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What is Medical Repatriation?

Our expert guide teaches you all that there is to know about air ambulances in the UK

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The Complete Guide to UK Medical Repatriations & Air Ambulances for British citizens and residents

Reading Time: 17 minutes

What is an air ambulance?

Air ambulances are specially catered aircrafts that come fitted with medical equipment and personnel on board to transport sick or injured patients, often from one country to another.  

Alongside patient transportation, air ambulances are also utilised in time-sensitive medical procedures such as transporting organs, blood samples or plasma, as a patient’s survival depends highly on how quickly and efficiently these arrive at a hospital and their viability outside a donor body.

For British citizens and residents needing medical transportation, a vast array of air ambulance vehicles are available to best match their medical needs and requirements.

Demystifying the various types of air ambulances available for UK Medical Repatriations

Air ambulances are classified according to an aircraft’s configuration and specifications. Broadly speaking, when it comes to medical aircrafts, they can either be ambulance planes or ambulance helicopters. This section will dive deeper into these categories and further explore subcategories available for British citizens requiring a medical flight back to the UK.  

Ambulance Planes

Ambulance planes, also known as fixed-wing air ambulances are a quick, safe and comfortable method of patient transport.  Ambulance planes allow, in most cases, the transport of intensive care patients as these are fitted with medical equipment similar to that of an intensive care unit (ICU) while catering for an experienced flight doctor onboard to ensure the medical safety of a patient. 

Ambulance Planes are further grouped according to their specifications, in most cases, their source of power.

ambulance jet

Comparing your Ambulance Plane Options back to the UK : Turboprop planes vs Jet Planes

Turboprop planes are powered by turboprop engines, that is, engines that have a large forward-facing propeller on the outside, which propels the plane forward. The engines may be positioned in front of the airplane, or on each wing on either side of the plane.

Jet planes on the other hand are powered by jet engines, which have fan blades inside the engine housing that power the plane. The engines may be positioned on the wings on either side of the plane, or on the rear wing above the plane.

The differences between Turboprop and Jet planes

Turboprop planes are highly efficient for short distance flights. They can power up and slow down over shorter distances, hence having the advantage of taking off and landing in smaller, shorter regional airports and airstrips. These may also include non-concrete runways. They, however, have a shorter flight range, and are thus best suited for flying over short to medium distances, for example between neighbouring countries back to the United Kingdom.

Jet powered air ambulances travel at substantially quicker speeds across longer ranges, allowing them to easily cover continents. As a result, they are the favoured option for medical repatriation between continents or from one point of an expansive continent to another. They also hold the benefit of being capable of cruising at higher altitudes than turboprop planes while being faster than these. 

Ambulance Helicopters

Ambulance helicopters, also known as rotary-wing aircrafts, are powered by rotary blades positioned above the cabin which generate lift and enable the aircraft to take off. They provide the following benefits for patient transfer:

  • They have the ability to take off and land vertically, which means that they can access remote locations easily and land directly at a destination hospital with the necessary infrastructure. This eliminates the need for time-consuming ground transportation.
  • They are ideal for short distance transport. In most cases, the transport of intensive care patients is possible as these are fitted with medical equipment similar to that of a rescue helicopter while having a highly qualified medical team on board. 
  • They can travel short distances quickly and booking these are rather fast (quick reaction times). Flights are usually possible within hours after placing a booking, making them an excellent mode of transportation for patients or organ transfers between neighbouring countries and hospitals because of their speed and flexibility.

ambulance helicopter

Ambulance helicopters, however, are limited by the range they can cover, as they have the shortest range of the air ambulance options. Furthermore, they are slower than the other air ambulance options. They are thus not ideal for long distance patient flights.

Scheduled Flights

Another option available for British Citizens requiring medical repatriation back to the United Kingdom is Scheduled Flights. Scheduled commercial flights are flights by regular commercial airlines whereby the patient is accompanied by a doctor or a paramedic, and can be transported in business class either seated, or lying down on a stretcher depending on their medical condition. In cases where a stretcher is deemed necessary, it will be specially installed in the cabin for that particular flight only, for the purpose of transporting the patient in question. 

Scheduled commercial flights are the best option for non-urgent medical transfers, for patients who are not in a critical condition, and have the benefit of being the cheapest of the aforementioned air ambulance options.

