European Joint Support Unit

European Joint Support Unit

To provide Firm Base support to Service Personnel, civilians and their families serving with NATO, the EU and elsewhere in Europe and Turkey, in order to facilitate success on operations

CENTRAL EUROPEAN

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Get in touch

CEP eConsult – Contact the practice with your admin or clinical query

CEP Attend anywhere – Video Consult

Meet the Team

Central European Practice Telephone +32 (0) 6544 2280
Email:  UKStratCom-DMS-DPHC-EJSU-CEPGrp@mod.gov.uk

Healix Telephone +44 (0)20 8481 7800
Email healthline@healix.com

Practice Manager
WO2 Pete Thomson

Deputy Practice Manager
Cpl Jamie Dickinson

Business Support
Ceri Laycock

Healthcare Coordinator Brunssum
Maxine Smith

Healthcare Coordinator Ramstein
Susan Soles

Healthcare Coordinator Bavaria
Hans Felder

Finance Administrator
Victoria Hobby

Flu Guidance for Central European Practice

Flu Immunisation 2021/22 – Central European Practice

Why Flu vaccine?
Flu vaccination is available every year to certain groups to help protect adults and children at risk from flu and its complications. Flu can be unpleasant, but if you’re otherwise healthy, it’ll usually clear up on its own in about a week. However, in those aged 65 and over; pregnant women; children and adults with an underlying health condition (such as long-term heart or respiratory disease); and children and adults with weakened immune systems flu is more likely to cause serious complications.

Who should get the flu vaccine?
This year the flu vaccine is being offered more widely to:

• people who were required to shield from coronavirus and anyone they live with
• people with some medical conditions including diabetes, heart failure and asthma
• pregnant women
• pre-school children aged 2 and 3
• all primary school children, as last year, and, for the first time, Year 7 pupils
• people over 65, before, subject to stock, over-50s
• Frontline Health or social care workers

Which type of flu vaccine should I have?

There are several types of flu vaccine. If you’re eligible, you’ll be offered one that’s most effective for you, depending on your age.

Children aged 2 to 17 are offered a live vaccine (LAIV) as a nasal spray; the live viruses have been weakened so it cannot give you flu. Children between 6 months and 2 years old in a highrisk group for flu, are offered an injected flu vaccine because the nasal spray is not licensed for children under 2.

Adults aged 18 to 64 are offered an injected inactivated vaccine; there are different types, but none contains live viruses so they cannot give you flu

Adults aged 65 and over are offered an injected inactivated vaccine; the most common one contains an adjuvant to help your immune system have a stronger response to the vaccine.

Where will I get the flu vaccine?

We will let you know of clinics as soon as the vaccine is available to us.

If you are given a flu immunisation else-where please let the practice know so that it can be recorded. Information may be sent securely to the practice using eConsult

How effective is the flu vaccine?

Flu vaccine is the best protection we have against an unpredictable virus that can cause unpleasant illness in children and severe illness and death among at-risk groups, including
older people, pregnant women and people with an underlying physical health condition.

Studies have shown that the flu vaccine will help prevent you getting the flu. It will not stop all flu viruses and the level of protection may vary, so it’s not a 100% guarantee that you’ll be flu-free. But if you do get flu after vaccination, it’s likely to be milder and shorter-lived than it would otherwise have been.

There’s also evidence to suggest that the flu vaccine can reduce your risk of having a stroke. Over time, protection from the injected flu vaccine gradually decreases and flu strains often change.

New flu vaccines are produced each year, which is why people advised to have the flu vaccine need it every year. Find out more about how the flu vaccine works.

Flu vaccine side effects

Serious side effects of the injected flu vaccine are very rare. You may have a mild high temperature and aching muscles for a couple of days after having the vaccine, and your arm may be a bit sore where you were injected. Side effects of the nasal spray vaccine can commonly include a runny or blocked nose, a headache, tiredness and some loss of appetite. Find out more about the side effects of the flu vaccine.

How safe is the flu vaccine?

The flu vaccines used in the national programme have a good safety record. Flu vaccines that are used in Europe have been thoroughly tested before they’re made available.

When to have a flu vaccine

The best time to have a flu vaccine is in the autumn before flu starts circulating. But even if it’s later, it’s always worth getting vaccinated. Ask the GP or pharmacist.

The flu vaccine for 2021 to 2022

Each year, the viruses that are most likely to cause flu are identified in advance and the World Health Organization (WHO) recommends which type of flu virus strains to include in the vaccine.

Is there anyone who should not have the flu vaccine?

Most adults can have the injected flu vaccine, but you should avoid it if you have had a serious allergic reaction to a flu vaccine in the past. Read more about who should not have the flu vaccine.

You can find out more by reading the answers to common questions about the flu vaccine.

