Travel Advice & Vaccinations

EHIC And Travel Insurance

Under NHS legislation, the NHS ceases to have responsibility for people when they leave the UK. However, to ensure good patient care the following guidance is offered. People travelling within Europe should be advised to apply for a free European Health Insurance Card (EHIC), which offers access to reduced-cost medical treatment. This is available from the NHS Business Services Authority. Everyone should also obtain adequate holiday insurance cover.

Guidelines For Good Prescribing In Primary Care, NHS Lancashire Medicines Management Group - May 2019.

Medication For Your Holiday

GPs are not responsible for prescribing items required for conditions which may arise while travelling e.g. travel sickness and diarrhoea. Patients should be advised to purchase these items locally prior to travel. Advice is available from community pharmacists if required. For conditions unresponsive to self-medication the patient should normally seek medical attention abroad.

To ensure continuity of care for patients on a stable medication regime, it is reasonable to provide a routine repeat prescription (usually one and no more than three months), to enable the patient to find a doctor who can continue their care in the country to which they are travelling. GPs could be in breach of the Terms of Service if they issue an NHS prescription to cover an extended absence from the country (after three months, a patient would have to re-register as their name should be removed from their list). The NHS normally will not pay for any treatment or services for patients no longer resident in the UK. This includes people who are in receipt of UK state retirement pension. Where a patient requires a prescription for larger supplies of his/her medication because of a longer stay abroad, the patient can be given a private prescription to cover the additional period of absence; however the Doctor is clinically responsible for prescribing, and for longer periods this may be clinically inappropriate, as they are not able to monitor and care for patients.

Guidelines For Good Prescribing In Primary Care, NHS Lancashire Medicines Management Group - May 2019.

Travel Vaccinations

When why not book into one of our travel health clinics for:

Your Recommended Vaccinations
Comprehensive / Information advice on:
Malaria / Yellow Fever risk & vaccination
Package holidays / Backpacking / Volunteer work
World / Pilgrimage / Business / Adventure
Cruise travel / Trekking / Altitude
General Travel Advice and Helpful Tips
& so much more

Travel Medicine is a vital aspect in today’s society. People are travelling to more unusual destinations for longer periods of time, doing more unusual activities and their risks of exposure to travel-associated diseases / illness / accidents is forever increasing.

Library House Surgery is dedicated to provide a comprehensive / evidence-based service of advice and vaccination appropriate to your travel needs / itineraries.

Travel clinics

Library House Surgery runs a number of travel clinics per week for registered and non-registered patient. Contact the Surgery on 01257 441 771 to book an appointment

Prices

Please be aware the vaccine prices can be subject to change without prior warning.

We accept Cash or Debit/Credit Cards, thank you.

Routine travel vaccines: Tetanus/Diphtheria/Polio, Hepatitis A, Typhoid and Cholera are free with the NHS - for our Registered patients only.

Breakdown of the prices and doses for each vaccination
Vaccinations	£ Price Per Dose	Number of Doses	Time Scale of Vaccination
Yellow Fever (Including Certificate)	68	1	Ideally no later than 10 days prior to travel
Rabies	70	3	Vaccines given over 3-4 weeks (There is an accelerated course over 1 week for high risk very last minute travellers)
Japanese Encephalitis	98	2	Given 1 month apart There is an accelerated course over 1 week for high risk last minute travellers Booster dose required 12 months later
Tick-borne Encephalitis Adult	65	3	2 x doses given 1 month apart 3rd dose required 5-12 months after 2nd dose
Tick-borne Encephalitis Junior	65	3	There is an accelerated course over 2 weeks for high risk last minute travellers 3rd dose required 5-12 months after 2nd dose
Meningitis ACWY	55	1	Anytime but for travel ideally no later than 2 weeks prior to travel
Meningitis B	120	2	Given at least 2 months apart
Hepatitis B Adult Children	48 35	3	2 x doses given 1 month apart (3rd dose given 5 months after 2nd dose)
Hepatitis A Adult Children	53 40	1	Anytime but ideally 1-2 weeks prior to travel (2nd dose is required 6-12 months later)
Hepatitis A+B (Adult or Children)	74 65	Adult 3 Children 2	Adult – 2 x doses given 1 month part(3rd dose given 5 months later) Children - 2nd dose 6 months later
Typhoid (Injectable) Typhoid (Oral)	37 42	1 3 x capsules	Anytime but ideally no later than 2 weeks prior to travel Taken over 5 days last dose ideally no later than 1 week prior to travel
Tetanus/Diphtheria/Polio Tetanus/Diphtheria/Pertussis/Polio	35 60	1 1	Anytime but ideally no later than 1-2 weeks prior to travel
Cholera (Dukoral) Cholera (Vaxchora)	46 85	2 x drinks 1 x drink	Taken 1 – 6 weeks apart(2nd dose must be at least 1 week prior to travel) Anytime but ideally no later than 1 week prior to travel
MMR	40	2	Given at least 1 month apart
Varicella (Chicken-pox)	65	2	Given at least 1 month apart
Shingles (live vaccine) Shingles (non-live vaccine)	165 225	1 2	Anytime Given 2 months part
HPV (Gardasil) (soon to be obsolete) HPV (Gardasil 9)	130 160	2 or 3 2 or 3	Vaccine Schedule depends on age Vaccine Schedule depends on age
Pneumonia	40	1	Anytime

Private Prescriptions or Duplicate Yellow fever certificates or Exemption certificates: £35

Time Scale

Please take into account when planning your travel that some vaccinations (i.e. Rabies, Japanese Encephalitis, Tick-borne Encephalitis, Hepatitis B) are a course of vaccines requiring 3 to 4 weeks to complete.

Travel Health Questionnaire

To help us provide appropriate advice and vaccination, please printout and complete the Travel Health Questionaire below and hand it into the nurse at your appointment.

Complete our online Travel Questionnaire

Alternatively print and post to: Travel Clinic, Library House Surgery, Avondale Road, Chorley, PR7 2AD.