However, scheduled commercial flights have a number of disadvantages and are not adequate in various scenarios:

  • Firstly, they are not ideal for critical emergencies that require urgent patient transfers, as the flight is booked according to the availability of plane tickets. 
  • Secondly, it will take between 1 and 2 days for the airline to determine whether it is possible to transport the patient. It's also worth noting that stretchers are only advisable on direct long-distance commercial flights, not on short-distance or connecting flights. 
  • Thirdly, because it is nearly impossible to plan a patient transport efficiently on connecting routes due to flight delays and a vast array of complicating factors, including the patient’s health, the medical repatriation must take place on a direct flight, either a medium or long-haul trip. Furthermore, this will lead to the patient being overburdened by having to travel between planes.
  • Lastly, the airline can deny transporting a patient despite them being initially deemed fit to fly by their doctor, as their priority is to protect other passengers on the plane, and thus they have the final say in such matters of patient transfer.

Ground Ambulance

A final option for British Citizens requiring medical repatriation back to the United Kingdom is through Ground Ambulances. While not an air ambulance, ground ambulances are specially designed vehicles that come readily fitted with medical equipment that can be tailored according to the patient’s needs, as well as to those of the accompanying medical personnel on board to facilitate the transfer of a patient.

Ground ambulances have the advantage of covering short distances for the lowest cost but are subject to a lot of unforeseen risk factors, such as traffic delays and road accidents, which may put the health of the patient at risk. Moreover, ground ambulances may amplify patient stress due to longer travel times while not necessarily providing the same level of comfort available in the aforementioned air transport options. While breaks are only possible at rest areas, we witnessed that very often, the patients cannot be taken out of the vehicle.</p

Moreover, in the event of a complication during the transportation process, the patient must be taken to the hospital of the region where he or she is located. It should be noted that ground ambulances are generally restricted to Scotland, England and Wales for the UK since travelling to other areas would require crossing the sea which, while not impossible, is a bit more complex and tedious for the patient. 

So why does renting an Air Ambulance make sense for British Citizens ? 

If a friend or relative becomes ill or suffers a serious accident while traveling overseas, and the patient's condition is critical or unknown, medically supervised repatriation to a UK hospital is often required and the best course of action to ensure patient safety, comfort and speed. 

Getting patients back home on a short notice, especially those in intensive care, is only conceivable onboard a medically equipped air ambulance with a highly qualified medical crew to ensure that in the event of any medical complications during the return trip, the patient will receive the highest possible level of treatment without any delay. 

Top Ten Reasons Why to Book an Air Ambulance for your UK Medical Repatriations

For patients unsure of whether air ambulance flights are still the most viable option for medical repatriations, we have compiled a list of the most common reasons why British Citizens solicit our services for their medical flights back home. Air ambulances come fitted with medical equipment equivalent to that found in an intensive care unit (ICU), thus making the transfer of even patients who need the most intensive medical care possible. The equipment on board our fleet includes (but is not limited to): 

  1. Intensive care unit with vacuum mattress and patient loading system
  2. Central oxygen tank (6,000 liters) and optional reserve tank
  3. Multi-parameter intensive care transport monitor
  4. Compact defibrillator / monitor system
  5. Intensive care respirator
  6. Portable blood gas analyzer
  7. Satellite telephone.

Additionally, each flight is customised to meet the patient’s unique medical needs after a thorough consultation with their doctors.

