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They do have an explicit ethical duty, however (although they commonly ignore that, as many accounts in this forum attest).From what I can gather the doctor has no legal obligation to contact the DVLA. Looks like it might all be back on me again.
Well, that's good. (I wonder how the nephew is getting himself to work now.)At the moment he is still taking notice of what the doctor said and is not driving.
The GMC sets out, explicitly, an ethical responsibility for doctors to act where the patient refuses to inform the DVLA of a notifiable condition.However, by asking the GP and the Optometrist to take the action you are putting them in a very difficult position. Tough, but true.
.... By giving the responsibility to the GP or the optometrist, as a friend pointed out to me, it is asking them to play God. And that is not fair.