Super forum user
walker

FS You post at #2, seems to me, to directly conflict with what you are saying in #4
firesafety101  
#7 Posted : 03 July 2013 10:28:55(UTC)
Rank: Super forum user
firesafety101

OK I hold my hand up and admit the spelling errors, I also have dyslexia and fat fingers.
Canopener  
#8 Posted : 03 July 2013 10:48:49(UTC)
Rank: Super forum user
Canopener

Firesafety, I assume that is a ‘pop’ at my post. I also suffer from diabetes and have for some time, so I do know a little bit about what I am talking about as well. But for the sake of clarity, I don’t “..know it all” and nor did I suggest that I did. I am not going to apologise for trying to point Lisa in the direction of the advice given by the DVLA on driving and diabetes; it seems an entirely responsible thing to do. I don’t know what type 4 is either; it was YOU that referred to this in your post at #2 “Type 4 is OK unless taking insulin.”. The point is, that it isn’t as simple as saying, type this, or type that is okay. If someone who suffers from diabetes suffers other symptoms or complications associated either with their treatment or diabetes, or that they are not able to demonstrate adequate control either by regular testing and/or their Hba1c then they may need to inform the DVLA, and depending on what those symptoms/complications are, the DVLA may make a further assessment of the persons continued fitness to drive. As you rightly say “It takes all sorts and affects people in different ways” which is rather ‘at odds’ with your assertion that “Type 4 [2?] is OK unless taking insulin”.
firesafety101  
#9 Posted : 03 July 2013 11:06:52(UTC)
Rank: Super forum user
firesafety101

Can opener I have admitted to my error and apologise for the pop at your post.
lisar  
#10 Posted : 03 July 2013 11:07:48(UTC)
Rank: Forum user
lisar

and back to me please?????
Canopener  
#11 Posted : 03 July 2013 12:46:42(UTC)
Rank: Super forum user
Canopener

Lisa, it is good practice for employees to inform their employer of any significant change to their ‘medical status’ where this might affect their ability to carry out their work, or the safety of themselves or others. This is often a contractual requirement. The link that you have posted is ‘old’ and I think you would be better guided by the information on the DVLA website. It is not really the TYPE of diabetes that is relevant but rather: 1. The treatment that they are taking (some T2 use insulin) 2. Whether they are suffering from any other complications etc 3. Whether they can demonstrate good control and in particular that they haven’t suffered from severe hypoglycaemia while driving (they not admit to this anyway) 4. What sort of vehicles they drive (in your case in an occupational capacity) It is of course the individual’s responsibility to ensure that they meet the various reporting requirements to the DVLA and to tell their employer if there is subsequently any restriction on what vehicles they are licensed to drive. I would suggest that in very simple terms an employers duty is to ensure that the employer has a licence to drive the vehicle that they are employed to drive. One way of doing this is by employers doing regular licence checks. There are other more 'enlightened' approaches that you might use such as taking an 'interest' in their health and medical conditions and helping them to manage them and seeing what adjustments you might need to make etc. Do bear in mind equalities issues.
stevedm  
#12 Posted : 04 July 2013 11:59:22(UTC)
Rank: Super forum user
stevedm

Lisa...long and short of it update your driving risk assessment to cover issues such as this and that may mean and individual one involving the driver. You may also look at a 'voluntary' well person screen looking at items such as this.. Give me a shout if you want more.. If you look at the medical standard for FLT and use that as a bench mark for the RA or screening program you won't be far wrong. Hope this helps..
colinreeves  
#13 Posted : 04 July 2013 13:49:05(UTC)
Rank: Super forum user
colinreeves

canopener wrote:
I would suggest that in very simple terms an employers duty is to ensure that the employer has a licence to drive the vehicle that they are employed to drive. One way of doing this is by employers doing regular licence checks.
Canopener Very good post, especially the bit quoted above. Colin (T2 on insulin)
stevedm  
#14 Posted : 04 July 2013 14:50:00(UTC)
Rank: Super forum user
stevedm

mmm... is isn't quite as simple as that...some people have been know to prossess 2 licences..yes there are ways to control that.. Fitness to drive is a minefield. Although someone has a valid licence it doesn't necessarily mean that are fit to drive...recently attended such a case when the driver was nearly blind yet had a valid licence killed his daughter and seriously injuried himself.. Although colin and others will abide by the treatment and control measure as they are the good guys, I know of others who don't and the few who don't even know...
colinreeves  
#15 Posted : 04 July 2013 14:56:08(UTC)
Rank: Super forum user
colinreeves

Steve Appreciate you comments and they are valid. However, in the case of a driver with diabetes they are issued restricted licences, both in terms of classes of vehicles that can be driven, but also time limited (seems to be 3 year validity in most cases). On reapplying for another 3 years, the DVLA can get a declaration from the doctor and the specialist - not sure if they do in all cases. Accordingly there is a hope that there is some control - the nearly blind person may well have had a "to 70 years old" licence with no regular third party involvement. People with diabetes are likely to be better monitored than the population norm.
Canopener  
#16 Posted : 04 July 2013 16:18:03(UTC)
Rank: Super forum user
Canopener

Steve You’re right it isn’t as simple as that, but of course that part of my post that Colin quoted, does say “..in very simple terms..”. I totally accept that fitness to drive extends beyond the holding of a licence (it’s not a bad starting point though) and Colin makes a valid point that the majority of people who suffer from (known) diabetes, will be subject to monitoring including regular checks of vision (and free eye sight tests) and a number of other checks and tests that most others aren’t. Nevertheless, there remains a significant responsibility on the individual to ensure that they are fit to drive, and while I don’t doubt that there are many drivers out there who unwittingly or wittingly aren’t, the point is, what else do YOU suggest that a reasonable employer should do? Unless employers are going to go done the route of some sort of ‘mass’ proactive health monitoring for the purposes of ensuring fitness to work and drive (and I would suggest that very few do) then the bulk of the onus does seem to remain with the individual to inform their employer of changes to their medical status or for that matter their ‘licence status’. Once this does happen an employee might reasonably seek to make further ‘medical enquiries’ either with the individuals GP or through an OH service to seek further information on fitness to work and/or drive. It is entirely possible that an employer may 'pick up' on a medical issue that they are unaware of (the individual may also be unaware!) through sickness absence monitoring or even accident monitoring and/or investigations. Having asked for help Lisa seems to have gone remarkably quiet!
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