We will aim for cashless billing with the provider but if you go elsewhere or are charged your costs may be reclaimed on JPA. In this case you should send the evidence of treatment along with proof of payment to the CEP Finance department at: SGDPHC-O-EJSU-Finance@mod.gov.uk


Authorisation to claim medical, optician and prescription expenses through JPA

Medical Claims and Invoices

If you attend a medical appointment and there is a cost included, where possible ask the provider for an invoice. This can then be sent electronically to UKStratCom-DMS-DPHC-EJSU-Fin@mod.gov.uk and the provider will be paid directly. There is no further action required by the SP / patient.

If the appointment has been arranged /approved through Healix and you receive an invoice please forward onto UKStratCom-DMS-DPHC-EJSU-Fin@mod.gov.uk for action.

If you pay for your medical treatment / prescription and need to reclaim costs via JPA, please complete a Fin07 located on this page, this needs to be signed by the SP (this can be electronic) and then send it with proof of payment direct to UKStratCom-DMS-DPHC-EJSU-Fin@mod.gov.uk  –  a JPA claim code and UIN will then be issued so a claim can be inputted onto JPA by the SP. The authorisation code is to be used in the justification box on JPA no further information is required.

All enquiries regarding medical finance should be sent to UKStratCom-DMS-DPHC-EJSU-Fin@mod.gov.uk

Medical Cabinet – Make sure yours is stocked

Medical Cabinet

Most medical supplies can be obtained usually without a prescription in the pharmacy however, drugs may be marketed under a different name or can be expensive and difficult to find. Specific requirements and/or brand names may not be available.

We recommend that you bring some with you and keep your medical cabinet stocked up whilst you are in Europe, please see the list below of what is recommended.

Please make sure that your medical cabinet is locked and out of reach of children.

Pain relief: paracetamol, ibuprofen, aspirin, Calpol
Antihistamines
Oral rehydration salts
Anti-diarrhoea tablets
Indigestion treatment

First Aid Kit

Bandages, plasters, thermometer, antiseptic, eyewash, solution, sterile dressings, medical tape, tweezers.

F.A.Q’s

Out of Hours

If you require care that cannot wait until the next working day then attend the local accident and emergency department. 

NB. If you attend A and E or are admitted to hospital unexpectedly call Healix

If you need the support of a clinical team out of hours the Healix Healthline is 24/7.  They may be reached on +44(0)208 481 7800 and can also reach the CEP clinical team when required.

Referrals

If you are referred for secondary healthcare, you must gain approval from Healix prior to attending the consultation/treatment.

This is to ensure that the care that you are referred to is safe, effective, relevant and in line with NHS standards. Failure to do this will make you liable for any billing.

This process is in place to prevent unnecessary treatment that would not be approved and may affect the onward career and employability in the case of Service Personnel.

In most cases Healix will be able to liaise with the SHC provider and will send them a guarantee of payment certificate (please see location specific Patient Information Pack for recommended practices that have direct billing set up).

You will need to take any referral letters or paperwork with you to your appointment.

Once you have had your consultation/treatment Healix will need to see a copy of your treatment notes prior to payment direct to the hospital. It is imperative that you do not delay this process.

If you are unsure with this process, please contact your CEP Health Coordinator.

How to contact Healix

Telephone+44 (0)20 8481 7800
Emailhealthline@healix.com
  • Women’s Health

Cervical screening

You will receive a reminder letter if you are due Cervical Cytology. Please book your appointment with the local clinic. Contraceptive Services are also provided.

It is important, if electing to have your cervical screening in Host Nation, that you recognise that although the service is of good quality, the continuity of information is less coherent that continuing with UK screening.  If you would prefer to have cervical screening in the UK, ideally linked to a trip you are making anyway, this may be organised through Healix or DPHC. Costs will not be covered by EJSU.

The CEP should be forwarded any results in order the basics may be entered on the national screening system.

  • Who do I contact when my Healthcare Co Ordinator is on leave?

When your Healthcare Co Ordinator is on leave please refer to your location specific patient information guide for help and information, this can be found on EJSU net. If you still require information or assistance, please contact the CEP team on:

Telephone+32 (0) 6544 2280
EmailSGDPHC-O-EJSU-CEP@mod.gov.uk

BREXIT – EHIC

Is my EHIC still valid after EU Transition?

Your EHIC is valid in the EU until it expires. Once your EHIC has expired, you will be able to replace it with the new UK Global Health Insurance Card (GHIC)

How do I check my EHIC expiry date?

The expiry date is on the bottom right of the physical card.

Be aware of unofficial websites who may try to charge you, GHIC cards are FREE.

COVID FAQ’s

COVID immunisation for under 18s – Central European Practice Advice

You will have heard that JCVI having given direction (here) for 16 & 17 year olds to be offered the Pfizer vaccine. The Department for Health is currently planning this in the UK and we are also planning, with FCDO, how we can safely deliver vaccines to younger age groups overseas.  The access and logistics are not yet in place for MoD delivery overseas.

