If you drive a Category C or C+E vehicle for a living, your licence depends on passing a regular medical examination. Here's everything you need to know about HGV driver medicals.
WHAT IS A D4 MEDICAL?
The D4 medical examination is a DVLA-required assessment for drivers of large goods vehicles (LGV/HGV) and passenger carrying vehicles (PCV). It confirms that you are medically fit to drive a commercial vehicle.
HOW OFTEN DO YOU NEED A D4 MEDICAL?
● First application for a Category C licence: D4 required at time of application
● Renewal from age 45: every 5 years
● Renewal from age 65: every year
WHAT DOES A D4 MEDICAL INCLUDE?
The examination covers:
● Vision assessment (visual acuity and field of vision)
● Blood pressure measurement
● Urine analysis
● Cardiovascular health check
● Assessment of any medical conditions that may affect fitness to drive (diabetes, epilepsy, sleep apnoea, etc.)
● General physical examination
HOW LONG DOES IT TAKE?
A standard D4 medical takes approximately 30-45 minutes.
WHY ARE NHS WAITS A PROBLEM FOR HGV DRIVERS?
Many HGV drivers struggle to get D4 medicals arranged through their NHS GP — either because their GP doesn't offer them, or the waiting time is too long and risks a gap in their licence. This can cost drivers their livelihood.
Dr Sick is expanding its D4 medical service to allow HGV drivers to book fast, convenient medicals without the NHS wait. Available at selected partner clinics or via mobile medical services.
WHAT CONDITIONS MIGHT AFFECT YOUR HGV LICENCE?
The DVLA has specific medical standards for commercial drivers. Conditions including sleep apnoea, insulin-treated diabetes, certain heart conditions, and epilepsy may require additional assessment. Our doctors are experienced in navigating DVLA medical standards.
Contact Dr Sick for more information on HGV D4 medicals.
