In Wales, wearing face coverings will become mandatory on public transport on 27 July 2020.  They are already mandatory on public transport in England and will also become mandatory in shops in England on 24 July 2020.

We are aware that some patients might be understandably anxious about this.  However, GPs are not in a position to provide individual risk assessments or letters for patients who feel that they should be exempt from wearing a face mask in these settings.

For those who are genuinely exempt*, the government guidance on exemptions suggests there is no requirement for evidence for exemption. Therefore, it is sufficient for an individual to self-declare this.  Alternatively, some service providers have produced their own exemption cards which can be either downloaded or purchased – please see links below.  Please be aware that, in England, if you use an exemption card and you do not fall into one of the exemption categories you do run the risk of being fined.


For asthma and COPD sufferers, the Asthma UK and British Lung Foundation websites both give advice on trialling facemasks at home before obtaining an exemption card as you may find you are able to wear one.



Asthma UK:

British Lung Foundation:

Disability Horizons:

Hidden Disabilities:


*For the list of exemptions in England, please follow this link: