Going away or preparing for a busy period such as Christmas, Easter or a planned hospital appointment can make it especially important to organise your regular medicines in good time. Running out of prescribed medicine while you are travelling may be stressful, and obtaining an emergency supply is not always straightforward. With a little forward planning, you can request your NHS repeat prescription, allow time for your GP surgery and pharmacy to process it, and check that you have everything you need before you leave. Barnes Pharmacy can help with prescription services in Welwyn and provide practical guidance about ordering and collecting your regular medicines. Check how much medicine you have Start by checking your medicines several weeks before your holiday or busy period. Look at each box, bottle or blister pack and work out when you are likely to run out. Remember to include: Regular daily medicines, including tablets, capsules, liquids, inhalers and patches. Medicines taken less frequently, such as weekly or monthly treatments. Insulin, needles, testing supplies or other equipment if you have diabetes. Medicines for conditions that may become more difficult to manage when travelling, such as asthma, allergies or epilepsy. Any medicines supplied through a separate hospital or specialist clinic. Do not wait until the last dose before placing your request. NHS repeat prescriptions usually involve several stages: you request the medicine from your GP surgery, the prescription is authorised and issued, and the pharmacy prepares it for collection or delivery. Allow at least three working days for the prescription to be processed, and check whether your GP surgery or pharmacy advises a longer timeframe. Request your repeat prescription through the usual route You should normally request an NHS repeat prescription using the method agreed with your GP surgery. This may be through the NHS App, your GP surgery’s online system, a paper repeat-slip or another approved process. You can usually request a nominated pharmacy so that the prescription is sent electronically through the Electronic Prescription Service. When making your request, check the medicine names and quantities carefully. Only request medicines that you need and that are listed on your repeat prescription. If you have recently changed dose, started or stopped a medicine, or have a prescription that needs a review, contact your GP surgery rather than assuming the old repeat request will be suitable. A pharmacy cannot normally issue your repeat medicine simply because you are going on holiday. The GP surgery must first issue a valid prescription, unless the pharmacist is able to provide an emergency supply under the relevant rules. Emergency supplies are assessed case by case and cannot be guaranteed, so planning ahead is the safer option. Allow extra time before public holidays Bank holidays and seasonal closures can affect both GP surgery and pharmacy opening hours. Delivery services may also operate to different schedules. If you need medicine around a public holiday, place your request early enough to allow for non-working days, while following your GP surgery’s guidance about how far in advance repeat prescriptions can be requested. Ordering early does not always mean that the medicine can be dispensed immediately. NHS prescriptions are subject to the directions on the prescription and the pharmacy’s dispensing procedures. Some medicines cannot be supplied significantly earlier than they are due, and pharmacists may need to check the timing with the prescriber. If your medicine is a controlled drug, there may be additional legal requirements and tighter limits on when it can be prescribed or supplied. Speak to your GP surgery and pharmacy as soon as you know your travel dates. Do not leave controlled medicines, strong pain relief or medicines requiring careful storage until the last minute. Tell your pharmacy about your plans Once you have requested your prescription, contact your nominated or chosen pharmacy if you have a particular collection date in mind. Give the pharmacy as much notice as possible, especially if your prescription includes an unusual medicine, a special formulation or an item that may need to be ordered from a wholesaler. It is sensible to check that every item has been supplied before leaving the pharmacy. If something is unavailable, the pharmacist can explain the options. These may include ordering the item, contacting the prescriber about an alternative, or advising you on the next appropriate step. Do not change the medicine or dose yourself because a particular product is temporarily unavailable. If you use a monitored dosage system or receive your medicines by delivery, confirm the collection or delivery arrangements before your holiday. Make sure the pharmacy has your current contact details and understands any timing constraints. Taking NHS medicines abroad Check the travel requirements for the country or countries you are visiting. Some medicines that are routinely prescribed in the UK may be restricted elsewhere. This is particularly important for controlled drugs, strong painkillers, medicines for attention deficit hyperactivity disorder, and some medicines used for anxiety or sleep. Keep medicines in their original, labelled packaging and carry them in your hand luggage where possible. Take enough for the trip, plus a small extra amount if your travel plans are delayed. You may need a copy of your prescription, a letter from your doctor or other documentation, particularly for controlled medicines. The requirements can vary by destination, so check official travel advice well before departure. Do not put essential medicines in an unlabelled pill organiser for the journey, even if you normally use one at home. You can ask your pharmacist how to transport medicines safely, including items that need to be kept cool. Some medicines may be affected by heat, freezing temperatures or direct sunlight. What if you run out while away? If you realise that you may run out, contact your GP surgery, usual pharmacy or NHS 111 as soon as possible for advice. If you are in England and have access to the NHS App, it may help you view prescription information or contact an NHS service, but the options available can depend on your circumstances

Autumn and winter holidays can be a wonderful way to enjoy warmer weather, festive markets, winter sports or time with family overseas. However, travelling at this time of year can also bring different health considerations. Changes in climate, seasonal infections, food and water, insects and the activities you plan can all affect the advice you need before you leave. At Barnes Pharmacy Travel Clinic on Welwyn High Street, we can provide personalised travel health advice and help you understand which vaccinations and precautions may be appropriate for your destination. It is best to arrange an appointment well before your departure date, as some vaccines require more than one dose and protection may take time to develop. Why seek travel health advice before an autumn or winter trip? Travel health recommendations are based on several factors, including the country or countries you are visiting, the areas you will be staying in, the length of your trip, your accommodation and planned activities. Your general health, age, pregnancy status and previous vaccinations are also important. A short city break may involve different risks from a backpacking trip, a cruise, a beach holiday or a skiing holiday. Visiting friends and relatives can also require careful planning, particularly if you will be staying in local accommodation or travelling to rural areas. During a travel clinic consultation, you can discuss your itinerary and receive advice that is relevant to your plans. This can include recommended or required vaccinations, preventing insect bites, managing food and