Assessment and escort selection
Review the available records, stability, mobility and potential deterioration. Match doctor or nurse escort skills, equipment and monitoring to the assessed needs.
Services
The right care, throughout the journey.
Moving an unwell person takes more than arranging transport. We bring clinical review, experienced doctors and nurses, and journey coordination together so that the plan reflects the patient's condition and the care they may need along the way.
We work with treating teams, the organisation commissioning the case and the receiving service to establish when and how movement is appropriate. Depending on the clinical needs, the plan may involve a commercial flight with a medical escort, ground transport or coordination with an air ambulance provider. Evacuation planning also considers access to suitable care and the practical constraints at the patient's location.
Review the available records, stability, mobility and potential deterioration. Match doctor or nurse escort skills, equipment and monitoring to the assessed needs.
Bring airline medical clearance, airport assistance, positioning flights, patient and companion travel, accommodation and ground transfers into one itinerary.
Brief the escort, confirm receiving arrangements and agree escalation routes. Keep the referring team informed through to a documented clinical handover.
Obtain the clinical information and establish the current care, destination and barriers to safe travel.
Set out the recommended escort, route, equipment, contingency arrangements and approval points.
Recheck the patient's condition, medical clearance, medicines, documents and receiving arrangements.
Coordinate the journey, record changes and transfer responsibility to the receiving team or agreed contact.
The experience behind our approach
Our leadership combines international medical assistance, aeromedical repatriation, critical care and operational case management. David Spicer continues to fly as a nurse escort, bringing current journey experience into clinical oversight.

Case studies
Explore the clinical decisions and practical coordination described in our case studies.
Read the case studiesCase oversight
Good governance makes responsibility clear, supports consistent practice and helps us learn from every case.
A named clinical lead, recorded decision ownership and a route to senior review as complexity increases.
Assessment of transport suitability, deterioration risk, escort capability and practical contingencies for the case.
Checks covering professional registration, identity, experience and the competencies needed for the clinical role.
Consideration of consent, mental capacity, best interests, safeguarding concerns and patient dignity.
Checks for medicines, oxygen, devices, infection controls and equipment readiness before the journey.
Standards for accurate records, appropriate access and secure, traceable clinical communication.
Clear escalation routes, incident reporting and proportionate follow-up when concerns arise.
Case review, audit, feedback and outcome monitoring, with learning carried into future work.
We will discuss the clinical requirement, the setting and how Marin can work alongside your team.