Medical Electives are run by Adventure Alternative which is an independent travel company which was started in 1991 by adventurer and mountaineer Gavin Bate, and developed during many years of organising and running expeditions around the world. It is now an established company with an emphasis on responsible travel and a high level of knowledge and experience. We have run trips to the summit of Mount Everest and to the middle of the Sahara Desert! We guide many types of trips from mountains to jungle, desert and arctic regions. 

Our office is on the north coast of Ireland and we have long looked after Irish walkers and adventurers going round the world, but we also have many happy clients from England, Scotland, Wales, Australia, Canada and America, with a smattering from other countries like Norway, Netherlands and elsewhere. Chris and Andy have worked in the office for nearly fifteen years and have gone on many expeditions and trips themselves, and Rosie manages all the book keeping and finances of the clients. 

Over several decades from 1996 Gavin invested money into setting up local companies in our most popular places like Kenya and Nepal which are then allowed to use our company name. Some of those staff have been with us for over fifteen years! We plough profits back into providing training for our local guides and cooks, drivers and porters so that they can have a long term career with us. We believe that this attitude and the loyalty it brings is a big part of what being responsible means, plus our groups have a more enjoyable holiday. In fact the feedback we get always mentions the professionalism and friendliness of our staff, most people describe it more as a family than a company!

This business model has won us several awards and also some interest from the academic sector and we now run workshops for tourism professionals in Nepal. We do re-invest profits but we also take an interest in our staff all the way along the supply chain and this attitude came from Gavin's experiences while travelling and working as an expedition guide for many years, mostly in developing countries. 


Adventure tour operator

Adventure Alternative complies with the UK Package Travel laws and the European Travel Directive for tour companies and recognises that we provide accommodation and activities as part of a package which falls under those rules. We are a principal which means that we are responsible as the organiser of the holidays that we sell and we respect the Consumer Rights Directive 2015 which indicates the level of our responsibility to our clients.  

We are not an agency or a Linked Travel Arrangement, but we do use suppliers in-country to provide components of the holiday, including staffing and activities. We do check the standards of these suppliers - in fact in many cases we invest heavily in their resources, training and management - and we do have agreements with them which are revisited regularly. This contractual documentation is part of the requirement for compliance with the British Standard 8848 for overseas expeditions.

We are financially protected with a bonding scheme which means that our clients are protected against insolvency. 

We take care with our advertising and sales process to ensure that our clients are fully aware who is involved and who will be looking after each stage of the holiday. Our clients can communicate directly with our local companies and suppliers if they wish, and we will always endeavour to do our best to manage any situation as fast as possible and take our liability seriously as an organiser. 

We do have a cancellation policy in our terms and conditions and we endeavour to operate an appropriate and justifiable termination fee when it is necessary. 

We are a member of a number of organisations in the tourism and travel industry which are as follows:

Association of Independent Tour Operators
This association represents independent tour operators in the UK and membership criteria include a minimum share capital of £15,000 and providing financial protection for consumers with a bond. We are members of the AITO Sustainable Committee and have twice won the AITO Roger Diski Community Award.

Association of Bonded Travel Organisers Trust
The Association of Bonded Travel Organisers Trust Limited (ABTOT) provides financial protection under the Package Travel, Package Holidays and Package Tours Regulations 1992 for Adventure Alternative, and in the event of their insolvency, protection is provided for the following:
1. non-flight packages commencing in and returning to the UK;
2. non-flight packages commencing and returning to a country other than the UK; and
3. flight inclusive packages that commence outside of the UK, which are sold to customers outside of the UK.

1, 2 and 3 provides for a refund in the event you have not yet travelled. 1 and 3 provides for repatriation. Please note that bookings made outside the UK are only protected by ABTOT when purchased directly with Adventure Alternative.

Fair Trade Volunteering
We are founding members of this movement which endeavours to create equitable partnerships between sending organisations and host partners in foreign countries when trips are offered to volunteers and schools. We believe very strongly that these types of trips should be carefully arranged so that expectations from the visitor and host community are properly met, and also that the benefits for the host community are properly agreed and are fair.

Information Commissioners Office
We are signed up to the The UK’s independent authority set up to uphold information rights in the public interest, promoting openness by public bodies and data privacy for individuals.

British Standard 8848 for overseas expeditions
We are independently assessed by the Young Explorers Trust to comply with the British Standard for organising and managing visits, fieldwork, expeditions, and adventurous activities outside the UK.

The standard aims to reduce risk from injury or illness and provides those that comply with the standard with a way of being able to demonstrate that they are following good practice to manage the venture safely. BS 8848 specifies operational requirements for organisers of adventurous and educational activities abroad including university and academic fieldwork, gap year experiences, adventure holidays, charity challenges and research expeditions.


Health and Safety

Our staff are medically trained and experienced in first aid and health and safety, and the guides receive specific training in altitude-related illnesses and how to cope with an emergency. The staff all carry mobile phones and satellite phones if necessary. On the mountain trips we carry pulse oximeters, oxygen bottles where necessary on the higher mountains and first aid kits which are regularly checked and replenished.

We work hard to ensure that all of our staff adopt high levels of sanitation and hygiene, especially with regard to food and water. Food is stored and transported carefully, and bought fresh from local trusted suppliers. We always check the restaurants and lodges that we use for their standards in food hygiene. Drinking water is provided from the kitchens boiled and strained and we promote a policy of not buying and using disposable plastic bottles where possible. 

For school and youth groups and volunteers we always provide training in health and safety prior to the trip, and general advice on how to manage yourself personally while on a visit abroad. This is then emphasized again on arrival in country and our staff are always careful to ensure that people are looking after themselves. They have a long experience of looking after foreign groups and understand the pitfalls of travelling abroad for the first time.

Client Care

When we start corresponding with people about their trip we aim to make sure the group works well together and our staff are well experienced in managing all types of people and keeping everyone happy and satisfied. Nobody feels anonymous and our staff in the main office and in the regional offices communicate all the time about upcoming groups and personal preferences.

For school and youth trips we provide a higher number of logistical staff and also male and female pastoral care staff with specific experience and qualifications in looking after young people. These might be teachers or youth workers, social workers and of course medical professionals. Volunteers and charity groups and school groups are all provided with personal care and training in preparation for their trip. 

Supporting Moving Mountains

Moving Mountains was started by Adventure Alternative founder Gavin Bate in 1991 during his years of travelling and developmental aid work in the slums of Nairobi, the mountains of Nepal and the rainforests of Borneo. It has its administrative overheads paid for by Adventure Alternative and all the Trustees work voluntarily. 

Moving Mountains UK provides the strategy for the future of all the charitable aims and pays for the bulk of the projects and programmes, and it determines the content of all the trips that Adventure Alternative provides for the charity. This is to ensure that the emphasis is on the developmental impact of the trip.

The primary aims of Moving Mountains are to provide aid for the relief of hardship, poverty, suffering and inequality through education and vocational training, medical treatment, sport and employment. It also provides capital to build, renovate and maintain schools, orphanages, community centres and environmental projects, all of which must show a positive socio-economic impact on the population. The money for all of this is fundraised by volunteers and groups who come out on a trip which is organised by Adventure Alternative.

The UK Trustees work closely with all the other Moving Mountains organisations to ensure efficient spending on relevant aims, and we have also have an employee to manage day to day correspondence and management and training of volunteers.