The frequency of adherence to the UK Driver and Vehicle Licensing Authority (DVLA) guidelines for patients referred to a neurovascular clinic is not known. Of 166 consecutive patients, 95 (57.2%) had a group 1 licence and 71 (42.7%) drove within a month of the event. Fifty of 85 (59%) transient ischaemic attack (TIA)/minor stroke patients had a licence and 30 (35%) drove within a month of the TIA/stroke. Compliance with DVLA driving guidelines is poor among patients referred to hospital with suspected TIA or minor strokes.