Travel vaccinations and health advice for late-summer holidays from Hertfordshire 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

Swimming and Blocked Ears: When Ear Wax Removal May Be Appropriate Summer swimming is a great way to stay active and cool down, but it can sometimes leave your ears feeling blocked or muffled. For some people, water can become trapped around a build-up of ear wax, making hearing feel worse after a swim. Others may notice pressure, fullness, mild discomfort or an irritating sensation that does not seem to clear. A blocked ear after swimming is not always caused by ear wax. Water, changes in pressure, irritation of the ear canal and ear infections can all produce similar symptoms. Understanding the possible causes can help you decide when professional ear wax removal may be appropriate, and when you should seek medical advice instead. Why can swimming make blocked ears feel worse? Ear wax, also called cerumen, is a normal substance that helps protect the skin inside the ear canal. It usually moves towards the opening of the ear naturally, where it can be wiped away gently. However, wax can sometimes build up and become hard or impacted. When water enters the ear during swimming or showering, it may sit against a build-up of wax. This can make the wax swell or alter the way sound travels through the ear, causing a temporary reduction in hearing. You may also notice a feeling of pressure, fullness or mild imbalance. Swimming itself does not necessarily mean that you have excess ear wax. If your symptoms continue after the water has drained, or if you regularly experience blocked ears after swimming, an assessment can help identify whether wax is contributing to the problem. Signs that ear wax may be contributing to your symptoms Ear wax blockage can affect one or both ears. Common symptoms include: A blocked, full or plugged feeling in the ear Muffled hearing or sounds seeming quieter than usual Earache or mild discomfort Ringing or buzzing, known as tinnitus Itching in or around the ear canal Hearing that changes after swimming, showering or using earphones These symptoms can have other causes, so they should not be used to diagnose ear wax on their own. A trained professional can look at your symptoms and discuss whether removal is suitable. When might ear wax removal be appropriate? Professional ear wax removal may be appropriate when wax is affecting your hearing, causing discomfort or preventing a healthcare professional from examining your ear properly. It may also be helpful if you regularly use hearing aids, as wax can affect how they fit and work. At Barnes Pharmacy, the service is intended to provide a convenient way to have troublesome ear wax assessed and, where appropriate, removed. The pharmacist or trained practitioner can discuss your symptoms and medical history before deciding whether the service is suitable for you. It is sensible to arrange an assessment rather than trying to remove a suspected blockage yourself, particularly if symptoms have lasted for several days or keep returning after swimming. What should you do before an appointment? If you think wax may be blocking your ears, avoid putting cotton buds, hairpins, fingers or other objects into the ear canal. These can push wax further in, scratch delicate skin or damage the eardrum. Ear candles and similar home remedies are not recommended because they can cause burns, block the ear further or injure the ear. Some people may be advised to use pharmacy ear drops for a short period before wax removal, as softening the wax can make removal easier. Ask a pharmacist which product is suitable and follow the instructions carefully. Do not use drops if you have been told that you have a perforated eardrum, unless a healthcare professional has specifically advised you to do so. If you have a history of ear surgery, grommets, a perforated eardrum or recurring ear problems, mention this when booking. The service may not be suitable in every situation, and you may need to be assessed by another healthcare professional first. When is a blocked ear not simply ear wax? Swimming can increase the risk of irritation or an outer ear infection, sometimes called swimmer’s ear. This may cause increasing pain, tenderness when touching the outer ear, itching, redness or discharge. A middle-ear infection may also cause pain, reduced hearing or a raised temperature. Seek medical advice promptly if you have any of the following: Severe or worsening ear pain Fluid, pus or blood coming from the ear Fever or feeling generally unwell Sudden hearing loss Significant dizziness or loss of balance Swelling around the ear Symptoms after an injury or loud noise Sudden hearing loss should be treated as urgent rather than assumed to be a wax blockage. If you are unsure about your symptoms, contact your GP, NHS 111 or another appropriate healthcare service for advice. How can swimmers help prevent blocked ears? After swimming, allow water to drain naturally by tilting your head to each side and gently drying the outside of your ears with a towel. Do not insert anything into the ear canal. If you swim frequently, well-fitting swimming earplugs may help reduce water entering the ears, although they should be kept clean and used according to the manufacturer’s instructions. People who are prone to wax build-up may benefit from discussing a suitable ear care routine with a pharmacist. Avoid over-cleaning, as removing all ear wax is unnecessary and may irritate the ear. If you wear hearing aids or in-ear headphones, keeping them clean and taking breaks where appropriate may also help reduce irritation. Book an ear wax removal assessment If swimming has left you with persistent muffled hearing, pressure or a blocked feeling, ear wax could be one possible cause. Barnes Pharmacy on Welwyn High Street offers a convenient ear wax removal service, with an assessment to help determine whether professional removal is appropriate for you. For more information or to arrange an appointment, book ear wax removal with Barnes Pharmacy.

