How to Get a Medical Cannabis Prescription in the UK
The short answer
Medical cannabis can be prescribed in the UK only by a doctor on the GMC Specialist Register, so most patients go to a private specialist clinic and not their GP. Clinics usually expect you to have tried at least two standard treatments for your condition without enough relief. You book a consultation, usually by video, send your medical records, and if the specialist prescribes, a pharmacy sends the medicine to your home.
Medical disclaimer: This information is for general guidance only and does not constitute medical advice. Always consult a qualified healthcare professional before making decisions about your treatment. Wording last changed on .
Quick Facts
Legal since
November 2018
Prescribers
GMC Specialist Register only
NHS funded?
Rarely — mostly private
What you pay
Clinic fees plus medication
Delivery
Home dispensing available
Consultations
Online or in-person
Check Your Eligibility
The "unmet need" requirement
Medical cannabis in the UK is prescribed for patients with an unmet clinical need. In practice, this means you should have already tried at least two conventional treatments for your condition without sufficient relief. This is not a strict legal requirement, but it is the standard most specialist clinics apply when assessing patients.
Common qualifying conditions
There is no fixed list of conditions — any condition can be considered if there is a clinical case. Common conditions include chronic pain, PTSD, anxiety disorders, epilepsy, multiple sclerosis spasticity, fibromyalgia, neuropathic pain, chemotherapy-induced nausea and vomiting, and insomnia. Individual assessment is key.
See all conditions we coverWhy your GP cannot prescribe
Only doctors on the GMC Specialist Register can prescribe cannabis-based medicinal products (CBPMs) in the UK. This excludes most GPs. Your GP can write a referral letter to support your application at a private specialist clinic, which many clinics request.
Find a Specialist Clinic
What to look for
Ensure the clinic is registered with the Care Quality Commission (CQC) and that their prescribers are on the GMC Specialist Register. Look for clinics that offer a clear aftercare programme with regular follow-ups — not just an initial consultation.
Online vs in-person
The majority of UK medical cannabis consultations now take place via video call. This is entirely legitimate and makes access easier regardless of where you live. Some clinics also offer in-person appointments at their physical locations.
What to prepare before your appointment
Most clinics require: a summary of your medical history, a list of all current medications, evidence of previous treatments tried (prescription records or a letter from your GP), and in some cases a GP support letter or referral. Gathering these in advance will speed up your assessment.
Your First Appointment
What happens during the consultation
The specialist will review your medical history, previous treatments, and current symptoms. They will assess whether cannabis-based medicine is clinically appropriate for your condition. Better clinics involve a multidisciplinary team (MDT) review before issuing a prescription.
Questions you may be asked
Expect questions about: how long you have had the condition, what treatments you have tried and why they were insufficient, your current symptom severity, any history of substance use or mental health conditions, and your lifestyle (including whether you drive).
Possible outcomes
If approved, the specialist will issue a private prescription for a specific product and dose. If not approved at this stage, they may request additional medical records or suggest alternative options. Being declined is not a permanent decision — you can seek a second opinion at another clinic.
Getting Your Medication
Specialist pharmacy dispensing
CBPMs can only be dispensed by pharmacies registered with the General Pharmaceutical Council (GPhC) that are authorised to handle Schedule 2 controlled drugs. Your clinic will typically work with one or more partner pharmacies. Medication is usually delivered to your home within a few days of the prescription being issued.
What your prescription covers
Your prescription will specify the product (usually by cultivar or oil formulation), the dose, and the duration. It is a private prescription — it cannot be dispensed at a standard NHS pharmacy. Keep your prescription documentation on you, particularly when travelling.
Cost at this stage
Medication costs are paid directly to the pharmacy. Typical costs range from £150–£700 per month depending on the product and dose. Some clinics include the prescription fee in their consultation charges; others charge separately.
Full cost breakdownOngoing Care & Titration
Starting low and going slow
Most specialists use a titration approach — you begin at a low dose and gradually increase until you find the minimum effective dose for your condition. This process typically takes 4–8 weeks. Do not adjust your dose without guidance from your prescriber.
Follow-up appointments
Regular follow-ups (typically monthly at first, then every 3–6 months) are essential. These allow your specialist to monitor your response, adjust the prescription, and ensure continued clinical appropriateness. Good clinics will also communicate updates to your GP.
Shared care with your GP
Most GPs are not yet trained in medical cannabis and many will not enter a formal shared care agreement. However, informing your GP that you have been prescribed a CBPM is recommended — particularly if you take other medications that could interact.
Understanding Costs
Consultation fees, medication prices, and what NHS covers
Legal Status in the UK
Your rights, driving law, and travel guidance
What Are CBPMs?
Flower, oils, capsules — explained in plain language
Ready to find a clinic?
Browse UK medical cannabis clinics and compare their fees, consultation types and CQC ratings.
Browse ClinicsThis information is for general guidance only and does not constitute medical advice. Always consult a qualified healthcare professional. Information on regulations, costs, and procedures may change — always verify with your clinic.
Sources
The official sources this page rests on. Each was read and checked on .
- The Misuse of Drugs (Amendments) (Cannabis and Licence Fees) (England, Wales and Scotland) Regulations 2018 · legislation.gov.uk
In force 1 November 2018. Defines a cannabis-based product for medicinal use, moves it to Schedule 2, and limits prescribing to doctors on the Specialist Register.
- Medical cannabis (and cannabis oils) · NHS
Who can prescribe, the few cases where the NHS is likely to, and the licensed medicines Epidyolex, nabilone and Sativex.
- Cannabis-based medicinal products (NG144) · NICE
NICE's recommendations for nausea from chemotherapy, chronic pain, spasticity and severe epilepsy. Published 11 November 2019, last updated 22 March 2021.