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The Practice Nurses at the surgery offer vaccinations for the following:


  • Travel Vaccinations


  • Children's Immunisations


  • Tetanus Vaccinations


  • Pneumococcal Vaccinations


  • Influenza (Flu)


  • Shingles Vaccinations


Travel Vaccinations


Many people choose to travel to exotic places, and the number of different adventure trips are also on the increase.  Even if you are travelling to Europe it is advisable to check if you need vaccines and to seek advice that will help you to stay healthy on holiday.  Ideally you should begin to organise your vaccinations at least 6 - 8 weeks before you leave the UK, particularly if you are travelling further afield.  The last vaccination you receive should be at least 2 weeks before you travel. 


Some travel vaccinations are provided free by the NHS:


  • Typhoid


  • Hepatitis A


  • Diphtheria


  • Tetanus


  • Polio


  • Hepatitis B (for travel purposes only)


If you need one of the vaccinations listed above please make an appointment with one of our Practice Nurses.  Other travel vaccinations are not provided by the NHS and you will therefore need to find a private provider to give you these vaccinations.  Regrettably, due to an increased demand on our services we are no longer able to provide a full travel vaccination service.


What you need to do


  • Research the vaccinations required for the destination that you are travelling to.  You can use the links below to the 'Fit for Travel' website to ascertain which vaccines are recommended, or approach a private provider such as Day Lewis Pharmacy or a MASTA clinic.


  • For vaccinations provided free by the NHS - make an appointment with one of our Practice Nurses.


  • For vaccinations provided privately - find a private provider such as Day Lewis Pharmacy or a MASTA clinic.


Click the link below to see more details of local Yellow Fever Vaccinations Centres.


Yellow Fever Vaccination Centres


EuropeEurope & RussiaNorth AmericaNorth America
Central AmericaCentral AmericaSouth AmericaSouth America
Middle EastMiddle EastCentral AsiaCentral Asia
East AsiaEast AsiaAustralasia Australasia and Pacific


Children's Vaccinations


Children are offered a variety of vaccinations by the NHS from the age of 2months.  To see more information regarding the vaccination schedule click HERE and then select the tab for 'Vaccinations'.


The Practice Nurses run a clinic for the immunisation of children from 2pm every Wednesday afternoon.  Please telephone the practice to book an appointment and check for availability.


Tetanus Vaccinations


Tetanus is an infection that can be fatal in the worst cases which is caused by a bacterium that lives in soil and dirt.  The bacterium may enter your body if you have a cut or wound in the skin. 


Children are routinely offered the tetanus vaccination as part of the immunisation schedule.  For more details see the section above entitled 'Children's Vaccinations'.  Immunisation against tetanus began in 1961, so there may be adults who have not had the full course of vaccinations so still remain at risk.  Please see below for details of the adult immunisation timetable:





Three doses of vaccine, each one month apart

4th DOSE

10 years after the primary course

5th DOSE

10 years after 4th dose

The Primary Course of injections offers good protection for a number of years.  The 4th and 5th dose are boosters to maintain protection.  After you have received the 5th dose immunity remains for life and you will not need any further tetanus vaccinations.  Please note the course does not need to be restarted if you miss or delay an injection; a late injection, even years after it was due, is sufficient to catch up.


It is common to get a some redness and swelling around the site of injection, but this should go within a few days.  You should not receive the vaccine if you are unwell with a fever.


Cuts and Bites


If you have not received any immunisations for tetanus, or you are not up-to-date with your boosters and you receive a cut or bite it is advisable to have an injection for tetanus.  If you are up to date with your immunisations a further vaccination is NOT required.


Travelling Abroad


If you are up-to-date with your vaccinations you will not usually need a further injection of vaccine.  However, if you are travelling to an area where there is little or no medical attention then it is always advisable to receive a further injection, particularly if it has been more than 10 years since your final booster.


Pneumococcal Vaccinations


 If you match any of the criteria listed below you are eligible to receive a vaccination against Pneumonia at the Surgery free of charge:

  • Over 65


  • Suffer from a chronic condition such as: COPD, severe asthma, diabetes, chronic kidney disease, chronic liver disease, chronic heart disease


  • Immunosuppressed (undergoing chemotherapy, being treated with systemic steroids, HIV at all stages)


  • Asplenic or splenic dysfunction


  • Cochlear implants


  • Cerebrospinal fluid leaks


If you are asplenic or suffer from splenic dysfunction or chronic kidney disease it is recommended that you receive this vaccination every 5 years to ensure immunity is retained.


Influenza Vaccinations


Each year the seasonal flu vaccination is offered to those people that qualify under NHS guidelines.  Click here for more information.


MMR Vaccinations


There have been several confirmed cases of Measles in Herefordshire, in paricular Ross-On-Wye, and the GPs are strongly recommending that all patients are fully immunised against measles, mumps and rubella, particularly children. 


To be fully immunised against measles, mumps and rubella, you need to have 2 MMR vaccinations.  These vaccinations are now part of children's immunisation schedule: the first at 12-13 months and the second at 3 years 4 months.  If you are concerned that your child has not been fully immunised please contact the Surgery who will check the medical records and arrange any appointments with the Practice Nurses.


The vaccine is also being offered to any adults who may not be fully immunised.  The immunisation schedules have changed several times historically and due to this, depending on the year of you birth, there is a likelihood that you are not fully immunised:


  • People born between 1970 and 1980 may only be vaccinated against measles and not mumps and rubella


  • People born between 1980 and 1990 may not be protected against mumps


  • People over the age of 45 are considered to have immunity; although you are still eligible to receive the vaccine if you should wish to.


By ensuring that you have had 2 doses of MMR vaccine in your lifetime you are protecting yourself against all 3 diseases.  If you would like to know your immunistation status, or would like to book in to have the vaccination, please contact Reception who will arrange any necessary appointments and liaise with our Practice Nurses.


As you may be aware there have been several localised outbreaks of Measles within the UK.  Please click the link below to read a news release from Herefordshire Council:


MMR News Release


Shingles Vaccinations


There is a new NHS vaccination programme which started in September 2013 to vaccinate people against Shingles.  Shingles, also known as herpes zoster, is a condition that is caused by reactivation of the chickenpox virus.  Shingles tends to occur more often in older people and usually causes a painful rash on one side of the body. 


As older people are more likely to get shingles, the new national shingles immunisation programme for people aged 70 to 79 has been introduced by the Department of Health from September, to help protect those most at risk from shingles.


If, on the 1st of September 2015 you were either 70, 71, 72, 78 or 79 you are eligible to receive this vaccination. 

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