Expert View | Professional Driver Health

Early Diagnosis Is the Best Protection for Drivers Living with Sleep Apnoea

Following our recent feature with Insurance Revolution exploring the impact of sleep apnoea on HGV drivers, we spoke with Peter McKenna, Founder of the Professional Drivers Support Network, to gain further insight into why greater awareness, earlier diagnosis and better understanding of the condition are so important across the transport industry.

Sleep apnoea is increasingly recognised as one of the most significant health issues affecting professional drivers. While awareness has improved in recent years, many drivers still avoid seeking medical advice because they fear it could cost them their livelihood.

According to Peter McKenna, that fear remains one of the biggest barriers to improving driver health and road safety.

“Sleep apnoea is a major issue within our industry, yet it still isn’t talked about enough, so it’s great to see more attention being given to it.”

For many drivers, symptoms develop gradually. Persistent tiredness, loud snoring, interrupted sleep and excessive daytime fatigue can become accepted as simply being part of life on the road. However, untreated sleep apnoea can significantly reduce alertness and concentration, increasing the risk of fatigue-related incidents.

Fear of Losing a Licence Can Prevent Drivers Seeking Help

One of the strongest messages Peter wanted to share is that drivers should not allow concerns about their vocational licence to prevent them from seeking medical support.

“The one message I’d want every professional driver to hear is this: sleep apnoea is one of the most common medical conditions that can affect a driver’s licence, and the fear of losing that licence is often what stops people coming forward.”

That hesitation can have serious consequences.

Drivers who continue working while experiencing excessive daytime sleepiness may unknowingly place themselves, other road users and their employers at greater risk. Left untreated, the condition can affect reaction times, judgement and overall driving performance — particularly during long shifts or overnight operations.

Treatment Often Allows Drivers to Continue Their Career

A common misconception is that a diagnosis of sleep apnoea automatically ends a professional driving career.

Peter says that simply isn’t the case.

“What doesn’t get said often enough is that sleep apnoea is highly treatable. For most people, CPAP therapy is extremely effective and can make a significant difference very quickly.”

Modern treatments, particularly Continuous Positive Airway Pressure therapy, have helped thousands of drivers successfully manage the condition and return to normal daily activities.

Importantly, the focus is on controlling the condition rather than preventing someone from driving.

Managing the Condition — Not Ending a Career

“The DVLA’s approach isn’t simply, ‘You’ve got sleep apnoea, hand in your licence.’ If the condition is properly treated and excessive daytime sleepiness is under control, most drivers can continue driving, subject to the appropriate medical review. It’s about managing the condition — not ending a career.”

That distinction is an important one for both drivers and employers to understand.

Recognising the Warning Signs

Peter encourages any professional driver experiencing ongoing symptoms not to dismiss them.

Signs that should prompt medical advice include:

  • Constantly waking up feeling exhausted despite a full night’s sleep.
  • Loud or persistent snoring.
  • Interrupted breathing during sleep reported by a partner.
  • Morning headaches.
  • Difficulty concentrating.
  • Excessive daytime tiredness.
  • Struggling to stay awake while driving.
“If you’re constantly waking up tired, no matter how long you’ve slept, snoring heavily, or finding yourself struggling to stay awake behind the wheel, don’t ignore it. Get it checked.”

Faster Support May Be Available

Professional drivers often worry that seeking help will involve lengthy delays or unnecessary disruption to their work.

However, Peter points out that where driving is someone’s livelihood, there can often be faster referral pathways available to help speed up diagnosis and treatment.

The important step is beginning the conversation with a healthcare professional rather than delaying because of uncertainty or fear.

A Safer Industry Through Better Awareness

As highlighted in our recent feature with Insurance Revolution, sleep apnoea is not simply a personal health issue — it is an operational and road safety issue that affects the wider transport industry.

Better education, earlier diagnosis and wider understanding of how the condition is managed can help reduce unnecessary anxiety while ensuring drivers receive the treatment they need.

Ultimately, seeking help early is often the best way to protect both health and career.

“Seeking help protects your health, keeps other road users safe, and, in many cases, helps protect your licence. Hiding the problem is far more likely to put your career at risk than treating it.”

For operators, fleet managers and drivers alike, that is perhaps the most important message of all.

Key Takeaways

Underreported Issue Sleep apnoea remains significantly underreported within the transport industry.
Licence Fear Fear of losing a vocational licence continues to prevent many drivers from seeking diagnosis.
Treatable Condition Most cases can be successfully managed with effective treatment such as CPAP therapy.
Career Protection Drivers whose condition is properly controlled can often continue driving following the appropriate medical assessment.
Road Safety Early diagnosis benefits driver health, protects careers and contributes to safer roads for everyone.
Employer Awareness Operators and fleet managers have an important role to play in encouraging drivers to seek support early.