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Prescriptions

Ordering repeat prescriptions

The easiest ways to order repeat prescriptions are:

  • using your NHS account (through the NHS website or in the NHS App)
  • via eConsult
  • using the GP online system: Patient Access
  • submit a written request or use the right hand slip on your prescription which shows the authorised repeats available for you to order. Please tick and initial each item you require. You can post or deliver the slip to your surgery.

Should you need to request an acute medication, please complete an administrative eConsult form, which will then be sent to our team and reviewed by the doctor.

For reasons of confidentiality, we are unable to take repeat prescription requests over the phone. We also do not accept prescription requests via email.

Out of hours

If you have run out of prescribed medicines and need some urgently, there are a few ways to get an emergency supply, including out of hours.

Collecting your prescription

Information:

You can usually collect your prescription 3 working days after you have ordered it.

You will need to choose a pharmacy to collect your prescription from. We call this nominating a pharmacy.

You can change your nominated pharmacy at any time:

  • on the app or website where you order repeat prescriptions
  • at any pharmacy that accepts repeat prescriptions

Questions about your prescription

Please submit any medication queries by completing an administrative eConsult form. If you need to speak to someone, please call 01442 500164; the prescription line is open from 8am to 1pm and from 2pm to 3pm, Monday to Friday. To check on the status of your repeat prescription request please check your NHS App.

If you have questions about your medicine, your local pharmacists can answer these. They can also answer questions on medicines you can buy without a prescription.

The NHS website has information on how your medicine works, how and when to take it, possible side effects and answers to your common questions.

Go to Medicines A to Z

Prescribing of Diazepam for fear of flying

At Everest House Surgery, we will not prescribe Diazepam for patients who wish to use this for a fear of flying. We have made this decision due to the following reasons:

  • Diazepam is a sedative. This means, the medication makes you sleepy and more relaxed. If there were to be an emergency during the flight, this could impair your ability to concentrate, follow instructions or react to the situation. This could seriously affect the safety of you and the people around you.
  • Sedative drugs can make you fall asleep, however, when you sleep it is an unnatural non-REM sleep. This means, your movements during sleep are reduced and this can place you at an increased risk of developing blood clots (DVT). These blood clots are very dangerous and can even prove fatal. This risk further increases if your flight is over 4 hours long.
  • Although most people respond to benzodiazepines like Diazepam with sedation, a small proportion experience the opposite effect and can become aggressive. They can also lead to disinhibition and make you behave in ways you normally wouldn’t. This could also impact on your safety and the safety of your fellow passengers or could lead you to get in trouble with the law.
  • National prescribing guidelines followed by doctors also don’t allow the use of benzodiazepines in cases or phobia. Any doctor prescribing diazepam for a fear of flying would be taking a significant legal risk as this goes against these guidelines. Benzodiazepines are only licensed for short-term use in a crisis in generalised anxiety. If this is the problem you suffer with, you should seek proper care and support for your mental health, and it would not be advisable to go on a flight.
  • In several countries, diazepam and similar drugs are illegal. They would be confiscated, and you might find yourself in trouble with the police for being in control of an illegal substance.
  • Diazepam has a long half life. This means it stays in your system for a significant time and you may fail random drug testing if you are subjected to such testing as is required in some jobs.

We appreciate a fear of flying is very real and very frightening and can be debilitating. However, there are much better and effective ways of tackling the problem. We recommend you tackle your problem with a fear of flying course, which is run by several airlines. These courses are far more effective than diazepam, they have none of the undesirable effects and the positive effects of the courses continue after the courses have been completed.

Fear of flying courses

Easy Jet

Website
www.fearlessflyer.easyjet.com  

A free downloadable e-book is available or on line courses from £89.

Phone
0203 8131 644

British Airways

Online courses are available from £79.99.

Phone
01252 793 250

Virgin Atlantic

Face to face courses are available at various airports with prices from £267.

Phone
01423 714 900

Use of over the counter medicines in schools, nurseries, and childcare settings

We often receive questions about the administration of over the counter (OTC) medicines in schools and childcare settings. We’d like to clarify the current guidance:

Does a prescriber need to prescribe a non-prescription (over the counter) medicine in order for a school, nursery or child minder to administer it?

No. Non-prescription (over-the-counter) medication does not require a prescriber’s signature or authorisation for administration in schools, nurseries, or by childminders.

Key national guidance documents

Additional guidance from the British Medical Association is also available:

For more detailed advice on when and how to use OTC medicines for minor health conditions, please refer to our patient information page:

If you are a parent, caregiver, or staff member looking for clarity on medication policies, we hope this helps provide the reassurance and direction you need.

Tirzepatide/Mounjaro prescribed in primary care

From Monday 23rd June, a new weight loss drug called Tirzepatide, will start becoming available for use in primary care settings. Tirzepatide, which is often distributed under the brand name of Mounjaro, can help to promote weight loss when used by patients alongside a calorie controlled diet and a more active daily lifestyle. Tirzepatide is being rolled out nationally over a few years. Initially it will only be available on the NHS to patients with the highest medical need.