Last-Minute Travel Vaccinations: What to Check Before a Summer Holiday Summer holidays often involve months of planning, but travel health can sometimes be left until the last few weeks. If you are due to travel soon and have not yet checked your vaccinations, there is still time to seek professional advice. A last-minute appointment may help identify important precautions, arrange suitable vaccinations and give you practical guidance for staying well abroad. However, the advice you need depends on your destination, the type of trip you are taking, your health and how soon you are leaving. Some vaccinations are most effective when given several weeks before travel, while others may still provide useful protection when administered closer to departure. The earlier you book a travel health consultation, the more options your healthcare professional may be able to discuss with you. Start by checking your destination Travel vaccination advice is not based solely on the country you are visiting. Risk can vary between regions, cities and rural areas, and may depend on your planned activities and length of stay. A beach resort holiday, a backpacking trip and visiting friends or relatives may all involve different considerations. Before your appointment, make a note of: Every country and region you will visit, including stopovers where you plan to leave the airport Your departure date and the length of your stay Whether you will stay in hotels, hostels, private accommodation or campsites Planned activities, such as hiking, animal contact, healthcare work or visiting remote areas Whether you will be travelling with children, someone who is pregnant or anyone with a long-term health condition This information helps the travel clinic assess relevant risks and make advice more specific to your itinerary. It is also sensible to check the latest travel health guidance for each destination through the UK Government’s foreign travel advice and TravelHealthPro websites. Check your routine vaccinations first Travel vaccinations are not a replacement for keeping your standard UK immunisations up to date. Before a summer holiday, check whether you and your family are protected against routine infections such as tetanus, diphtheria, polio, measles, mumps and rubella. Some of these illnesses can still occur in countries visited by British travellers, and measles outbreaks can happen internationally. If you are unsure which vaccinations you have received, look for your childhood vaccination records, contact your GP surgery or ask the travel clinic what information would be helpful. Do not assume that an incomplete record means you need to repeat every vaccination; a healthcare professional can review your history and advise you. Which travel vaccinations might be relevant? Depending on your destination and circumstances, you may be advised to consider vaccinations for diseases such as hepatitis A, typhoid, hepatitis B, rabies, Japanese encephalitis or cholera. Not every traveller will need all of these, and some are recommended only for particular destinations, activities or health risks. For example, food and water precautions are important in many destinations, even if you have received a vaccination. Avoiding unsafe food and drink, washing your hands and following local health advice remain valuable parts of travel preparation. Vaccination reduces risk for specific infections but cannot protect against every cause of illness abroad. Some countries may also require proof of vaccination as an entry condition in particular circumstances. Yellow fever is a notable example, as an International Certificate of Vaccination or Prophylaxis may be required for entry or onward travel. Requirements can change and may depend on the countries you have recently visited, so check your complete itinerary rather than relying on advice from a previous trip. What if you are travelling soon? Ideally, travel health advice should be sought several weeks before departure. This allows time for a course of vaccinations, where more than one dose is needed, and for protection to develop. Some vaccines may require follow-up doses after you return, so a late appointment does not necessarily mean there is no benefit in attending. If you are leaving within days, do not delay seeking advice simply because you think it is too late. A travel health professional can assess what may still be appropriate and explain any limitations. They can also advise on non-vaccine measures, malaria prevention where relevant and what to do if you become unwell during or after your holiday. Do not arrange vaccinations based only on a friend’s experience or on information from a previous journey. Requirements and risks vary, and advice that was suitable for one destination may not be suitable for another. Do not forget malaria advice Malaria is not prevented by routine travel vaccinations. If you are visiting a malaria-risk area, you may need to discuss antimalarial medicines and ways to avoid mosquito bites. The choice of medicine can depend on the destination, season, duration of travel, your age, pregnancy status, medical history and other medicines you take. Mosquito precautions remain important even when antimalarial medication is recommended. Use an appropriate insect repellent, wear clothing that covers the skin where practical and sleep in accommodation with effective screening or under an insecticide-treated net where