water risks, preparing a travel health kit and staying well during the journey. Check your routine vaccinations Before considering travel-specific vaccines, make sure your routine UK vaccinations are up to date. Protection against illnesses such as tetanus, diphtheria, polio, measles, mumps and rubella is important at home and abroad. Some infections that are uncommon in the UK may still circulate in other parts of the world. It is particularly important to check measles protection before international travel. Measles can spread easily, and travel may expose you to infection in airports, hotels, resorts and other busy environments. If you are unsure whether you have received the recommended doses, ask a healthcare professional to review your vaccination history. Seasonal influenza is another consideration. Autumn and winter in the northern hemisphere coincide with the UK flu season, while some destinations in the southern hemisphere experience their flu season at a different time of year. Your risk may be higher if you are older, pregnant, have a long-term health condition or will be mixing with many people during travel. Coronavirus advice and vaccination recommendations can change. Check current guidance for your destination and discuss any personal concerns during your travel health consultation. Travel vaccinations may be recommended or required Depending on your destination, vaccines may be recommended to reduce the risk of illnesses such as hepatitis A, typhoid, hepatitis B, rabies, Japanese encephalitis, meningococcal disease or yellow fever. Not every traveller will need all of these vaccines, and the advice depends on your specific circumstances. Some countries require proof of yellow fever vaccination for entry, or may request a certificate if you have recently travelled through a country where yellow fever occurs. Requirements can depend on your route as well as your final destination. If yellow fever is relevant to your trip, you should seek advice from an authorised yellow fever vaccination centre and allow sufficient time for the necessary documentation. Do not rely solely on a general list found online. Destination guidance can change, and advice for one region may not apply to another. Bring your complete itinerary, including stopovers and excursions, to your appointment so that your recommendations can be assessed accurately. Cold-weather holidays and winter sports Skiing, snowboarding and other winter sports bring their own practical health considerations. Cold temperatures, high altitudes, sun reflection from snow and physical exertion can all affect your wellbeing. Wear several suitable layers, waterproof clothing, gloves and protective headgear where appropriate. Use sun protection and lip balm with sun protection, even when the weather feels cold. Ultraviolet exposure can be strong at high altitude and reflected by snow. Stay hydrated and allow time to rest, particularly when adjusting to altitude. Follow local advice about altitude sickness and seek help if you develop severe or worsening symptoms. Take care on icy surfaces and ensure winter sports activities are suitable for your experience and fitness. If you have asthma, heart disease, circulation problems or another long-term condition, discuss your plans with a healthcare professional before travelling. Pack enough regular medication for the whole trip, plus a little extra in case of delays, and keep it in your hand luggage where possible. Warmer winter destinations: insects, food and water For holidays in tropical or subtropical areas, insect-borne illnesses may remain a concern even during the UK winter. Mosquitoes can transmit diseases including malaria, dengue, chikungunya and Zika in some destinations. The level of risk varies by country and region, and there may not be a vaccine or preventative medicine for every infection. Reduce mosquito bites by using a suitable insect repellent, covering your arms and legs when practical, and sleeping in accommodation with screens or air conditioning where available. Follow destination-specific advice about malaria prevention. If medication is recommended, it is important to understand when to start it, how to take it and when to continue after returning home. Food and water precautions are also important. Drink bottled or treated water when advised, be cautious with ice and choose food that is thoroughly cooked and served hot. Wash your hands regularly, especially before eating. A small travel health kit containing items such as hand sanitiser, plasters, oral rehydration sachets and appropriate pain relief can be useful. Travelling with children, pregnancy or medical conditions Children may need specific vaccination advice and practical support, particularly if they are travelling to visit relatives or will be away for an extended period. Pregnant travellers or those planning a pregnancy should seek individual advice before booking or travelling, as some infections and vaccines require special

Ear wax is a normal and useful substance. It helps protect the delicate skin of the ear canal, traps dust and debris, and usually works its way out naturally. However, wax can sometimes build up, become hard or impacted, and affect your hearing or comfort. When this happens, professional ear wax removal can provide a safe and effective solution. At Barnes Pharmacy on Welwyn High Street, our ear wax removal service offers an opportunity to have your symptoms assessed and suitable treatment discussed. What are the signs of impacted ear wax? Ear wax does not always cause symptoms, but a build-up may block the ear canal and interfere with the way sound reaches the eardrum. Common symptoms include: Muffled or reduced hearing in one or both ears A feeling of fullness, pressure or blockage Earache or mild discomfort Ringing or other noises in the ear, known as tinnitus Itching or irritation in the ear canal Occasional dizziness or a sense of imbalance An increase in hearing-aid feedback or difficulty wearing a hearing aid Symptoms can develop gradually, so you may not realise how much your hearing has changed until the wax is removed. Some people notice the problem after using earbuds, wearing hearing aids, swimming, or when water becomes trapped behind a wax blockage. When should you seek professional advice? It is sensible to arrange an assessment if symptoms persist, affect your daily activities, or make it difficult to use hearing aids. Professional removal is particularly helpful when wax is hard, deeply positioned, recurrent, or has not responded to suitable softening drops. However, not every ear symptom is caused by wax. Before removal, a trained professional should consider whether the symptoms could be related to an infection, a perforated eardrum, a foreign object, skin irritation, or another hearing problem. Seek urgent medical advice rather than booking routine wax removal if you have sudden hearing loss, severe or worsening pain, fluid or pus coming from the ear, significant dizziness, fever, or swelling around the ear. Sudden hearing loss can require urgent assessment and should not be assumed to be wax. Why cotton buds and ear candles are not safe solutions Cotton buds, hair grips, matchsticks and similar objects can push wax further into the ear canal. They may also scratch the skin or injure the eardrum. Even if a cotton bud appears to remove some wax, it can leave a deeper blockage behind. Ear candles are not a safe or proven method for removing wax. They can cause burns, allow hot wax to enter the ear, and potentially damage the ear canal or eardrum. Vacuum devices and home irrigation kits may also be unsuitable, particularly if you have an ear condition or cannot see clearly into the ear. The safest approach is to avoid putting objects into the ear and to obtain advice if you think wax is impacted. What are the safe options for ear wax removal? Wax-softening