lgv, large goods vehicle and pcv, passenger carrying vehicle driver training

01977 618228


Driver training for all commercial, coaches, minibuses and other vehicles at a dedicated training & test centre.

The Complete Guide To Your HGV Medical

If you’re embarking on a career as a Heavy Goods Vehicle (HGV) driver, or you’re a seasoned professional in the field, you’ll know the importance of keeping your health in check. After all, being responsible for the transportation of large goods over long distances requires not only superior driving skills but also sound physical and mental health.

This comprehensive guide is aimed at anyone preparing for or curious about HGV medical examinations – an essential part of acquiring and maintaining your HGV licence in the UK.

An HGV medical examination is a legal requirement set forth by the Driver and Vehicle Licensing Agency (DVLA), designed to ensure that HGV drivers meet certain health standards.

The goal of these examinations is to maintain safety on the roads, for both the driver and the general public. However, the process can seem daunting to those who haven’t been through it before. This guide aims to demystify the process, explaining what the HGV medical entails, how to prepare, and what to expect during and after the examination.

What is an HGV Medical?

An HGV Medical, often referred to as an LGV (Large Goods Vehicle) Medical, is a mandatory health examination for drivers of heavy goods vehicles in the UK. This examination is required by the Driver and Vehicle Licensing Agency (DVLA) to ensure that drivers are fit and capable of safely operating these large vehicles.

The HGV Medical consists of several checks and assessments that aim to identify any underlying health conditions or issues that might affect a person’s ability to drive safely and effectively. This includes but is not limited to tests for vision, hearing, physical health, mental well-being, and an evaluation of medical history. Additionally, it involves checks for alcohol misuse or other drug dependencies, which could impair the ability to drive.

Not only is the HGV Medical a prerequisite for obtaining an HGV licence, but it is also a requirement for renewals. As drivers age, the frequency of these medical checks increases to help identify any health concerns that may develop over time.

For drivers under 45, the licence is valid for five years and renewal doesn’t typically require a medical exam unless there’s a noted change in health. For those over 45, the licence is renewed every five years with a mandatory medical check, and when a driver turns 65, it’s renewed annually with a medical examination each time.

The purpose of HGV Medical is to uphold safety standards on the roads by ensuring that HGV drivers are in a suitable condition to handle the unique challenges of driving such large vehicles. In doing so, it protects not just the drivers, but also other road users and pedestrians.

The Medical Examination Process

The HGV medical examination is a fairly straightforward process, although it can vary slightly based on individual circumstances and the specific medical examiner. The process is designed to thoroughly evaluate your physical and mental health to determine your fitness for driving heavy goods vehicles. Here’s what you can typically expect:

Scheduling the Examination: The first step is to book your examination. This can usually be done through a GP or a registered medical practitioner who specialises in HGV medicals. Make sure to book your appointment well in advance of when you need your medical certificate.

Preparing for the Examination: Ahead of the examination, you’ll need to fill out a D4 medical form, which you can download from the DVLA’s website. This form will ask for details about your medical history and current health status. Be honest and comprehensive while filling this out; it’s crucial for the examiner to have an accurate picture of your health. Also, remember to take along any prescription glasses or contact lenses you use.

During the Examination: The examination typically lasts for about an hour. The examiner will assess several key health aspects, including your vision, hearing, blood pressure, and mental health. They’ll also ask about your lifestyle, alcohol consumption, and any medication you’re taking. If necessary, they may conduct additional tests to check for conditions like diabetes.

Vision Test: This part of the examination tests your eyesight to ensure it meets the minimum standard for HGV driving. You’ll be asked to read a number plate from a certain distance, first with glasses or contact lenses if you use them, and then without. The examiner will also check your field of vision and your ability to perceive depth and colour.

Physical Examination: The examiner will conduct a physical examination to check your overall health. This may involve examining your heart, lungs, and nervous system, and possibly running blood tests.

