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Building a Modern Travel Health Service for Lothian

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International travel has changed significantly over the past decade, increasing the need for accessible, high-quality travel health advice and vaccination services. In NHS Lothian, we have worked to develop a modern service that provides safe, comprehensive care before people travel abroad.

As part of Scotland’s Vaccination Transformation Programme, which came into effect in 2022, responsibility for travel vaccinations moved from GP practices to health boards. In Lothian, we used this opportunity not simply to replace the previous system, but to create a more comprehensive service.

Our model brings together NHS travel vaccinations, expert travel health advice, private vaccinations, antimalarial prescriptions and an individual travel health assessment in one place. Previously, many patients received NHS vaccines from their GP but then had to attend other providers for additional vaccines or malaria prevention. By offering a more holistic service, we can reduce the number of places patients need to visit and help them prepare more effectively for their travels.

A travel clinic has existed within the Regional Infectious Diseases Unit for more than three decades, but the service has expanded significantly in recent years. Activity has risen from around 1,600 new appointments each year to around 12,000 annually, reflecting both growing demand and the value patients place on a comprehensive service.

With such high demand on the service, we know that access to appointments has sometimes been challenging. We have listened carefully to feedback and introduced an online booking system to improve accessibility, although we recognise there have been some issues as the new system is being embedded. As an NHS service, our digital systems meet strict standards for IT governance and patient data protection.

Feedback from patients who attend the clinic has been extremely positive. Our team works incredibly hard to deliver high-quality care and expert advice, and we are proud of the service that has been built.

We also want people to know there are other travel health providers across Lothian. Most travel vaccines and antimalarial medicines are not funded by the NHS and can also be accessed privately through pharmacies and travel clinics. Travellers can also check in advance what they may need by visiting TravelHealthPro: https://travelhealthpro.org.uk

We want the NHS Lothian Travel Health Service to continue evolving so that we can provide accessible, high-quality and comprehensive care. We are grateful for the patience, support and feedback of the public as we continue to improve the service.

If you need to arrange an appointment with our Travel Clinic go to: https://services.nhslothian.scot/travelclinics/find-an-nhs-lothian-travel-clinic/ and select ‘Book Online’

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