Using oxygen in the UK
You can arrange oxygen for travel within the UK through your oxygen provider. You'll need to tell them your travel dates and where you'll be staying. Try to give them as much notice as you can.
Check with your hotel or accommodation about taking and storing oxygen equipment.
Make sure you know how to travel safely with your oxygen. Your respiratory team and oxygen provider will be able to advise you if you’re unsure.
Using oxygen abroad
If you need oxygen abroad, you’ll need to make arrangements before you travel.
In most cases, UK oxygen providers do not allow their equipment to be taken outside the UK, but they can usually tell you how to arrange oxygen abroad. You’ll have to pay for the oxygen supply.
The European Lung Foundation has a list of oxygen providers in European countries.
Travelling with oxygen
If you plan to travel by car:
- store any medical equipment and oxygen securely, so they cannot move around
- keep windows open to ventilate the car where possible
- check with your oxygen supplier if your equipment is suitable for car travel
- take more oxygen than you think you’ll need in case there are any delays
- do not leave your oxygen in a hot car
- keep the oxygen cylinders out of view if you leave the car
- tell your car insurance company that you’re carrying oxygen in your car.
If you need to use your oxygen while in the car, make sure the car is not moving and turn the engine off.
If you plan to travel by bus, taxi or coach, tell the driver or another member of staff that you’re carrying oxygen before buying a ticket.
They can tell you in advance what help they can offer.
The policies around the use of compressed oxygen can vary. Always carry a medical certificate with you signed by your healthcare professional.
If you plan to travel by train, it’s best to contact the rail company you’re travelling with in advance. Let them know what you need and who you’ll be travelling with.
Always carry a medical certificate with you signed by your healthcare professional.
The National Rail Passenger Assist service lets you request assistance on your journey.
If you plan to travel by ferry with oxygen, make sure you tell the provider.
Some providers may be able to supply oxygen if they have enough notice. This may vary between different providers.
You may need full travel insurance and a medical certificate signed by your healthcare professional.
Cruise lines have their own rules about oxygen. Before booking a cruise, contact the cruise line’s accessibility team to check they can accommodate your needs.
You may need full travel insurance and a medical certificate signed by your healthcare professional.
Flying with oxygen
If you plan to fly, you may need tests beforehand to confirm if you need in-flight oxygen, such as the ‘fitness-to-fly’ (hypoxic challenge) test.
You may not normally use oxygen, but you may need it while flying because there is less oxygen in the air at high altitudes.
Airlines have their own rules about using in-flight oxygen. Some airlines may only allow you to bring a portable oxygen concentrator. You may need to hire or buy one.
Some airlines provide oxygen for free, and others charge a fee. The cost can vary widely. Make sure you check with the airline before booking. You can also speak to your oxygen supplier for more information.
The European Lung Foundation has a list of airline oxygen policies. It’s important to check your airline’s website or contact them, so you have the most up-to-date information.
Fitness to fly (hypoxic challenge) test
Ask your GP if you need extra tests before you travel.
One test you may need is a hypoxic challenge test. This finds out if you need extra oxygen when flying. We have more information about hypoxic challenge tests.
Your usual NHS hospital will probably not be able to provide a hypoxic challenge test. You may have to travel to a different hospital or use a private provider.
Medical clearance to fly
If you’re using oxygen on the plane, the airline will ask for a medical certificate to show you’re healthy enough to fly. This is called a Fit to Fly Certificate or Medical Information Form (MEDIF). You’ll need to complete the form yourself and then ask your GP to complete and sign it.
Each airline has its own form, which you can find on their website. This is usually on the special assistance page.
The form will ask for information about:
- your route, flight date and booking reference
- who you’re travelling with
- your oxygen needs, including rates in litres per minute and flow type (continuous or pulse)
- what medical equipment you’re taking, such as a portable oxygen container, CPAP machine or mobility equipment
- which batteries your equipment uses.
Preparing to travel with oxygen
- Start planning well before your trip.
- Check your fitness to fly test is valid. Some airlines are specific about the time between the test and travel.
- Check the insurance arrangements for your oxygen equipment.
- Check whether your flight is code-sharing. This is when a flight has one airline’s code and flight number but is operated by another one. You will need to check with each airline about their own oxygen policy.
- Check ahead with your airline for any flight delays or cancellations. If you use oxygen, you may need to bring more or make sure you have enough battery.
- Make sure you know how many batteries you’ll need for your flight. Airlines should tell you how many extra batteries you’ll need to take in case your flight is delayed or lasts longer than expected.
- Plug in and charge your portable concentrator whenever you can.
- Remember to take international plug adapters that will work at your destination.
- Keep the helpline number for your oxygen equipment supplier with you at all times.
- Take a copy of your oxygen prescription or letter from your healthcare professional in case you need to order more supplies.
You can read more about oxygen therapy on our website. You can read about the travel experiences of other people with lung conditions on our Health Unlocked forum.
Use our helpful checklist to make sure you’re prepared for your trip.
Get support
Call or email our helpline for support with any aspect of living with a lung condition – whether you need practical advice, emotional support, or answers to health-related questions. You can also find support through our groups.