drops Ear drops can soften and loosen wax, making it easier for the body to remove it or for a professional to remove it. Products may contain oil-based ingredients or other wax-softening substances. Follow the product instructions and ask a pharmacist for advice if you are unsure which option is suitable. Do not use ear drops if you may have a perforated eardrum, have had recent ear surgery, or have been advised to avoid them. If drops cause significant pain, irritation or worsening symptoms, stop using them and seek advice. Professional removal Depending on the condition of your ears and the position of the wax, a trained practitioner may use an appropriate method such as microsuction or manual removal. In some circumstances, irrigation may be considered, but it is not suitable for everyone. The method should be chosen after discussing your medical history and examining the ear. Professional removal avoids inserting unsuitable objects into the ear and allows the practitioner to stop if there are signs that the problem may not be wax. If removal is not appropriate, you may be advised to contact your GP or another healthcare professional. Who may need additional assessment? Tell the practitioner about any relevant ear problems before treatment. This includes a history of a perforated eardrum, grommets or other ear surgery, recurrent ear infections, significant tinnitus, severe eczema affecting the ear, or previous problems with ear wax removal. People who take blood-thinning medicines, have a bleeding disorder, or have conditions affecting balance should also mention this. These details do not necessarily mean that professional removal is impossible, but they may affect which method is safest or whether further clinical advice is needed. If you use hearing aids, bring them with you or follow any instructions about removing them before your appointment. Wax can contribute to feedback, but hearing changes may have more than one cause, so persistent hearing difficulties may require a hearing assessment even after the ears are clear. What to expect at an ear wax removal appointment Your appointment should begin with questions about your symptoms, medical history and any previous ear problems. The practitioner will look into the ear to assess the wax and the condition of the ear canal, where possible. If removal is appropriate, the chosen method will be explained before treatment begins. You may hear a gentle buzzing or suction sound during microsuction, and the ear may feel briefly sensitive afterwards. Manual removal may involve carefully removing visible wax with suitable instruments. Treatment should not be forced, and you should tell the practitioner if you experience pain, marked dizziness or discomfort. Many people notice improved hearing or a reduction in the blocked sensation immediately, although this is not guaranteed if another condition is contributing to the symptoms. The practitioner may recommend further softening drops, a follow-up appointment, or medical assessment if wax cannot be removed safely in one session. Looking after your ears afterwards Once the ear is clear, avoid inserting cotton buds or other objects. The outer ear can be cleaned gently with a damp cloth, but

Autumn can be an excellent time to travel. The summer crowds may have eased, temperatures can be more comfortable in many destinations and there are plenty of opportunities for late sunshine, city breaks and long-haul adventures. However, travelling outside the UK can also expose you to infections that are uncommon here, particularly if you are visiting tropical or developing regions. Arranging a travel health appointment before you leave Welwyn gives you time to check which vaccinations, medicines and precautions may be appropriate for your trip. At Barnes Pharmacy on Welwyn High Street, our travel clinic can provide personalised advice based on your destination, itinerary, length of stay and health needs. Why autumn travellers should plan ahead It is easy to assume that travel vaccinations are only needed for summer holidays. In reality, the required advice depends on where you are going and what you will be doing, rather than the season alone. An autumn holiday could involve a beach resort, a safari, visiting friends and relatives, backpacking, a cruise or business travel. Each type of journey may carry different health considerations. Some vaccines are given as a single dose, while others require more than one dose or need time to provide protection. In some cases, a course may need to be completed several weeks before travel. Booking early is therefore helpful, especially if you are travelling during the October half-term, over the autumn school holidays or during a busy period for travel clinics. Even if your departure is soon, it is still worth seeking advice. A travel health professional can explain which measures may still be useful and how to reduce your risk during the journey. Which travel vaccinations might you need? The vaccines recommended for travel vary according to the country or countries you plan to visit. Advice can also differ between urban areas, rural locations and resorts. Depending on your plans, you may be advised to consider protection against illnesses such as hepatitis A, typhoid, tetanus, diphtheria, polio, hepatitis B, rabies or yellow fever. Not every traveller needs every vaccine. Your appointment should take account of: All the countries and regions on your itinerary, including stopovers Whether you will stay in hotels, private accommodation, hostels or camps Activities such as trekking, cycling, animal contact, diving or visiting remote areas The length and nature of your trip Previous vaccinations and your routine UK immunisation history Any medical conditions, allergies, pregnancy or plans for pregnancy Medicines you take regularly and any previous reactions to vaccines Some countries may require proof of vaccination for entry in particular circumstances. Yellow fever vaccination certificates, for example, can be required for travellers arriving from or transiting through certain countries. Requirements can change, so it is important to receive current advice for your specific itinerary rather than relying on an old certificate or general online information. Do not forget your routine vaccinations Travel planning is a useful opportunity to check that your routine UK vaccinations are up to date. Protection against illnesses such as tetanus, diphtheria, polio, measles, mumps and rubella remains important, whether you are travelling abroad or staying at home. Measles outbreaks can occur internationally, and measles is highly infectious. If you are unsure whether you have received the recommended measles, mumps and rubella vaccinations, mention this when booking your appointment. Your pharmacist or another appropriate healthcare professional can advise you on the next steps. It is also sensible to consider seasonal health before you travel in autumn. Depending on your personal circumstances and destination, you may wish to discuss protection against flu or COVID-19 through the appropriate NHS or private service. These are separate from many destination-specific travel vaccines, so ask what is suitable for you. Malaria advice and other travel health precautions Vaccination is only one part of travel health. Some destinations carry a risk of malaria, which is spread by mosquitoes and can cause serious illness. There is no routine malaria vaccine for most travellers, but prescription antimalarial tablets may be recommended for certain areas. The choice depends on the destination, season, type of travel, length of stay and your health history. Preventing mosquito bites is important even when you are taking antimalarial medication. Practical measures include using an effective insect repellent, covering arms and legs where possible, sleeping under a mosquito net when appropriate