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


Sun Safe July
The Central European Practice

Central European Practice for the European Joint Support Unit personnel and dependants. Providing medical support across EJSU diaspora is co-ordinated by the CEP in conjunction with our contracted partner Healix and Host Nation Providers


Get in touch

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

CEP Attend anywhere – Video Consult

Meet the Team

[tmm name=”cep-team”]

Central European Practice Telephone +32 (0) 6544 2280

Healix Telephone +44 (0)20 8481 7800

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

Flu Guidance for Central European Practice

Flu Immunisation 2020/21 – 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 on 31 August 2020
• all primary school children, as last year, and, for the first time, Year 7 pupils
• people over 65, before, subject to stock, over-50s in Nov/Dec
• 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 2020 to 2021

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:

Authorisation to claim medical, optician and prescription expenses through JPA
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
Oral rehydration salts
Anti-diarrhoea tablets
Indigestion treatment

First Aid Kit

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


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.


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
  • 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


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.