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 e.g. 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.
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 - the airline usually needs reassurance that the plane will NOT need diverting in an emergency
- escort information - whether a family member or professional is accompanying
Oxygen
Who needs oxygen to fly?
- Some people may require in-flight oxygen e.g. those on long term oxygen or people living with breathlessness due to heart or lung conditions. Medical advice will be needed in order to fly safely
- Information for clinicians - The British Thoracic Society provide comprehensive advice on air travel for people with respiratory disease
How to source 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 but have to be authorised by the airline and are battery operated
Top Tips
Book seats near a toilet
Keep medication in hand luggage with a doctor's letter to document Controlled Drugs
Consider preventative anticoagulation for flights over 4 hours
Release small amounts of air regularly from stoma bags and catheter bags whilst flying as gas expands at altitude
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 assessment 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 e.g. 'If your health deteriorates further, are you planning to stay in the UK or are you thinking about getting back to your country?’