and staying in accommodation with screens or air conditioning if available. You may also need advice about food and water safety, travellers’ diarrhoea, altitude, sun exposure, animal bites and what to do if you become unwell abroad. Travellers should avoid touching unfamiliar animals in areas where rabies occurs, and seek urgent medical advice after a bite or scratch. What to bring to your travel clinic appointment To make your appointment as useful as possible, bring or have ready as much information as you can. This includes your travel dates, flight route, accommodation details and a list of every country you will visit. Include stopovers if you plan to leave the airport or have a lengthy transit. If you have a vaccination record, bring it or check whether your details are available through your GP practice. Do not worry if your records are incomplete; the travel clinic can discuss your history and advise you based on the information available. You should also mention regular medicines, allergies, long-term conditions, previous vaccine reactions and whether you are pregnant, breastfeeding or trying to conceive. Children, older travellers and people with weakened immune systems may need particularly careful, individual advice. Plan your autumn holiday health checklist Book a travel health appointment as soon as you know your itinerary. Check whether your routine vaccinations are up to date. Ask whether destination-specific vaccines or malaria tablets may be appropriate. Make sure you have enough regular medication for the whole trip, with some extra planning time in case of delays. Keep medicines in their original packaging and carry them in your hand luggage where possible. Arrange suitable travel insurance and check that it covers your activities and medical conditions. Pack insect repellent,

Bank holidays are a useful opportunity to rest, spend time with family or enjoy a day out. However, GP surgeries and pharmacies may have different opening hours, and prescription processing can take longer when several services are closed. If you take regular medicines, planning ahead can help you avoid running out at an inconvenient time. At Barnes Pharmacy on Welwyn High Street, we can help with prescription services and answer questions about collecting your medicines. The safest approach is to request your repeat prescription early, check when it will be ready and allow extra time around the bank holiday. Check how much medicine you have Start by checking your medicines well before the bank holiday. Look at each packet, including medicines that you take less often, and note how many doses remain. It is easy to overlook items such as inhalers, insulin, creams, eye drops or medicines taken only when needed. Consider: How many days your current supply will last Whether the bank holiday falls close to your usual collection date Whether you have more than one repeat medicine due at a similar time Whether you will be away from home or travelling during the holiday period Do not wait until your last few doses if the bank holiday is approaching. GP practices, prescription teams and pharmacies may have reduced opening hours on the public holiday, and some may also be busy on the surrounding days. Order your repeat prescription early Repeat prescriptions normally need to be requested from your GP practice or through the ordering system that your practice uses. This may include the NHS App, another approved GP online service or a request made directly to the surgery. Some pharmacies offer prescription collection or ordering support, but they cannot prescribe your medicines or approve a repeat request on the GP’s behalf. The NHS advises allowing at least two working days for a repeat prescription to be processed, although the exact time can vary between GP practices and pharmacies. Bank holidays are not working days, so it is sensible to request your medicines earlier than usual. Allow additional time if your prescription needs to be reviewed, if you take controlled medicines or if a medicine is temporarily unavailable. When ordering, request only the medicines you need and check that the items listed are correct. If a medicine is missing from your repeat list, contact your GP practice rather than adding an explanation to an unrelated request. Use the NHS App or your GP’s online service If you are registered for online services, ordering digitally can be a convenient way to send your request without waiting for the surgery telephone line to open. In the NHS App, you may be able to view your repeat medicines and select the items you need. Your GP practice then reviews and authorises the request before sending it electronically to your nominated pharmacy. Before submitting an online request, check: The correct medicine, strength and quantity That your nominated pharmacy is still the pharmacy you want to use Whether the request has been successfully submitted When the prescription is likely to be ready for collection or delivery If you cannot order online, contact your GP practice to ask about alternative arrangements. Do not assume that a previous request has been received unless you have confirmation. Allow time for the pharmacy to prepare your medicines Once the GP practice has authorised your prescription, it is sent electronically to your nominated pharmacy. The pharmacy team must then process the prescription, check the items and prepare them safely. If a medicine is not in stock, the team may need to source it from a wholesaler or discuss suitable next steps with the prescriber. For this reason, ordering a prescription is not the same as having the medicine ready immediately. Contact the pharmacy before travelling to collect your medicines, particularly if the bank holiday is close or you have requested several items. It is also worth checking the pharmacy’s opening hours. Bank holiday hours may differ from normal hours, and some pharmacies close on the days surrounding a public holiday. Barnes Pharmacy can provide information about prescription services and collection arrangements, so please contact the team if you are unsure about the process. What if you are going away? If you will be travelling during the bank holiday, request your repeat prescription in good time and tell your GP practice or pharmacy if you need to collect it before leaving. Make sure you have enough medicine for the whole trip, plus a small amount of extra time in case your return is delayed. Keep medicines in their original labelled packaging and pack them in your hand luggage when travelling by air. Some medicines, including controlled drugs, may require additional documentation or have specific rules when taken abroad. Ask your prescriber or pharmacist for advice well before travelling, especially if you are visiting another country. If you are collecting medicines for someone else, check whether the pharmacy needs any information or permission from the patient. You may need to provide the patient’s details and answer security questions. If you are running out of medicine If you have forgotten to order your repeat prescription and are close to running out, contact your GP practice and pharmacy as soon as possible. Explain which medicine you need and when your current supply will finish. The pharmacy team can advise on the next practical step, but they may need to refer you to the GP practice for a new prescription. When your GP surgery is closed, NHS 111 can provide advice about urgent healthcare needs and local services. A pharmacist may sometimes be able to provide an emergency supply of a medicine, but this depends on professional assessment, the medicine involved and the information available. An emergency supply is not guaranteed, so it should not replace ordering repeat medicines in advance. If you have missed doses or are unsure whether to continue taking a medicine, speak to a pharmacist, GP or NHS 111.