advised. Seek urgent medical advice if you develop a fever during a trip to a malaria-risk area or after returning home, and mention your travel history. Tell the travel clinic about your health Travel vaccination advice should be personalised. At your appointment, mention any allergies, previous reactions to vaccines, long-term conditions, pregnancy or plans to become pregnant, breastfeeding, immune system problems and all medicines you take. You should also mention if you have recently been unwell. Children may have different vaccination needs from adults, and families should arrange advice for every traveller rather than assuming that one recommendation applies to everyone. If you are travelling with an infant, an older person or someone with additional health needs, allow time to discuss practical arrangements such as medication supplies, medical letters and access to care abroad. Prepare for your travel clinic appointment Bring your travel itinerary, departure date and any available vaccination records. If you have previously received travel vaccines or

What to Do If You Are Running Low on Your Regular Prescription Medicine Realising that your regular medicine is nearly finished can be worrying, particularly if you rely on it to manage a long-term condition. The good news is that there are usually steps you can take to avoid an interruption to your treatment. Acting early is the most important thing. Whether you take medicine for blood pressure, diabetes, asthma, thyroid disease, mental health, pain relief or another ongoing condition, it is sensible to check your supplies regularly. This gives your GP surgery and pharmacy enough time to process your request, order stock where needed and resolve any queries. If you are running low, do not panic and do not make changes to your dose unless a healthcare professional has advised you to do so. Start by checking how much medicine you have left and follow the appropriate route for obtaining your next supply. Check Your Medicine Supply and Prescription Details First, look at each item carefully. Check the number of tablets, capsules, inhalers, patches or other doses you have remaining, and work out how many days they will last when taken as prescribed. If you have several regular medicines, check them all, as repeat items may not always be due at the same time. It can also help to check: The name and strength of the medicine Your dosage instructions The date you last ordered or collected it Whether you have any repeat prescription remaining Whether your GP has asked for a medication review, blood test or other check before issuing more medicine Try not to wait until you have taken your final dose before requesting more. GP surgeries commonly need time to authorise repeat prescriptions, and pharmacies may need to order certain items. Ordering in good time can prevent unnecessary stress and helps ensure your treatment continues smoothly. Request Your Repeat Prescription as Soon as Possible If your medicine is on repeat prescription, request it through your usual GP surgery process. Many practices offer several ways to do this, such as the NHS App, the practice’s online prescription service, a paper repeat slip or a request made through the surgery. Use the method your GP practice recommends and only request the items you need. Ordering medicines you do not currently require can lead to waste and may make it harder to keep track of what you have at home. Once your prescription has been approved and sent electronically, your nominated pharmacy can usually begin preparing it. If you have chosen Barnes Pharmacy as your nominated pharmacy, your electronic prescription can be sent to us for dispensing. If you are unsure whether your request has been received or authorised, contact your GP surgery. If the prescription has already been issued but you are waiting for it to be dispensed, contact the pharmacy so the team can check its status and advise you on the next steps. If You Need Medicine Urgently If you are close to running out, or have already run out, act promptly. Speak to your usual pharmacy first where possible. A pharmacist can check whether a prescription has been sent, whether your medicine is in stock and what options may be available. In some circumstances, a pharmacist may be able to provide an emergency supply of a prescription-only medicine without a prescription. This is not guaranteed and depends on the medicine, the pharmacist’s professional assessment and whether there is sufficient information to confirm that the medicine is suitable for you. You may need to pay for an emergency supply, even if you normally receive NHS prescriptions. Emergency supplies are not appropriate for every medicine. There are additional legal and clinical restrictions for some medicines, including certain controlled drugs. It is therefore important to speak to a pharmacist as soon as you recognise there may be a problem. If your usual pharmacy is closed and you need advice urgently, contact NHS 111. They can advise on the most appropriate local service and may be able to direct you to an out-of-hours pharmacy or other urgent care option. If you have severe symptoms or believe your condition is life-threatening, call 999 or attend A&E. Do Not Borrow, Share or Stretch Medicines It may be tempting to borrow medicine from a friend or family member, take someone else’s medication or reduce your dose to make your supply last