When a doctor escort is considered
Typically where the patient has a condition that could change in flight, is on medication regimes requiring medical judgement, has recently undergone significant surgery or an acute cardiac or neurological event, or where the receiving team has asked for physician-level handover. The decision follows a review of the medical reports, not a fixed rule.
Before departure
The doctor reviews the patient's history and current treatment, discusses the plan with the treating team, confirms the medication and equipment required for the journey, and completes the airline's medical clearance documentation where the flight is commercial.
During the journey
The doctor stays with the patient from the sending facility to the destination, monitoring their condition, managing medication and comfort, and liaising with cabin crew where relevant. If a patient's condition changes, the doctor makes the clinical call, including diversion recommendations where necessary.
Handover at the destination
A written and verbal handover is given to the receiving hospital or treating doctor, covering the journey, observations, medication administered and any events en route.