Taxi licence medical

At Birmingham Cardiology we offer heart tests for the purposes of taxi re-licensing for all local authorities including Transport for London (TFL)

If you hold a taxi license and have a heart condition your local authority usually requires a taxi medical assessment and heart tests by a cardiologist before your license can be reinstated. This usually applies if you have had a heart attack, angina or heart failure. Following a heart attack, the taxi licensing renewal guidelines require drivers to have an exercise ECG using a standard Bruce protocol. This involves walking on a treadmill for three 3-minute stages at a progressively steeper incline. Your ECG and blood pressure are monitored throughout the test. You will need to complete all 3 stages for a total of 9 minutes in order to pass the test with no symptoms or ECG changes during or after the test.

An echocardiogram is an ultrasound study of the heart function and valves and involves a probe pressed onto the chest wall. If you have had a heart attack it is a useful test to determine how much damage the heart has sustained. If you have heart failure an echocardiogram may be required (but not in most cases) to ensure your ejection fraction (a measure of heart function) is at least 40% or greater.

Private Taxi Medical

If you are unable to walk on a treadmill a stress echocardiogram is an accepted alternative for a taxi medical. This is a test that involves giving an infusion of a drug through the vein to help increase the heart rate while simultaneously performing an echocardiogram to assess the heart function. The heart function is assessed at progressively greater heart rates to assess for a weakness of the heart indicating possible significant coronary artery disease.

Some taxi licensing authorities require an exercise stress echocardiogram in order to re-license. This is a combination of an exercise ECG and an echocardiogram. Once peak heart rate is achieved on a treadmill the patient’s heart is examined using an echocardiogram to determine if there is any weakness of the heart at peak exercise.

Here at Birmingham Cardiology, we offer competitive prices for all of our heart tests with results and reports available the same day. All patients must have a preliminary assessment before undergoing testing and this inclusive of the fee. The preliminary assessment involves a review of your medical history, current symptoms and a physical examination (checking pulse, blood pressure and listening to the heart). The medical report cannot be completed without a prior assessment.

For further enquiries or to book an appointment please call 0121 396 1216 or complete the online booking form.

For taxi re-licensing for all local authorities including TfL (Transport for London) customary fees are:

Exercise ECG (Bruce protocol)£280
Exercise stress echocardiogram£480
Dobutamine stress echocardiogram£550

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Patients can be seen in The BMI Priory or Spire Hospital in Little Aston.

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