2010 BC Guide in Determining Fitness to Drive

Policy7.11.1 If a case manager or adjudicator determines that an individual is fitto drive, or downgrades a commercial licence, the case manager oradjudicator will also determine whether re-assessment is requiredat a future date and, if so, what the re-assessment interval shouldbe.7.11.2 Generally, re-assessment will be required if:(a) the individual has a medical condition that is progressive(b) the driver fitness determination is based upon the effectivenessof a prescribed treatment regime and it is unknown whether thetreatment regime is likely to continue to be effective(c) the driver fitness determination is based upon the effectivenessof a prescribed treatment regime and it is unknown whether theindividual is likely to comply with the treatment regime(d) the medical condition results in episodic impairment, the driverfitness determination is based upon an individual having aperiod of stability without an episodic event, and it is unknownwhether the medical condition is likely to continue to be stable(e) the medical condition results in an episodic impairment, thedriver fitness determination is based upon a pattern of episodes,e.g. nocturnal seizures or auras, and it is unknown whether thepattern of episodes is likely to continue(f) it is recommended by a physician, and/or(g) the re-assessment interval guidelines for the medical conditionindicate that re-assessment is required.7.11.3 To determine whether re-assessment is required and, if so, theappropriate interval, the case manager or adjudicator will consider:(a) the re-assessment interval guidelines outlined in the relevantmedical condition chapter(s)(b) the date of onset, diagnosis and/or treatment of the medicalcondition, if known(c) the severity of the medical condition(d) whether the condition is stable and, if so, the period of stability(e) whether the condition is progressive and, if so, the rate ofprogression67