longer. These options can be unsafe. Even if a medicine has the same name, the strength, formulation or directions may differ. Medicines prescribed for one person may not be suitable for another. Do not split tablets, miss doses or take medicines less often than prescribed unless a doctor, pharmacist or other qualified prescriber tells you to do so. Some medicines need to be taken consistently to work properly, while others can cause withdrawal symptoms or a worsening of your condition if stopped suddenly. If you have already missed doses, do not double your next dose unless you have specifically been advised to do this. Check the patient information leaflet supplied with your medicine or ask a pharmacist for guidance. Medicines That Need Particular Attention Some regular medicines should not be stopped abruptly without medical advice. This can include medicines used for conditions such as epilepsy, diabetes, asthma and chronic obstructive pulmonary disease, heart conditions, blood clot prevention, steroid treatment and certain mental health conditions. The exact advice depends on the individual medicine and your health needs. For example, running out of an inhaler may affect your breathing control, while missing medicines for diabetes or seizures may carry particular risks. If you are becoming unwell because you do not have your usual medicine, seek urgent clinical advice rather than waiting for your next routine appointment. Tell the pharmacist or healthcare professional exactly what you have taken, when you last took it and whether you have any symptoms. Taking the medicine box, repeat slip or a clear photograph of the label can be helpful if you are speaking to an unfamiliar service.

Blocked Ears or Hearing Changes? When Professional Ear Wax Removal May Help Ear wax is a normal and useful part of ear health. Also known as cerumen, it helps protect the ear canal by trapping dust and debris, keeping the skin from becoming too dry and helping to reduce irritation. In most people, wax naturally moves out of the ear over time and does not need to be removed. Sometimes, however, wax can build up or become tightly packed in the ear canal. This may cause a blocked sensation, changes to hearing or discomfort. If you are wondering whether ear wax could be behind your symptoms, a professional ear assessment and removal service can offer a safe, practical next step. What does ear wax build-up feel like? Wax build-up can affect one ear or both. Symptoms can develop gradually, although they may become more noticeable after swimming, showering or using earphones, when water can cause wax to expand. Common signs of impacted or excessive ear wax include: A feeling that the ear is blocked, full or plugged Muffled hearing or a temporary reduction in hearing Needing to turn up the television or ask people to repeat themselves Ringing, buzzing or other noises in the ear Mild discomfort or itchiness in the ear canal Difficulty hearing clearly when using a telephone Hearing your own voice more loudly than usual These symptoms can be frustrating, particularly when they interfere with conversations, work, social occasions or using hearing aids. Although wax is a common cause of blocked ears, it is not the only possible explanation. Changes in hearing can also have other causes, so it is important not to assume that wax is always responsible. Who is more likely to experience wax build-up? Some people naturally produce more wax than others, while some ear canals make it harder for wax to move out normally. Wax build-up may be more likely if you: Use hearing aids, earplugs or in-ear headphones regularly Have narrow, curved or hairy ear canals Have previously experienced impacted wax Have skin conditions affecting the outer ear or ear canal Work in dusty environments Are older, as ear wax can become drier and harder with age Using cotton buds or other objects inside the ear can also contribute to the problem. Although it may seem as though a cotton bud is removing wax, it often pushes wax deeper into the ear canal. This can compact the wax against the eardrum and make it more difficult to remove safely. When might professional ear wax removal help? Professional removal may be helpful when wax is causing symptoms, when it is preventing a clear view of the eardrum, or when home measures have not helped. A trained clinician can look into the ear canal, assess whether wax is present and advise whether removal is appropriate. An appointment may be particularly worthwhile if you have persistent blockage or muffled hearing and suspect wax is involved. It can also help if wax is affecting the fit or performance of a hearing aid, or if you have been advised that wax needs to be cleared before another ear examination. At a professional appointment, your ears should be assessed before removal is attempted. This matters because symptoms such as hearing changes, ringing or discomfort may not always be caused by wax. If wax is not the cause, you may be advised about the most suitable next step. Why avoid putting objects in your ears? The ear canal is delicate, and the eardrum sits at the end of it. Inserting cotton buds, hair grips, fingers, pens, ear candles or other objects can cause harm. As well as pushing wax further in, these methods can scratch the ear canal, cause bleeding, increase the risk of infection or, in some circumstances, damage the eardrum. Ear candles are not a recommended way to