This responsibility has been transferred to the Health Board under the terms of the current GP contract.

Should you require travel vaccines patients should contact the NHS Tayside Vaccinations Service by email: tay.travelvaccines@nhs.scot or by telephone: 01382 423108.

Vaccines will then ultimately be given at the preferred pharmacy of their choice or a member of the Tayside Vaccination team at one of their sites.

The process of ordering and administering travel vaccines takes some time, so please plan your vaccinations well in advance of your trip.

You can find out which vaccinations are necessary or recommended for the areas you'll be visiting on these websites:

• Travel Health Pro
• NHS fit for Travel
• Tayside Vaccinations Service

Some countries require proof of vaccination (for example, for polio or yellow fever vaccination), which must be documented on an International Certificate of Vaccination or Prophylaxis (ICVP) before you enter or when you leave a country.

Find out more about the vaccines available for travellers abroad.

This policy decision has been made by the GP Partners and is adhered to by all prescribers working in the practice. The reasons for this include:

1. Diazepam is a sedative, which means it makes you sleepy and more relaxed. If there is an emergency during the flight it may impair your ability to concentrate, follow instructions and react to the situation. This could have serious safety consequences for you and those around you.
2. Sedative drugs can make you fall asleep, however when you do sleep it is an unnatural non-REM sleep. This means you won’t move around as much as during natural sleep. This can cause you to be at increased risk of developing a blood clot (DVT) in the leg or even the lung. Blood clots are very dangerous and can even prove fatal. This risk is even greater if your flight is greater than four hours.
3. Whilst most people find benzodiazepines like diazepam sedating, a small number of people experience agitation and even aggression. They can also cause disinhibition and lead you to behave in a way that you would not normally. This could impact on your safety as well as that of other passengers and could also get you into trouble with the law.
4. According to the prescribing guidelines doctors are required to follow (BNF), Benzodiazepines are contraindicated (not allowed) for phobia (fear). Your doctor would be taking a significant legal risk by prescribing against these guidelines.
5. Diazepam and similar drugs are illegal in a number of countries. They may be confiscated, or you may find yourself in trouble with the police.
6. Diazepam stays in your system for quite a while. If your job requires you to submit to random drug testing, you may fail this having taken diazepam.

We appreciate that fear of flying is very real and very frightening. A much better approach is to tackle this properly with a Fear of Flying course run by the airlines and we have listed a number of these below.

• Easy Jet www.fearlessflyer.easyjet.com Tel 0203 8131644
• British Airways www.flyingwithconfidence.com Tel 01252 793250
• Virgin www.flyingwithoutfear.co.uk Tel 01423 714900