  • Air ambulances facilitate the immediate repatriation of you or your loved ones from even the most remote location to a British hospital facility where they can receive proper medical attention, with short lead times.
  • Air ambulances fly directly to the destination without the need for stopovers, thus saving precious time for intensive care patients. Using commercial flights from certain destinations back to the United Kingdom may sometimes require connecting flights, which may take up valuable time that a patient may not have.
  • It allows for discretion, as patients are guaranteed to have the kind of privacy that a commercial flight cannot offer when transporting a patient, especially on a stretcher. Whether you are sick, injured or need medical attention, you can fly with comfort and be shielded away from unnecessary attention.
  • Patients who travel by air ambulance will receive all the medical attention they need, as all repatriation flights come with experienced medical personnel, including paramedics, physicians, and doctors on board to accompany the patient in order to intervene and stabilise them in the event that any complications may arise, or if they experience stress due to the transfer.
  • It allows for family and friends to accompany the patient on the flight for emotional support, and to be by the side of the patient during their most difficult moments.
  • Air ambulances make it possible to adjust cabin pressure to closely match the air pressure on the ground, to provide sea ​​level flights, necessary when transporting patients with certain medical conditions like anemia, pneumothorax, strokes or cardiovascular conditions.
  • Our air ambulance team will be tasked with facilitating patient documentation necessary for the transfer. Moreover, our qualified doctor will conduct a fit-to-fly assessment. Both of these are done with the urgency required as we understand the essence of time in such cases. On the contrary, repatriation by commercial flight means that the documentation is at the mercy of the airline, which can take days to process and approve.
  • Air ambulances offer faster transfers from one hospital to another, eliminating most potential risks that a ground ambulance can face, such as traffic, and road accidents.
  • Air ambulances also enable the transfer of patients with COVID-19 by employing a contemporary isolation system that allows the patient to lie down comfortably while being ventilated to maintain a continual supply of oxygen and prevent the virus from spreading through used air. On the contrary, a patient with COVID-19 would never be allowed onboard a commercial airline due to the risk they pose to other passengers. 

Repatriation Flights to the UK: Unsure whether to pick a Business Class ticket or an Ambulance Jet?

Non-critical patients who are able to fly seated upright in a commercial flight will typically fly in business class. This option is best for patients who are in a stable condition, and do not require urgent medical transfer. In such cases they will be accompanied by a qualified specialist doctor or paramedic on the flight. These professionals will carry with them emergency medical equipment, allowing them to offer first aid in the event of an emergency.

business class cabin in airplane

However, flying business class poses a number of challenges:

Firstly, depending on the nature of a patient’s injury or illness, a business class seat may not have enough room to allow the medical staff to conduct adequate manoeuvers to care for the patient during the flight in the event of complications.

Secondly, the medical equipment that the medical staff carry is very limited

Thirdly, medical repatriation on a scheduled airplane necessitates a one to two-day lead period. This amount of time is required for the airline to decide whether or not to take the patient. 

All of these drawbacks directly have an impact on the time taken to transfer the patient, as well as the level of medical attention that the patient will receive. Both of which are crucial, and can make the difference in cases of urgent medical transfers. Hence why it is best to always opt for an ambulance plane for high risk patients when speed, the degree of medical attention and patient comfort matters

Contrasting Casevac Vs Medevac

Casualty Evacuation, or ‘CASEVAC’, refers to the transfer  of seriously injured individuals from the place of injury to a medical or trauma institution where they can receive immediate medical care. Medical Evacuation, or ‘MEDEVAC’, on the other hand, is the  process of transporting patients to a medical facility, often located in another country, for further, more sophisticated medical attention. In most cases, the patient has already received some form of medical attention and his condition is stable enough.   

The vehicles and aircrafts utilised for CASEVAC are not purpose-built; general-purpose aircraft are used since they are more readily available. These may have little or no medical equipment onboard to offer care while on the move. In these situations, time is of the essence because the patient's life is on the line. The availability of general-purpose aircrafts ensures that the patient reaches the medical centre in the least amount of time, usually within an hour of the occurence. MEDEVACs on the other hand, involve transport by air or by road, using dedicated ambulance aircraft and ground ambulances. This means that the patients can be cared for while they are travelling. Moreover, Medevac patients are accompanied by medical professionals who attend to their needs in transit and ensure a proper handing over to the destination medical facility.

About our VIP Air Ambulance Service at Medical Repatriation UK

Hospitals and clinics in the United Kingdom set the highest global standards and enjoy an excellent reputation, and we are always happy to arrange air ambulances with the highest possible level of travelling comfort to and from these reputable medical institutions. 

What to expect when chartering an air Ambulance for your repatriation?

We can build custom solutions to satisfy all of our clients' needs thanks to our many years of experience operating international air ambulance missions. Among the services we offer are:

International medical teams

We use international and multilingual medical teams to ensure that all parties involved have the best possible communication. We rely on highly trained medical personnel with extensive expertise in ambulance flights.

First-class service for accompanying person(s)

Of course, the patient’s well-being is a top priority on all medical air trips, but we also meet the needs of anyone who is accompanying the patient. We can arrange for premium transit to a nearby hotel for the patient. Your air ambulance flight's culinary service is chosen based on your preferences.

