This information is sourced from Hospice UK and the Civil Aviation Authority (CAA):
Most patients will be able to fly safely.
The key requirement on a standard commercial flight is to be able to transfer from a wheelchair to a seat, to sit upright for take-off and landing.
Some airlines eg Air India allow one stretcher on their commercial flights, or the option of booking several economy seats so that someone can lie down. These options are cheaper than medical evacuations by private jet which often cost in excess of £30K even for a short flight.
Top Tips
Book seats near a toilet
Keep medication in hand luggage with a letter to cover Controlled Drugs
Consider anticoagulation for flights over 4 hours
Remember that gas expands at altitude - relevant to stoma bags and catheter bags
Fitness to fly
Health professionals may be asked to complete a MEDIF form which allows the airline medical advisors to clear passengers as 'fit to fly'. There is no standard form - airlines each have their own form and need to be contacted directly.
The key information they require is:
- the nature of the individual’s condition and its severity/stability/prognosis
- medication being taken and oxygen needs
- information about mobility
- CPR status - usually need reassurance that the plane will NOT need diverting in an emergency
Oxygen
Some people may require in-flight oxygen - most airlines can supply up to 2 litres. More than this can be supplied but is expensive. A portable oxygen concentrator is another option - these can be hired or bought
Key Resources
Flying Home from Hospice UK was written to help with arrangements for ‘final journeys’. However much of the information also applies to those who would like a holiday when seriously ill. It contains useful checklists and flowcharts.
The Civil Aviation Authority has up to date advice for health professionals regarding assessemnt of fitness to fly.
Flying back to the country of birth is often a spiritual journey for many, and is a lasting legacy for those who live on.
Conversations need to be had early eg 'If your health deteriorates further, are you planning to stay in the UK or are you thinking about getting back to your country?’