Travel Clinic & Holiday Vaccinations

Patient Notice
Travel clinic – you are now advised to either book via reception or you can email: [email protected]
Please allow at least 6 to 8 weeks before you travel as some vaccinations require a second dose.
Please see the link below for the current vaccination price list.

Diazepam for Flying

The Doctors have taken the decision not to prescribe diazepam in cases where there is a fear of flying. There are a number of reasons for this that are set out below.

1. Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.
2. Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than 4 hours.
3. Whilst most people find benzodiazepines like diazepam sedating, a small number of people experience the opposite effect and may become aggressive. Benzodiazepines can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.
4. According to the national prescribing guidelines that doctors follow (the British National Formulary, or BNF) benzodiazepines are not allowed to be prescribed in cases of phobia. Thus your doctor would be taking a significant legal risk by prescribing diazepam for fear of flying as it is going against these guidelines. Benzodiazepines are only licensed short term for a crisis in generalised anxiety. If this is the case, you should be getting proper care and support for your mental health and not going on a flight.
5. Diazepam and similar drugs are illegal in a number of countries. They may be confiscated or you may find yourself in trouble with the police.
6. Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing you may fail this having taken diazepam.

We appreciate that fear of flying is very real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines. We have listed a number of these below.

Easy Jet – Tel 0203 8131644
Fearless Flyer EasyJet

British Airways – Tel 01252 793250
Flying with confidence

Virgin – Tel 01423 714900
Flying without fear

We recognise that there may be a waiting list for these courses, so if you plan to fly before you are able to complete a course, there is lots of information available online, including tips for reducing anxiety before and during a flight and recommendations for in-flight meditation and mindfulness apps.

Advice on Medicines and Vaccines for Patients Travelling Outside the UK

Under NHS legislation, the NHS ceases to have responsibility for people when they leave the UK. GP’s are not required to provide prescriptions for the treatment of a condition that may arise while the patient is abroad. 

For example;

• Sun cream/lotions
• Pain relief
• AntidiarrhoealsTravel sickness medicines

For Prescription Only Medicines (POM), patients may be offered and charged for a private prescription e.g. Ciprofloxacin for traveller’s diarrhoea. The GMS contract allows items for travel to be prescribed by GPs for patients on their NHS list.

Drugs for malaria prophylaxis are not prescribed on the NHS

• Patients should be advised to purchase where possible over the counter medications
• For prescription only medicines (eg. Doxycycline, Lariam®, Malarone® and Maloprim®), GPs may charge for and issue a private prescription.

All other travel vaccinations are not available on the NHS and must therefore must be offered to patients via a private prescription;

• Meningitis ACWY
• Tick Borne Encephalitis
• Japanese Encephalitis
•  Rabies
•  Yellow Fever Vaccine

Healthy Travel Leaflet

You may find the following leaflet helpful when making your travel arrangements.

Please download and print our useful guide below about Mosquito advice.

Hepatitis immunisation

Immunisation against infectious Hepatitis (Hepatitis A) is available free of charge on the NHS in connection with travel abroad. However Hepatitis B is not routinely available free of charge and therefore you may be charged for this vaccination when requested in connection with travel abroad.

Excess quantities of regular repeat prescriptions

Under NHS legislation, the NHS ceases to have responsibility for people when they leave the United Kingdom. However, to ensure good patient care the following guidance is offered. People travelling to Europe should be advised to apply for a Global Health Insurance Card.

Medication required for a pre-existing condition should be provided in sufficient quantity to cover the journey and to allow the patient to obtain medical attention abroad. If the patient is returning within the timescale of their usual prescription, then this should be issued (the maximum duration of a prescription is recommended by the Care Trust to be two months, although it is recognised that prescription quantities are sometimes greater than this). Patients are entitled to carry prescribed medicines, even if originally classed as controlled drugs, for example, morphine sulphate tablets.

For longer visits abroad, the patient should be advised to register with a local doctor for continuing medication (this may need to be paid for by the patient).

General practitioners are not responsible for prescriptions of items required for conditions which may arise while travelling, for example travel sickness or diarrhoea. Patients should be advised to purchase these items from community pharmacies prior to travel.

Dental Anxiety

Some patients request medication prior to dental visits to help with feelings of anxiety. These are usually sedative medications such as Diazepam. GPs have no dental training, so we have limited knowledge of what is entailed in dental procedures. It is therefore not possible for us to determine which medications are safe to use, so we are unable to prescribe. 

Dentists have this specialist knowledge and are able to prescribe medications listed in the Dental Formulary. We therefore recommend that you speak to your dentist if you have any concerns about upcoming visits or procedures and they will be able to advise and/or prescribe where appropriate on a case by case basis. 

Useful Links