How Medical Cannabis Is Prescribed in the UK: The Process Explained
How medical cannabis prescribing works in the UK - the legal framework, who can prescribe, what documentation is needed and the full process step by step.
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The UK Legal Framework
Medical cannabis was rescheduled in the UK in November 2018, moving from Schedule 1 (no accepted medical use) to Schedule 2 (can be prescribed by specialist doctors). This change did not legalise recreational cannabis - it specifically created a pathway for specialist clinicians to prescribe cannabis-based medicines for patients who may benefit.
Who Can Prescribe Medical Cannabis in the UK?
Only registered specialist clinicians can prescribe cannabis-based medicines in the UK. This includes:
- Doctors on the GMC Specialist Register in relevant specialties (neurology, pain medicine, psychiatry, oncology)
- Doctors who have completed recognised training in cannabis medicine through bodies such as BSCM (British Society of Cannabis Medicines)
- Nurse prescribers with appropriate specialist qualifications at some clinics
GP prescribing of cannabis is not currently permitted under NHS guidance, though GPs can continue prescriptions initiated by specialists.
What Documentation Is Required?
At your first appointment, you will typically need:
- NHS Summary Care Record (downloadable via the NHS App)
- GP medical history including relevant diagnoses
- Documentation of previous treatments tried and their outcomes
- Specialist letters if applicable (neurologist, pain consultant, psychiatrist)
- Identification
The Prescribing Process Step by Step
- Initial consultation: 30-60 minute appointment (usually video) with a specialist clinician. Medical history reviewed, suitability assessed.
- Prescription issued: If appropriate, an FP10(MDA) prescription is generated - the special controlled drug prescription form required for Schedule 2 medicines.
- Pharmacy dispensing: The prescription is sent to a licensed specialist pharmacy. Not all pharmacies can dispense cannabis medicines.
- Delivery: Medicine delivered directly to your home in most cases. Some clinics have in-house pharmacies.
- Follow-up: Review appointment typically 4-8 weeks after starting to assess response and adjust dose.
What Happens at a Cannabis Clinic Appointment?
The clinician will take a full medical history focused on your condition, symptom severity, functional impact, and previous treatments. They will assess whether cannabis medicine is appropriate and discuss the specific products and doses that may help. They will also review any risks specific to you - existing mental health conditions, cardiovascular history, medications.