The floors which are accessible by this lift are B-LG-G-1-2. On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. There is space for an assistance dog to rest within the seating area. Validation, There are sofas and also a mixture of single seats with and without armrests. The Early Pregnancy Assessment Unit (EPAU) in Ward C1 at the University Hospital of Wales is an integrated single unit, which takes referrals from all overCardiffand the Vale of Glamorgan. These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. The car park is located on Level C of the hospital building. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. 6606 pregnant women (16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. There is step free access into the imaging room. The towel dispenser is placed higher than 100cm (3ft 3in). Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. There is a waiting area close to the reception point. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. The entrance area/door is clearly signed with the name of the service/department. You will be given a copy of your ultrasound report. 020 3688 1881 or email Methodology, Pinderfields Hospital We provide high quality healthcare services primarily to the residents of East Lancashire and Blackburn with Darwen, which have a combined population in the region of 530,000. Scan is an appointment based service and we aim to see you at your given appointment time, but if you have been referred as an emergency without an appointment time or if you require further assessment or investigations then there may be a waiting time to be seen, which can vary. Contact details for early pregnancy services for your Trust can be found on the homepage. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. The variable Emergency admission indicates whether a patient had an unplanned admission to hospital following any visit for investigations or treatment of first trimester pregnancy complications. Visualization, The shelf is not higher than 95cm (3ft 1in). Formal analysis, Euston Square station has lift access from the platform to the street. The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. When we compared actual with planned senior clinicians presence, we found that in only 3/19 units (16%) did senior clinicians spend more than 15% of their time actively delivering clinical care, and in 13/19 units (68%) their actual documented presence was less than 5%. The height of the toilet seat above floor level is 48cm (1ft 7in). The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy such as pain or bleeding up to 16+6 weeks gestation. Visualization, The height of the soap dispenser is 99cm. The width of the door opening is 86cm (2ft 10in). The unit has strong international links, in particular with KU Leuven in Belgium. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). Project administration, We report the data from two of the VESPA study strands: 1) the prospective cohort study of women attending EPAUs due to first trimester complications; and 2) the emergency hospital care audit of women admitted as an emergency with first trimester pregnancy complications. Tel: 0118 322 8741. If you want to park near, or in UCLH disabled parking bays, you will need to apply for a parking dispensation to use with your Blue Badge. clinic appointment letter. Payment signs do not make it clear if parking charges apply to Blue Badge holders. By clicking any link on this page you are giving your consent for us to set cookies. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. The main door(s) open(s) automatically (away from you). There is not a dropped kerb from the drop-off point. There is a/are door(s) leading into the department/service. Contact us. The contrast between the internal door and wall is good. In preparation for the study, we carried out a prospective audit of clinical activity in eight EPAUs in London, UK, which included 3,600 women. The height of the toilet roll holder is 118cm (3ft 10in). Opening Times (Early Pregnancy Unit and Gynae Assessment Unit) Department / Service (Early Pregnancy Unit and Gynae Assessment Unit) Reception Consultation / Treatment Room (3) Imaging Room Day Room / Lounge Area (Quiet Room) Accessible Toilet (s) Related Access Guides Getting To The Hospital (Princess Anne Hospital) Collapse all By Road View Both provide consultant-led care for women who experience problems in early pregnancy. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. There is not a clear knee recess beneath the low section of the desk. The controls for the lift are within 90cm - 120cm from the floor. The entrance area/door is not clearly signed. You can at any time read our cookie policy. Future research is needed to assess whether increased participation of senior clinicians and actual time commitment in provision of early pregnancy care, a change in their training could have more significant impact on the rate of emergency admissions and other indicators of the quality of clinical care in early pregnancy. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. The door does not have a horizontal grab rail. We collected data about the total number of Emergency Department attendances and emergency in-patient admissions of women who presented with first trimester pregnancy complications. . We do not accept self-referral to the Early Pregnancy Unit for vomiting in pregnancy unless you are currently under our care or have been diagnosed with hyperemesis in a previous pregnancy. The lighting levels at the reception area/desk are medium. All women aged 16 years of age who attended the participating EPAUs presenting with first trimester pregnancy complications for the first time during the index pregnancy were included in the cohort study. It is likely that the caller ID will show as a private number orwithheld number. Copyright: 2021 Memtsa et al. Warren Street (Northern / Victoria Lines) and Euston Square (Circle / Hammersmith & City / Metropolitan Lines) are the closest tube stations to University College Hospital (UCH). The car park surface is a shared surface. If our guide needs updating - just let us know using this form. Accident and Emergency Department/999 Yes Out of hours, they will either be given an appointment to attend the next day or will be seen by the on-call medical team. The towel dispenser can be reached from seated on the toilet. The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlotte's & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. The day room/lounge area is not always open. The mirror is not placed at a lower level or at an angle for ease of use. The soap dispenser cannot be reached from seated on the toilet. Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. We ask that they call the unit so that we can book them a timed appointment. Validation, Your local early pregnancy unit is still available but opening times and appointment availability may have changed. This is because women with an early pregnancy complication may not necessarily need to attend in-person or may be more suited for an assessment in different clinical or maternity service. Getting To The Hospital this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. The VESPA study recruited from the EPAU population. Royal Free London (RFL)offers a seven-dayper week specialist service for women who need emergency care for early pregnancy and gynaecological problems at Royal Freeand Barnet Hospitals. There are not separate entry and exit doors in the lift. All units were asked to recruit a minimum number of 150 women each. There is a/are door(s) into the consultation / treatment room. Dementia friendly signage is not provided. Keeping you away from the hospital unless absolutely necessary is to keep you and your family healthy. The hospital does have a dedicated car park. Funding acquisition, We are now welcoming self referrals from women,however, we will still accept referrals from the existing pathway. We are closed in Bank holidays. The entrance area/door is clearly signed. 9.00am 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day), 10.00 to 12.00 Sunday and Bank Holiday except 25th December, Clinical assessment if you present with symptoms in early pregnancy, USS scan to assess pregnancy, pelvis, ovaries, Medical/surgical/conservative management for miscarriage orectopic pregnancy, Surgical management of miscarriage under Local anaesthesia (MVA), Outpatient Treatment for hyperemesis (vomiting in early pregnancy), Outpatient treatment for Bartholins abscess, Telephone advise and follow up regarding further investigations, assessment of symptoms and management plans. We would like to express our gratitude to the 44 participating Early Pregnancy Assessment Units and their supporting research staff: Bishop Auckland Hospital, Bishop Auckland, Gloucestershire Royal Hospital, Gloucester, Luton and Dunstable University Hospital, Luton, Queen Elizabeth The Queen Mother Hospital, Margate, The James Cook University Hospital, Middlesborough, Association of Early Pregnancy Units (AEPU), Pat Doyle (Chairperson), Professor in Epidemiology, London School of Hygiene and Tropical Medicine, Cecilia Bottomley, Lead clinician for Early Pregnancy, Chelsea and Westminster Hospital, Elizabeth Bradley, General Practitioner, Hampstead Group Practice, Hannah-Rose Douglas, Research lead for Analytical Services, NHS England, Marjory Maclean, Consultant Obstetrician and Gynaecologist, NHS Ayrshire and Arran, Brad Manktelow, Associate Statistics Professor, University of Leicester, Alex Peace-Gadsby, Chair, The Ectopic Pregnacy Trust. Writing review & editing, Roles For more information about what these symbols mean, view our Accessibility Symbols Guide. Once you have been discharged from our care you can still contact us if you have any questions or problems. Non-urgent referrals seen on the same or next day. General Practitioner (GP) Investigation, Yes, however bleeding does not necessarily mean there is a problem. Keeping an EPAU open over the weekend for an additional hour was associated with 2.4% (95% CI 0.1% to 4.7%) lower odds of an emergency admission from ED. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. Please complete the form calledEarly Pregnancy Assessment Unit (EPAU) and email to: GP to telephone to make an appointment The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . Email this page The car park does not have a height restriction barrier. 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services We received input from patients who had experienced first trimester pregnancy complications in the design and timing of the study materials, and management oversight through membership of the study steering committee. Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. This involves clinical review, investigations,diagnosis and treatment on the same day. The unit is open Monday to Friday, from 9am-5pm. The door(s) is/are double width but one door is locked. The clinic is open from 08.30 to 11.00 Monday to Saturday. