Page 393 - UK AirCrew Regulations (Consolidated) March 2022

Part MED - ANNEX IV - Medical

(5) Speech;
(6) Thoughts process and content;
(7) Perception;
(8) Cognition;
(9) Insight; and
(10) Judgement.
MED.B.055 GM2 Mental health
(a) Drugs and alcohol screening tests used should:
(1) provide information regarding medium-term consumption;
(2) be accepted on national level by the competent authority based on the availability
and suitability for the scope mentioned in point(a)(1) above.
(b) Statistical data of the screening campaign mentioned in AMC1 MED.B.055(d)(1) should
be made available to the Agency on a yearly basis.
MED.B.055 GM3 Mental health
(a) The mental health assessment for class 2 applicants should include assessment and
documentation of:
(1) general attitudes to mental health, including understanding possible indications of
reduced mental health in themselves and others;
(2) coping strategies under periods of psychological stress or pressure in the past,
including seeking advice from others;
(3) childhood behavioural problems;
(4) interpersonal and relationship issues, including difficulties with relatives, friends,
and work colleagues;
(5) current work and life stressors, including difficulties with aviation operational
environment; and
(6) overt personality disorders.
(b) In regard to symptoms of concern and aspects to be taken into consideration when
conducting mental health examination for class 2 applicants, guidance presented in GM1
MED.B.055 should be used.
MED.B.055 GM4 Mental health
Drugs and alcohol screening tests used should:
(a) provide information regarding medium-term consumption;
(b) be accepted on national level by the competent authority based on the availability and
suitability with the scope mentioned in GM2 MED.B.055 (a) above.
MED.B.065 Neurology
(a) Applicants with clinical diagnosis or a documented medical history of any of the following
medical conditions shall be assessed as unfit:
(1) epilepsy, except in the cases referred to in points (1) and (2) of point (b);
(2) recurring episodes of disturbance of consciousness of uncertain cause.
(b) Applicants with clinical diagnosis or a documented medical history of any of the following
medical conditions shall undergo further evaluation before they may be assessed as fit:
(1) epilepsy without recurrence after age 5;
(2) epilepsy without recurrence and off all treatment for more than 10 years;
(3) epileptiform EEG abnormalities and focal slow waves;
(4) progressive or non-progressive disease of the nervous system;
(5) inflammatory disease of the central or peripheral nervous system;
(6) migraine;
(7) a single episode of disturbance of consciousness of uncertain cause;
(8) loss of consciousness after head injury;
(9) penetrating brain injury;
(10) spinal or peripheral nerve injury;
(11) disorders of the nervous system due to vascular deficiencies including
haemorrhagic and ischaemic events.
Applicants for a class 1 medical certificate shall be referred to the medical
assessor of the CAA. The fitness of applicants for a class 2 medical certificate shall
be assessed in consultation with the medical assessor of the CAA.
MED.B.065 AMC1 Neurology
(a) Epilepsy
(1) Applicants with a diagnosis of epilepsy should be assessed as unfit unless there is
unequivocal evidence of a syndrome of benign childhood epilepsy associated with a
very low risk of recurrence, and unless the applicant has been free of recurrence
and off treatment for more than 10 years. One or more convulsive episode after the
age of 5 should lead to unfitness. In the case of an acute symptomatic seizure,
which is considered to have a very low risk of recurrence, a fit assessment may be
considered after neurological evaluation.
(2) Applicants may be assessed as fit with an OMLif:
(i) there is a history of a single afebrile epileptiform seizure;
(ii) there has been no recurrence after at least 10 years off treatment;
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