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The traveller with a complex itinerary

Vaccination
A detailed risk assessment is essential to giving good travel health advice. Margaret Umeed works step-by-step through a risk assessment process

Travel health is a complex and challenging area of practice, but it can be a particularly rewarding one. Basic travel health advice is one of the essential services that a general practice is contracted to provide, and it is funded by the global sum of the General Medical Services contract, rather than through the Quality and Outcomes Framework. 1 This article discusses a traveller with a complex itinerary and suggests a process of pre-travel assessment that can be successfully used with any traveller.

The risk assessment
The Royal College of Nursing competencies state that 'the nurse is responsible for undertaking and evaluating the risk assessment, and thoroughly documenting it in a professional manner and keeping records secure'.2

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