This is an HTML version of an attachment to the Freedom of Information request 'Concessionary travel passes'.


ASHFIELD DISTRICT COUNCIL 
Urban Road, 
Kirkby-in-Ashfield, 
Nottingham, Tel: 
01623 
450000 
East Midlands. 
Fax:  01623 457585 
NG17 8DA 
www.ashfield-dc.gov.uk 
 
 
Robert Eriksohn 
What Do They Know 
xxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxxxxx.xxx 
 
 
 
Contact: 
Andy Gray 
Our Ref: 
EriksohnR/020209/SL-F3 
Scrutiny & Policy Officer 
(Information Management) 
Direct Line: 
(01623) 457244 
Your Ref: 

E-Mail 
x.xxxx@xxxxxxxxxxx.xxx.xx 
Date: 
26/02/2009 
 
 
Dear Mr Eriksohn 
 
INFORMATION REQUEST  
 
Your request for information has now been considered and the information requested is 
enclosed.  
 
1. Does your authority provide concessionary travel passes 
    to those individuals registered with their local Social 
    Services department as disabled on the grounds of 
    being a mental health user or survivor? 
 
2. If your authority does have such arrangements why was 
    the decision taken to extend the scheme in this way and 
    what arrangements are in place? 
 
3. If your authority does not have such arrangements does 
    your authority have some other arrangement beyond the 
    statuary minimum to provide passes to those with mental 
    health issues? 
 
4. If your authority does not have such arrangements why 
    was the decision taken not to extend the scheme in this 
    way and has consideration been given to extending the 
    scheme in this way in the future? 
 
5. Would it be possible to provide copies of any relevant 
    policy documents you may have? 
 
The Council issues concessionary travel passes in line with Department for Transport 
guidance, attached. If the customer meets the criteria laid down in the guidance then they 
will be issued a pass accordingly. This includes customers who are mental health 
users/survivors. 
 
If you have any queries or concerns then please feel free to contact me. 
 
A.G. MELLOR, Chief Executive   
J.R. CHRISTOPHER, Deputy Chief Executive (Inward Focus)  P.G. MARSHALL, Deputy Chief Executive (Outward Focus) 

 
If you have a complaint about the handling of your enquiry then please contact myself or 
Mrs. Zoë Butler Customer Services Manager at: 
Ashfield District Council, Urban Road, 
Kirkby-In-Ashfield, 
Nottingham, 
East Midlands. 
NG17 8DA, 
 
telephone: 01623 457509 
e-mail: x.xxxxxx@xxxxxxxxxxx.xxx.xx. 
 
 
Upon following the corporate Complaints Procedure you are still not satisfied with the 
outcome received you also have a right of appeal to the Information Commissioner at: 
Information Commissioner's Office 
Wycliffe House, Water Lane  
Wilmslow  
Cheshire 
SK9 5AF  
Telephone:   01625 545 700 
www.informationcommissioner.gov.uk 
 
The information provided has been released under the appropriate Access to Information 
legislation. 
This does NOT allow for re-use of that information. 
If re-use is required for this or any other Council information you must contact Ashfield 
District Council for permission as terms and conditions may apply. 
Please use contact details above. 
 
 
Yours sincerely 
 
 
 
 
Mr J R Christopher 
Deputy Chief Executive (Inward Focus) 
 



Issued: February 2008 
 
GUIDANCE TO LOCAL AUTHORITIES ON ASSESSING ELIGIBILITY 
OF DISABLED PEOPLE IN ENGLAND FOR CONCESSIONARY BUS 
TRAVEL 
Introduction: The New All-England Concession 

The Concessionary Bus Travel Act 2007 ('the 2007 Act') provides for a statutory 
guarantee of free off-peak travel for eligible older and disabled people on local bus 
services anywhere in England ('the national concession'). Provisions in the 2007 Act have 
been commenced to enable the national concession to begin on 1 April 2008. 