To provide optimal convenience, we may also provide chauffeur services for accompanying persons and can arrange for luggage transportation. Our customised ambulance flying options can accommodate up to 40 people. More passengers can be accommodated in extraordinary circumstances.

Round the clock support by a dedicated customer advisor

More and more of our foreign clients rely on our full VIP patient service, which involves unique, personal round-the-clock support, to acquire the finest possible medical care for themselves and their relatives in world-famous specialist clinics. 

Dispatch of specialist doctors and care personnel

We can send medical personnel to meet the patient before they fly, if desired, so that they are up to speed on the patient's condition and can respond to their needs. If asked, we can continue to provide this service after the patient has completed treatment in the UK until he or she has fully recovered.

Your ambulance jet on standby

If you are traveling and want to be prepared in the event of an emergency, we will maintain an ambulance jet on standby. We can thus supply you with a quick ambulance flight to the UK, especially in countries with weak medical infrastructure, so that you can receive the best possible care in the shortest amount of time.

Assistance with administrative aspects 

In addition to arranging a private air ambulance for you, we can also assist you in dealing with paperworks required to facilitate the trip. We can also get in touch with the medical facility in the UK to ensure a smooth process once you land. 

Breaking Down the Costs of an Air Ambulance Flight to the UK

The costs of a Medical Repatriation back to the UK vary immensely based on the nature of the case, a patient’s current location and his particular needs, making it imperative for you to contact us for a free price estimation. Below, we have compiled a list of six key factors that builds up the cost of an air ambulance :

  • The flight route: The distance between the point of departure and the point of arrival can affect the cost of a life flight, albeit longer distances are not always associated with higher expenses. 
  • The patient’s condition: Critically ill patients require more medical personnel and equipment to accompany them on flights, increasing the flight's cost. This is also the case if sea-level flights are needed for patients with specific conditions, since these usually take longer to reach their destination.
  • Accompanying persons: Having more than one traveling companion in the air ambulance, in addition to the pilots and medical team, may necessitate a larger aircraft to accommodate them, which can significantly increase the price.
  • Type of aircraft: The type of aircraft required for the mission will determine the price. For instance, if the clients wants to travel via a bigger aircraft to avoid fuel stop-overs, the cost will increase. 
  • Urgency of the request: Because air ambulances are frequently occupied attending to other cases, booking in advance saves money. However, air ambulances will still be available to transport critical medical patients, but the cost of repatriation will likely rise unless an air ambulance is available and close to the point of departure.
  • Ground Ambulance Requirements: There is also the option of transporting the option from the hospital to the airport via an air ambulance. This bed-to-bed service comes at additional charges, which will be added to the final cost. 

Note: The distance to be completed is, of course, a key factor in estimating expenditures. As a result, our experts can provide you with a free estimate for the cost of your medical repatriation at any time over the phone. We would also gladly supply you with a free quotation for the return transportation charges. This is why it’s vital to always get in touch with our aviation consultants to ensure you have the most efficient and cost-optimized routes for your patient transportation. 

Role of Insurance Companies for your medical repatriation flight: Is your Medical Repatriation Covered? 

We have worked with a number of insurance carriers throughout the world and can accept expense reimbursement from them. However, you do not need to be insured in order to use our services. In most circumstances, we repatriate residents of the United Kingdom, and they would be responsible for all charges. 

If your insurance company or aid organisation agrees to a full or partial reimbursement, we would gladly work with them to resolve any financial concerns you may have about your medical repatriation. However, if your insurance company refuses to cover the costs of repatriation, we can arrange for you to be repatriated as a private service at any time. We can arrange a meeting with you to discuss the possibility of absorbing the fees of the insurance company.

What to expect for your UK Medical Repatriation by Air Ambulance Plane?

Air ambulance services are noted for their speed, convenience, and safety, all of which are critical in saving a patient's life while also delivering a stress-free experience for the patient's family. You should be aware that in an air ambulance, you or your loved ones will receive the best possible care, attention, and medical equipment for the duration of the journey; which cannot be replicated by other repatriation options. Depicted below is what to expect from your first air ambulance experience:

Before Your Medical Flight:

Before your flight, a medical repatriation company should first enquire about your specific needs, that is, the nature of your medical needs, whether you want the repatriation alone, or would like to include bed to bed services with additional ground transport, before giving you a quote. Once you agree to the quote and decide to proceed, the company should take care of the entire medical repatriation operation, by ensuring that the necessary authorisation documents and permits are in order, in compliance with local and British authorities, and have been approved. The patient should also be deemed fit to fly by a qualified doctor assigned by the medical repatriation company. The company should also coordinate the pick-up and departure times, and carry out any further medical clarification that is needed.