In line with NHS England guidance, this treatment will only be available initially for a small number of eligible patients whose body mass index is above 40 and have been diagnosed with four or more obesity related health conditions. There is more information on eligibility below.

Patients should be aware that it will be some time before the first eligible patients are able to access Tirzepatide. From 23rd June GPs or other healthcare professionals can start a discussion with potentially eligible patients about using Tirzepatide as part of their overall weight-loss journey. For patients in Hertfordshire and West Essex, Tirzepatide for weight loss will be available through a new service that is in the process of being set up. This service will provide access to Tirzepatide injections as part of a 9 month healthy lifestyle programme.

Please note that Tirzepatide will not be prescribed directly from the surgery.

What is Tirzepatide (Mounjaro®)?

Tirzepatide is a weekly injection used to support weight management when combined with healthy lifestyle changes. It works by mimicking natural gut hormones that are released after eating. It helps with weight loss by making you feel full more quickly and for longer and slowing down how quickly food leaves your stomach.

Who might be eligible?

 NHS England have defined who will be eligible for Tirzepatide from 23rd June 2025.

To be considered, you must have a Body Mass Index (BMI) of 40* or more, and have at least four of the five stated eight related health conditions below

These are:

  • Type 2 diabetes
  • High blood pressure (hypertension) requiring treatment with medication
  • Heart and blood vessel disease (cardiovascular disease) such as ischaemic heart disease, stroke, heart failure, or peripheral vascular disease
    This does not include conditions such as atrial fibrillation or valvular heart disease
  • Obstructive sleep apnoea (OSA) confirmed by a sleep study and requiring treatment, such as CPAP
  • High cholesterol or triglycerides) usually based on blood test results or if you take medication like statins

* If you are from a South Asian, Chinese, other Asian, Middle Eastern, Black African or African Caribbean ethnic backgrounds your BMI should be 37.5 or more.

Your GP or healthcare team can assess whether you appear to meet the eligibility criteria and may refer you for the service. A dedicated team within the local NHS Integrated Care Board (ICB) will do a final review of each patient referred by their GP to confirm the treatment is appropriate. The ICB team will share details of approved patients with the new service once it goes live.

There may be a wait before the new service contacts you. Please be patient and if you have any health concerns contact your GP practice as you usually would.

What happens if you’re referred?

If you are referred, a healthcare professional from the service will review your full clinical history and work with you to discuss the risks, benefits, and expectations of treatment. A final decision will be made together with you, based on whether Tirzepatide is appropriate for your individual circumstances.

If treatment goes ahead, you will need to take part in a 9-month healthy lifestyle wraparound support programme, which includes help with food choices, physical activity, and behaviour change.

If you are starting on the medicine, you will be reviewed regularly to check your progress and whether the medicine should continue.

What if Tirzepatide isn’t right for me?

Tirzepatide (Mounjaro®) may not be suitable for everyone even for those who meet the eligibility criteria. Tirzepatide (Mounjaro®) is not recommended if you are pregnant or planning to get pregnant, breastfeeding, or if you have certain health conditions. Some people may choose not to use it or may benefit more from other types of support.

The NHS offers a range of free weight management programmes designed to help people lose weight and make sustainable lifestyle changes. These are often based on nutrition, physical activity, and behaviour change, and are available to many people without the need for specialist medication.

If Tirzepatide isn’t the right option, your GP can refer you to a local programme or in some cases, you can refer yourself directly for support.

Healthier You – NHS Diabetes prevention programme

A 9 month face to face group programme, or digital 1:1 support to make healthy lifestyle changes which will reduce your risk of Type 2 diabetes and help you lose weight if you need to.

NHS national digital weight management programme

A 12-week programme appropriate for:

  • patients living with obesity and have Diabetes and/or High Blood Pressure

My healthy weight programme provided by TBC Healthcare

A 14-week programme for

  • Hertfordshire residents living with obesity and who have not recently attended a free 12-week weight loss programme. Patients can self refer via the TBC website.

Medication reviews

If you have a repeat prescription, we may ask you to come in for a regular review. We will be in touch when you need to come in for a review.

Prescription charges

Find out more about prescription charges.

What to do with old medicines

Take it to the pharmacy you got it from. Do not put it in your household bin or flush it down the toilet.

About pharmacists

As qualified healthcare professionals, pharmacists can offer advice on minor illnesses such as:

  • coughs
  • colds
  • sore throats
  • tummy trouble
  • aches and pains

They can also advise on medicine that you can buy without a prescription.

Find a pharmacy

Please visit our Pharmacy First page to find out more about this service.

Many pharmacies are open until late and at weekends. You do not need an appointment.

Most pharmacies have a private room where you can discuss issues with pharmacy staff.

Page published: 5 May 2023
Last updated: 18 February 2026