The European Transport Safety Council (ETSC) has recently published the PIN Flash Report 40 titled: Are Medical Fitness to Drive Procedures Fit for Purpose? with the active contribution of NTUA. This Report examines the current state of play in PIN countries regarding the assessment of medical fitness to drive, with reference to the 2006 EU Directive on Driving Licence and recommends that a standardised screening process be considered across all Member States when assessing a driver’s fitness to drive. The process should be based on international best practice and ideally, consistent across all jurisdictions.