The 2007 Act modifies existing legislation which guarantees free off-peak local 
bus travel in England only within the area of the local authority in which an eligible person 
resides. The grant of concessions is governed outside Greater London by sections 145 to 
150 of the Transport Act 2000 ('the 2000 Act') and within London by sections 240 to 244 
of, and Schedule 16 to, the Greater London Authority Act 1999 ('the 1999 Act'). 
Outside Greater London. 

The 2000 Act requires the operator of a bus service to provide the statutory 
minimum to any person holding a 'statutory travel concession permit'. Local authorities 
which are 'travel concession authorities'1 must issue a permit free of charge to any 
applicant who appears to that authority to be an 'elderly or disabled person' residing2 in its 
area. An 'elderly person', for the purposes of the 2007 Act, is a person who has attained 
the age of 60 years. For the purposes of the 2007 Act, disabled people are defined by 
reference to seven categories (section 146). 
                                                      
1 Defined as any Passenger Transport Executive, non-metropolitan district council and, where there is no district council for an area, 
a county council. The 2007 Act adds London authorities and the Council of the Isles of Scilly to this definition. 
2 The 2007 Act amends the requirement from simple 'residence' in a particular travel concession authority area to a requirement that 
an eligible person have his 'sole or principal residence' in that area in order to qualify. 
 
1

Issued: February 2008 
 
Greater London.  

The 1999 Act has the effect of requiring London local authorities to agree uniform 
arrangements with Transport for London under which travel concessions are extended to 
older people and to disabled people in the same categories as those listed in the 2000 
Act. Failure to reach agreement on such arrangements would trigger a reserve 'free travel 
scheme' (see Schedule 16), under which certain travel concessions must be provided. 
Free Bus Passes:  

The concessionary fares pass for the statutory minimum is to be issued free of 
charge. The legislation does not require the applicant to be fully indemnified for the cost of 
providing his/her photograph - nor for any signed medical certification, or any postage on 
his/her application. Local authorities should issue passes which conform to the standard 
design specifications published by the Department. 
Replacement Bus Passes:  

Bus operators must grant the statutory minimum concession to eligible persons. 
The purpose of imposing on the authority a duty to issue passes is to enable 
concessionaires to provide evidence to bus operators of their entitlement. There is no 
provision in the legislation about safe keeping and it is the Department's view (which it is 
stressed is only a view) that it is the pass holder's responsibility to look after that evidence. 
This suggests that the obligation to issue a pass free of charge would be limited to the first 
pass only. However, if a person applies for a replacement it is doubtful whether the 
authority would have the right to refuse to issue one without good reason or to charge 
more than a sum representing roughly the cost of producing it. It is the Department’s view 
that nothing in the legislation would prevent an authority from refusing to issue a 
replacement pass to a person whom it had good reason to believe is engaged in fraud. As 
a matter of good practice in preventing fraud, the Department strongly recommends that 
any pass issued in replacement for one which has been lost or stolen should generally be 
issued using the same photograph as the original pass. Each travel concession authority 
is strongly encouraged to maintain a database of persons to whom concessionary travel 
passes have been issued, including a digitised photograph of each recipient. 
Discretionary concessions and eligibility for the statutory minimum concession 

In addition to the statutory minimum concession guaranteed under the 2000 Act, 
the Transport Act 1985 ('the 1985 Act') gives local authorities outside London the power, 
at their discretion, to offer additional travel concessions to people in any of the categories 
 
2

Issued: February 2008 
 
defined in section 93(7) of that Act. For example, although the statutory concession does 
not extend to companions of disabled pass holders, local authorities remain free to offer 
concessions to companions using discretionary powers under the 1985 Act. 

It is important to emphasise that national concession bus passes may only be 
issued to people aged 60 or over and to eligible disabled people (as assessed using this 
guidance). Passes of the national concession design must not be issued to other groups, 
such as companions of disabled people, as this could lead to confusion about their 
entitlement to the statutory concession as opposed to discretionary enhancements. 
Passes issued on a discretionary basis (under the 1985 Act) rather than under powers in 
the 2000 Act and the 1999 Act should be produced to a different design from the new 
national pass. 

