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High Risk Offenders Scheme

Hands on a car steering wheel

You will be classed as a High Risk Offender if you fall into one of the following

Those disqualified twice, within a ten year period, for any drink drive offence.


Those disqualified for having a proportion of alcohol in their body which equalled or exceeded:

  • 87.5 microgrammes per 100 millilitres of breath
  • 200 milligrammes per 100 milliltres of blood
  • 267.5 milligrammes per 100 millilitres of urine

NB: These figures equate to being 2.5 times over the limit.


Those disqualified for failing or refusing to supply a specimen for analysis.

Under the High Risk Offenders’ Scheme, offenders are required to satisfy the Medical Advisor at the Driver and Vehicle Licensing Agency that they do not have a drink problem and are fit to drive before their licences are returned. This is achieved by way of a medical examination, the completion of medical questionnaires by a doctor and a blood analysis.

If the HRO Scheme is applicable to you, the DVLA will notify you in writing shortly after your Court Case and will contact you again at a later date to explain what you need to do with regard to the medical and how to apply for the return of your licence. There is a charge for applying for the restoration of the licence. A fee must also be paid for the necessary medical examination.

You can apply for your driving licence 90 days before your disqualification ends. The 90 days normally allows enough time for the medical assessment to be completed before your disqualification ends. Please ensure that you complete the course in plenty of time. You will not be able to apply for your licence until you have.

View Wikipedia CDT page

Download a D4 medical examination form

Please Note

If you have any queries about the High Risk Offenders' Scheme please contact the DVLA on 01792 782956 and quote the reference HRO/REHAB. We are not provided with details of who is required to attend a medical. This is a private matter between you and the DVLA.

Frequently asked questions

The medical examination is designed to assess a drivers overall fitness to drive, with a focus on any past or present alcohol abuse, misuse or dependency problems.

You will be required to provide a sample of blood, in some cases a urine sample (if there is any evidence of drug misuse or dependence) and undergo a brief physical medical examination that sometimes includes an eye test.

The DVLA appointed doctor will also perform a medical interview which will involve a series of questions that the high risk offender must answer.

For more information CLICK HERE *we can not be held responsible for linked information to be correct or up to date, though it seemed a good source at time of publishing

No. Once you apply for your driving licence towards the end of your ban, the DVLA will write to you with a list of DVLA approved practitioners. It will then be up to you to book and appointment with one of them. This will incur a fee.

Although we are not medical advisers, our understanding is that stopping drinking alcohol for a short period before the medical will not influence the result. If you are worried that your alcohol intake is too high or out of control, please seek professional help to assist you to cut down or stop. Advice can also be found on the Drinkaware website CLICK HERE

A holiday regardless of whether you will be drinking heavily or not, is unlikely to affect the result of the blood test, as the test examines alcohol tolerances and dependancy. However, if you are concerned that drinking heavily during the holiday will have an affect on your health or wellbeing, it is worth considering cutting down or limiting alcohol intake.

You will be asked about your general health and alcohol use. Please see the DVLA questionnaire Download a D4 medical examination form

For more help look please view our Useful Information or feel free to Contact Us

What others say

I was really dreading it, and had put it off to the last possible moment. I didn't really know what to expect but was really pleasantly surprised. The teachers put us at ease straight away and I can honestly say it was one of the best training courses I've been on. Although I will add that I never want to repeat the experience! :) They made things as light-hearted as they could be, making us laugh throughout, but making sure the seriousness of why we all there wasn't lost. A great skill! The content of the course was really educational and supportive and has given me a lot to think about and use to make positive changes. Many thanks to all.

Matt. West Midlands

​I chose this course because it was the cheapest available and the venue was the closest to me. I was surprised at the large spectrum of people on the course, all ages, experiences and backgrounds. Although I have not been driving long, there was a lot to learn about driving as well as alcohol. The course was very interactive and everyone got involved. Other attendees were very friendly and the driving instructors were really nice too and quite funny. I could say that I would recommend the course to my friends, (or maybe not - if you know what I mean)

Hannah. Peterborough

I am a real technophobe and was very worried about this course being on Zoom as I have never done anything like it before, but it was really easy and I received lots of help from the people at Aspire. I am recently bereaved and was dreading going on this course, as I expected it to upset me by revisiting the traumatic experience that brought me there in the first place. The course was very informative and I confronted a lot of issues, which strangely now help me to feel more at peace. The tutors are very sympathetic and understanding. There was a real comradely feel to the course with everyone there being very supportive. I have actually made a few friends, which I intend to keep in touch with. Yes, a very worthwhile course.

Denis. Hastings

I am amazed! I only went on the course so I could get my licence back earlier for work reasons – but was pleasantly surprised. I was quite nervous, as I have not been in a classroom environment since I was at school. I expected the worst and to be treated like a child or even a criminal, but instead the trainers were friendly and very respectful and spoke to us on a level without being at all judgemental. I was expecting the police, but the trainers were driving instructors. The course was in fact a real eye opener – and dare I say, I actually enjoyed it? Thank you, guys for making the experience a positive one.

Cathy. Guildford

I was really dreading it, and had put it off to the last possible moment. I didn't really know what to expect but was really pleasantly surprised. The teachers put us at ease straight away and I can honestly say it was one of the best training courses I've been on. Although I will add that I never want to repeat the experience! :) They made things as light-hearted as they could be, making us laugh throughout, but making sure the seriousness of why we all there wasn't lost. A great skill! The content of the course was really educational and supportive and has given me a lot to think about and use to make positive changes. Many thanks to all.

Matt. West Midlands

​I chose this course because it was the cheapest available and the venue was the closest to me. I was surprised at the large spectrum of people on the course, all ages, experiences and backgrounds. Although I have not been driving long, there was a lot to learn about driving as well as alcohol. The course was very interactive and everyone got involved. Other attendees were very friendly and the driving instructors were really nice too and quite funny. I could say that I would recommend the course to my friends, (or maybe not - if you know what I mean)

Hannah. Peterborough

I am a real technophobe and was very worried about this course being on Zoom as I have never done anything like it before, but it was really easy and I received lots of help from the people at Aspire. I am recently bereaved and was dreading going on this course, as I expected it to upset me by revisiting the traumatic experience that brought me there in the first place. The course was very informative and I confronted a lot of issues, which strangely now help me to feel more at peace. The tutors are very sympathetic and understanding. There was a real comradely feel to the course with everyone there being very supportive. I have actually made a few friends, which I intend to keep in touch with. Yes, a very worthwhile course.

Denis. Hastings

I am amazed! I only went on the course so I could get my licence back earlier for work reasons – but was pleasantly surprised. I was quite nervous, as I have not been in a classroom environment since I was at school. I expected the worst and to be treated like a child or even a criminal, but instead the trainers were friendly and very respectful and spoke to us on a level without being at all judgemental. I was expecting the police, but the trainers were driving instructors. The course was in fact a real eye opener – and dare I say, I actually enjoyed it? Thank you, guys for making the experience a positive one.

Cathy. Guildford
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