The Labour government is considering six significant changes to driving licence rules for individuals aged 70 and over as part of its Road Safety Strategy. The proposals aim to reduce road deaths through mandatory cognitive and eyesight testing. A government consultation on these changes closed on Monday, May 11.
Rise in Older Drivers
From November 2012 to May 2025, the number of people aged 70 and over holding a full driving licence increased by 60%, from 3.9 million to 6.3 million, according to the consultation document.
Proposed Changes
1. Mandatory Eyesight Tests
The Department for Transport (DfT) is seeking views on introducing mandatory sight tests for older drivers during licence renewal. Currently, the UK relies on self-declaration, a system criticised by experts.
2. Cognitive Checks
Cognitive assessments are also under consideration to ensure older drivers remain fit to drive safely.
3. Age of Commencement
The consultation explores starting mandatory eyesight testing at age 70 or potentially younger, with testing required at each renewal thereafter.
4. Testing Frequency
Options include conducting eyesight tests every three years, aligned with current licence renewal, or increasing frequency at higher age thresholds such as 75, 80, or 85.
5. Type of Test
Authorities are considering using the existing NHS eyesight test, which assesses visual acuity but not field of vision, or developing a bespoke test tailored to driving standards.
6. Test Administration and Funding
Tests could be administered by opticians, NHS providers, or bespoke test centres. Funding options include free NHS tests, driver-paid tests, or a cost-sharing model between government and licence holders.
Reactions and Support
Vivienne Francis, chief strategy and public affairs officer at the Royal National Institute of Blind People, welcomed the eye test requirement but urged that all drivers should provide proof of a recent eye test when renewing their licence.
Dr Peter Hampson, clinical and policy director at the AOP, described mandatory eye tests for drivers over 70 as a vital step forward in modernising road safety. He noted that the UK is one of only three countries relying on self-reporting.
Rod Dennis, RAC road safety spokesperson, supported the strategy, stating that four people are killed and 76 seriously injured on UK roads every day.
Dr Shen Mason, Medical Director, Ophthalmology at Practice Plus Group, emphasised that regular eye tests can detect age-related conditions early, allowing treatment to preserve vision and extend safe driving years.



