Driving is hard and it gets harder as we age. Changes in driving habits can be the first indication of possible dementia. Identifying at-risk drivers during clinical consultations is difficult as dementia will not only affect cognitive function but also sensory, motor, psychosocial and behavioural functions. Driving impacts on quality of life and clinicians may experience occupational violence when informing patients with dementia they must cease driving. The gold standard to determine driving ability is an on-road test, with which there are other issues such as safety and cost. Advanced vehicle technologies may provide sufficient support for drivers with dementia to continue driving safely for longer, provided the driver has the capacity to learn how to use the technology. Issues such as off-road screening for fitness to drive, communication about driving cessation, findings from the RCT project MOVETech on advanced vehicle technology for older drivers and medicolegal considerations for drivers with dementia will be examined and provided in this presentation.