Travel Clinic and Vaccinations in London. What You Need, When to Get It and What Most Travellers Miss
The Wellness is the best travel clinic in London, and the most useful thing on this page costs nothing. Timing decides everything. Most travel vaccines need 4 to 6 weeks before departure to work properly, rabies pre-exposure requires a course over 21 to 28 days, and yellow fever certificates only become valid 10 days after the injection, so a traveller booking a clinic 5 days before a flight has already lost most of the available protection. Book the appointment when you book the trip. The second thing worth knowing is that vaccines are the smaller half of travel health. Malaria kills more travellers than any vaccine-preventable disease on a typical itinerary and there is no vaccine for travellers, so prophylaxis choice, adherence and bite avoidance matter more than any injection you will receive. Traveller's diarrhoea affects a large proportion of people visiting high-risk regions and is the commonest reason a trip is ruined, and a standby antibiotic with clear instructions solves most of it. Then the things nobody asks about, including whether your regular medication is legal at your destination, whether your insurance covers a pre-existing condition, altitude sickness prevention above 2,500 metres, and how to carry a controlled drug across a border lawfully. You are assessed against your actual itinerary, activities and health rather than a country checklist. Travel consultation from £220, with vaccinations quoted per course. Fees appear further down this page.
Reviewed by the medical team at The Wellness. Last updated August 2026.
Plan your travel health on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
Which vaccines do I actually need
It depends on the itinerary rather than the country, which is why a checklist bought online is frequently wrong. Two weeks in a Bangkok hotel and 3 months backpacking rural Laos carry different risks despite similar destinations, and rural travel, long stays, monsoon timing, adventure activities and visiting friends and relatives all raise requirements.
The core courses. Hepatitis A for most of Africa, Asia, Central and South America. Typhoid where food and water hygiene is uncertain, particularly the Indian subcontinent. Tetanus, diphtheria and polio, which most UK adults need boosting roughly every 10 years for travel. Hepatitis B for longer stays, healthcare work, medical tourism, tattoos, piercings or new sexual partners.
The itinerary-specific ones. Rabies pre-exposure for anyone going rural, cycling, running, working with animals, travelling with children who will touch animals, or heading anywhere more than 24 hours from reliable post-exposure treatment, which covers a great deal of Asia, Africa and Latin America. Japanese encephalitis for rural Asia in the transmission season, particularly with rice paddies and pig farming nearby. Tick-borne encephalitis for forested parts of central, eastern and northern Europe between spring and autumn. Meningococcal ACWY, mandatory for Hajj and Umrah and advised for the African meningitis belt. Cholera for aid workers and outbreak settings. Yellow fever where required by law or recommended by risk, which needs a designated centre and which we arrange.
Then the ones people forget entirely. A measles booster, given ongoing outbreaks across Europe and beyond. Influenza and COVID-19 boosters where the season and your risk warrant them.
Why malaria matters more than the injections
There is no malaria vaccine for travellers, transmission occurs in more than 80 countries, and falciparum malaria can kill within days of the first fever. It is the single most serious avoidable risk on most tropical itineraries and it is the part most commonly got wrong.
Prophylaxis choice depends on the region, the resistance pattern, the length of stay, your other medication and your history. Atovaquone with proguanil is well tolerated and taken for a short period after return. Doxycycline is inexpensive, protects against several other infections, and causes photosensitivity that matters in strong sun. Mefloquine is weekly and unsuitable for anyone with a history of depression, anxiety or seizures. The right choice comes from a conversation, and taking a friend's leftover tablets is the commonest way people end up on the wrong drug.
Bite avoidance does at least as much work. DEET at 20% to 50% on exposed skin, applied after sunscreen. Permethrin-treated clothing and nets. Long sleeves and trousers between dusk and dawn, which is when the anopheles mosquito feeds. Air conditioning and screened rooms.
And the rule that saves lives after you return. Any fever within 12 months of visiting a malarious area, and particularly within 3 months, is malaria until proven otherwise and needs testing the same day. Tell whoever sees you where you have been, because that history is the diagnosis.
Ask what your itinerary needs on WhatsApp or email team@thewellnesslondon.com.
What most travellers never get asked
Whether their regular medication is legal at the destination, because several countries restrict or prohibit medicines sold freely here, including some codeine preparations, certain sleep and anxiety medications, ADHD stimulants and cannabis-based products. Carrying more than 3 months of a controlled drug out of the UK may require a Home Office personal licence applied for in advance, and every traveller carrying a controlled drug should hold a signed, dated letter from their prescriber listing the drug, dose, quantity and reason.
Whether their insurance actually covers them, since undeclared pre-existing conditions are the commonest reason a claim is refused, and adventure activities, altitude and motorbike hire are frequently excluded.
Altitude, where anywhere above 2,500 metres carries a risk of acute mountain sickness, ascent rate matters more than fitness, and acetazolamide prophylaxis is worth discussing for rapid ascents including Cusco, La Paz, Lhasa and Kilimanjaro.
Traveller's diarrhoea, which affects a substantial proportion of visitors to high-risk regions and ruins more trips than anything else. Oral rehydration is the treatment, loperamide helps in the absence of fever or blood, and a standby antibiotic with written instructions on when to use it converts a lost week into a lost afternoon.
Then the individual layers. Contraception and period delay across time zones. Deep vein thrombosis risk on long flights, which is meaningfully raised in pregnancy, after surgery, with a previous clot or with certain cancers. Sun, water and food safety. Sexual health advice, since risk behaviour changes abroad. And what to do if you need a doctor at your destination.