Under the terms of the 2000 Act and the 1999 Act, it is for a local authority to 
determine whether someone is a 'disabled person' for the purposes of concessionary 
travel. But the 2000 Act and the 1999 Act both provide for the Secretary of State to issue 
to local authorities guidance to which they must have regard in reaching a decision. In 
doing so, the Secretary of State is obliged to consult the Disabled Persons Transport 
Advisory Committee (DPTAC - the Government's statutory advisers on the mobility needs 
of disabled people) and local authority interests. 
10 
This statutory Guidance, which has been subject to the required consultation, 
applies only to England. Concessionary travel is a devolved policy area, and legislation 
and assessment of eligibility with regard to concessionary travel in Wales, Scotland and 
Northern Ireland are matters for the appropriate devolved administration. 
General criteria to be taken into account in determining 
entitlement 

11 
The categories of disabled person listed in the 2000 Act and the 1999 Act in 
relation to concessionary travel do not cover the full range of disabled people included 
within the Disability Discrimination Act 1995 (DDA) definition.3 
12 
However, in line with the central principle of the DDA definition, the types of 
disability which should enable people to claim the statutory minimum bus travel 
                                                      
3   'A physical or mental impairment which has a substantial and long term adverse effect on his ability to carry out normal day-to-
day activities': see section 1(1). 
 
3

Issued: February 2008 
 
concession are those which are permanent, or which have lasted at least 12 months, or 
which are likely to last at least 12 months or are likely to recur [although the likelihood of 
an effect recurring may be disregarded in pre-agreed circumstances]. This disability 
should have a substantial effect on a person's ability to carry out normal day-to-day 
activities. 
13 
It should not be necessary for the effect of the disability to be the same throughout 
the period - it may worsen or diminish at different times - but local authorities should 
nevertheless satisfy themselves that it will have (or be likely to have) such an effect 
throughout the period. 
14 
A person may have more than one disability which would cause them to be 
eligible for the concession. 
15 
The 2007 Act provides an entitlement to a concession against a full adult fare. It 
does not set age limits for recipients of this concession. It should therefore be taken to 
apply the concession to adults and to all disabled children and young people of fare-
paying age. 
16 
In any application for a concessionary travel pass, the onus will be on the 
applicant to prove their entitlement. 
Assessing Eligibility 
17 
The Department recommends that, where available, the most robust way of 
assessing eligibility is likely to be via other relevant state benefits. 
18 
Eligibility for a concessionary travel pass may be considered "automatic" (not 
requiring further assessment) where a person is in receipt of one or both of the following 
state benefits, which link eligibility to receive the benefit to the ability to walk, provided that 
the person is of fare paying age and that the award of the benefit has been for at least 12 
months or is expected to be for at least 12 months: 
• 
Higher Rate Mobility Component of the Disability Living Allowance 
(HRMCDLA); 
• 
War Pensioner's Mobility Supplement (WPMS). 
 
