Clinical Case Study in Occupational and Environmental Medicine
Comment on the bus driver's problem
However other factors could have contributed to his ischaemic heart disease and to that of many others like him, and other important considerations arise:
contributed to his ill health?
Contributory causes could include:
Anginal symptoms and what provokes them
Public Service Vehicle licences and Heavy Goods Vehicle licences have stringent fitness requirements, and he would not be readily allowed to return to bus driving. In other words fitness for driving his private car is not the same as fitness for vocational driving (eg PSV, HGV).
Linking his health status and his job, in summary he would need to be:
Further information and advice should be obtained for example from:
Perhaps he could be rehabilitated
and re-trained in some way?
Do you have any other thoughts on the management or implications of this case?