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What are the qualifying conditions for a UK medical cannabis prescription?

What are the qualifying conditions for a UK medical cannabis prescription?

10 min read

Sam North

What are the qualifying conditions for a UK medical cannabis prescription?

In this article we will look at the different medical conditions and routes of access UK patients can legally obtain a medicinal cannabis prescription through. Releaf recently conducted public surveys and published a report with the data titled Say No To Pain revealing 58.5% of the British population are likely to be unaware of the current medical cannabis laws. Patients who could qualify for a medicinal cannabis prescription may still be unaware they are able to access it legally since 2018 after the law was introduced, offering another avenue of pain and symptom relief.

Key takeaways

  1. Since 2018, specialist doctors registered with the General Medical Council can legally prescribe Cannabis-based Products for medicinal use (CBPM) in the UK, though GPs are currently not authorised to prescribe these but can refer patients to specialists.
  2. The NHS prescribes cannabis for a limited number of conditions, including severe epilepsy forms, chemotherapy-induced nausea, and multiple sclerosis-related muscle stiffness, based on criteria set by the National Institute of Clinical Excellence (NICE).
  3. Private clinics can prescribe cannabis for a broader range of conditions, provided certain criteria are met, such as the prescriber’s belief in the benefit for the patient, diagnosis of a qualifying condition, and unsuccessful trials of conventional medications.
  4. Some conditions, mainly psychiatric disorders like schizophrenia, psychosis, and bipolar disorder, are excluded from cannabis prescriptions due to potential adverse effects, particularly from THC.
  5. Patients exploring cannabis treatment are encouraged to ask questions and share any prior cannabis use experiences with their specialist doctor. The final decision on prescription suitability is based on an individual assessment of each patient's needs.

Contents

Who can prescribe medical cannabis in the UK?

Cannabis can be prescribed as an unlicensed medicine in the UK after the government changed the law in 2018. Specialist doctors registered on the General Medical Council with a background in specific medical conditions can legally prescribe Cannabis Based Medicinal Products (CBPM). 

On the NHS, a specialist hospital doctor can prescribe medical cannabis but only for a select few severe conditions. Currently, GPs are prohibited from prescribing CBPM but can refer patients to a specialist practising privately if it is their professional opinion they would benefit from one. 

In private clinics, however, medical cannabis eligibility is decided by a specialist doctor on a case by case basis, with focus on what is in the patients' best interest.

NHS or private: at a glance

To help you better understand private and NHS medical cannabis prescriptions, our table below compares the key differences, from qualifying conditions to who covers the cost.

Prescriber Qualifying conditions Considered if Referral process Paid for by
NHS

Severe forms of epilepsy

Vomiting and nausea from chemotherapy

Muscle stiffness or spasticity caused by multiple sclerosis

Other treatments are unsuitable or have not helped

Hospital specialist referral

Free in Scotland, Wales and Northern Ireland. 


In England, the standard charge (£9.90 per item) applies unless you have a medical exemption certificate

Private

Chronic pain, sleep disorders, mental health conditions, neurological conditions, gastrointestinal conditions, women’s health, cancer support, weight loss, and more

You have tried two or more treatment options that have not helped or caused adverse effects

Check your eligibility online

Book your consultation

MDT Review

You

(there is currently no funding available to help patients access medical cannabis privately)

Conditions the NHS prescribes for

  • Rare, severe forms of epilepsy that respond to cannabinoids
  • Vomiting or nausea caused by chemotherapy
  • Muscle stiffness or spasticity caused by multiple sclerosis (MS)

How to qualify for a legal private cannabis prescription

Specialist doctors at private medical cannabis clinics in the UK are able to prescribe cannabis products for a wider range of conditions. These doctors can privately prescribe when:

  1. The prescriber believes it is in the best interest of the patient.

  2. The patient is diagnosed with a qualifying medical condition by a licensed medical or healthcare professional. 

  3. The patient has tried at least two conventional treatment options without success.

This makes getting a private medical cannabis prescription much more accessible to qualifying patients.

Conditions commonly prescribed for, privately

Private patients with conditions commonly prescribed cannabis based medicines are: 

What makes you ineligible for medical cannabis?

Medical cannabis is not a cure-all or universal treatment option and there are some conditions that a specialist doctor cannot prescribe for. These mostly relate to psychiatric disorders, including: 

  • Schizophrenia

  • Psychosis

  • Bipolar Disorder

The reason why these conditions are ineligible for medical cannabis treatment is because there is strong evidence showing that taking THC can make these conditions worse and therefore, prescribing cannabis medicines may not be in the best interest of the patient. 

How Releaf checks your eligibility

Understanding private clinics, like Releaf, and how they work is important to help manage expectations and give you an idea of who qualifies for medical cannabis treatment. 

Private clinics have a multiple step process for checking eligibility for medical cannabis that takes into account a patients’ condition, previously tried treatments, medical records and what would be in their best interest. 