4

Issued: February 2008 
 
19 
Applicants claiming these benefits will be able to provide documentary evidence of 
their entitlement. An example of proof of entitlement is proof of payment of the allowance. 
An applicant receiving the HRMCDLA will be able to produce an award notice letter from 
the Disability & Carers Service (DCS) or, alternatively, an excise duty exemption 
certificate (which is given to those who receive HRMCDLA). If they have lost the award 
notice, the DCS can provide another copy at: 
http://www.dwp.gov.uk/lifeevent/benefits/dcs/. 
20 
An applicant receiving WPMS will have an award letter from the Service 
Personnel and Veterans Agency (Free-phone enquiry number 0800 169 22 77). 
21 
Eligibility may also be considered automatic where a disabled person of fare 
paying age has been issued with a disabled persons’ parking badge ("Blue Badge"). It 
does not, of course, follow that a person who has a concessionary travel pass is 
necessarily eligible for a Blue Badge. 
22 
For applicants outside the above categories, the Department recommends that 
the next most robust means of assessment is likely to be via local authority lists of 
registered disabled people where these are relevant. This is covered in more detail below 
for people who are blind or partially sighted, or profoundly or severely deaf. Where a 
person is registered with an authority outside their current area of residence, the local 
authority may wish to consider the desirability of contacting that authority as against other 
means of assessing eligibility. 
23 
For other applicants, where there is any doubt about eligibility, the Department 
recommends that local authorities seek independent medical evidence to inform their 
decision. The cost of this should not be borne by the applicant. 
24 
Using an applicant's GP to verify that an individual meets the criteria for a 
concessionary travel pass is regarded as an unsatisfactory arrangement for both the GP 
and the administrators of the scheme. The main argument against this approach is that it 
compromises the doctor / patient relationship. 
25 
The Department strongly recommends that independent health professionals 
should undertake assessments in place of GPs. In the case of assessment of the inability 
to walk, for example, occupational therapists or physiotherapists are often best placed to 
assess eligibility due to their professional knowledge of mobility. Transferring assessment 
to such specialists implicitly suggests the importance of making judgements based on 
physical mobility rather than medical conditions. 
 
5

Issued: February 2008 
 
26 
The Department recommends that, where possible, local authorities run dedicated 
assessment centres to assess eligibility. As well as having the potential to reduce costs, 
this can help to ensure that a fair and equitable service is provided to all applicants who 
are required to have an assessment. Moreover, scope for identity fraud can be reduced if 
photographs for use on passes are taken at the time of assessment. 
27 
Neighbouring authorities may wish to work together in running such assessment 
centres to achieve economies of scale. In assessment centres, or where any specialist is 
consulted, an authority will need to satisfy itself of the fitness of the specialist to carry out 
the assessment. 
28 
In a rural authority, where the population is scattered and accessibility could be a 
problem, careful consideration needs to be given as to how medical assessments are 
carried out, such as whether people may require additional assistance to attend medical 
facilities. 
29 
Where, as a last resort, it is necessary to use a GP, the contact should be made 
direct by the authority, having secured the applicant's agreement, and the GP should only 
be asked for answers to factual questions. They should not be asked for an opinion on 
whether someone meets the criteria. 
The Seven Categories 
30 
There are seven categories of disabled person identified as eligible for 
concessionary bus travel in the 2000 Act. The same categories are reproduced in the 
1999 Act, although that Act lists blind and partially sighted people separately. 
31 
The Department strongly recommends that when a local authority issues a 
concessionary travel pass to an eligible disabled person, the authority keep a record of the 
particular category of disability under which a person qualifies (as well as details of how 
the assessment was carried out and by whom). The Department also recommends that 
the local authority should consider the category of disability when setting the expiry date of 
the pass. This would reflect the fact that some disabilities are clearly permanent, whereas 
others may last for only a limited period. It may therefore be appropriate to consider 
setting an expiry date of one year, for example, where circumstances would suggest this 
is sensible. Authorities are encouraged to seek independent medical advice on this point. 
32 
Under the legislation, an eligible disabled person is someone who: 
 