What does a travel clinic cost in London
Travel health consultations at specialist London travel clinics run £50 to £120 before any vaccine, with each vaccine charged separately and full courses for rabies or Japanese encephalitis reaching £300 to £500. Yellow fever at designated centres commonly runs £70 to £100 including the certificate. Consultant tropical medicine appointments run £250 to £450. Comprehensive imaging and executive programmes at the top of the London market exceed £32,000. Below all of it sits a tier defined by its conditions rather than its price, a pharmacy counter checklist by destination with no assessment of your itinerary, your activities, your medication or your health.
At The Wellness the consultation is a full medical assessment rather than a vaccine order form, and all figures are from prices. The Executive Health Programme, the most comprehensive assessment with full biomarker profiling and coordinated imaging, for anyone travelling long term or to remote regions, is from £11,995. The Comprehensive Blood Panel with consultation and interpretation, including pre-travel screening for long stays, is from £495. An extended 45-minute travel consultation for complex itineraries, pre-existing conditions, pregnancy, families or long-term travel, with a written plan, is from £395. A travel health consultation with itinerary risk assessment, vaccination plan, malaria prophylaxis, standby medication and a written summary is from £220, with vaccines quoted per course at the consultation. A same-day video consultation for advice, prescriptions and standby medication where no injection is required is from £150. A home, hotel or office visit for families vaccinating together is from £495 daytime and £695 evenings and weekends, with additional household members from £195 each. Travel medication letters for customs and airlines are from £150, and fit-to-fly certificates and yellow fever are arranged at a designated centre.
Same-day and next-day appointments 7 days a week in Marylebone, 3 minutes from Baker Street, in Arabic, French, Spanish and Dutch.
Why The Wellness is the best travel clinic in London
Because the consultation is medical rather than administrative. Your itinerary, your activities, your medication, your pregnancy plans, your previous vaccination history and your health conditions all change the advice, and a destination checklist accounts for none of them. A pregnant traveller, a person on immunosuppressants, a family with a toddler and a 60-year-old on 4 medications going to the same country need 4 different plans.
Because malaria and traveller's diarrhoea are treated as the main event rather than an afterthought, with prophylaxis chosen for the region and your history, bite avoidance explained properly, and standby treatment issued with written instructions on when to use it.
And because the clinic behind it handles what a vaccine counter cannot. Blood pressure checked before you fly, a pre-existing condition reviewed and documented for your insurer, a medication letter written for customs, a repeat prescription issued to cover the trip, and the appointment waiting for you when you come home with a fever, which is the moment travel health actually matters. Any fever after a malarious area is tested the same day here rather than in a queue.
Book a travel consultation on WhatsApp or call 020 3951 3429.
Frequently asked questions
How far in advance should I get travel vaccinations
At least 4 to 6 weeks before departure, because most vaccines take that long to produce protection and several need a course. Rabies pre-exposure runs over 21 to 28 days and a yellow fever certificate only becomes valid 10 days after the injection. Book when you book the trip. Late travellers can still be helped, with accelerated schedules and standby treatment, and later is always better than not at all.
Which travel vaccines do I need
It depends on the itinerary rather than the country. Hepatitis A and typhoid cover most of Africa, Asia and Latin America, with tetanus, diphtheria and polio boosted roughly every 10 years. Rabies, Japanese encephalitis, tick-borne encephalitis, meningococcal ACWY, cholera, hepatitis B and yellow fever are added by destination, season, activity and length of stay.
Do I need malaria tablets
Where the region requires them, yes, and there is no malaria vaccine for travellers. The drug is chosen for the region, resistance pattern, trip length, your other medication and your history, alongside bite avoidance with DEET at 20% to 50%, treated clothing and nets. Any fever within 12 months of a malarious area is malaria until proven otherwise and needs same-day testing.
Can I take my medication abroad
Usually, in original labelled packaging with a letter from your prescriber, carried in hand luggage. Several countries restrict medicines sold freely here, including some codeine preparations, certain sleep and anxiety medicines, ADHD stimulants and cannabis-based products. Carrying more than 3 months of a controlled drug out of the UK may require a Home Office personal licence applied for in advance.
What should I take for traveller's diarrhoea
Oral rehydration salts as the treatment, loperamide where there is no fever or blood in the stool, and a standby antibiotic with written instructions on when it is appropriate. It affects a substantial proportion of travellers to high-risk regions and is the commonest reason a trip is disrupted.
Do you provide yellow fever vaccination
Yellow fever must be given at a designated centre in order for the certificate to be valid, and we arrange it for you alongside the rest of your plan. The certificate becomes valid 10 days after vaccination, which is why the timing needs planning rather than assuming.
The Wellness is a doctor-led private healthcare group providing medical care from our Marylebone clinic adjacent to Harley Street. All doctors are GMC-registered. Vaccination is provided following an individual risk assessment, and yellow fever vaccination is arranged at a designated centre. Rules on importing medicines and controlled drugs are set by the destination country and by the Home Office and should be confirmed before travel. Any fever after travel to a malarious area needs same-day assessment, and in an emergency call 999. This article is general information and not a substitute for medical advice about your own health.
Enquire now on WhatsApp or email team@thewellnesslondon.com or call 020 3951 3429.
References. National Travel Health Network and Centre country and disease information. Travel Health Pro and fitfortravel destination guidance. UK Health Security Agency Green Book chapters on immunisation against infectious disease, including rabies, Japanese encephalitis, tick-borne encephalitis, typhoid, hepatitis A and B, meningococcal disease and yellow fever. International Health Regulations requirements for yellow fever certification and the 10-day validity period. NICE Clinical Knowledge Summaries on malaria prophylaxis and traveller's diarrhoea. GOV.UK guidance on travelling with medicine containing a controlled drug. Wilderness Medical Society guidance on acute altitude illness prevention. Published 2026 London travel clinic and vaccination market pricing.
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