At Releaf, our specialists will decide on your eligibility for medical cannabis treatment after three stages: 

  1. Your answers to our quick and easy free eligibility checker 

  2. Your initial consultation with one of our specialists 

  3. During a multi-disciplinary team (MDT) review

Following this process, patients will be informed of their eligibility and proposed treatment plan. At this point, it is up to the patient whether they wish to continue with their Releaf medical cannabis prescription. 

How to speak to doctors about cannabis

The uncertainty for patients surrounding medical cannabis is understandable due to the lack of understanding of the law, the types of medicines prescribed and how to use them. 

Specialists who can prescribe medical cannabis are extensively trained in CBPM and have experienced backgrounds in their field of medicine. Patients are encouraged to ask as many questions as possible to better understand cannabis as a treatment option. 

Patients who have tried cannabis and know it works for their condition are also encouraged to share as much information as possible with their specialist. Strain names, how much is taken, how often, and the kind of symptom relief experienced is all valuable information a specialist will take into account.

Qualifying Conditions FAQs

Do I need a medical cannabis card to be prescribed by a doctor in the UK?

No, you do not need any medical cannabis card to be prescribed cannabis-based products for medicinal use by a doctor in the UK. If you choose to have Releaf as your medical cannabis clinic, you will receive a photo ID card with a digital copy of your prescription history linked to it via a QR code.

Can UK doctors prescribe CBD (cannabidiol)?

Doctors who prescribe medical cannabis products in the UK can prescribe cannabidiol. UK specialist doctors prescribe CBD for inflammation-related conditions but also to help control seizures, spasms and tremors. CBD prescriptions come in the form of flowers or CBD oil tinctures. If you would like a cannabidiol prescription, you must speak to a specialist doctor first. The eligibility check will inform you if you’re suitable for medical cannabinoids.  

Can I get a medical cannabis prescription for autism in the UK?

Yes, as an adult with an autism diagnosis, you may be able to qualify for a medical cannabis prescription. You will need to have tried two therapies to pass the eligibility criteria. 

Can I get a medical cannabis prescription for arthritis in the UK?

Getting a medical cannabis prescription for arthritis in the UK is possible. You will need an official diagnosis for the condition and have tried two medications, therapies or treatments that have failed to provide the symptom relief you need.  

Is medical cannabis legal in the UK?

Medical cannabis has been legal in the UK since November 1st 2018. Specialist doctors on the GMC Specialist Register can prescribe through private clinics. 

What are the rules for medical cannabis in the UK?

Medical cannabis in the UK is highly regulated, and as such, is a subject to rules regarding prescription, legality, and how it is taken. 

For patients, the most important rules for medical cannabis in the UK are: 

  • Only a specialist, GMC-registered doctor can prescribe CBPM

  • Prescriptions on the NHS are rare and reserved for three severe conditions

  • Private clinics can prescribe for more conditions providing at least two traditional treatments have been tried and found ineffective or to have caused adverse effects

  • Smoking cannabis is illegal, even when prescribed by a specialist.

  • A medical cannabis prescription does not make you exempt from drug driving laws or workplace drug policies

How do you get accepted for medical cannabis?

Eligibility for medical cannabis in the UK can be strict depending on the route you take. 

From private clinics, acceptance is subject to an eligibility check, a review of your summary of care records, initial consultation with a specialist and MDT review.

Will the NHS pay for medical cannabis?

If you have been prescribed medical cannabis on the NHS to treat one of the three conditions mentioned above, then the price of medication is subject to your country's prescription costs as follows: 

  • Free in Scotland, Wales and Northern Ireland. 

  • £9.90 in England unless you are entitled to a medical exemption certificate for your condition, such as for long-term treatment of epilepsy or cancer, in which case it's free.

For private clinics, the NHS will not pay for the cost of medication and there are currently no financial aid schemes available to help patients access medical cannabis. 

How much does medical cannabis cost per month in the UK?

The monthly cost of medical cannabis varies from patient to patient as the prescribed medicine is decided on a case by case basis depending on the patient’s needs. This is not taking into account the cost of consultations, delivery, or any additional costs associated with your treatment.

At Releaf, we aim to make medical cannabis as accessible to anyone who could benefit as possible. Our Releaf+ subscription is set at £39.99 a month to provide patients with predictable monthly costs, and free delivery and follow-up consultations. 

Summary

It is important to remember that every patient's needs are considered individually. Speaking to a specialist doctor who prescribes cannabis-based medicinal products is the best way to find out if one could be prescribed for a specific condition or set of symptoms. 

Don't let the stigma surrounding medical cannabis prevent you from getting a suitable treatment. Releaf provides tailored monthly packages, specialist consultations for medical cannabis, and a medical cannabis card, all based on your medical cannabis prescription.

Releaf - redefining healthcare

It is important to seek medical advice before starting any new treatments. The patient advisors at Releaf are available to provide expert advice and support. Alternatively, click here to book a consultation with one of our specialist doctors.

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