Summer is a time for swimming, holidays and spending more time outdoors. However, changes in moisture and temperature can sometimes make ear symptoms more noticeable. For some people, swimming and hot weather may contribute to a build-up of earwax or make an existing blockage feel worse. Blocked ears can be uncomfortable and distracting. You may notice muffled hearing, a feeling of fullness, itching, ringing or mild discomfort. At Barnes Pharmacy, our ear wax removal service can help assess the cause of your symptoms and, where appropriate, remove excess earwax safely. Why swimming can make earwax feel worse Earwax is a normal substance made in the ear canal. It helps protect the delicate skin inside the ear by trapping dust and supporting the ear’s natural cleaning process. Usually, earwax gradually moves towards the opening of the ear and falls away naturally. When water enters the ear, it can soften existing wax. The wax may absorb some of the moisture and swell, temporarily narrowing the ear canal. This can make hearing seem muffled or create a sensation that the ear is blocked, particularly if there was already a significant build-up. Water can also become trapped behind or around a plug of wax. This may leave the ear feeling full after swimming or showering. People who swim regularly, use earplugs or wear hearing aids may be more aware of these symptoms, although anyone can experience them. Swimming does not necessarily cause excess earwax, but it can reveal a blockage that was already developing. Repeated exposure to water may also irritate the skin of the ear canal, especially if moisture remains in the ear for long periods. How summer heat and humidity may play a part Warm weather can increase sweating around the head and ears. In hot or humid conditions, the skin of the ear canal may remain damp for longer. This can soften earwax and cause an existing plug to shift or swell, making symptoms more noticeable. Heat itself does not usually create a wax blockage. However, summer habits can contribute to the problem. More frequent swimming and showering, wearing in-ear headphones, using earplugs and trying to dry the ears with cotton buds may all affect the ear canal. Cotton buds can push wax further inside rather than removing it. They may also scratch the skin, increasing irritation and the risk of infection. Hairpins, fingernails and other objects can cause similar damage. The ear is generally self-cleaning, so inserting objects into the canal is not recommended. Earwax blockage or swimmer’s ear? A blocked ear after swimming is not always caused by earwax. Swimmer’s ear, also known as otitis externa, is an inflammation or infection of the outer ear canal. It can develop when moisture and irritation affect the skin inside the ear. Swimmer’s ear may cause increasing ear pain, tenderness when touching or moving the outer ear, itching, redness, discharge or a feeling of blockage. Earwax blockage is more commonly associated with muffled hearing, fullness or reduced hearing without marked pain, although symptoms can vary. It is important not to assume that every blocked ear needs wax removal. A healthcare professional should assess the symptoms, particularly if there is pain, discharge, fever, significant swelling or sudden hearing loss. Ear wax removal is not a treatment for an ear infection, and an infection may need different care. What you can do to help prevent blocked ears Allow your ears to dry naturally after swimming or bathing. You can gently dry the outer ear with a towel, but do not push anything into the canal. Avoid cotton buds and other objects inside the ear. They can compact wax and damage the skin. If you use hearing aids, follow the manufacturer’s advice about removing them and keeping them dry. Ask for professional advice if you regularly experience wax build-up. Take care with in-ear headphones and earplugs, especially if your ears feel irritated or damp. Do not use ear candles. They are not a safe or reliable way to remove earwax and can cause burns or injury. If you are prone to wax build-up, ask a pharmacist or another healthcare professional whether a suitable ear-softening product is appropriate for you. Ear-softening drops may help some people, but they are not suitable in every situation. Do not use drops if you may have a perforated eardrum, unless a healthcare professional has advised you to do so. People with ear tubes or grommets, previous ear surgery, significant ear pain or discharge should seek advice before using products in the ear. When to seek professional advice Consider arranging an assessment if your ear remains blocked after swimming, your hearing is affected, or symptoms are recurring. Professional assessment can help distinguish a wax blockage from infection, inflammation, trapped water or another cause of hearing changes. You should seek prompt medical advice for sudden hearing loss, severe or worsening pain, discharge or bleeding, dizziness, swelling around the ear, fever, or symptoms following an injury. If you have diabetes or a weakened immune system, it is particularly important to seek advice about painful or inflamed ears rather than attempting self-treatment. Ear wax removal at Barnes Pharmacy Our ear wax removal service is available for people who are experiencing symptoms that may be caused by excess or impacted earwax. We can assess your ears and discuss the most appropriate approach based on your symptoms and medical history. The aim is to provide safe, professional care rather than encouraging you to try to remove wax yourself. If your ears often feel blocked during the warmer months, booking an assessment before a holiday or swimming trip may help you plan ahead. If the assessment suggests that your symptoms are not caused by wax, we can advise you about seeking suitable medical care. Book your ear wax removal appointment Do not let muffled hearing or uncomfortable blocked ears interrupt your summer. To find out more or arrange an appointment, book our ear wax removal service at Barnes Pharmacy.

