Early conversations may help people with dementia prepare for driving changes
02 Oct 2026
Researchers from Flinders University studied the experiences of 12 older people with dementia or mild cognitive impairment. The study looked at how health professionals could better support people through decisions about their ability to drive.
The findings identified four stages that could help GPs and other health professionals manage these conversations.
The first stage is preparing the person before driving becomes unsafe. Researchers suggest using an Advance Driving Directive to record the person's wishes about future decisions, including who they would like to be involved.
The second stage involves discussing fitness to drive and explaining the available choices. These may include completing a practical driving assessment or giving up the person's licence. Family members can be included if the person wishes.
The third stage is communicating a recommendation to stop driving. Researchers recommend using clear and simple language while showing compassion.
The final stage focuses on helping the person adjust to life without driving. Practical and emotional support can help people with dementia and their families connect with available services.
In Australia, people with dementia cannot hold an unconditional driver's licence. However, some may be eligible for a conditional licence, which requires at least an annual review.
Health professionals, including GPs, assess a person's fitness to drive. They must notify licensing authorities if they believe a driver may pose a danger to the public.
Dr Stephanie Daly, Chair of RACGP Specific Interests Dementia, said conversations about driving can be complex because losing a licence can affect independence and family members who rely on the person for transport.
She also noted that cognitive impairment can affect concentration, attention, visuospatial awareness, planning and judgement, which are all important for safe driving.
Dr Daly said GPs should start these discussions early rather than avoid them. Early conversations can give people time to plan and consider the possibility of stopping driving.
She also recommended that families watch for changes that could affect driving, including accidents, minor collisions, hesitation and changes in driving habits.
The researchers hope the findings will help guide the development of tools and resources to support health professionals when discussing driving safety with people who have dementia or mild cognitive impairment and their families.
Early conversations may help people with dementia prepare for driving changes
Source: Flinders University / newsGP