How far ahead should I book?
Six to eight weeks. Some vaccination courses take weeks, and some antimalarials must start before departure.
The week before travel limits what is possible — sometimes to nothing useful.
Can you give me the vaccinations?
No — vaccination requires an in-person appointment. We tell you exactly what you need and where to get it.
Ask your NHS practice first: hepatitis A, typhoid, cholera and tetanus/diphtheria/polio are free there.
Which antimalarial should I take?
The one matched to your destination, your history and what you will realistically take every day.
Doxycycline — cheap, daily, sun sensitivity, four weeks after return, not in pregnancy. Atovaquone/proguanil — well tolerated, shorter course afterwards, more expensive. Mefloquine — weekly, and unsuitable with a history of depression, anxiety, psychosis or epilepsy.
Resistance patterns vary by country, which is why the itinerary matters more than the price.
Are the tablets enough on their own?
No — no antimalarial is fully effective, and bite avoidance is not the optional half.
DEET 50% applied after sunscreen, covered skin at dusk and dawn, and a treated bed net. This also protects against dengue, Zika and chikungunya, for which there is no preventive tablet at all.
What if I get a fever after coming home?
The most important thing on this page. Seek urgent care the same day and say where you have been.
Malaria can develop up to a year after returning, is frequently mistaken for flu, and taking your tablets correctly does not exclude it.
Should I buy a private health screen?
Usually not, and this is worth saying before you spend the money.
Broad panels in people with no symptoms produce incidental findings — things that look abnormal, are almost always harmless, and generate anxiety, further tests and occasionally procedures.
Targeted testing guided by your age, symptoms and risk is more useful and costs less. And several of the most valuable checks are free on the NHS.
What screening should I actually be doing?
The free ones, and they are under-taken across the board.
Bowel cancer screening — the home kit, and uptake is what determines whether it works. Cervical screening, where attendance has fallen. Breast screening. The NHS Health Check at 40 to 74. AAA screening for men at 65.
Doing those beats any private package.
Can you write my visa medical letter?
Send the exact wording before booking. Requirements vary enormously and are written narrowly — and if a GP letter will not satisfy it, we will tell you by email before taking any fee.
What no GP letter can cover: UK entry TB screening, panel physician examinations, and yellow fever certificates.
Do I need a letter for my medication?
Useful at a border, but it is not a permit. Several countries prohibit medicines that are entirely ordinary in the UK — codeine, some ADHD medicines, some sleeping tablets, with the Gulf states, Japan and Singapore most often catching people out.
Check with that country's embassy before you fly. A UK letter does not override their law, and possession can be a criminal matter.
Is a GHIC enough?
No. It covers state-provided healthcare in Europe and is free and worth having — but it does not cover repatriation, private treatment, or anything outside Europe.
Insurance with every condition declared is the thing that matters, and an undeclared condition is the standard reason claims are refused.