Should you tell your GP about a private cannabis prescription?
You are not obliged to tell your GP, and you should. Not for anyone's benefit but your own: a doctor treating you in an emergency needs to know what you are taking, and your GP record is where they will look.
The short answer
- There is no legal obligation, but there are strong clinical reasons.
- Interactions and anaesthesia are the main risks of an incomplete record.
- Your GP will not usually take over prescribing. That is a specialist responsibility.
- Most clinics write to your GP as a matter of course, with your consent.
- Shared care is uncommon for unlicensed medicines and is not something to count on.
Why it matters clinically
An incomplete medication record is a safety problem. It becomes one at exactly the moment you are least able to correct it.
- Anaesthesia and surgery — anaesthetists need to know about anything sedating or affecting the cardiovascular system. This is the most important single reason.
- Drug interactions — cannabinoids interact with several commonly prescribed medicines, including some blood thinners, sedatives and antiepileptics.
- Emergency care — if you are brought in unable to speak for yourself, your record is what tells the team what is on board.
- Investigating new symptoms — knowing what you take stops a side effect being investigated as a new disease.
None of that requires your GP to approve of the treatment. It requires them to know about it.
What your GP will and will not do
Expect your GP to record it and to factor it into your care. Do not expect them to prescribe it, and do not be surprised if they are unenthusiastic.
Only a doctor on the GMC Specialist Register may initiate a prescription for an unlicensed cannabis-based product. A GP cannot start one, and in practice will very rarely take over an existing one, because doing so means accepting clinical responsibility for an unlicensed medicine prescribed by someone else.
Some GPs will have reservations, and some will say so. That is a legitimate clinical view given the evidence base, and it is worth hearing rather than dismissing. It does not affect your ability to continue with a private prescription.
What a GP will normally do is add the medicine to your record, take it into account when prescribing anything else, and pass the information on to hospital teams when they refer you.
How the information usually gets there
Most private clinics write to the GP after an initial consultation, with your consent. GMC guidance on remote prescribing expects prescribers to share information with the patient's GP unless the patient objects.
- Give consent for the clinic to write to your GP at the start — it is usually a tick box on the registration form
- Ask for a copy of the letter for your own records
- If you would rather tell them yourself, book a routine appointment and take the clinic letter
- Check at your next medication review that it appears on your record
- Tell any hospital team, dentist or pharmacist separately — they do not automatically see your full GP record
If you do object to your GP being informed, say so explicitly and understand what you are trading away. Some clinics will decline to treat without GP notification, and that is a defensible position rather than an obstruction.
Getting your records the other way
The traffic runs both ways. A specialist needs your medical history before they can assess you, and that history sits with your GP.
You have a right of access to your own health records, and the NHS App gives most people in England direct access to a summary. Requesting your records is a normal part of starting this process and is covered in What is the process to get a medical cannabis prescription?
A clinic that offers to prescribe without seeing any records is not assessing you properly. That is one of the clearer warning signs.
One caveat before you rely on any of this
This is general information about how the rules on sharing information with your GP work, not legal advice, and it cannot take account of your circumstances.
The law changes, enforcement practice varies, and the details of your own case matter. If something here could affect your licence, your job or your liberty, get advice from someone qualified to give it — a solicitor, your prescriber, or the relevant authority itself. Where we can point you at the primary source, we have.
Frequently asked questions
Do I have to tell my GP about a private cannabis prescription?
There is no legal obligation, but there are strong clinical reasons to do so. An incomplete medication record creates real risk around anaesthesia, drug interactions and emergency care. Most clinics write to the GP as a matter of course, with your consent.
Will my GP prescribe it instead?
Almost certainly not. Only a doctor on the GMC Specialist Register may initiate a prescription for an unlicensed cannabis-based product, and GPs very rarely take over an existing one because that means accepting responsibility for an unlicensed medicine.
What if my GP disapproves?
Some do, and given the evidence base that is a legitimate clinical view. It does not prevent you continuing with a private prescription, and it does not change the fact that they need the information to keep you safe.
What is shared care?
An arrangement where a specialist and a GP divide responsibility for a treatment. It is uncommon for unlicensed cannabis-based medicines and is not something to plan around.
Does my hospital consultant see it automatically?
Not necessarily. Tell hospital teams, dentists and pharmacists directly — they do not all have access to your full GP record.
Sources and further reading
Every factual statement on this page is drawn from the following public sources. Links open in a new tab and are not affiliated with Flora House.
- GMC: Good practice in prescribing and managing medicines and devices
- NHS: How to access your health records
- NICE guideline NG144: Cannabis-based medicinal products
- NHS: Medical cannabis (and cannabis oils)
- MHRA: The supply, manufacture, importation and distribution of unlicensed cannabis-based products for medicinal use