Taxi, HGV/LGV and PSV/PCV Medicals

At Alcester Health Centre we also undertake Taxi, HGV/LGV and PSV/PCV medicals.

If you have any other medical needed that is not listed, please use the ‘contact us’ tab on the website to get in touch!

Taxi Medicals – £ 70.00 inc VAT

HGV / LGV Medicals – £ 90.00 inc VAT

PSV / PCV Medicals – £ 90.00 inc VAT

You can see the medical proforma which you are required to fill out for your medical by clicking on Taxi Medical Proforma You can fill this out before your medical or do this on the day of your medical.

Please note that we accept cash or cheque made out to Wallis Health Consultants Ltd, which is to be paid on the day of your medical, before the medical process begins.

Please do not forget to bring along with you the D4 Medical form (if applicable), a form of photographic ID, your spectacles (if applicable) and a list of medications you are currently taking again (if applicable).  Please note you will also need to carry out a urine sample at the surgery, we will provide you will all necessary equipment.

In order to get your provisional PSV/PCV, HGV/LGV licence you will need to get a D4 Medical Examination Report filled in by a doctor to ensure you meet the DVLA Group 2 medical standards and then you will need to send it off with your D2 application form in order to get your provisional licence.

The D4 form is applicable for the following vehicle licenses and classes:

  • vehicle over 3.5 and 7.5 tonne, medium or Large Goods Vehicle (LGV) (C1, C1+E, C or C+E)
  • passenger service vehicle (PSV) / passenger Carrying Vehicle (PCV) over 8 passenger seats (D1, D1+E, D or D+E).

The D4 form must have been filled in within 4 months of your application to ensure that your health is still at the same level.

Please find a D4 Medical Examination Report form below by clicking on the link below:

D4 Medical Examination Report

The form which above has sections specifically for your doctor to fill in but you will be required to fill in Section 9 and Section 10 on page 8 of the D4 when you are with your doctor.

There is no specific YES/NO section on the form deciding whether you are fit to drive a passenger service vehicle as this is decided by the DVLA once they receive your forms. Please note that the doctor’s signature will be valid for only four months so send off your D4 form, D2 application form, and your driving licence as soon as you can.

What happens during a driver medical assessment?

The doctor will examine you in accordance with the requirements of the relevant D4 Medical Form.

    • During the Medical the Doctor will:
  • Measure your blood pressure
  • Perform two eye tests; the first before and the second after you put on driving glasses (this included in the medical fee). Do not wear contact lenses as these will have to be removed for the eye test.  The eye test we be conducted using a Snellen chart.
  • Test your urine for Diabetes
  • List on the D4 Form any medication you’re currently taking
  • Ask about your previous medical history (these questions are on the form and are compulsary).

Once the medical is completed you post the form to the DVLA and they decide whether to renew your driving entitlements. If there is a reason why you shouldn’t be renewed the doctor will let you know at the time.

Medical Standards for HGV/LGV Licences

To become a lorry, bus or coach driver, you must:

  • Have a full car licence
  • Be over the age of 18 (there are some allowances)
  • Get a professional driving qualification, which is called the Driver Certificate of Professional  Competence (CPC)

How to get and keep the Full Driver CPC

  1. Apply for a provisional lorry or bus licence
  2. Pass the 4 tests that make up the Driver CPC to qualify
  3. Take a total of 35 hours training every 5 years periodically to stay qualified
  4. Sign a declaration every 5 years until the age of 45 to show the medical standards are still met
  5. Provide a medical report every 5 years after the age of 45 to renew your driving licence.  When you reach 65, this needs to be done every year.

Medical Standards for PSV/PCV Licences

Medical standards required for drivers of coaches and buses are higher than those required for car drivers due to the fact that you will be dealing will larger and potential more dangerous vehicles. If you’re of good health then the medical shouldn’t be a problem but  if you have any of the following medical conditions you will not be able to hold a driving licence for Passenger Service Vehicles (PSV) over 8 seats, this includes driving a bus, coach, or minibus for hire or reward in the United Kingdom that has nine or more passenger seats

You can apply for a PSV Licence from the Driver and Vehicle Licensing Agency (DVLA). This licence is also known as a PCV (Passenger Carrying Vehicle) licence and also ‘Cat D’ or ‘D1’ but they all entitle you to the same thing.  Please click here for more information regarding the PSV Licence Medical Requirements.

