Travel Clinic

Our practice nurses are available by appointment to offer medical advice regarding travel and vaccinations where appropriate. Please telephone reception to book an appointment. 

Thirsk Doctors Surgery are unable to prescribe sedatives for fear of flying

We appreciate that fear of flying is very real and frightening. In the past patients may have on occasion been prescribed a sedative to try to help but we now understand that this is unsafe. Adopting a psychological approach such as by going on one of the recommended courses is both safe and are much more effective longer term at tackling this fear. Please refer to our Fear of Flying link, shown below for further information and guidance.

Fear of Flying

More commonly known as fear of flying, aerophobia exists as people tend to get anxious and scared about several aspects of air travel, such as heights, tight spaces, or the different phases of flight. It affects 1 in 5 people.

Here are links to some Fear of Flying courses run by the airlines to help overcome this.

We have listed the below reasons to explain why we are unable to prescribe for fear of flying:

  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. Blood clots are very dangerous and can even prove fatal. This risk is greater if your flight is more than four hours.
  3. Whilst most people find benzodiazepines like diazepam sedating, in a small number of people it can have the opposite approach. They can cause agitation, aggression, and cause disinhibition with may lead you to behave in a way that you would not normally. This could impact on your safety.
  4. Diazepam and similar drugs are illegal in several countries. They may be confiscated, or you may find yourself in trouble with the police.
  5. Diazepam can stay in your bloodstream for some time. If your job requires random drug testing, you may fail this having taken diazepam.

Arranging your Travel appointment

If you would like further travel advice / vaccinations from the Practice and you are travelling in eight weeks or more; complete the online travel questionnaire (below) and make a telephone travel appointment. The Practice nurse will contact you at that time to discuss your vaccine requirements. She will inform you if we can offer you the recommended vaccines at the surgery or advise you of alternative private service providers in the region who may be able to assist you. The surgery charges for administering and providing some vaccinations.

It is important to make this initial appointment as early as possible, as a second appointment will be required with the Practice Nurse to actually receive the vaccinations.These vaccines have to be ordered as they are not a stock vaccine. Your second appointment needs to be at least 2 weeks before you travel to allow the vaccines to work.

Select the region you are travelling to find out more.

Vaccines

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge.This is because not all travel vaccinations are included in the services provided by the NHS. Payment for non-NHS services must be made at the first travel appointment.

Please note only the undernoted vaccines are available on NHS Prescriptions:-

  • Hepatitis A
  • Typhoid
  • Diphtheria
  • Tetanus
  • Polio

Travel Form

You can also complete the online Travel form and send this to us (this must be submitted at least 8 weeks prior to travel).

Have you checked if there are medication restrictions in the country you’re travelling to, or if you might need a letter to support having medication on board in cases like allergies or insulin? Have a look at the NHS guide and ensure you check with your airline if you aren’t sure.

Make sure you check with your GP or Surgeon any precautions you may need to take and have a look at these guidelines for an idea.

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.

If you are unable to wait for our next available travel advice appointment, as advised by the reception staff, then you can attend any Private Travel Clinic—charges will apply at these clinics.

Masta Travel Clinics

CityDoc Travel Clinics

(Please note that Dr Trzeciak and Partners does not endorse any of these alternative providers, these are simply here as a source of information and other providers may be available).

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
  • antidiarrhoeals
  • travel 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.

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.

Planning on having private treatment/surgery in the UK or abroad?

Please be aware that the whole episode of the treatment should be provided by the private provider, i.e. blood tests and other tests, suture removal, dressing changes, routine wound check, prescribing during your episode of private treatment, etc., and the Practice should not be involved in any aspects of this episode of treatment, with the exception of emergency care relating to the treatment.

It is also the private providers responsibility to issue a Fit Note covering the entire anticipated period off work, but if any longer time off is then required when you are no longer under the care of the provider then this would be the practice responsibility.