Stephen Ladyman, the former transport minister who introduced the tougher penalties, said the legislation might need to be modified.

BBC: More drivers using mobile phones since penalty change

Nevertheless Stephen Ladyman, the roads minister, wants more tests and tighter regulations.

ECONOMIST: How green and safe are they?

"Through the Arthritis Care self-management programme and the Experts Patient Programme (EPP) we are helping people to develop these skills, " said Mr Ladyman.

BBC: Photo of hip x-ray

Mr Ladyman said there would have to be a period of consultation and debates and a bill through parliament even before a local pilot scheme could go ahead.

BBC: NEWS | UK | UK Politics | Minister resolute on road tolls

Mr Ladyman said the department was also working with Mencap on a number of ideas for improving the health of people with learning disabilities, including the need for primary care services to proactively identify people's health problems.

BBC: Photo of woman having her ear examined

Health Minister Steve Ladyman looks the most vulnerable of the Labour MPs with a majority of 1, 792, but he could be helped by the fact that UKIP are targeting the Thanet South seat and their leading light Nigel Farage could take away Tory support.

BBC: SERVICES