Community Stroke Team: Initial Screen of Abilities Required for Driving
Community Stroke Team
Wigan Royal Albert Edward Infirmary
Contact Number: 01942 778507
Community Stroke Team: Initial screen of abilities required for driving
Type of car usually driven?
How often do you usually drive?
Is driving required for employment?
Do you have any concerns regarding returning to driving?
Do you feel confident regarding returning to driving?
Have your family or friends expressed any concerns regarding you returning to driving?
Has anyone involved in your care expressed any concerns regarding you returning to driving?
What is the impact on you not currently being able to drive?
Do you have any alternative transport options?
Is a family member able to take on driving duties?
Have you experienced fatigue since the stroke?
How does this affect you? (times of day, severity of fatigue etc)
Upper limb’s (motor and sensory function)
Lower limb’s (motor and sensory function)
Neck and trunk mobility and stability:
Have you had an eye test since the stroke? (if yes, what was their assessment of your vision?)
Have you noticed any visual changes since the stroke?
Do you wear glasses? If yes, what for?
Did you have any issues with night vision prior to the stroke?
Visual field loss:
Reading number plate from 20 metres (approx):
Is an orthoptic referral needed?
Do you feel there have been changes to your cognition since the stroke?
Cognitive tests to date:Date / Assessment / Patient’s score/time / Acceptable cut-off score.
MOCA (cognitive screen) / 27 and above considered “normal”
Road sign recognition (assesses traffic knowledge and visual comprehension): / 8.5 points (or above)
Compass task (visuoperceptual and visuospatial abilities / 25 points (or above)
Trail making Test B (visuomotor tracking, visual scanning and executive functions) / 90 seconds
Summary and interpretation of cognitive assessments:
Please note – The cognitive assessments above are not definitive tools for predicting on-road performance. Scores outside of these acceptable cut-off scores are an indicator of compromised cognitive resources needed to drive safely and consequent failure in an on-road assessment.
Conclusion and recommendations
Is the patient in agreement with the recommendations?
Chairman: Les HigginsChief Executive: Andrew Foster CBE