6

Issued: February 2008 
 
"(a) is blind or partially sighted" 
33 
'Blind' means having a high degree of vision loss i.e. seeing much less than is 
normal or perhaps nothing at all. 'Partially sighted' is a less severe loss of vision. Partially 
sighted people can see more than someone who is blind, but less than a fully sighted 
person.  Blind and partially sighted people can register with their local council.  The 
register is held by the social services or social work department, or by a local voluntary 
agency, and is confidential. 
34 
For registration purposes, the term ‘blind’ now becomes ‘severely sight impaired 
(blind)’ and partially sighted becomes ‘sight impaired (partially sighted)”.  The formal 
notification required to register as “severely sight impaired” or “sight impaired” is a 
Certificate of Vision Impairment (CVI), signed by a Consultant Ophthalmologist (eye 
specialist).  However, registration is voluntary.  The individual should have a copy of their 
CVI and should be encouraged to register, if they have not already done so, as they may 
be entitled to various other benefits too. 
35 
In general terms a person can be registered as severely sight impaired (blind) if 
they cannot see (with glasses, if worn) the top letter of the eye test chart (used by doctors 
and opticians) at a distance of 3 metres or less. Some people who can read the top letter 
of an eye test chart at 3 metres, but not at 6 metres, may still be eligible for registration as 
blind if their field of vision is also severely restricted. Only being able to read the top letter 
at 3 metres is sometimes referred to as 3/60 vision: the person can see at 3 metres what a 
person with normal vision can see at 60 metres. 
36 
 A person can be registered as sight impaired (partially sighted) if they have a full 
field of vision but can only read the top letter of the eye test chart at a distance of 6 metres 
or less (with glasses, if worn). However, if they can read the next three lines down at the 
same distance, but the field of vision is either moderately or severely restricted, they may 
still qualify for registration. 
37 
The Department advises that concessionary travel passes should be issued to 
people whose sight is so impaired that they would be able to register as severely sight 
impaired (blind) or sight impaired (partially sighted). Local authorities may, where a person 
is not on the local authority register, require evidence from an eye specialist, for example 
an optometrist, that the applicant would qualify to be registered as severely sight impaired 
(blind) or sight impaired (partially sighted).  Advice on how to register can be found on the 
Royal National Institute for the Blind (RNIB) website at: 
http://www.rnib.org.uk/xpedio/groups/public/documents/publicwebsite/public_registration_
home.hcsp 
 
7

Issued: February 2008 
 
"(b) is profoundly or severely deaf"  
38 
Hearing loss is measured in decibels across the normal hearing spectrum, as 
dBHL (Hearing Level). People are generally regarded as having a severe hearing loss if it 
reaches 70-95 dBHL and a profound loss if it reaches 95+ dBHL. The Department advises 
that the statutory minimum concession should be made available to people in these 
categories. 
39 
There is no statutory registration system for deaf people. However, many will be 
registered on a voluntary basis with their local authority social services department. The 
register is open to people who have varying degrees of hearing loss, so in checking the 
register a local authority is advised to check that the applicant is profoundly or severely 
deaf before issuing a national concession bus pass. 
40 
As in the case of blind and partially sighted people, local authorities may, where 
appropriate, require applicants to provide evidence of registration before issuing a pass, or 
evidence that they could register, for example, an audiological report, or a report from an 
aural specialist. 
"(c) is without speech" 
41 
Included within this category are people who are unable to communicate orally in 
any language. Those people will be: 
•  unable to make clear basic oral requests e.g. to ask for a particular destination 
or fare; 
•  unable to ask specific questions to clarify instructions e.g. 'Does this bus go to 
the High Street?' 
42 
This category would not, in the Department's opinion, cover people who are able 
to communicate orally but whose speech may be slow or difficult to understand, for 
example because of a severe stammer. 
43 
In considering an application on these grounds the local authority may reasonably 
require medical evidence to support the application in appropriate cases. 
"(d) has a disability, or has suffered an injury, which has a substantial and long-term 
adverse effect on his ability to walk" 
44 
To qualify under this category, a person would have to have a long term and 
substantial disability that means they cannot walk or which makes walking very difficult. 
 
8

Issued: February 2008 
 
45 
It is envisaged that passes will be issued to people who can only walk with 
excessive labour and at an extremely slow pace or with excessive pain. Their degree of 
impairment should be at comparable level to that required to claim the Higher Rate 
Mobility Component of Disability Living Allowance. This is set out below: 
(i) 
they cannot walk or… 
Being unable to walk means that they cannot take a single step.  
They need to show that because of their disability they cannot put one foot in front of 
the other.  
Walking involves always having one foot on the ground.  
If their only way of getting about is to swing through crutches then they will be 
considered unable to walk. 
 
