New NZ GP Guidance Replaces Age‑Based Cognitive Screening for Older Drivers

New clinical guidance issued by New Zealand’s Ministry of Health and the Royal New Zealand College of General Practitioners removes routine cognitive screening for older drivers solely on the basis of age. The update, announced by Seniors Minister Casey Costello, directs health practitioners to evaluate each driver individually, using cognitive tests only when a clinical reason exists. The change follows an independent University of Auckland review that found common screening tools do not reliably predict driving ability and that routine testing of otherwise healthy seniors is unsupported by evidence. The guidance emphasizes a holistic assessment that includes overall health, physical and cognitive function, medical and driving history, and safety concerns, and relies on the clinician’s judgment. By shifting from blanket screening to case‑by‑case evaluation, the policy aims to preserve older drivers’ independence while maintaining road safety, especially in rural communities.