Summer holidays are a chance to relax, explore and enjoy time away from home. However, different destinations can bring different health considerations, from recommended travel vaccinations and insect-borne infections to heat, food and water safety. Arranging advice early can help you prepare confidently and avoid last-minute stress. Barnes Pharmacy’s Travel Clinic on Welwyn High Street provides personalised travel health advice and vaccination appointments for a range of holidays and destinations. The right preparation depends on where you are going, how long you will be away, what you will be doing and your own medical history. Why arrange travel health advice early? Some travel vaccinations are given as a course, while others need time to take effect before you travel. Depending on your destination and previous vaccination history, you may need one appointment or several. It is therefore sensible to seek advice several weeks before departure wherever possible. Even if your holiday is approaching soon, it is still worth booking an appointment. A pharmacist can discuss the time available and help you prioritise the most relevant measures. Do not assume that a previous trip means you are still protected, as some vaccinations require boosters or have specific duration of protection. When you book, be ready to provide details such as: Your destinations, including any stopovers or side trips Your departure date and length of stay Whether you will stay in hotels, visit rural areas, camp or travel independently Planned activities, such as trekking, cycling, diving or visiting animals Your vaccination history, if available Any medical conditions, allergies, regular medicines or previous reactions to vaccines Which travel vaccinations might you need? Travel vaccination recommendations vary considerably. Some travellers may need protection against illnesses such as hepatitis A, typhoid, tetanus, diphtheria, polio or hepatitis B, while other destinations may involve different considerations. The advice may also change according to the season, local outbreaks and the type of accommodation or activities planned. Your routine UK vaccinations should be up to date before travelling. This can include checking protection against illnesses such as measles, mumps and rubella, as well as tetanus, diphtheria and polio. A travel consultation provides an opportunity to identify gaps in your vaccination history and discuss whether a booster or additional vaccine is appropriate. Vaccinations are not the only part of travel preparation. For some destinations, malaria prevention may be recommended. This can involve prescription antimalarial tablets, insect bite prevention or both. Not every antimalarial medicine is suitable for every traveller, so the choice should take account of your destination, health, medicines and personal circumstances. Your pharmacist can advise whether you need to speak with another healthcare professional. Protect yourself from insects and the summer heat Mosquitoes and other insects can transmit infections in some parts of the world. Reduce bites by using an effective insect repellent, covering arms and legs where practical and sleeping behind screens or under an insecticide-treated net when appropriate. Air conditioning can also help in some accommodation, although it should not replace repellent and suitable clothing. Hot weather creates additional risks, particularly for young children, older people and anyone with certain long-term health conditions. Drink regularly, limit alcohol during very hot periods and spend time in shade during the strongest sunshine. Use high-factor sunscreen, apply it generously and reapply as directed, especially after swimming or sweating. A hat, sunglasses and lightweight clothing can provide useful extra protection. Take extra care with strenuous activities in hot conditions. Build up gradually, take breaks and seek urgent medical help if someone becomes confused, unusually drowsy, has difficulty breathing, collapses or cannot keep fluids down. Food, water and stomach upsets In some destinations, infections can spread through contaminated food or water. Wash your hands regularly, particularly before eating and after using the toilet. Choose food that is thoroughly cooked and served hot, and take care with raw salads, unpasteurised products and food that has been left at room temperature. Where tap water is not considered safe, use sealed bottled water or water that has been treated appropriately. Remember that ice, drinks prepared with water and brushing your teeth can also be relevant. A travel health consultation can help you understand the precautions recommended for your destination. It is sensible to pack a small health kit containing items such as plasters, antiseptic wipes, pain relief, rehydration sachets and any regular medicines. Keep medicines in their original packaging and carry enough for the whole trip, plus a little extra in case of delays. Some medicines have restrictions in other countries, so check requirements in advance and carry a copy of your prescription or a letter from your prescriber if appropriate. Travel health considerations for children and particular circumstances Children may need specific advice about vaccinations, insect protection, sun exposure, food and drink. Babies and young children can become dehydrated or overheated more quickly, so plan regular drinks, shade and rest. Make sure any child travelling with you has appropriate routine vaccinations and that you understand how to use medicines safely. People who are pregnant, trying to conceive, breastfeeding, immunocompromised or living with a long-term condition should seek individual advice before travelling. Some destinations, vaccines and medicines may not be suitable in every situation. If you have complex health needs, your pharmacist may recommend discussing your plans with your GP or specialist as well. Check your travel insurance carefully. It should reflect your destination, planned activities and any existing medical conditions. Keep important contact details, insurance information and copies of essential documents accessible while travelling. If you are travelling with prescribed medicines, check the rules for the country you are visiting and any countries you pass through. Prepare well for a healthier holiday Travel health is about more than having a vaccination. It is a combination of destination-specific advice, routine immunisations, sensible precautions and preparation for your own circumstances. Arranging an appointment before the summer rush gives you time to complete any recommended vaccination course, obtain suitable medicines and ask questions about your itinerary. Book your travel health consultation For tailored advice before

Repeat prescriptions help you continue taking regular medicines without needing to request a new prescription from your GP every time. A local pharmacy can make the process easier by receiving electronic prescriptions, preparing your medicines and helping you understand how to manage your supply. At Barnes Pharmacy on Welwyn High Street, we support patients with prescription services for NHS and private prescriptions. Whether you are arranging a regular repeat, collecting medicines for a family member or need advice about a prescription, planning ahead can help avoid delays and missed doses. What is a repeat prescription? A repeat prescription is issued by a prescriber for medicines that you need regularly, usually as part of an agreed treatment plan. Your GP practice or another authorised prescriber decides which medicines are suitable to be supplied repeatedly and how often they should be reviewed. Most NHS repeat prescriptions are sent electronically to a pharmacy through the Electronic Prescription Service (EPS). You can nominate a pharmacy to receive your prescriptions, meaning the prescription is sent there directly rather than you needing to collect a paper form from your GP practice. Some prescriptions, including certain private prescriptions, may follow a different process. If you are unsure how your prescription will reach the pharmacy, ask your prescriber or speak to the pharmacy team. How to order your repeat prescription Order through your GP practice or NHS service Many GP practices ask patients to order repeat medicines through their online patient service, the NHS App, by telephone or through the practice’s usual request system. Check your GP practice’s instructions, as ordering arrangements vary. When ordering, request only the medicines you need. Take care to