title: Driving and dementia: a clinical decision pathway.
abstract: OBJECTIVE
  This study aimed to develop a pathway to bring together current UK legislation, good clinical practice and appropriate management strategies that could be applied across a range of healthcare settings.
  
  
  METHODS
  The pathway was constructed by a multidisciplinary clinical team based in a busy Memory Assessment Service. A process of successive iteration was used to develop the pathway, with input and refinement provided via survey and small group meetings with individuals from a wide range of regional clinical networks and diverse clinical backgrounds as well as discussion with mobility centres and Forum of Mobility Centres, UK.
  
  
  RESULTS
  We present a succinct clinical pathway for patients with dementia, which provides a decision-making framework for how health professionals across a range of disciplines deal with patients with dementia who drive.
  
  
  CONCLUSIONS
  By integrating the latest guidance from diverse roles within older people's health services and key experts in the field, the resulting pathway reflects up-to-date policy and encompasses differing perspectives and good practice. It is potentially a generalisable pathway that can be easily adaptable for use internationally, by replacing UK legislation for local regulations. A limitation of this pathway is that it does not address the concern of mild cognitive impairment and how this condition relates to driving safety.
authors.affiliation: Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, UK.
authors.forename: Kirsty
authors.initials: K
authors.lastname: Carter
authors.forename: Sophie
authors.initials: S
authors.lastname: Monaghan
authors.forename: John
authors.initials: J
authors.lastname: O'Brien
authors.forename: Andrew
authors.initials: A
authors.lastname: Teodorczuk
authors.forename: Urs
authors.initials: U
authors.lastname: Mosimann
authors.forename: John-Paul
authors.initials: JP
authors.lastname: Taylor
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control; D001334:Automobile Driving / Q000331:legislation & jurisprudence / Q000523:psychology; D019091:Critical Pathways / Q000458:organization & administration*; D003657:Decision Making; D003704:Dementia; D006801:Humans; D012449:Safety; D006113:United Kingdom
keywords: ageing; dementia; driving; pathway