In Europe and Turkey we are fortunate that many host nations are offering Pfizer BioNTech (Comirnaty)  to  young people so many of our young people have taken up the offer already. The administrative advantage of host nation immunisation   is that there will be automatic inclusion in the host nation record.  

Requests:

  1. Please ensure you and your child have considered a Host nation offer of Pfizer immunisation and taken it up if you wish to. The Host Nation offer is our primary means of access to Pfizer.
  2. If the offer is not available in your area get in touch so that we can plan.  UKStratCom-DMS-DPHC-EJSU-CEPGrp@mod.gov.uk 
  3. The details of any immunisation undertaken in the host nation (including type, batch number and date of expiry) should be sent to  in order that we can update your Defence medical and NHS record if possible. NB. We are not yet able to include those aged 12-15 in the NHS system as these age groups are not yet in scope in the UK.  

MoD view for those who wish it:  JSP 950, Leaflet 7-1-1 (linked on ModNet here): So long as the HN-provided vaccine is compliant with the EMA/FDA/MHRA conditions of authorisation an individual (or the person with parental responsibility) can accept the offer of a HN vaccine under the principles of informed consent (noting that children aged 16-17 are generally competent to give their own consent).

COVID Immunisation– update on the next phase in Europe/Turkey –  FAQs  

This is an update for MoD personnel living in EJSU-supported areas on plans for the next phase of the COVID immunisation program. Those with under 18s at post please read the part in red.  

Under 18s

The UK’s vaccination group have recently offered advice (here) that those aged 12-17 may be offered one dose of the Pfizer BioNTech (Comirnaty) vaccine. The Department for Health is currently beginning immunisation in the UK while the MoD and FCDO plan for the logistics of an offer to the small number of overseas U18s who are not incorporated in a host nation plan.  

In Europe and Turkey many of our countries of residence are already offering two doses of Pfizer  to young people and many have taken this up already.  We have reached out to all NSEs and are not aware of many issues with access but if you have any concerns then get in touch direct with your practice as well as letting the NSE know.      

We understand that differing approaches to immunisation and certification between the UK and other nations creates challenges for those who live or travel between two regions (in particular children who are at school in the UK). There is no one-size-fits-all answer to this but individual preferences; the HN offer; and the residency status of the child will play a part in family decisions on whether to aim for a local vaccination.  In making this decision, it is also worth highlighting that the MoD has no authority to move ahead of the NHS program (which allows only one jab at the moment) and we also have no immediate access to our own stock of Pfizer vaccine in most locations. Therefore, please consider the HN offer of Pfizer for U18s and accept it should you wish to.  

  1. Please ensure you and your child (over 12) have considered the Host Nation offer of Pfizer immunisation, using UK and HN advice, and taken it up if you wish to.  This is the only current means of access to immunisation out of the UK for children across Europe and Turkey.
  2. Records: The details of any immunisation undertaken in the host nation (including type, batch number and date of expiry) should be sent to your practice so we can update your Defence medical and NHS record. NB.
  3. Although we can include those aged 12-17 in the NHS clinical system, under 16s across the UK have no access to NHS online certification. If they need to demonstrate proof of immunisation for life overseas this will currently need to be on the host nation system.  

MoD view on HN offer:  JSP 950, Leaflet 7-1-1 (linked on ModNet here): So long as the HN-provided vaccine is compliant with the EMA/FDA/MHRA conditions of authorisation an individual (or the person with parental responsibility) can accept the offer of a HN vaccine under the principles of informed consent (noting that children aged 16-17 are often competent to give their own consent).

Boosters for over 50s

We anticipate a mixture of Host nation and UK clinic-administered vaccine for those over 50 and those with certain underlying health conditions. For most people on the UK program this will mean they become eligible in November.   

We are currently working on the logistics of UK provision and may choose to minimise this where there is already an accessible host nation offer. At the moment European countries vary in their approach but if you are in an eligible groups and 6 months have passed since your second vaccine and Pfizer is available in your country of residence, you may wish to accept that offer. Please also let your practice know of the immunisation if you do accept one elsewhere. 

Third primary doses

A very small number of people in the UK MoD population require a third primary dose of vaccine due to having a condition or taking medicines that affect the immune response. This third dose is usually with Moderna or Pfizer vaccines (the mRNA types). We are reaching out to these people to ensure a HN or UK offer is in place but if you are in these groups and have not yet been contacted please give your practice a call.  

Third primary COVID-19 vaccine dose for people who are immunosuppressed: JCVI advice

More Information:

COVID-19 vaccination: resources for children and young people

JCVI statement, August 2021: COVID-19 vaccination of children and young people aged 12 to 17 years

COVID-19 vaccination programme

Contact your practice:

Central European Practice  –   UKStratCom-DMS-DPHC-EJSU-CEPGrp@mod.gov.uk

SHAPE and Brussels Practice  –  UKStratCom-DMS-DPHC-MON-Grp@mod.gov.uk