select the correct strength, formulation and quantity. If a medicine has been stopped, changed or is no longer required, do not request it automatically. If you are uncertain, contact your GP practice or pharmacist before placing the order. Allow enough time Prescription requests need to be processed by the prescriber before they reach the pharmacy. The pharmacy then needs time to receive, check and prepare the prescription. Avoid leaving your request until your medicine has completely run out. It is sensible to check your remaining supply when you open your last pack and follow the ordering timetable recommended by your GP practice or pharmacy. Earlier planning may be particularly important around weekends, bank holidays, travel or periods when your medicines require additional checks. Nominate a local pharmacy If you regularly use Barnes Pharmacy, you can ask your GP practice to nominate it as your preferred pharmacy for electronic prescriptions. You can usually change your nominated pharmacy through your GP practice or NHS App. You do not have to use the same pharmacy permanently, and you can choose a different one if your circumstances change. Nomination is different from ordering. The pharmacy can receive and dispense your prescription, but the request for a repeat prescription normally needs to be made through your GP practice or the appropriate NHS service. What happens when the pharmacy receives your prescription? When a prescription arrives, the pharmacy team checks the details and prepares the medicines. This includes confirming the patient’s information, medicine, strength, directions and quantity. The pharmacist may also need to check whether the prescription is clinically appropriate and whether any clarification is needed from the prescriber. Sometimes a medicine may not be immediately available. This can be due to stock availability, a supply issue or the need to order it from a wholesaler. If there is a delay, the pharmacy team can explain the situation and discuss the next practical step. Do not substitute a different strength or medicine yourself; any change must be authorised by an appropriate prescriber. For some medicines, extra checks or legal requirements apply. Controlled drugs, for example, may have specific prescription and collection requirements. The pharmacy team will explain what is needed when you request or collect these medicines. Collecting your repeat prescription When your prescription is ready, collect it from the pharmacy at a suitable time. If you are collecting for someone else, the pharmacy may ask for details such as the patient’s name, address or date of birth to protect confidentiality and make sure the correct medicine is supplied. At collection, check that the name on the bag is correct and that the medicines look familiar. Read the dispensing label and make sure the directions match what you have been told. If anything looks different, ask the pharmacist before leaving. A change in packaging, tablet appearance or manufacturer can sometimes occur, but it is always appropriate to check if you are unsure. The pharmacist can explain how and when to take your medicine, whether it should be taken with food and what to do if you miss a dose. They can also advise on possible side effects, interactions and safe storage. If you have recently been discharged from hospital or seen a specialist, tell the pharmacy team about any changes to your medicines. Managing your repeat medicines safely Keep an up-to-date medicines list Maintain a list of everything you take, including prescribed medicines, inhalers, creams, vitamins and products bought without a prescription. Include the dose and how often you use each item. Take the list to appointments and show it to your pharmacist when asking for advice. Do not share or stockpile medicines Medicines prescribed for you should not be given to anyone else, even if their symptoms appear similar. Keep medicines in their original packaging and store them as directed. Do not build up a large surplus unless a healthcare professional has advised you to do so, as medicines can expire or become unsuitable after your treatment changes. Return unwanted medicines Do not put unwanted or expired medicines in household waste or pour them down the sink or toilet. A community pharmacy can advise whether they can accept them for safe disposal. Remove or cover personal details on packaging where appropriate, but do not remove labels from medicines that you are still using. Arrange reviews when needed Repeat

Ear wax is a normal substance that protects the skin inside the ear, helping to trap dust and reduce irritation. Usually, it moves naturally towards the opening of the ear and does not need to be removed. However, wax can sometimes build up and become hard or impacted. This may cause a blocked sensation, reduced hearing, ringing in the ear, itching or discomfort. When ear wax is affecting your hearing or comfort, professional removal can provide safe and effective relief. At Barnes Pharmacy, the service begins with an assessment to make sure removal is appropriate and to identify any signs that may need further medical attention. Before your appointment When booking, you may be asked about your symptoms, medical history and any previous problems with your ears. It is important to mention if you have had ear surgery, a perforated eardrum, ear infections, grommets or other ear conditions. Tell the practitioner about pain, discharge, dizziness or sudden hearing loss, as these symptoms may require assessment by another healthcare professional before wax removal is considered. You may be advised to use ear drops for a few days before your appointment. These drops can soften the wax and make removal easier, but you should follow the advice provided by the pharmacy or another healthcare professional. Do not use ear drops if you have been told that you have a perforated eardrum, unless a suitable clinician has specifically recommended them. Avoid putting cotton buds, hairpins, keys or other objects into your ears. These can push wax further into the ear canal, scratch the delicate skin or damage the eardrum. Ear candles are not a safe or reliable method of wax removal and should not be used. What happens during the assessment? The practitioner will usually ask about your symptoms and examine your ears using an otoscope or another suitable viewing device. This allows them to look at the ear canal and, where possible, the eardrum. The assessment helps determine whether wax is present and which removal method is most appropriate. Professional removal may involve microsuction, manual instrument removal or irrigation. The method used depends on the amount and consistency of the wax, the shape of your ear canal and your medical history. Not every method is suitable for every person. If removal is not safe or cannot be completed, you may be advised to seek further medical assessment. Microsuction and manual removal Microsuction uses a small suction device to remove wax while the practitioner views the ear canal. It does not involve flushing water into the ear. You may hear a loud buzzing or suction sound, and the procedure can feel unusual, but it should not be painful. The practitioner may also use small instruments to lift or remove wax under direct vision. Some people notice a brief cough, tickling sensation or momentary dizziness during ear procedures. This can happen because the ear canal shares nerve connections with other parts of the body. Tell the practitioner immediately if you feel pain, significant dizziness or discomfort. They can pause, reassess the ear and decide whether it is appropriate to continue. Irrigation, where appropriate Electronic ear irrigation uses a controlled flow of water to loosen and wash wax from the ear canal. It may be suitable for some people, but it is not appropriate when there is a known or suspected perforated eardrum, certain types of ear surgery, active infection or other risk factors. The practitioner will assess your ears and medical history before recommending this method. You may feel pressure, warmth or movement in the ear during irrigation. The water should be at a suitable temperature and delivered in a controlled way. If you experience pain, marked dizziness or feel unwell, tell the practitioner straight away. How long does ear wax removal take? The appointment length depends on how much wax is present, whether it has been softened and which technique is used. Some ears can be cleared during one appointment, while hard or extensive build-up may require