A Government agency is reportedly considering introducing new health tests every 10 years to ensure that drivers are fit to be behind the wheel.
According to the Daily Telegraph, the tests would be optional, but motorists would risk a criminal record if they are later found to fall short of standards.
Drivers would be asked to declare themselves fit to drive every decade, with the option of submitting themselves to tests against new minimum physical and mental requirements.
These tests, issued by the Driver and Vehicle Licensing Agency (DVLA), are likely to cover eyesight and reaction times.
The proposals are set to be unveiled in the New Year, the Telegraph said, although a Department for Transport (DfT) official described the report as "speculation".
He added: "Increasing car use, changes in the population's health and medical advances all mean that the demands on the health and driver licensing system are very different to those of 30 years ago when it was established.
"We are considering these issues carefully and intend to consult on how we can improve the service we offer drivers."
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