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Booking your Appointment with the Nurse

• Travel Risk Assessment:
  If you’re planning a trip abroad, please complete our Travel Risk Assessment form (pdf) with details of your proposed journey. When complete please hand it into reception or post it to us.
• Travel Appointment:
  Once you have submitted your form, please call us to book a travel clinic appointment with the nurse.
• Allow Plenty of Time:
  Patients are advised to allow plenty of time for vaccinations (at least 6 to 8 weeks) especially if traveling to an out of the way place where they’ll be living or working among local people. Some courses of vaccine such as rabies or Hepatitis B need to be given over several weeks.

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Prescriptions

If you require a prescription for vaccinations, this will be ready to collect 2 working days following your appointment.

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Holiday Health

It is always a wise precaution to pack some essential items in case of illness on holiday. Do choose medicines according to your needs and the country you are intending to visit. Remember to pack your prescription medications if you take some.

You may want to consider packing the following:

• Paracetamol, Travel Sickness tablets, Plasters and a Small Crepe Bandage
• Rehydration solutions such as Dioralyte, Anti diarrhoeal for example lmodium
• High factor sunscreen
• Anti malarial tablets, Water purification tablets, Insect repellent
• Condoms and other contraceptives
• Sunhats for yourself and children

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Mosquito Bite Avoidance for Travellers

In many tropical countries, mosquitoes can spread diseases such as dengue, chikungunya, West Nile, malaria, yellow fever and Zika. Here are five simple rules you should follow to reduce your risk of infections spread by mosquitoes.

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Travel Vaccination Charges

We offer the travel health service free of charge, but unfortunately the NHS does not cover the cost of all the treatments you may need. Therefore, you may need to pay for some services.

Malaria Tablets are NOT provided on the NHS and sometimes can be bought over-the-counter or may require a private prescription. The nurse can advise regarding this, or you could discuss with your pharmacist. REMEMBER some tablets have to be started at least one week before you travel and you need to continue to take them when you return to the UK for the advised length of time.

Please speak to your chemist regarding the prescription charges.

Tablets for fear of flying: why we don’t prescribe them any more

People sometimes ask the doctor or nurse to prescribe diazepam, or similar drugs like lorazepam temazepam or clonazepam, for fear of flying or to help sleep during flights.

Prescribing these drugs is not recommended any more for these reasons:

1. Although plane emergencies are rare, taking Diazepam reduces awareness and reaction times for patients so you risk not being able to react to save your life if you have to escape quickly. You may also put other people in danger by getting in their way or making them help you.
2. The use of these drugs can make you sleep in an unnaturally deep sleep. This means you won’t move around as much as during natural sleep so you have a bigger risk of getting a blood clot (Deep Vein Thrombosis – DVT) in the leg or lungs. Blood clots are very dangerous and can kill. This risk is bigger if your flight is longer than 4 hours.
3. They have short term bad effects on memory, co-ordination, concentration and reaction times, and are addictive if used for a long time, with withdrawal leading to fits, hallucinations, agitation and confusion. They have also become widely used drugs of abuse since they first came on the market. Diazepam in the UK is a controlled drug. The prescribing guidelines doctors have to follow say that that use to treat short-term ‘mild’ anxiety is inappropriate. They are only to be used short term for a ‘crisis in generalised anxiety’. But if you are having such a crisis you are not likely to be fit to fly. Fear of flying in isolation is not a generalised anxiety disorder.
4. Some people get agitated and aggressive after taking diazepam and similar drugs, and behave in a way that they would not normally, which can pose a risk on the plane. This affects everyone’s safety and could get you into trouble with the law. A similar effect can be seen with alcohol, which has led to people being removed from flights.
5. There is evidence use of these drugs stops the normal adjustment response that would gradually lessen anxiety over time, and may increase anxiety in the long term, especially if used repeatedly.
6. Diazepam and similar controlled drugs are illegal in a number of countriesi. They may be confiscated or you may find yourself in trouble with the police.
7. Diazepam stays in your system for some time. If your job or sport needs you to have random drug testing you may fail this having taken diazepam.
8. It is important to tell your travel insurer about your medical conditions and medications you take. If not, there is a risk of your insurer not paying if you try to make a claim.

So we will no longer be providing Diazepam or similar drugs for flight anxiety. Instead, please try one of these aviation industry recommended flight anxiety courses.

Fly And Be Calm™

Fly And Be Calm™ is an instant download and comes with a money back guarantee (Guarantee does not apply to app versions).6 MP3 tracks which include instructions, the fear removal tool and two hypnotic tracks. Visit the website: https://flyandbecalm.co.uk/

The least expensive option, takes very little time, works on the root cause of your problem. If you are not 100% happy you can get a full refund.

Easy Jet
www.fearlessflyer.easyjet.com

British Airways
https://www.britishairways.com/en-gb/information/travelassistance/flying-with-confidence

Virgin Atlantic
https://www.flyingwithoutfear.co.uk/