Patients Travelling Abroad

Prescribing Policy For Patients Travelling Abroad

This policy outlines the procedure for patients travelling abroad for short and long periods of time.

NHS Policy

By law, the NHS ceases to have responsibility for the medical care of patients when they leave the UK.  In addition GPs are not required by their terms of service to provide prescriptions for the treatment of a condition that is not present and may arise while the patient is abroad.

The NHS does accept responsibility for supplying ongoing medication for temporary periods abroad of up to 3 months. However, if a person is going to be abroad for more than 3 months, then they are only entitled (at NHS expense) to a sufficient supply of regular medication in order to get to their destination, where they should the find an alternative supply of that medication.

Patients residing abroad for a period of more than 3 months should be removed from the registered patient list.

Surgery Policy

Travelling out of the country for less  than 3 months
For patients who inform us they will be out of the country for less than 3 months, we will provide sufficient medicines for an existing condition (e.g. asthma, diabetes…) for the period while the patient is away where it is safe to do so.  Drugs that require frequent monitoring may not be prescribed where there are safety concerns.  1 months supply only will be issued for drugs normally available over the counter, such as paracetamol.

Travelling out of the country for more than 3 months
Patients who inform us they will be leaving the country for more than 3 months will be prescribed sufficient medication to enable them to make alternative arrangements at their destination (up to 3 months supply where safe to do so).

They will also be removed from our patient list. We will be pleased to re-register patients on their return to residence in the UK and can reassure patient that their electronic notes are kept on file for reference on your return. 

Patients and relatives should not seek medication for themselves while they are abroad as this constitutes NHS fraud.

Prescriptions for medicines in case of illness while abroad.

GPs will only prescribe NHS prescriptions in this case for exacerbations of pre-existing illnesses; E.g. antibiotics for patients who have frequent infections secondary to an underlying lung condition.

GPs may provide private prescriptions if it is clinically appropriate and they can be self-administered safely without medical assessment while abroad. These prescriptions are not free.

Patients should be aware that some drugs commonly prescribed in the UK may be illegal in certain countries and you should check with that countries embassy before you travel.

Medication for Fear of Flying – Practice Policy Update

 

Pontprennau Medical Centre has reviewed its prescribing policy and will no longer prescribe benzodiazepines or sedatives (such as diazepam) for flight anxiety. Many GP practices have adopted similar policies.

While some patients request diazepam for fear of flying or to aid sleep during flights, benzodiazepines pose significant risks, including:

🔹 Impaired Reaction & Judgment – These medications slow reaction times, increasing the risk of delayed response in an emergency.
🔹 Increased Risk of Blood Clots (DVT) – Benzodiazepines reduce movement, heightening the risk of dangerous clots during long flights.
🔹 Paradoxical Effects – Some individuals experience agitation, aggression, or disinhibition, which can lead to unpredictable behavior.
🔹 Legal & Travel Restrictions – Some countries prohibit the import of benzodiazepines, which could lead to legal issues abroad.
🔹 Guideline Restrictions – The British National Formulary (BNF) and NICE guidelines do not recommend benzodiazepines for mild anxiety or phobias.

Additionally, diazepam remains in the body for an extended period, which could impact drug tests for certain professions. Long-term use has also been linked to cognitive decline, including an increased risk of dementia.

Alternative Support for Flight Anxiety

We encourage patients to consider flight anxiety courses recommended by the aviation industry:

✈ EasyJet Fearless Flyer: www.fearlessflyer.easyjet.com | 📞 0203 813 1644
✈ British Airways Flying with Confidence: www.flyingwithconfidence.com | 📞 01252 793250

Seeking Private Prescriptions

Flight anxiety does not fall under General Medical Services (GMS) as defined in the GP contract, and we are not required to prescribe for this condition. Patients wishing to explore medication options should consult a private GP or travel clinic.

💡 Important: Always disclose medical conditions and medications to your travel insurer to avoid invalidating your policy.

For further information, please visit:
🔗 BNF: Diazepam
🔗 NICE Guidelines on Anxiety
🔗Travel Health Pro: Medicines Abroad