remove wax. They can cause burns and leave debris in the ear, without reliably removing the wax causing the problem. If you think you have wax build-up, it is generally best to leave the inside of your ears alone and seek appropriate advice. The outer ear can be cleaned gently with a damp cloth, but nothing should be inserted into the ear canal. What happens during an ear wax removal appointment? A professional service begins with a discussion about your symptoms, relevant medical history and any previous ear problems. The clinician will examine your ear canal and eardrum where possible. This assessment helps establish whether wax is present and whether removal can go ahead safely. If removal is suitable, the method used will depend on the wax, your ear health and the service available. The aim is to remove wax carefully while minimising discomfort and protecting the ear canal and eardrum. You may be asked to use ear wax-softening drops beforehand in some situations, particularly if the wax is hard or dry. Many people notice an improvement in the blocked feeling or hearing soon after wax has been removed. However, if symptoms continue after the ear canal is clear, further assessment may be needed. Persistent hearing changes should not be ignored simply because wax was present. When should you seek medical advice urgently? Ear wax removal is not the right first step for every ear symptom. Contact your GP, NHS 111 or seek urgent medical advice as appropriate if you have symptoms that could indicate infection, injury or another ear condition. It is especially important to seek prompt advice if you have: Sudden hearing loss, particularly in one ear Severe ear pain Discharge, pus or blood coming from the ear Fever or feeling generally unwell alongside ear symptoms Dizziness, spinning sensations or significant balance problems New weakness in the face A recent ear injury or a suspected object in the ear You should also mention if you have had a perforated eardrum, grommets, previous ear surgery or recurring ear infections. These details can affect which ear wax removal methods are suitable and whether referral is needed. Looking after

How to Order and Collect Repeat Prescriptions from Your Local Pharmacy in Welwyn Managing regular medicines should be straightforward, but it can feel confusing when you are unsure who to contact, when to place your request or how your prescription reaches the pharmacy. At Barnes Pharmacy on Welwyn High Street, we can help you understand the process and collect your medicines with confidence. Most repeat prescriptions are now sent electronically from your GP surgery directly to your chosen pharmacy. This means there is usually no need to collect a paper prescription first. By making Barnes Pharmacy your nominated pharmacy, your approved repeat medicines can be sent to us for dispensing when your GP surgery issues them. What is a repeat prescription? A repeat prescription is used for medicines that you take regularly for an ongoing condition. Your GP, nurse prescriber or other authorised healthcare professional decides which medicines can be supplied on repeat and how often they should be reviewed. Common examples may include medicines for blood pressure, asthma, diabetes, thyroid conditions or long-term pain management. Not every medicine is suitable for repeat prescribing. Some medicines need closer monitoring, and others may require you to speak to your prescriber before another supply can be authorised. Your prescription may include: Repeat items, which you can request again when needed, subject to the number of authorised issues remaining. Acute items, which are prescribed for a short-term problem and normally need a new clinical assessment if required again. Medication reviews, which are checks with your GP surgery or prescriber to make sure your treatment remains safe and appropriate. Choose Barnes Pharmacy as your nominated pharmacy The Electronic Prescription Service, often called EPS, allows your GP surgery to send prescriptions securely to a pharmacy of your choice. Nominating Barnes Pharmacy means that, when your GP issues an electronic prescription, it can be sent directly to us for dispensing. You can usually set or change your nomination by speaking to a member of our pharmacy team, contacting your GP surgery or using the NHS App where this option is available. You can change your nominated pharmacy if your circumstances change, but it is sensible to check where an expected prescription has been sent before requesting it elsewhere. Nomination does not mean that every prescription must always come to the same place. In some situations, such as an urgent prescription issued while away from home, your prescriber may be able to advise on the most suitable collection arrangement. How to order your repeat prescription In most cases, you order your repeat medicine from your GP surgery or through the NHS App, rather than asking the pharmacy to issue the prescription. The surgery must approve the request before a prescription can be sent to us. Depending on your GP surgery, you may be able to request repeat medicines in one of the following ways: Through the NHS App or your GP surgery’s online prescription service. Using your GP surgery’s online form or patient portal. By returning the repeat request slip from a previous prescription, if your surgery accepts this method. By contacting your GP surgery directly if you are unable