Medical guidance material updates | UK Civil Aviation Authority

This section provides access to bulletins that are issued periodically by the Civil Aviation Authority (CAA) to notify changes to medical guidance material used in the assessment and certification of professional flight crew, private pilots, air traffic controllers and cabin crew.

Cardiology

Issue number	Issue date	Subject	Page
2	16/05/2022	Brugada flow chart	Brugada flow chart
		CAD post event – Class 1, 2	Coronary artery disease
7	01/08/2022	Aortic stenosis	Aortic valve stenosis fc
		Extended cardiovascular assessments	Cardiovascular system general
16	28/12/2022	Exercise ECG test protocol	Exercise ECG test protocol
		Investigation of ECG abnormalities table	ECG abnormalities table
25	05/09/2023	Specification for hypertension reports	Hypertension reports
		Specification for cardiology reports	Cardiology reports
26	06/10/2023	ECG MED 108	MED108: UK CAA resting ECG report
27	26/10/2023	Hypertension flow chart	Class 1/2 certification - hypertension
28	13/11/2023	Neurocardiogenic syncope	Neurocardiogenic syncope flow chart
40	15/11/2024	Hypertension flow chart	Class 1 / 2 certification - hypertension

Close Cardiology

Dermatology

Issue number	Issue date	Subject	Page
5	09/06/2022	Ustekinumab in psoriasis	Guidance for ustekinumab
33	28/06/2024	Isotretinoin policy	Isotretinoin policy

Close Dermatology

Gastrointestinal

Issue number	Issue date	Subject	Page
25	05/09/2023	Gastroenteritis health promotion	Gastroenteritis guidance
26	06/10/2023	Specification for general medical reports	General medical reports
44	11/02/2025	Crohn's disease	Digestive guidance material Crohn’s disease

Close Gastrointestinal

Genitourinary

Issue number	Issue date	Subject	Page
21	31/05/2023	Fitness decision following kidney donation	Genitourinary guidance material
43	08/02/2025	Phosphodiesterase type-5 inhibitors	Genitourinary guidance material

Close Genitourinary

Haematology

Issue number	Issue date	Subject	Page
1	27/04/2022	Blood donation	Haematology guidance material (GM)
32	08/05/2024	Haematology guidance material	Haematology guidance material (GM)
42	05/02/2025	Thromboembolic disorders and use of anticoagulation	Thromboembolic disorders and use of anticoagulation

Close Haematology

Infectious disease

Issue number	Issue date	Subject	Page
41	20/12/2024	Applicants and certificate holders with a positive HIV test	Infectious diseases guidance material
9	31/08/2022	Specification for HIV reports	HIV medical reports
32	08/05/2024	Infectious respiratory illness	Infectious respiratory illness

Close Infectious disease

Mental health

Issue number	Issue date	Subject	Page
11	05/10/2022	Fear of flying	Mental health guidance material (GM)
14	26/10/2022	Specification for psychiatric reports	Psychiatric reports
		Depression and related disorders	Flow chart for depression and related disorders
21	31/05/2023	Cannabidiol (CBD) products	Mental Health Guidance Material
36	19/08/2023	Mental health checklist	Mental health checklist (SRG1212)
29	29/12/2023	Medical flight test report (B) – Performance-affecting medication	MFT (B) Performance -affecting medication
35	18/07/2024	Neurodevelopmental conditions	Neurodevelopmental conditions
40	15/11/2024	Guidance for aeromedical centres undertaking initial Class 1 drugs and alcohol screening	Initial Class 1 drugs and alcohol screening flow chart

Close Mental health

Metabolic and endocrinology

Issue number	Issue date	Subject	Page
15	09/11/2022	Obesity information sheet	Obesity information sheet
18	22/02/2023	Medical certification of pilots and air traffic controllers (ATCOs) with diabetes	Certification of pilots and ATCOs with diabetes
		Diabetes briefing sheet for certificate holders treated with potentially hypoglycaemic medication	Diabetes Briefing Sheet
24	21/06/2023	Protocol for pilots treated with insulin and / or potentially hypoglycaemic medication	UK ARA MED 330
29	29/12/2023	Medical flight test report (F) - Diabetes	MFT (F) Diabetes
31	11/04/2024	GLP-1 agonists for obesity	Metabolic and endocrinology guidance material

Close Metabolic and endocrinology

Musculoskeletal

Issue number	Issue date	Subject	Page
9	31/08/2022	Guidance for the assessment of prosthetic limbs	limb prosthesis-assessment form
26	06/10/23	Musculoskeletal medical reports	Musculoskeletal medical reports
29	29/12/2023	Medical flight test report (A) – General including musculoskeletal	MFT (A) General including musculoskeletal
		Medical flight test report (E) – Limb prosthesis assessment	MFT (E) Limb prosthesis assessment
30	27/02/2024	Guidance for hydroxychloroquine	Guidance on hydroxychloroquine