(ii) 
…they are virtually unable to walk, or… 
They will need to show that, as a result of a physical disability, they are unable to walk 
very far without experiencing severe discomfort. This question does not apply to people 
with mental disabilities, your inability to walk very far must stem from a physical 
condition.  
The Department for Works and Pensions take a number of factors into account when 
deciding whether or not someone meets this criterion. For example:  
Discomfort can mean either pain or breathlessness.  Extreme fatigue and stress may 
also be taken into account.  It has been accepted that discomfort is subjective and that 
some people have higher pain thresholds than others.  
Unless both legs are missing then they will need to show that they experience severe 
discomfort even when using an artificial aid.  
When deciding whether they are virtually unable to walk the following factors should be 
taken into account: 
•  the distance over which they can walk without experiencing severe discomfort 
•  the speed at which they can walk 
•  the length of time for which they can walk  
•  the manner in which they can walk  
If they can only walk up to 27 metres without severe discomfort then they will qualify for 
 
9

Issued: February 2008 
 
the higher rate.  
If they can only walk between 27 and 64 metres without severe discomfort then it is 
likely that they will qualify for the higher rate.  
If they can walk more than 64 metres without severe discomfort then they will need to 
show that the other three factors mean that they are virtually unable to walk. For 
example, if they can show that it takes them five minutes to walk 100 metres, they 
should qualify for the higher rate.  
As a guide, the average person can walk the following in a minute: 
•  90 metres at a brisk pace 
•  60-70 metres at a moderate speed 
•  40-50 metres at a slow pace  
•  30-40 at a very slow pace 
 
It does not matter whether the severe discomfort occurs at the time of their walk or 
later. What counts is that the discomfort is a direct result of their attempt to walk.  
 
(iii) 
The exertion required to walk would "constitute a danger to their life or 
would be likely to lead to a serious deterioration in their health"  
The test here is whether the exertion required to walk would constitute a danger to their 
life or whether it would be likely to lead to a serious deterioration in their health.  
They need to show that they should not walk very far because of the danger to their 
health.  
This criterion is intended for people with serious chest, lung or heart conditions.  
Some people with haemophilia may also qualify for the higher rate in this way.  
The serious deterioration does not need to be permanent but it should require medical 
intervention for them to recover.  
They will need to show that any danger to their health is a direct result of the physical 
effort required to walk.  
People with epilepsy will need to show that any fits were brought about by the effort 
required to walk 
 
10

Issued: February 2008 
 
 
46 
In all cases, entitlement depends on the applicant's difficulty in walking and 
considerations, such as difficulty in carrying parcels, are not to be taken into account.  
47 
The fact that a walking aid is or is not used may be relevant to the eventual 
decision, but these alone should not determine whether or not a person qualifies.  For 
example, if a person can walk relatively normally with the use of an artificial leg, then they 
should not be considered eligible.  Alternatively, a person who can only swing through on 
crutches could be considered eligible, as they would be seen as having considerable 
difficulty walking (provided it is due to a long term disability and not due to legs being in 
plaster). 
48 
The Department advises that the authority should normally require medical 
evidence to support the claim that the applicant's walking ability is long term and 
substantially impaired.  
"(e) does not have arms or has long-term loss of the use of both arms" 
49 
This category includes people with a limb reduction deficiency of both arms; 
bilateral upper limb amputation; muscular dystrophy; spinal cord injury; motor neurone 
disease; or a condition of comparable severity. 
50 
In the Department's opinion, it also covers both people with deformity of both 
arms, and people who have both arms, if in either case they are unable to use them to 
carry out day-to-day tasks, for example, paying coins into a fare machine. In these latter 
cases the Department advises that a local authority should normally require independent 
medical evidence to support the application.  
"(f) has a learning disability, that is, a state of arrested or incomplete development of mind 
which includes significant impairment of intelligence and social functioning" 
51 
A person with a learning disability has a reduced ability to understand new or 
complex information, a difficulty in learning new skills, and may be unable to cope 
independently. These disabilities must have started before adulthood and have a lasting 
effect on development. The person should be able to qualify for specialist services and he 
or she may have had special educational provision.  
52 
The Department of Health adopted the term 'learning disability' in 1992. It has the 
same meaning as its predecessor 'mental handicap' but it is seen as more acceptable, 
particularly in reducing the confusion with mental illness. 
 