further softening and another appointment. It is not always possible to remove every piece of wax safely in one session. Hearing may improve immediately once the blockage has been removed, although your ears may feel slightly sensitive or unusual for a short time. If hearing remains reduced, or if symptoms were not caused by wax, you may need further assessment by your GP, audiologist or another appropriate healthcare professional. Aftercare following ear wax removal For most people, normal activities can be resumed after the appointment. Follow any individual advice given by the practitioner. Your ear canal may feel mildly tender, itchy or sensitive for a short period, particularly if the wax was firmly impacted or the skin was irritated. Do not insert cotton buds or other objects into the ear canal. Keep the ears dry if you have been advised to do so, particularly after irrigation or if the ear canal is irritated. Do not use additional ear drops unless they have been recommended for you. Avoid scratching inside the ear, even if it feels itchy. Seek advice before swimming if you have pain, discharge, a history of eardrum perforation or recent ear surgery. Wax can build up again because of the natural shape of the ear canal, the use of hearing aids or earplugs, skin conditions, or attempts to clean inside the ear. The outer ear can be cleaned gently with a damp cloth, but the ear canal usually cleans itself. If you regularly experience troublesome wax, ask a healthcare professional whether a suitable prevention plan is appropriate. When to seek medical advice Ear wax removal should not be used to explain away symptoms that may have another cause. Contact a healthcare professional promptly if you develop severe or persistent pain, bleeding, fluid or pus from the ear, fever, worsening dizziness, facial weakness or sudden hearing loss. You should also seek advice if symptoms continue after wax has been removed. Professional ear wax removal is designed to make the process safer than trying to

Late summer is a popular time to travel from Hertfordshire, whether you are planning a family beach holiday, a city break, a long-haul adventure or a visit to friends and relatives overseas. Alongside passports, flights and accommodation, it is important to consider your health before you leave. Different countries and regions can present different health risks. The vaccinations, malaria precautions and travel medicines you may need depend on your destination, the time of year, the length and style of your trip, and your own medical history. Barnes Pharmacy’s Travel Clinic on Welwyn High Street can provide practical, personalised advice to help you prepare with confidence. Why arrange travel health advice before a late-summer trip? Travel health planning is not only about vaccinations. A consultation gives you the opportunity to discuss preventable infections, insect bites, food and water precautions, sun and heat exposure, existing medical conditions and the medicines you may need to take with you. Ideally, seek advice at least six to eight weeks before departure. Some vaccines require more than one dose, while others need time to take effect. However, it is still worth booking an appointment if your holiday is sooner. Depending on your destination and circumstances, there may be useful protection and advice that can be provided at shorter notice. It is helpful to bring your travel itinerary, including stopovers, planned activities and the areas you will visit. A beach resort and a rural trekking holiday may have very different health requirements, even within the same country. Vaccinations for holidays abroad Routine UK vaccinations should be up to date before travelling. Depending on your destination, additional travel vaccinations may be recommended or required. These can include protection against illnesses such as hepatitis A, typhoid, tetanus, diphtheria and polio. Other vaccines may be considered for particular destinations, travel styles or medical circumstances. Some countries require proof of yellow fever vaccination for entry or may ask for a certificate if you are arriving from a country where yellow fever transmission occurs. Requirements can change and may apply to transit routes as well as your final destination. A travel health consultation can help you understand whether a yellow fever certificate is relevant to your itinerary. Vaccination advice is individual. Children, pregnant travellers, older adults and people with weakened immune systems may need tailored recommendations. Tell the pharmacist about allergies, long-term conditions, previous vaccinations and regular medicines so that your advice is appropriate and safe. Malaria and mosquito-borne illnesses Late-summer travel may involve exposure to mosquitoes, including in destinations where malaria or other mosquito-borne infections occur. Malaria prevention can involve tablets, careful bite avoidance or a combination of both. The best option depends on the country and region, the season, the type of accommodation and your personal health. There is no malaria vaccine routinely available for most travellers, so prevention remains important where malaria is present. If antimalarial tablets are recommended, take them exactly as directed and complete the course as advised. Do not wait until you arrive to arrange them. Use an insect repellent containing a suitable active ingredient and reapply it according to the product instructions. Wear loose-fitting clothing that covers your arms and legs, particularly around dawn and dusk when some mosquitoes are more active. Choose accommodation with air conditioning, intact screens or mosquito nets where possible. Consider treating clothing and nets with an appropriate insecticide if recommended for your destination. Seek medical advice promptly if you develop a fever during or after travel to a malaria-risk area, and mention your travel history. Insect precautions can also help reduce the risk of illnesses such as dengue, chikungunya and Zika, which may occur in different parts of the world. The advice is not identical for every destination, so ask for current, destination-specific guidance. Managing heat, sun and dehydration Late-summer temperatures can be high in many holiday destinations, and heat can affect travellers who are not accustomed to it. Children, older people and those with certain medical conditions may be particularly vulnerable to dehydration and heat-related illness. Drink regularly, especially when walking, exercising or spending time in the sun. Limit strenuous activity during the hottest part of the day and take breaks in the shade or an air-conditioned area. Use broad-spectrum sunscreen with a suitable SPF, apply it generously and reapply after swimming or sweating. Wear a hat, sunglasses and light clothing that covers the skin. Take extra care with alcohol, as it can contribute to dehydration. Check whether any regular medicines need special storage in hot conditions. Some medicines should not be exposed to excessive heat or direct sunlight. If you take medicines for blood pressure, diabetes or other long-term conditions, ask a healthcare professional how heat, changes in routine and dehydration could affect you. Food, water and stomach upsets Traveller’s diarrhoea is common and can quickly spoil a holiday. In places where water or food hygiene may be uncertain, choose sealed bottled water or water that has been treated appropriately. Use safe water for brushing your teeth and be cautious with ice unless you know it was made from safe water. Eat food that is thoroughly cooked and served hot, and take care with raw salads, unpeeled fruit, unpasteurised products and food from places where hygiene appears poor. Wash your hands regularly, particularly before eating and after using the toilet. Oral rehydration salts can help replace fluids and electrolytes during diarrhoea or vomiting. Ask for advice before travelling if you have a long-term condition, are taking regular medicines or are travelling with a young child. Seek urgent medical help for severe dehydration, blood in the stool, persistent vomiting, a high fever or symptoms that do not improve. Preparing medicines and a travel health kit Take enough regular medication for the whole trip, and consider carrying extra in case of delays. Keep medicines in their original packaging, with the dispensing label visible, and pack them in your hand luggage where possible. Some medicines are controlled drugs or have restrictions in certain countries, so check the entry requirements before