Close Musculoskeletal

Neurology

Issue number	Issue date	Subject	Page
22	02/06/2023	Epilepsy	Neurology guidance material (GM)
		Parkinson’s disease	Neurology guidance material (GM)
		Cerebral amyloid angiopathy and transient focal neurological episodes	Neurology guidance material (GM)
25	05/09/2023	Head injury guidance	Head injury certification guidance
26	06/10/2023	Specification for head injury medical reports	Head injury medical reports
27	26/10/2023	Specification for migraine reports	Migraine reports
28	13/11/2023	Neurocardiogenic syncope	Neurocardiogenic syncope flow chart
40	15/11/2024	Migraine flow chart	Migraine flow chart
44	11/02/2025	Multiple sclerosis flow chart	Multiple sclerosis flow chart

Close Neurology

Obstetrics and gynaecology

Issue number	Issue date	Subject	Page
8	16/08/2022	In vitro fertilisation	Obstetrics and gynaecology guidance material (GM)
12	06/10/2022	Pregnancy information sheet	Pregnancy information sheet
		Hormone replacement therapy	Obstetrics and gynaecology guidance material (GM)

Close Obstetrics and gynaecology

Oncology

Issue number	Issue date	Subject	Page
45	26/02/2025	Bladder cancer	Bladder cancer certification

Close Oncology

Otorhinolaryngology

Issue number	Issue date	Subject	Page
26	06/10/2023	Specification for ENT medical reports	ENT Medical reports
35	18/07/2024	MFT (D) Functional hearing assessment	Functional Hearing Assessment (FHA) (SRG1205)

Close Otorhinolaryngology

Respiratory

Issue number	Issue date	Subject	Page
28	19/09/2024	Allergy flow chart	Allergy flow chart

Close Respiratory

Visual

Issue number	Issue date	Subject	Page
13	10/10/2022	Guidance following eye surgery	Guidance following eye surgery
17	15/02/2023	Retinal arterial disorders and retinal vein occlusion	Retinal arterial disorders
			Retinal vein occlusion - RVO
19	06/03/2024	Comprehensive ophthalmology examinations	Comprehensive Ophthalmology Examination Report Form MED 162
20	10/05/2023	Reading glasses for presbyopic correction	Reading glasses for presbyopic correction
		Spectacle frame and lens choice	Spectacle frame and lens choice
		Use of sunglasses for pilots	Use of sunglasses for pilots
		Guidance on the use of contact lenses	Guidance on the use of contact lenses
23	19/06/2023	Vision limitation codes	Vision limitation codes
25	05/09/2023	Vision guidance material	Visual system guidance material
		Visual acuity conversion	Visual conversion chart
26	06/10/2023	Specification for ophthalmic reports	Ophthalmic reports
29	29/12/2023	Medical fight test report (C) – Substandard vision	MFT (C) Substandard vision
30	27/02/2024	Refractive surgeries – additional requirements	Guidance following eye surgery
		Arterial vascular disease	Retinal arterial disorders
31	11/04/2024	Substandard vision flow chart	Substandard vision flow chart
32	08/05/2024	Cataract surgery	Guidance following eye surgery
		MED 162 extended guide for AMEs	MED 162 AME guide
39	04/10/2024	Spectacle prescription calculator / vision limitation calculator	Spectacle and vision limitation calculator

Close Visual

Aeromedical Examiner (AME) and Certification

Issue number	Issue date	Subject	Page
3	24/05/2022	Alignment of tests	Alignment of investigations and tests
42	05/02/24	Medical certificate limitation codes	Medical certification limitation codes
27	26/10/2023	Guide to medical certification	Overview
31	27/02/2024	Procedure for a secondary review	Secondary review procedure
32	08/05/2024	AME facilities form	Guidance on AME certification
46	09/04/2025	Medical certificate validity table	Medical certificate validity table

Close Aeromedical Examiner (AME) and Certification

Air Traffic Controller (ATCO)

Issue number	Issue date	Subject	Page
36	19/08/2024	ATCO (Class 3) functional assessment forms	ATCO Class 3 Medical simulator report (A): Performance-affecting medication
			ATCO Class 3 Medical simulator test report (B): Performance-affecting condition
			ATCO Class 3 Functional test report
			ATCO Class 3 Functional hearing assessment

Close Air Traffic Controller (ATCO)

Cabin crew

Issue number	Issue date	Subject	Page
2	16/05/2022	Medical requirements for undertaking cabin crew duties	Medical requirements for undertaking cabin crew duties
4	26/05/2022	Verification of cabin crew medical reports	Medical examiners database search
8	16/08/2022	Cabin crew appeals process	Secondary and final medical review- cabin crew

Close Cabin crew

Miscellaneous

Issue number	Issue date	Subject	Page
11	05/10/2022	Health promotion page	Health promotion
17	15/02/2023	UK regulations and AMC	Aircrew
			ATCO Licensing Regulation
21	31/05/2023	Fitness to fly following trauma	Surgical conditions
23	19/06/2023	Health promotion resource	Health promotion in aviation

Close Miscellaneous

News from UK Civil Aviation Authority

Response to Ryanair's statement on the delayed flight RK1265 from Agadir to Manchester
- Published on: 25 April 2025
- Category: News Item
1,616 businesses in the travel sector licensed under the ATOL scheme
- Published on: 02 April 2025
- Category: News Item
Regulation of Heathrow will seek to protect passengers and pave the way for sustainable growth
- Published on: 27 March 2025
- Category: News Item