11

Issued: February 2008 
 
53 
In determining eligibility in a case where there has been no previous contact with 
specialist services a local authority should normally require independent medical advice, 
or check any register of people with learning disabilities which might be held by the Social 
Services Department of the applicant's local council. 
"(g) would, if he applied for the grant of a licence to drive a motor vehicle under Part III of 
the Road Traffic Act 1988, have his application refused pursuant to section 92 of the Act 
(physical fitness) otherwise than on the ground of persistent misuse of drugs or alcohol." 
54 
Under Section 92 of the Road Traffic Act 1988 the Secretary of State may refuse 
to issue a driving licence on the grounds of the applicant's medical fitness. Those who are 
currently barred from holding a licence are people with: 
i. 
epilepsy (unless it is of a type which does not pose a danger - see below); 
ii. 
severe mental disorder; 
iii 
liability to sudden attacks of giddiness or fainting (whether as a result of 
cardiac disorder or otherwise); 
iv. 
inability to read a registration plate in good light at 20.5 metres (with lenses if 
worn); 
v. 
other disabilities which are likely to cause the driving of vehicles by them to 
be a source of danger to the public. 
 
55 
It will be seen that specific reference is made to people who persistently misuse 
drugs or alcohol. Those people are not covered by the definition of 'disabled person' 
under the Act and are thus not entitled to the statutory minimum travel concession. 
56 
It is not a condition of entitlement under this category that the disabled person 
should apply for and be refused a driving licence (which would be unduly burdensome for 
everyone involved). If, for people with any of the disabilities (ii) - (iv) listed above, the local 
authority can be confident that a licence would be refused it should therefore be able to 
issue the travel pass automatically. For (i) epilepsy - the bar is not automatic and depends 
on the circumstances. 
57 
The Motor Vehicles (Driving Licences) Regulations 1999 permit the grant of a 
driving licence to a person with epilepsy if that person: 
(a) has not had an epileptic attack whilst awake for a year or more; or 
 
12

Issued: February 2008 
 
(b) has a history of attacks whilst asleep, and only whilst asleep, over the past three 
years or more, 
…provided that the driving of a vehicle by that person is not likely to cause danger 
to the public. 
58 
There are a number of categories of "severe mental disorder" under which people 
may qualify. Authorities will need to assess individuals on a case-by-case basis as 
eligibility may depend on the severity of the condition. Such conditions include (but are not 
limited to) dementia (or any organic brain syndrome); behaviour disorders (including post 
head injury syndrome and Non-Epileptic Seizure Disorder); and personality disorders. 
59 
Other groups include: 
•  People with restricted visual fields, who will be refused a licence if they do 
not have a horizontal field of vision of at least 120 degrees, or if they have 
significant scotoma encroaching within 20 degrees of the central fixation 
point in any meridian or, sometimes, if they have restricted vertical fields of 
vision; 
•  Insulin dependent diabetics. In general people with insulin dependent 
diabetes can continue to drive - though their licence may be renewable on a 
1, 2, or 3-yearly basis. However, where the person experiences disabling 
hypoglycaemia they will be prevented from driving until their diabetes is 
controlled. 
60 
The above list is not comprehensive. Any person with a cardiac, locomotor, renal 
or neurological disorder might qualify. Where there is doubt about whether someone 
would be refused a driving licence, the local authority is strongly advised to require 
independent medical advice. 
 
13

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