to use online services. Order only the items you need. Requesting medicines that you still have at home can lead to waste and may make it harder for your prescriber to see how you are using your treatment. Before ordering, check your current supplies and make a note of what is running low. If you are uncertain about the name, strength or dose of a medicine, do not guess. Check the label on your current pack or ask our pharmacy team for guidance. For questions about whether you should continue, stop or change a medicine, speak to your GP surgery, prescriber or pharmacist. When should you place your request? It is best to plan ahead. Allow time for your GP surgery to process and authorise the request, for the electronic prescription to reach the pharmacy and for your medicines to be dispensed. Requests can take longer if your medicine requires a review, is out of stock nationally or needs clarification from the prescriber. A helpful routine is to check your medicines around a week before you expect to run out. This gives you time to place the request without leaving it until the last few tablets. However, avoid ordering excessively early unless your prescriber has advised this, for example because you will be travelling. If you are going on holiday, contact your GP surgery well in advance. They can advise whether an earlier supply is appropriate and whether any additional arrangements are needed. Some medicines have specific prescribing and supply requirements, so early planning is particularly important. What happens after your GP approves the request? Once your GP surgery has issued the prescription to Barnes Pharmacy, our team can prepare it for collection. We check the prescription, assemble the medicines and carry out the appropriate clinical and legal checks before handing them over. Occasionally, we may need to contact your GP surgery. This may happen if an item is unclear, a medicine is unavailable, the prescribed quantity needs checking or there is a potential concern about the prescription. If this is necessary, it can affect the collection time, but it helps ensure your medicines are supplied safely. Availability can vary, particularly for medicines affected by supply shortages. If an item is unavailable, we will explain the situation and, where appropriate, contact the prescriber about possible next steps. Please do not alter your dose or stop prescribed treatment without professional advice. Collecting your medicines from Barnes Pharmacy When you come to collect your prescription from our Welwyn High Street pharmacy, tell the team the name and address of the person the medicines are for. This helps us identify the correct prescription and protect patient confidentiality. Someone else can usually collect medicines on your behalf. They should know your name, address and, ideally, your date of birth. For certain medicines, additional identification or collection requirements may apply. If

What to Book at a Travel Clinic Before a Summer Holiday A summer holiday is a chance to relax, explore and enjoy a change of scenery, whether you are planning a city break, a family beach holiday, a safari or a longer adventure. Alongside passports, insurance and packing, it is important to think about travel health. A travel clinic appointment gives you personalised advice based on where you are going, how long you will be away, the activities you have planned and your individual health needs. You may need travel vaccinations, antimalarial tablets or practical guidance to help reduce your risk of illness while abroad. Requirements and health risks can vary considerably between countries and even between regions of the same country. Booking early gives you the best opportunity to prepare properly, but it is still worth seeking advice if your departure date is close. When should you book a travel clinic appointment? Ideally, book your travel consultation around six to eight weeks before you travel. Some vaccines need to be given as a course over several weeks, while others need time for your immune system to develop protection after the injection. An early appointment also gives time to discuss any prescriptions, check your vaccination history and plan a suitable antimalarial course if needed. However, do not assume it is too late if your trip is approaching. A travel clinic can still advise on vaccines that may be useful before departure, malaria prevention, insect-bite avoidance, food and water safety, and items to take in your travel health kit. Even a last-minute appointment can help you travel more confidently. When booking, have as much information as possible about your itinerary. This includes every country you will visit, any stopovers, the dates of travel, the areas you will stay in and the type of accommodation. A resort holiday, rural trek, cruise, backpacking trip and work placement can all involve different health considerations. Travel vaccines to discuss before you go Your travel consultation will begin with an assessment of your destination and previous vaccinations. The clinician can review which routine immunisations you have already had and identify vaccines that may be recommended for your trip. Travel vaccines are not one-size-fits-all. Recommendations are based on factors including destination, length of stay, season, planned activities, access to medical care and your personal medical history. Vaccines that may be discussed include: Hepatitis