Today Arthur Page of Worlaby, Lincolnshire, gets off a Death by Dangerous and a Death by Careless by doing exactly that "The lorry driver told the court he had been diagnosed with sleep apnoea - a condition which causes the sufferer to stop breathing while they sleep - following the collision."
Unless prosecutors are trained to exploit this admission of unfitness to drive, until the DVLA is hooked up to the courts, using this defence in court isn't going to lose your license.
that is, unless someone reports you through the DVLA web page -which we have just done, and which they have just accepted
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We'll never know if this gets acted on. But in absence of justice in the legal system, this is all that is left.