When all of the preparations are finished, you will be given a full flight plan that includes information about your ambulance aircraft, pick-up and flight schedules, and any other pertinent information.

During the Medical  flight:

The ambulance jet will fly the patient swiftly to the destination airport in the UK, accompanied by a medical team. If necessary and for maximum comfort and care, the patient will be transported lying down throughout the journey and therefore won't have to move. 

After landing back in the United Kingdom

The medical repatriation is complete once the repatriation company has transferred the patient to the responsible medical personnel at the destination airport or hospital. However, after the repatriation is complete, the company should be present to answer questions, collect feedback, and offer written reports upon request, such as for your health insurance provider.

Flight Complications

Even if the conditions surrounding the ambulance flight coordination are ideal and all participants are acting in unison at all times, there is still a small risk. The patient will always be under some stress during an air transfer. In some situations, this can have a negative impact on the patient's health. That is why it is essential that the patient is accompanied by highly skilled doctors with medical flight experience and that the right medical equipment is on board, since they will be able to intervene and stabilise the patient. 

life flight costs

Why is it vital to pick an air ambulance company with significant UK Experience?

It is essential to choose a medical repatriation company with significant experience as it will provide peace of mind, and most importantly, reassurance, that the patient is safe and can reach a British hospital immediately upon arrival.

A good medical repatriation company should meet the following criteria:

  • It should have the ISO 9001 certification
  • The company should have a variety of aircrafts available. They should be able to tailor cabin pressurisation according to your needs
  • The company’s transport team should be highly experienced and have all the necessary medical training required during transfer
  • The medical team should be in contact with the destination hospital throughout the transportation
  • The team should have all necessary medical equipment on the ambulance aircraft
  • The company should provide a dedicated aviation specialist who will guide you and provide you with support throughout the whole flight.

Why Medical Repatriation is a sound solution for UK citizens outside the UK?

In many nations, hospital standards are substantially worse than in the United Kingdom, and language limitations make contact with hospital professionals extremely difficult. When you add in the fact that you'll be separated from your friends and family, it's no surprise that many patients wish for medical repatriation back to the UK. 

Many patients in their home countries are dissatisfied with the level of medical care available. Medical standards are frequently insufficient, and treatment overseas promises higher-quality care. When the best possible care is required, the patient may need to be treated by the world's best specialists. Patients from all around the world highly recommend the United Kingdom for its high-quality, professional medical services.

In addition to this, the United Kingdom possesses some cutting-edge specialised medical treatments, such as:

  • Cardiology
  • Cardiac surgery
  • Neurology
  • Oncology
  • Dentistry
  • Orthopaedics
  • Ophthalmology

Why is it better to get treatment in the UK instead of Europe?

Despite the fact that European countries' health services have a good reputation in the event of an emergency, most patients and family members choose to continue their medical treatment in their own country, particularly in the United Kingdom, where the NHS is famous for its cutting-edge medical infrastructure. Furthermore, language barriers pose a significant challenge even in other European countries, which makes effective communication with hospital staff difficult, resulting in uncertainty. 

Why is it better to get treatment in the UK instead of Africa?

Certain African countries have poor public health policies, while others lack robust health systems, with shortages of doctors, specialists, staff, and medical equipment in hospitals and medical facilities a common occurrence. This, coupled with the language barrier, makes repatriation to the United Kingdom a viable option for those seeking high-quality medical care.

Why is it better to get treatment in the UK instead of North America?

There is no doubt that high-quality medical care, satisfying worldwide standards, is provided throughout the United States. Most international travelers' health insurance, however, does not cover treatment in the United States due to the high cost of numerous medical treatments in the country.