A, which may be recommended for travel to areas where food and water hygiene standards can vary. Typhoid, which may be relevant for some destinations, particularly when travelling beyond major tourist areas or visiting friends and relatives. Tetanus, diphtheria and polio boosters, depending on your existing UK vaccination record and destination. Hepatitis B, which may be considered for longer stays, certain activities, medical work or possible exposure to blood or bodily fluids. Rabies, particularly for travellers who may have contact with animals, spend extended periods in remote areas or undertake outdoor activities. Japanese encephalitis, for certain travel to parts of Asia and the Western Pacific, especially for longer stays or rural exposure. Meningococcal ACWY vaccination, which may be advised for travel to particular countries or required for some pilgrimages. Yellow fever vaccination, where there is a risk at your destination or where a vaccination certificate is required for entry. Bring details of previous vaccinations if you have them, including any travel vaccine records or certificates. It is also important to mention if you are pregnant, breastfeeding, immunosuppressed, have allergies, take regular medicines or have previously had a reaction to a vaccine. This helps the clinician make advice as safe and appropriate as possible. Understanding antimalarials and malaria prevention Malaria is a serious illness spread by mosquito bites in some parts of the world. Risk can differ between countries, regions and seasons, so a travel clinic will assess your exact itinerary rather than simply the country name on your booking confirmation. If antimalarial medicine is recommended, the clinician will discuss the options suitable for you. The best choice depends on your destination, travel dates, age, weight, medical conditions, other medicines and whether you have used antimalarials before. Different tablets have different instructions: some are started before travel, some are taken daily and others weekly, and most need to be continued for a period after you return. Take antimalarial tablets exactly as advised and make sure you have enough to cover your complete trip and the required period afterwards. If you are unsure what to do after missing a dose or being sick after taking a tablet, seek advice promptly. Tablets are only one part of malaria prevention. Avoiding mosquito bites remains essential, including in the daytime, as mosquitoes can also spread other infections. Helpful precautions include: Using an effective insect repellent as directed, and reapplying it when needed. Covering exposed skin with loose, long-sleeved clothing and trousers, particularly from dusk to dawn where malaria is a risk. Sleeping in air-conditioned or screened accommodation where possible. Using a mosquito net if your accommodation does not provide adequate protection. Seeking urgent medical advice if you develop a fever or flu-like symptoms during travel or after returning from a malaria-risk area. Tell a healthcare professional about your recent travel if you become unwell after returning home. Symptoms of malaria can occur after you have left the affected area, so it is important not to dismiss a fever simply as a routine holiday illness. Travel health advice beyond vaccines and tablets A good travel appointment is about more than injections and prescriptions. Practical advice can make a real difference to your comfort and safety abroad. Food and water precautions are particularly important in destinations where there is a higher risk of travellers’ diarrhoea. Wash your hands regularly, consider the safety of drinking water, and take care with food that may have been left at room temperature. Your clinician can advise on suitable self-care items to pack and when diarrhoea, vomiting or fever needs medical attention. Sun protection matters for all summer travel. Use a suitable sunscreen, seek shade

Jet-Set Ready: Your Essential Travel Health Prep and Vaccines at Barnes Pharmacy Embarking on international travel is an exciting adventure, but it requires thorough preparation to ensure your health and safety. At Barnes Pharmacy, we understand the importance of comprehensive travel health services, including timely vaccinations and expert advice tailored to your destination. In this article, we explore essential travel health preparations and how our dedicated travel clinic supports both patients and healthcare professionals in making informed decisions before you jet-set across the globe. Understanding the Importance of Travel Health Preparation Before stepping off your home turf and into a foreign environment, it is crucial to assess your health and immunisation needs. Different regions expose travellers to unique health risks, such as tropical diseases, food-borne illnesses, and seasonal viruses. Proper travel health preparation involves understanding these risks, obtaining the necessary vaccines, and following recommended preventative measures. Travellers often assume that common vaccinations are sufficient, but each journey may require a tailored approach based on local health challenges. Whether you are planning an excursion to Southeast Asia, Africa, or South America, being well-prepared protects you from potential illnesses and allows you to enjoy your trip with peace of mind. Vaccinations: The Cornerstone of Safe Travel Vaccines play a pivotal role in safeguarding