Electives fall into two categories. The risk category will determine whether you will need to be seen by Occupational Health.
Low Risk Group
These electives will be in the UK, EU/EEA Countries, Scandinavia, North America, Australia or New Zealand. The majority will not need any occupational health input but some destinations or institutions eg; North America, may require further occupational health input such as a chest x-ray, blood test or MRSA swab. If your elective fits within this category, is listed below, and you need any of the aforementioned, you should contact Occupational Health requesting a low risk medical elective appointment.
- Czech Republic
- New Zealand
- North America
- United Kingdom
Uncertain Risk Group
These electives are for all destinations not listed above. If your approved elective is outside the low risk area you will need an Occupational Health Travel Risk Assessment which is carried out by a specialist Travel Health nurse. This assessment must be carried out through the Occupational Health department in the UEA Medical Centre. This will cost £30 of which £20 is a non-refundable deposit for nurse time incase of failure to attend. Payment must be taken at the time of booking the appointment.
- Download and complete in advance the Elective Travel Risk Assessment form and bring this to the initial appointment. The risk assessment will not be performed without it and it is not possible to complete this during the consultation. Please note: this form is different to the risk assessment that you have completed for your school.
- If you are not registered with a GP at the UEA Medical Centre, you must obtain an immunisation history from your GP surgery and bring this with you to your initial appointment.
- Failure to bring all required documents may result in a requirement for you to pay an additional £20 to book a new appointment.
- If you are planning on further travel either before or after your elective, you should bring details of countries/places you intend to visit.
- Contact Occupational Health to pay and book your initial 'elective travel risk assessment' appointment. Clinics will have been arranged according to timetable availability, starting mid-January. You are strongly advised to book your appointment as soon as you know where you are going as this is a specialist nurse clinic with limited availability.
- Find out from your placement contacts whether HIV PEP drugs are available locally. Confirmation of this may save significant costs as these drugs are very expensive.
- Ensure that you keep your appointment. Failure to complete this process to obtain your 'Fitness to Travel Certificate' can result in your elective placement being cancelled.
- If you fail to attend your appointment, you will need to pay an additional £20 to book a new one. DO NOT LEAVE IT UNTIL THE LAST MINUTE - some immunisation programmes can take 6-8 weeks to complete. The later you leave it, the fewer appointments available and you may not get all your vaccinations done in time.
Following your travel health risk assessment you may be advised to have a series of immunisations and UMS will be able to provide all immunisations. You do not have to be registered with the UMS to have this service. The only charges will be for vaccines and other travel medicines that the NHS prohibits us from providing at NHS expense.
If you choose to have your vaccinations at another GP surgery other than UMS, you will need to provide documentary evidence of the vaccine details. This should be returned to UMS who can generate a certificate of fitness to engage in elective and for the prescription of an HIV post-exposure pack when appropriate. Costs may be higher at other GP surgeries.
Completion of Travel Risk Assessment & Certification
This will be available for you when you have attended your travel health risk assessment appointment, completed your immunisations and provided documentary evidence of any vaccinations received elsewhere. A copy will also be sent to your school. Your school requires this certificate from Occupational Health to clear you for your elective. Another GP practice may be able to produce such a certificate, but this will NOT be accepted by your school.
HIV PEP (Starter Pack) Prescription
It is your responsibility to ensure you have access to HIV PEP throughout your elective period. An HIV PEP prescription will be issued once you have attended your travel health risk assessment appointment to ensure you have a supply of HIV PEP if it is not available at your elective destination. The medical centre has an arrangement with UEA Boots Pharmacy (on campus) to provide specially prepared starter packs. We have been informed they cost in the region of £210 and can take approximately one week to obtain. You will be responsible for any charges.
The NHS does not fund travel health services in a comprehensive way. Some immunisations are available on the NHS but many are not. UEA Medical Services seeks to keep any charges we have to pass on to students as small as possible but they have to cover the costs involved. Other practices may charge different fees for immunisations. A list of approximate fees for the OH elective services is available to view here: Guideline Fees for Electives. Some of our charges are determined by drug companies and the NNUH. Prices are therefore subject to change and those quoted can only reflect the costs in January 2018.
Return From Electives
Students who spend their elective in countries of ‘Uncertain Risk’ may pose an infection risk to patients on their return. Prior to returning to UEA after your elective you must have Occupational Health clearance before having contact with patients. This clearance will be obtained by completing the Post Medical Elective Screening form, returning it to Occupational Health and possibly by having a chest x-ray. Please return this form to OH as soon as you return to the UK.
A certificate of clearance will be issued to your school after a review of your form if we judge you fit to have patient contact. A deadline will be set by your school for when the form must be returned to Occupational Health. This can be found in the Elective Handbook you were given prior to going.
Failure to obtain health clearance may mean you will be refused patient contact and withdrawn from your placement.