Taxi Drivers in Bolton: Why D4 Medicals Matter More Than Ever

Sep 30, 2025

Bolton has always been on the move. With a population of nearly 295,000 people (ONS, 2023), taxis and private hire vehicles are the backbone of local transport — whether it’s school runs, hospital appointments, late-night journeys, or supporting those without easy access to buses and trains.

According to Transport for Greater Manchester (TfGM), there are over 2,000 licensed taxi and private hire drivers in Bolton, forming a crucial part of the town’s economy and daily life. But keeping this vital workforce on the road requires more than just driving skills — it requires good health and official medical clearance.

The D4 Medical: A Driver’s Passport to the Road

Every taxi driver in Bolton must pass a DVLA D4 medical examination when applying for or renewing their licence. This check is designed to make sure drivers are fit to safely carry passengers.

  • From age 45, drivers need to renew their D4 medical every five years.
  • At 65 and above, the requirement becomes yearly.
  • The examination includes checks on eyesight, blood pressure, and overall health.

For many drivers, this can feel like another box to tick. But in a town like Bolton — where certain health conditions are more common than the national average — these medicals play an even more important role.

Health in Bolton: Why Taxi Drivers Should Pay Attention

Bolton’s health profile shows why medical checks are essential, particularly for those who spend long hours on the road.

  • Diabetes

Almost 1 in 10 adults (9.8%) in Bolton live with diabetes. The condition can affect eyesight, circulation, and reaction times — all critical for safe driving.

  • High Blood Pressure

Around 12.8% of Bolton residents are diagnosed with hypertension. Left untreated, this can lead to strokes or heart attacks, sometimes without warning.

  • Health Inequalities

Life expectancy in Bolton is up to 11 years shorter in the most deprived areas compared to the least deprived. Many drivers live and work in these communities, where access to consistent healthcare can be harder.

  • Long-term Conditions

About 30% of people with a physical long-term health issue in Bolton also experience a mental health condition, making lifestyle and work-related stress even harder to manage.

For taxi drivers, these figures highlight the risks. Long hours behind the wheel, irregular meal times, and stress from working shifts can all worsen underlying health conditions.

Keeping Bolton’s Drivers Safe and Licensed

The good news is that medical checks catch problems early. In Bolton, over 70% of adults under 80 have had their blood pressure checked in the past year — showing that routine monitoring works. But for those who don’t regularly see a GP, the D4 medical may be the only health check they get.

That’s why choosing a professional, affordable, and stress-free D4 medical provider matters. At D4U Medical, we specialise in helping Bolton’s taxi and private hire drivers get through the process smoothly, so they can stay safe and keep earning.

Looking Ahead: A Healthy Future for Bolton’s Taxi Trade

As Bolton grows, the demand for reliable taxis will only increase. By staying on top of their D4 medicals, drivers are not just meeting legal requirements — they’re protecting themselves, their passengers, and the wider community.

The message is clear: in Bolton, where health challenges are real and the taxi trade is vital, the D4 medical isn’t just a formality — it’s a lifeline.

Book Your D4 Medical in Bolton Today

Don’t let your licence renewal become a headache. At D4U Medical, we offer:

  • Fast appointments at convenient times
  • Affordable, transparent pricing
  • Experienced doctors who understand the needs of taxi and private hire drivers