travellers against a range of diseases. In many countries, certain immunisations are not only recommended but sometimes legally mandated. At Barnes Pharmacy, we ensure that you receive the most appropriate vaccine schedule well in advance of your departure. This includes well-known travel vaccines, as well as less commonly administered shots that are critical for specific regions. Our healthcare professionals carry out a comprehensive assessment of your health history and travel itinerary. This personalised approach helps identify any risks specific to your destination, ensuring that you receive customised advice and the required immunisations. In addition to vaccines, our consultations cover other preventative measures like malaria prophylaxis, traveller’s diarrhoea management, and general health tips for long-haul flights. Preparing for Your Journey: Assessing Your Needs Planning for your trip goes beyond just booking flights and accommodations; it begins with a thorough evaluation of your health needs. Consider the following points as a guide: Researching Your Destination Start by familiarising yourself with your destination’s health risks. This involves understanding the types of diseases prevalent in the area, seasonal outbreaks, and local public health advisories. Armed with this knowledge, you can have an informed discussion with your healthcare provider about the vaccines and preventative measures you might require. Consulting with Experts Visiting a dedicated travel clinic, like the one at Barnes Pharmacy, can provide clarity and reassurance. Our experts stay updated with the latest travel health trends and global outbreaks, allowing them to give precise recommendations tailored to your travel plans. Whether you are a frequent traveller or planning your first international journey, the insight provided during these consultations is invaluable. Scheduling Vaccinations in Advance Many vaccines require multiple doses or an incubation period before they become effective. By scheduling your immunisations well ahead of your departure date, you ensure that your body has adequate time to build up immunity. Planning ahead can also help you navigate any potential disruptions, such as vaccine shortages or scheduling conflicts. Your Trusted Travel Health Partner: Barnes Pharmacy At Barnes Pharmacy, we pride ourselves on delivering trusted and professional travel health services. Our dedicated travel clinic is designed for both individual patients and healthcare professionals seeking reliable guidance and administration of vaccines. We combine clinical expertise with an understanding of the nuances of international travel, ensuring that every client receives personalised care that meets the highest standards. Our pharmacy is equipped with state-of-the-art facilities and a team of specialists who are passionate about promoting global health. We recognise that every journey is unique, and as such, our consultations and vaccination schedules are customised to suit your specific travel needs. The comprehensive service at Barnes Pharmacy goes beyond vaccinations – we offer advice on travel insurance, medication management, and first-aid kits, ensuring that you are well-prepared for any situation abroad. Integrating Expert Advice with Preventive Measures Travel health is an evolving field, with new challenges and emerging health concerns. Staying updated on the latest guidelines and best practices is essential for maintaining your well-being while travelling. Barnes Pharmacy actively participates in continuous medical education and public health initiatives, ensuring that our practices align with current global standards. For healthcare professionals, our travel clinic represents a reliable extension of their own practice. By partnering with Barnes Pharmacy, clinicians can access detailed vaccine schedules, patient education materials, and support in managing complex travel health cases. This collaborative approach ensures that whether you are a patient or a healthcare provider, the advice you receive is backed by expertise and a commitment to safety. How to Book Your Travel Health Appointment Preparing for your journey with the right health measures is now easier than ever. Barnes Pharmacy offers a streamlined booking process through our dedicated travel clinic. By simply visiting our website, you can schedule an appointment and receive tailored advice specific to your travel needs. We encourage prospective travellers and healthcare professionals alike to take advantage of this service to ensure all immunisation and consultation requirements are fulfilled well ahead of your departure. To book an appointment, please visit our travel clinic page at Barnes Pharmacy Travel Clinic. Our friendly team is ready to assist you with any queries and help you create a safe and enjoyable travel plan. Embark on Your Journey with Confidence Travelling the world offers unlimited opportunities for adventure and personal growth, and your health should never be a barrier to experiencing the wonders of different cultures. With meticulous preparation and expert guidance from Barnes Pharmacy, you can embark on your journey with the confidence that you have taken every precaution necessary for a safe trip. Our travel health services are designed to provide you with the latest insights and preventive measures, allowing you to focus on what truly matters – exploring new horizons. Whether you are