Ramadan and primary care: what practices should consider
Ahead of February 2026, many practices are preparing for Ramadan. For millions of Muslims across the UK, this month of fasting, prayer and community connection carries deep significance, alongside practical considerations for health and wellbeing. Clinical guidance from NHS England and the British Islamic Medical Association (BIMA) highlights how fasting may affect people with long term conditions, particularly diabetes, cardiovascular disease and mental health needs.
Evidence from Diabetes UK shows that people managing diabetes benefit from early medication reviews, personalised risk assessment and advice tailored to fasting patterns. Practices that proactively offer these reviews often see fewer complications and more confident decisions from patients. NICE guidance on long-term condition management also reinforces the importance of personalised care when daily routines shift, including during periods of fasting.
Across neighbourhood teams, clinicians are increasingly aware of how Ramadan influences medication timing, symptom management and appointment demand. Many practices now offer Ramadan-focused medication reviews, adjust appointment availability later in the day, and work closely with local mosques and community groups to share consistent messages about safe fasting. These approaches reflect BIMA’s recommendations on when fasting is clinically safe and when temporary exemption may be necessary.
Multidisciplinary working plays a central role. Pharmacy professionals, nurses, care coordinators and social prescribing link workers frequently support patients with self-monitoring, lifestyle guidance and symptom management throughout the month. This approach aligns with emerging evidence from integrated neighbourhood models that show how shared roles improve continuity and safety for patients with complex needs.
With Ramadan occurring at the same time as Best Practice London 2026, many practices will already be supporting patients through fasting when they arrive at Olympia. The programme will reflect this reality, with themes around equitable access, neighbourhood collaboration and practical operational improvements that teams can take back into their own settings for the remainder of Ramadan and beyond.
For many Muslim patients, Ramadan is a significant part of daily life, and primary care can play a key role in helping them fast safely. Early conversations, clear guidance and coordinated support not only protect patient wellbeing but also strengthen the relationship between practices and the communities they care for.