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Validation, Writing review & editing, Roles (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. Supervision, There is step-free access to the accessible toilet. The room does not have background music playing. Assistance may be required because there is/are uneven surfaces. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. A hearing assistance system is not available in the department/service. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. A member of staff is available to assist with opening the door if required. The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. Institute of Health Economics, Edmonton, Canada, Roles Payment signs are located at the payment machines in the hospital building. Theyprovide a range of services such as peer support and counselling services. J Ultrasound Med. Google map of Princess Anne Hospital Location. In view of that, we were unable to identify the threshold above which senior clinicians would need to be present in the units actively delivering early pregnancy care in order to improve clinical outcomes. Once your referral has been received, please await a telephone call from the EPAU. For many people who have experienced pregnancy loss, finding out they are pregnant again can bring with it a mixture of hope and fear, along with a range of other feelings. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. Roles The Early Pregnancy Assessment Unit (EPAU) in Ward C1 at the University Hospital of Wales is an integrated single unit, which takes referrals from all over Cardiff and the Vale of Glamorgan. The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. Investigation, We recommend upgrading your browser to continue. 33 days (IQR 2447) was the median time for units to complete recruitment. To provide a one-stop service. Barnet Hospital also offers a walk-in service. We obtained clinical data from 6,606 women. The staff in the unit are skilled in the management of early pregnancy complications,including ultrasound scanning. The door(s) is/are single width with a locked extension leaf. The height of the towel dispenser is 125cm (4ft 1in). We listen to patient feedbackto deliver patient-centred care. we'll add the event details to your CPD section automatically. Citation: Memtsa M, Goodhart V, Ambler G, Brocklehurst P, Keeney E, Silverio SA, et al. We next investigated the relationship between emergency admissions from the Emergency Department and planned senior clinician presence in EPAU, unit volume and weekend opening hours of the EPAU. The Early Pregnancy Unit is an emergency referral service providing care for women experiencing pregnancy complications, primarily pain or vaginal bleeding, up to 15+6 weeks. There are parking charges for the hospital car park. This commercial affiliation does not alter our adherence to PLOS ONE policies on sharing data and materials. You can contact the service by calling 01279 827107. EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. Software, The door(s) open(s) automatically (towards you). There is a payment machine at a convenient height for wheelchair users. Parking spaces for Blue Badge holders do not need to be booked in advance. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. Walk-in centres can be accessed by anyone and have more flexible opening hours. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. In this national prospective cohort study, we aimed to determine whether higher participation of senior clinicians in the delivery of first trimester pregnancy care would result in better quality clinical care reflected in a lower risk of acute admissions to hospital for women presenting with first trimester complications. No, Is the Subject Area "Miscarriage" applicable to this article? We provide a dedicated service to women under 16 weeks gestation. There is a dropdown rail on the transfer side. You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. We use cookies on this site to enhance your user experience, Getting To The Hospital (Princess Anne Hospital), Getting Help and Assistance (Princess Anne Hospital), Hospital Parking (Yellow Car Park - Level C - Accessible and Parent and Child Parking Only), Hospital Parking (Yellow Car Park - Open Air Parking), Hospital Parking (Yellow Car Park - Level B - Standard and Parent and Child Parking), Getting To (Early Pregnancy Unit and Gynae Assessment Unit), Outside Access (Level D and Out of Hours Entrance), Opening Times (Early Pregnancy Unit and Gynae Assessment Unit), Department / Service (Early Pregnancy Unit and Gynae Assessment Unit), To view the web page described above click here (opens in new tab), Princess Anne Hospital link (new tab) - click here, Hospital Parking at Princess Anne Hospital link (new tab) - click here. Our study has several limitations. Wall mounted grab rails are available for the toilet. The hospital entrance is clearly visible from the car park. Women may also be referred to the units if they are pregnant and have a previous history of miscarriage or ectopic pregnancy, or if there is a suspected gynaecological problem that requires urgent clinical assessment. This information is for the entrance located on Grafton Way. For more information about what these symbols mean, view our Accessibility Symbols Guide. Software, Volunteers do not receive disability awareness / equality training. There are 21 Parent and Child Bays available on this level. If you are experiencing heavy bleeding and/or severe pain, or feeling dizzy, please go straight to the Emergency Department. The drop-off point is located to the right of the Level D entrance. Abdominal pain can also be related to non pregnancy causes including muscular pain, pain related to fibroids, urinary tract infection and other surgical causes egappendicitis. Do you want to change or cancel an appointment? EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. There is a dropped kerb from the drop-off point. The contrast between the dropdown rail(s) and wall is fair. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Upon completion of data collection, we revisited the activity in all 44 units. Contact us. Competing interests: I have read the journals policy and the authors of this manuscript have the following competing interests: MM, VG, GA, ZA, NK, JH, GB, RBA, JS, DJ has nothing to disclose. There is / are 1 Ultrasound Room(s) available. See below link for maternity web page if need more information needed regarding these concerns. Neither planned senior clinician presence (p = 0.874) nor unit volume (p = 0.247) were associated with lower admission rates from EPAU, whilst EPAU opening over the weekend resulted in lower admission rates (p = 0.027). This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. The wash basin is not placed higher than 74cm (2ft 5in). The UCLH email address for Blue Badge parking enquiries is. No, Is the Subject Area "Pregnancy complications" applicable to this article? Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are not provided in the reception area. Tel: 01793 605257 The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. Standard toilet facilities are available. That is, a one-hour increase in weekend opening hours was associated with a 3.0% (95% CI: 0.3% to 5.8%) increase in the odds of an emergency admission from EPAU. Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. Euston Road - no's 18, 27, 30, 88. Walk-in Centres There is room for a wheelchair user to manoeuvre. When you attend the Emergency Department, you will be assessed by a doctor to see whether you need to stay in hospital and receive care as an inpatient, or whether you can be discharged and referred to to the EPAU as an outpatient. The unit sees women with common symptoms such as bleeding or pain in early pregnancy. The clinic reception is located to the left as you enter. Methodology, The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. We may be able to offer an immediate appointment for those walking in, but if not, women will be asked to attend A&E or return at a later date or time. This technique was adopted to ensure that units of all configurations were equally represented in the final sample. Data curation, View photos. Models were either unadjusted or adjusted for gestational age unit policy. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Visit website. Most models were adjusted using one of two sets of potential confounder variables: i) maternal age and final diagnosis (MA+FD) or; ii) maternal age, final diagnosis, IMD and gestational age policy (MA+FD+IMD+GAP). Writing review & editing, Affiliation MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. Conceptualization, It is likely that they will be unable to offer reassurance scans if you have experienced previous early pregnancy problems unless you have symptoms in this pregnancy but individual units availability may vary. The specific roles of these authors are articulated in the author contributions section. This department/service has; a main reception, accessible toilet facilities for everyone, ambulant toilet facilities for everyone, consultation rooms, standard toilet facilities and a waiting room/area. Turn left as you pass through the doors and continue ahead. The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. There is level access to the consultation / treatment room. There is a canopy or recess which provides weather protection at this entrance. For more information about PLOS Subject Areas, click Edna Keeney reports personal fees from Novartis Pharma, personal fees from Pfizer Inc., outside the submitted work. Jeff Round reports grants from NIHR, during the conduct of the study; and Dr Round is currently employed by the Insitute of Health Economics (IHE). The lighting levels are moderate to good. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, A previousmolar pregnancy, not less than 8 weeks gestation. My CPD. The majority of units (37/44) had a unit volume of less than 4000 visits per year, and 22 units had a yearly visit volume lower than 2500 visits per year. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. There is a/are wall-mounted grab rail(s) available. Send email. The National Institute for Health and Care Excellence (NICE) guideline on Ectopic Pregnancy and Miscarriage (CG 154) [10] included a review of evidence comparing EPAUs with other models of providing early pregnancy care for women presenting with first trimester pregnancy complications. There is a space for a wheelchair user to wait within the seating area. There is sufficient space to write or sign documents on the desk. Travel information is subject to change. The EPAGU at Queen Charlottes is well-known globally for its research output. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy.
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