Epilepsy or liability to epileptic attacks – If you’ve had epilepsy in the past then you will need to be free of further epileptic attack without taking anti-epilepsy medication for 10 years before you will be considered for a licence. If you’ve only had one single epileptic attack or seizure then you may be entitled to drive after 5 years as long as you can satisfy that there is no further risk

Diabetes – If you are an insulin treated diabetic you may NOT obtain a PSV licence UNLESS you held a HGV/PSV licence valid on 1 April 1991 and the Traffic Commissioner who issued the licence had knowledge of your insulin treatment prior to 1 January 1991.

Eyesight – You must be able to read in good light with glasses or contact lenses if necessary, a number plate at 20.5 meters/67 feet (57mm characters)  or 20 meters/65 feet (50mm characters). There are also other requirements that applicants must have related to  visual acuity, the binocular field, and monocular vision and these will be discussed in your medical

Mental Health – HGV drivers must also be in good mental health. Doctors will want to discuss all sorts of mental health issues including depression, hospitalisation for psychiatric issues, dementia, cognitive impairment, etc.

Alcohol and Drugs – It is illegal to operate an HGV with drugs or alcohol in the system. Knowing that, it is almost impossible for a chronic alcoholic or drug user to hold an HGV driving job. During the HGV medical, a doctor will look for any signs of chronic drug and alcohol use.

Diabetes – There may be concerns with drivers who need regular insulin to control diabetes. The condition will not automatically disqualify a student from becoming a professional driver, but his or her diabetes must be well-managed in order to proceed.

Heart Conditions – Even the most benign heart condition can lead to serious problems in the future. Therefore, doctors check students for any potential heart conditions including murmurs, peripheral arterial disease (PAD), aneurysms, and the like.

Sleep Disorders – A leading cause of serious accidents among HGV drivers is a lack of sleep. Therefore, the HGV medical exam includes looking for signs and symptoms of sleep disorders. This is one area in which candidates must be especially honest.  A sleep disorder does not necessarily mean automatic disqualification. As long as the disorder can be managed, the candidate should be able to proceed.

This list of conditions may make it seem as if a candidate must be a perfect physical specimen in order to be licenced as an HGV driver. But this is not so.

Other medical conditions
You are likely to be refused a PSV/PCV driving licence if you are affected by any of the following and cannot meet the recommended medical guidelines:

  • Within 3 months of a coronary artery bypass graft (CABG).
  • Angina, heart failure or cardiac arrhythmia which remain uncontrolled.
  • Implanted cardiac defibrillator.
  • Hypertension where the blood pressure is persistently 180 systolic or more and/or 100 diastolic or more.
  • A stroke or Transient Ischaemic Attack (TIA) within the last 12 months.
  • Unexplained loss of consciousness with liability to recurrence.
  • Meniere’s Disease, or any other sudden and disabling vertigo within the past 1 year, with a liability to recurrence.
  • Difficulty in communicating by telephone in an emergency.
  • Major brain surgery and/or recent severe head injury with serious continuing after effects.
  • Parkinson’s disease, multiple sclerosis or other chronic neurological disorders with symptoms likely to affect safe driving.
  • Psychotic illness, in the past 3 years.
  • Serious psychiatric illness.
  • If major psychotropic or neuroleptic medication is being taken.
  • Alcohol and/or drug misuse in the past 1 year or alcohol and/or drug dependency in the past 3 years.
  • Dementia.
  • Any malignant condition in the last 2 years, with a significant liability to metastasise (spread) to the brain.
  • Any other serious medical condition likely to affect the safe driving of a passenger carrying vehicle.

How often do i need a HGV medical?

The DVLA require existing lorry drivers to have a medical at the following intervals

  • at the age of 45
  • then every five years until the age of 65
  • after 65, the medical has to be completed every year
  • a medical examination needs to be carried out for everyone before they can apply for a provisional HGV licence

To book a medical please use the form provided on ‘book an appointment’ page of the website  and we will then contact you for final confirmation.  You can also contact us on the numbers provided and we will endeavour to book you an appointment at your convenience.