As a result, some international visitors to the United States forego purchasing travel health insurance. Furthermore, even if they have travel insurance, the insurer may refuse to cover medical expenses due to a previous illness or an injury sustained while participating in high-risk sports such as skiing, climbing, or rafting. If the full medical treatment is carried out in the United States, the prices can soon spiral out of control. Medical repatriation from the United States, followed by follow-up treatment in a hospital in the United Kingdom may be more cost-effective in such cases.

Why is it better to get treatment in the UK instead of South America?

There are regions in South America with well-established health-care systems where public health is obviously a government priority. The best hospitals are in larger cities, while rural and remote areas are a “hit or miss” at best. However, the language barrier still poses a concern for most people seeking medical treatment, hence opting to go to the UK, where the language is universal, as is the standardisation of quality healthcare. 

Why is it better to get treatment in the UK instead of Australia?

Both the Australian and British healthcare systems are predicated on the idea of a publicly funded, accessible healthcare system for their citizens. However, for people who live in rural areas in Australia, healthcare facilities are difficult to come by, and those that are available have a scarcity of doctors and medical personnel. While in contrast, the UK’s system has standardised healthcare access to all regions of the country, eliminating the need to travel to major cities to receive healthcare.

Why is it better to get treated in the UK instead of Asia? 

The situation in Asia can be very diverse depending on the region you are in. For instance, Singapore has one of the best healthcare systems in the world, however, medical costs can be extravagant. In other areas, the quality of healthcare systems might be way below to what British residents are accustomed to. This, coupled with language barriers, positions the UK as the best option to get treated for British citizens and residents. 

healthcare system

Fit To Fly – What is it exactly?

Air travel has an undeniable effect on the body. This is felt by healthy passengers as harmless pressure or 'popping' in their ears during take-off and landing. On the other hand, flying can lead to more serious difficulties in the final weeks of pregnancy, as well as for patients with serious injuries or infections. To rule out such issues, it is important to determine whether the person is “fit to fly” ahead of time.

If a traveller is medically fit to fly, they can board a plane without the risk of medical complications. Pre-existing medical conditions are unlikely to worsen as a result of the flight, and other passengers will not be put in danger – such as from serious infectious diseases or mental health issues that could lead to violence. For pregnant women, there must also be no danger to an expectant mother or her unborn child.

Flying During COVID

A patient with suspected or confirmed Coronavirus is not allowed to travel on a scheduled flight due to the significant danger of spreading the virus to other passengers. In such instances, an air ambulance is the only viable option for medical transportation.

What to expect regarding medical flight during the Coronavirus pandemic?

Our medical team will first assess whether the patient is fit to fly before they are flown. Once this has been determined, the patient will be transported in isolation, using state-of-the-art isolation equipment that allows the patient to lie down comfortably while being ventilated to provide a constant supply of oxygen and prevent the virus from spreading via the used air. The patient will be accompanied by a flight doctor who will be responsible for the medical safety of the patient during the flight.

How to Book a Repatriation to the UK in 3 Simple Steps

Our experienced medical repatriation team will take charge of the repatriation, and ensure that every detail of your repatriation is taken care of. The simple steps below outline the process of your loved ones’ homecoming:

Contact us

The first step to booking a flight with us is to get in touch with us.

We will gladly call you back, free of charge, to take into consideration your case and determine your needs, before providing a free estimated quote and giving you time to consider our offer and get back to us.

Following the completion of all flight plans, you will receive a final written quotation from us. 

Have the necessary paperwork 

Since the patient’s safety comes first for us, we will begin the process of organising a flight as soon as possible, even if we have not yet received all the documentation needed. A patient’s travel documents, such as their passports and visas, are required. We also ask for a medical assessment from their current hospital or clinic. However, this is not mandatory since our physicians will study the patient’s notes, or their translations, prior to the medical repatriation, to determine whether they are fit to travel. 

Fit-to-travel assessment

The patient's medical state is thoroughly evaluated before traveling to see if they are fit to travel by air. Pre-existing medical illnesses, such as respiratory problems, that may be influenced by changes in cabin pressure, as well as infections (particularly COVID-19), psychological issues, or recent surgical wounds, may result in the patient being ruled unsuitable to fly.

This will be followed by a consultation with the client to finalise all details and make sure all is in order before the flight. 

Contact us for your medical repatriation

If you need a flight back to the UK or you want to learn more about how we conduct our medical repatriation missions, you can get in touch with our team of experts. They will gladly answer all your questions and assist you. Contact our agents via: