Vikki Slade

I can see that the Minister agrees. However, section 88 applies only in limited circumstances. It does not cover cases in which a licence has been revoked, and it creates real uncertainty. It forces people to navigate legal and insurance risks without a sat-nav to assist them. I have a resident who was travelling to Portugal and was not able to invoke section 88 abroad. I have another resident who was told that her no-claims discount on her insurance would be cancelled if it took much longer to get her licence back—she had worked on that no-claims bonus for 17 years. This problem does not only affect older drivers or those renewing licences; young people are caught out too. My constituents Max and Maisie declared childhood medical conditions when applying for their provisional licences and waited for six months, with no progress beyond being told that information was required. In both cases, provisional licences were issued shortly after my office intervened, showing that the system can respond quickly when pressure is applied, but young people should not have to rely on interventions by MPs simply to take driving lessons and participate in everyday life. These are not just anecdotes from constituency offices. The Public Accounts Committee found in 2023 that since 2020, 3 million people applying for licences by post or declaring medical conditions experienced significant delays. Over the same period, almost all of the 17 million people applying online without medical conditions had their licences processed within three working days. Great service should be available to everyone, not just the healthiest. Various charities reinforce that picture. Epilepsy UK reports increasing calls from drivers who have complied with all the guidance and whose clinicians have returned all the information, and who yet remain unable to drive for months after being medically eligible. Diabetes UK has shared DVLA data showing that less than 5% of medically restricted licence reviews result in refusal or revocation, suggesting that the vast majority of people caught up in delays pose no greater risk to road safety. That brings me to the second part of this debate. If the DVLA is to move beyond processing delays and play a meaningful role in improving road safety, we need to talk about eyesight. The UK’s eyesight testing regime is out of step with other nations and is largely unchanged since 1937. It relies heavily on self-declaration and a basic numberplate test, with no mandatory eyesight checks after passing the driving test. The Government’s road safety strategy suggests introducing mandatory eye tests at licence renewal for drivers over 70. I want to be absolutely clear that this is not about targeting older drivers; vision loss does not follow a special birthday, and focusing solely on age risks undermining public confidence and missing the real issue. If safety is the goal, an age-based approach alone misses the mark. I have spoken to the hon. Member for Leicester South (Shockat Adam)—he could not be in the Chamber this afternoon—who is an optometrist. He told me that he frequently sees patients whose eyesight is far below safe driving standards. He described how some of his patients could not see the board, let alone the letters on it, yet he is unable to inform the DVLA or even those patients’ GP of their inability to see properly. I also met the Association of Optometrists, which welcomed the principle of mandatory testing but warned that limiting it to over-70s is short-sighted. [Laughter.] Thank you. Vision can deteriorate at any age, so testing should be linked to licence renewal, which currently takes place every 10 years for most drivers. There is a wider opportunity here—eye tests can detect serious conditions such as glaucoma, cataracts, cancer and lupus. Allowing optometrists to share their results digitally with ophthalmology services could reduce pressure on the NHS and allow people to be diagnosed earlier, thereby lessening the impact on their sight, while also improving road safety. Residents in my constituency of Mid Dorset and North Poole agree. Alan told me that it is not just about reading a number plate at a distance; he raised the issue of reflex testing, and also said that “It’s essential to read on the move—signposts, hazards and vehicle instrumentation”. He raised particular concerns about night-time driving, which is not assessed as part of the driving test. Alison welcomed mandatory testing, because she had found that family members who were no longer fit to drive were difficult to persuade to give up their licence. She concluded that without a formal test and a medically trained person making the decision, unsafe drivers would continue to add unnecessary risk to the roads. A 2025 prevention of future deaths report described the current system for enforcing vision standards as “ineffective and unsafe”. While concerns about the impact that extending testing would have on the DVLA’s workload are real, safety has to come first. I welcome the road safety strategy, which goes some way towards recognising the role of driver licensing in improving safety. However, it fails to address the issue of cognition, or to acknowledge that many people continue to drive because they have no alternative. Given that bus services in rural areas are patchy at best, and without joined-up working between the NHS and the DVLA, alongside full digitisation of the licensing process, serious concerns remain about whether the system is fair and whether the improvements to road safety that we all want to see will be fully realised. As such, I have a number of questions for the Minister. First, can he update the House on when the long-promised digital medical licensing system will go live, and whether it will include automatic chasing of medical information and real-time status updates for applicants? Secondly, will the Minister confirm whether the system of medical licences and the list of notifiable conditions are under review, given how few cases result in revocation? Thirdly, on the issue of eyesight, how many of the 62 deaths linked to poor vision in the decade to 2023 were actually caused by drivers over 70? Given that 4,000 bus and lorry drivers had their licences revoked for eyesight issues in the past three years, none of whom is likely to have been over 70, why does the strategy focus almost exclusively on older drivers rather than on vision standards? Finally, I have previously asked in this place whether we can expect a road safety Bill in the next King’s Speech, to turn strategy into reality, but I did not receive an answer. I urge my constituents to respond to the open consultation before 11 May, and I ask the Minister to set out the next steps, including how he is working with NHS colleagues and when this House can expect legislation to genuinely reduce the risks on our roads.