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Public interest disclosure — DOccMed MCQ

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HardOH Ethics and ProfessionalismPublic interest disclosureDOccMed

A chemical tanker driver admits during OH review that he is still having unpredictable blackouts and continues to drive heavy goods vehicles privately. He refuses to notify DVLA or stop driving. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Warn him, document advice and consider notifying DVLA if he continues to drive

Doctors should advise patients to stop driving and notify DVLA when a condition poses a risk. If a patient refuses and continues to drive, disclosure to DVLA may be justified in the public interest after warning the patient where practicable. Disclosure should be proportionate and directed to the relevant authority. A disclaimer does not remove the clinician's responsibility.

Reference: GMC Confidentiality: patients' fitness to drive; DVLA guidance