Mental Health Assessment: This portion of the examination is aimed at detecting any potential mental health issues. The examiner will ask you questions about your mood, stress levels, sleeping patterns, and any previous mental health diagnoses or treatments.

Final Review and Reporting: After the examination, the doctor will review the results and make a decision about your fitness to drive an HGV. If you meet all the requirements, the doctor will sign off on your D4 medical form, which you can then send to the DVLA as part of your HGV licence application or renewal.

Health Requirements for HGV Drivers

The health requirements for HGV drivers are in place to ensure that each driver is physically and mentally capable of handling the demands of operating heavy goods vehicles safely. Here are some key health aspects that are assessed during the HGV medical examination:

1. Vision: Good eyesight is crucial for HGV drivers. The DVLA requires that all drivers have a minimum visual acuity of at least 0.8 (6/7.5) measured on the Snellen scale in the better eye and at least 0.1 (6/60) in the other eye. If glasses or contact lenses are worn to achieve these levels, the corrective lenses must not have a power greater than +8 dioptres. Drivers must also have an adequate horizontal field of vision, and there must be no significant defects within the central 30 degrees.

2. Hearing: While there is no specific standard for hearing for HGV drivers, any severe or sudden hearing loss should be reported to the DVLA. Conditions like tinnitus, if severe and distracting, should also be evaluated for their potential to impact safe driving.

3. Cardiovascular Health: HGV drivers should have no history of sudden and disabling dizziness or fainting due to cardiovascular issues. Conditions like heart disease, high blood pressure, or other cardiovascular problems need to be well-managed and under control, as agreed by your doctor.

4. Neurological Health: Conditions that might lead to sudden events of lost consciousness or control, such as epilepsy, are usually a bar to holding an HGV licence. Similarly, conditions like Parkinson’s disease, multiple sclerosis, or other disorders affecting coordination and movement need to be evaluated on an individual basis.

5. Diabetes: Drivers with diabetes can hold an HGV licence, provided they have good control over their condition. Insulin-treated diabetes requires annual examinations and blood glucose levels should be regularly monitored.


Navigating the process of an HGV medical examination can feel daunting, but understanding the key components and expectations can help you prepare effectively.

Remember, the ultimate goal of this examination isn’t just about getting or renewing your HGV licence, but about ensuring your safety and the safety of others on the road. It’s a vital part of maintaining high standards in the UK’s driving industry.

Driving an HGV is a role of great responsibility, demanding not only exceptional driving skills but also a strong health profile to manage the physical and mental demands of the job.

From vision and hearing tests to mental health assessments and medical history reviews, each aspect of the medical examination serves a purpose in determining your fitness to drive.

Should you ever find yourself worrying about the examination, remember that it’s not a test you need to pass but rather a health check to ensure you’re safe to drive.

It’s always okay to discuss any concerns or questions you have with your doctor, who will be able to guide you through the process and give you the advice you need.

In the end, taking good care of your health isn’t just beneficial for your driving career—it’s crucial for your overall well-being. So, stay healthy, stay safe, and let’s keep our roads a secure place for everyone.

Share this

lorry driver training yorkshire

What you need to know

CLICK HERE to view larger video


Latest News

Start Your Enquiry

Fill out the details below to start an enquiry:

Stay in the Loop

To receive information about courses and special offers that can save you money, please add your details here.

Call Us Today: 01977 618228

If you need any further information or would like to book a training course please contact our friendly team who will be happy to help.

About L&T Transport Training Services

Formed in 1986 and a family owned and operated business, L&T provides instruction for anyone wishing to drive a vehicle from C1 (7.5T) to CE (artic) and D1 (Minibus) to D (Coach).

We also train drivers in the transportation of dangerous goods (ADR) and the operation of HIAB plant, Forklift and we are a JAUPT Approved Centre for Driver CPC Periodic Training.

Copyright © 2024 L&T Transport Training Services | HTML Sitemap | Privacy Policy

Web design by Website Design Derby Ltd | SEO by Freedom Search | Business Cloud Computing

Skip to content