To view other access guides that are related to this one please use the links below. Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. We are closed in Bank holidays. Writing review & editing, 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. Return to maternity and newborn services home, View our current vacancies and read about working with us, Read about our Media service and Communications Team, you are in significant pain despite simple pain killers such as Paracetamol, experiencing moderate to severe vaginal bleeding. 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). The other possibility is that senior clinicians, who are fully trained in general obstetrics and gynaecology, lack the additional clinical and ultrasound skills necessary for the effective running of an EPAU. The admission rates by patient characteristics is shown in Table 2. For more information about PLOS Subject Areas, click There is a dropdown rail on the transfer side. The door(s) open(s) away from you (push). 2018 37:1533-1538. pmid:29119588 . 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. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. broad scope, and wide readership a perfect fit for your research every time. Opening Times. In addition, we recorded the amount of time senior clinicians (consultant gynaecologists) spent working in EPAUs which is of critical importance when assessing the impact of their presence on various clinical outcomes. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. Non-urgent referrals seen on the same or next day. https://doi.org/10.1371/journal.pone.0260534, Editor: Gang Qin, Nantong University, CHINA, Received: April 5, 2021; Accepted: November 11, 2021; Published: November 30, 2021. Once you have been discharged from our care you can still contact us if you have any questions or problems. On entering via the Level D entrance continue ahead and the entrance to the Early Pregnancy Unit and Gynae Assessment Unit department is on the right. Site map. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. There is not a play area or toys/books for a child to play with. Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. All rights reserved. There is sufficient space to write or sign documents on the low section of the desk. This accessible toilet is located to the right as you pass through the waiting area. Resources, The toilet roll holder can be reached from seated on the toilet. A previousmolar pregnancy, not less than 8 weeks gestation. Language interpreters can be provided on request. The bollards do not restrict access to the entrance. They are not issued to carers, relatives, visitors or friends who are Blue Badge holders bringing a non-Blue Badge holder patient to an appointment. The post code for the Sat-nav is SO16 5YA. The entrance area/door is not clearly signed. Twenty-three units were open during weekends. The intercom is in a suitable position to allow wheelchair users to gain access. Both provide consultant-led care for women who experience problems in early pregnancy. Volunteers can be found on the ground floor of the main University College Hospital building. Site by daysix. The height of the toilet roll holder is 118cm (3ft 10in). The contrast between the internal door and wall is good. Models were either unadjusted or adjusted for gestational age unit policy. clinic appointment letter. Early Pregnancy and Gynaecology Emergency Unit (EPU), Follow us on social media for all the latest news and announcements, Lister Hospital, Coreys Mill Lane, Stevenage, SG1 4AB. From the north of the city there are several routes from the M27, from the north east the A33 offers the best route towards the hospital. The ramp/slope is located in front of the entrance. Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. Data curation, Software, There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). The variable Gestational Age Policy (GAP) captures whether units either accepted referrals for women of any gestational age or only reviewed women of six weeks gestation or more. The IHE receives funding from, and collaborates with, government, academic, not-for-profit and private sector organisations. Our study has several limitations. The total number of opening hours per weekend was used to illustrate weekend opening. As you face the toilet pan the transfer space is on the left. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. By clicking any link on this page you are giving your consent for us to set cookies. Investigation, The details that will be required when requesting in advance are - Blue Badge serial number, date of expiry and issuing authority/council. The lighting levels are moderate to good. Yes Planned and actual senior clinician presence, unit size, and weekend opening. The maternity unit is situated on the second floor of the hospital (level2). They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). The toilet roll holder is not placed higher than 100cm (3ft 3in). Occasionally, for both early pregnancyand emergency gynaecology you may need to be admitted into hospital for us to perform further investigations,monitor you, or initiate treatment but we will keep you informed of this and support you through this process. 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. Disposal facilities are available in the toilet. Writing original draft, The hospital does have a dedicated car park. Urgent GP referrals are seen on the same day. We are open Monday - Friday 08 - 20:00 (last patient accepted 19:15) and Saturday -Sunday 08:30 - 14:00 (last patient accepted 13:15). There are volunteers available for help and assistance at the hospital. There is step free access to the reception point. The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . There are also several taxi services which run from the station. Data curation, There is level access to this accessible toilet. There is room for a wheelchair user to manoeuvre. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. This variable was also dichotomised for some analyses to indicate whether the annual number of patient visits for a unit was above or below the median. The Early Pregnancy Clinic should be your first port of call. Copyright 2023 East and North Hertfordshire NHS Trust. Research that could potentially guide recommendations and policies on staffing and configurations of EPAUs has been scarce [69]. Child Emotional Wellbeing & Mental Health, Learning Disabilities & Neurodevelopmental Disorders (NDD), Gastroenterology, Colorectal, Renal & Urology, Care Home Training & Development (Islington), Data quality/standard referral form programme, 020 7472 6374(RFH) and 020 8216 5233 (Barnet), 020 7472 6374 (rfh: specialist nurse advice during opening hours) or020 7794 0500 ext 38205 or 31468, Early Pregnancy Assessment & Gynaecology Unit: RFL, assessment and management of women with pain and bleeding in early pregnancy (up to 15 weeks and sixdays), assessment of women at high risk of an ectopic pregnancy, assessment and management of women with acute gynaecological problems. The IHE does not currently receive funds for research related to the submitted work. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Conceptualization, Supervision, This is based on 6397 women that had complete information on the outcome and key characteristics. Download the app Get a . Conceptualization, Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. gpit@camdenccg.nhs.uk to carry out the upgrade. The room does not have background music playing. The Early Pregnancy Unit is a consultant-led service and is delivered by a team of specialist nurse sonographers who provide consultation, assessment, scans and treatment plans for women with complications of pregnancy from 5 to 20 weeks. Always inform the staff in the department you are pregnant. The room does not have background music playing. Search for local Pregnancy near you on Yell. If you are referred to the unit, an appointment will be offered for the next available clinic based on the following set criteria: Women between 6 - 13 weeks of pregnancy with a . There is a canopy or recess which provides weather protection at this entrance. General Practitioner (GP) We use cookies on this site to enhance your user experience, Hospital Parking (Blue Badge Parking Only), Getting To (Clinic 3 - Early Pregnancy Unit), Consultation / Treatment Room (Ultrasound), Consultation / Treatment Room (Consultations), To view the web page described above click here (opens in new tab), To find your way around the University College Hospital sites please click here, Availability and Location of Standard Toilets, Elizabeth Garrett Anderson Wing link (new tab) - click here. 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. The width of the door opening is 86cm (2ft 10in). The waiting room / area is approximately 7m from the clinic entrance. Patients can call 0203 447 3013 to request a dispensation notice in advance. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. 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. If you do not require an ultrasound but other investigations are indicated, the team will facilitate you into a suitable appointment. Aberford Road We see people who: are in the early stages of their pregnancy (up to 18 weeks) have acute gynaecological problems needing urgent support We provide: same day emergency care urgent planned appointments support during the first 18 weeks of pregnancy The shelf is not higher than 95cm (3ft 1in). The car park is located to the left of the main underground car parks. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. There are 4 consultation/treatment rooms in this department/service. For further advice about emergency gynaecology at Barnet Hospital, call the hospital. The soap dispenser can be reached from seated on the toilet. Standard manual wheelchairs are available for people to borrow at this entrance. Pregnancy sickness or morning sickness can be debilitating and difficult in the early stages of pregnancy. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. The toilet roll holder can be reached from seated on the toilet. Writing review & editing, Affiliation Standard toilet facilities are available. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. The EPAGU at Queen Charlottes is well-known globally for its research output. For service contact details please visit the relevant service page. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. The height of the intercom is 134cm (4ft 5in). We performed sensitivity analyses by refitting the regression models using the binary variables for planned senior clinician presence, unit volume and weekend opening hours. 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. EPAU opening times. 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 The car park is located on Level B of the hospital. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. A member of staff is available to assist with opening the door if required. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. Upon completion of data collection, we revisited the activity in all 44 units. Access to the hospital is via the main hospital lifts. Formal analysis, During working hours, women needing EPAGU services who attend A&E will be sent directly to the unit. You can also be referred by a clinician (doctor, midwife or advanced clinical practitioner) who will complete an electronic referral, or by yourGP who will email us directly. Is the Subject Area "Pregnancy" applicable to this article? The Unit is open at all times. Sexual health, contraception and HIV services, Vaginal bleeding and/or pain in early pregnancy up to 16 weeks, A loss of liquor before 16 weeks (watery vaginal loss), A positive pregnancy test and ascanresult showinga pregnancy of unknown location with pain, bleeding or other relevant symptoms, A previous ectopic pregnancy (at sixweeks gestation they can be referred for a scan). There is a dropped kerb from the drop-off point. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. There is a Patient Advice and Liaison Service (PALS) at the hospital. The route from the car park to the hospital entrance is not clearly signposted. There is level access into the waiting room / area. In line with our Trusts policy a chaperone is available for all intimate examinations. The accessible toilet was out of use at the time of the survey. This venue does not play background music. We value all people andstrive to beopen, honest and accountable for the care provided. The soap dispenser can be reached from seated on the toilet. This site is intended for healthcare professionals only. As part of this assessment, they may ask for investigations that may be performed on the same day or within urgent time frames and a management plan will be made for you. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. Methodology, The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlottes & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. There is not a play area or toys/books for a child to play with. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. This is an external link. View Accessibility Symbols. Writing original draft, The height of the towel dispenser is 125cm (4ft 1in). Assistance may be required because there is/are uneven surfaces. If it is decided that you need outpatient care,the Emergency Department will send an electronic referral to the EPAU nurse, and you will be contacted either the same dayor the next working day. 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. Princess Anne Hospital is Located on Coxford Road to the north West of the city. The entrance area/door is clearly signed. https://doi.org/10.1371/journal.pone.0260534.g002. The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. Writing original draft, The height of the reception desk is high (110cm+). Yell.com Yell Business. The width of the door opening is 87cm (2ft 10in). People who still have an ongoing pregnancy will be discharged back to the care of their midwife. we'll add the event details to your CPD section automatically. Both telephone and email applications will be coordinated by the UCH main reception team. View on a map. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. Charges apply to all users of these car parks. The height of the wash basin is 86cm (2ft 10in). The nearest National Rail station is Euston. Barnet Hospital also offers a walk-in service. Having collected detailed data on the opening hours of all participating EPAUs over the weekend, we were able to identify that one hours increase in the weekend opening hours of an EPAU resulted, as expected, in an increased probability of a woman with first trimester complications being admitted to hospital from the EPAU, but decreased the chance of an admission to hospital from the Emergency Department. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Validation, A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. This maynot always possible depending on service demand and the type of investigation, monitoring or treatment you may need. Copyright 2023 Imperial College Healthcare NHS Trust, Early pregnancy and acute gynaecology units, Assessment of women with bleeding and/or pain in early pregnancy, Diagnosis and subsequent management of miscarriage and ectopic pregnancy, Nausea and vomiting in pregnancy (hyperemesis), Gynaecology: scans for suspected pelvic pathology requiring emergency review, Possible ovarian cyst accidents (ovarian cyst rupture or torsion), Significant heavy menstrual bleeding with anaemia requiring hospital admission, Expectant, medical and surgical management of miscarriage, Management of ectopic pregnancy: medical, surgical and close monitoring with expectant management, Inpatient and outpatient management of nausea and vomiting in pregnancy, Surgical management of molar pregnancy and liaison with the, Incision and drainage of Bartholins cysts and abscesses under local anaesthesia or general anaesthesia. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. There are bollards outside this entrance. 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%. Formal analysis, Euston Road - no's 18, 27, 30, 88. The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). The following buses are used to access the University College Hospital (UCH): Tottenham Court Road - Northbound (Warren Street station) - no's 10, 73, 24, 29, 134. The towel dispenser can be reached from seated on the toilet. The VESPA study received a favourable ethical opinion from the North West Research Ethics Committee (REC reference 16/NW/0587) in the UK, registration number ISRCTN 10728897. The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. 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. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. Do not wait to be called by the EPAU team. If you are experiencing heavy bleeding and/or severe pain, or feeling dizzy, please go straight to the Emergency Department. You can also call020 7794 0500 ext 38205 or 31468. Data curation, There is level access to the consultation / treatment room. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. We are now welcoming self referrals from women,however, we will still accept referrals from the existing pathway. Where applicable, participants gave informed written consent before taking part in the study. There is a changing place located on level C of the Centre Block at the Southampton General Hospital. These data were collected retrospectively at the end of the three-month period corresponding to the date when the last woman recruited to the cohort study was discharged from each hospitals EPAU. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. There is not a flashing fire alarm beacon within the waiting room / area. Please check the latest information before planning your journey. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0260534, https://www.rcog.org.uk/globalassets/documents/guidelines/wprgynstandards2008.pdf, https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2012_022.pdf, https://www.aomrc.org.uk/wpcontent/uploads/2016/05/Seven_Day_Consultant_Present_Care_1212.pdf, https://www.england.nhs.uk/wp-content/uploads/2013/12/evidence-base.pdf, https://www.isdscotland.org/Health-Topics/Quality-Measurement-Framework/Emergency-Admissions/, https://www.kingsfund.org.uk/sites/default/files/Avoiding-Hospital-Admissions-Sarah-Purdy-December2010_0.pdf, https://www.rcog.org.uk/globalassets/documents/careers-and-training/atsms/atsm_acutegynae_curriculum.pdf. People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. Euston Square station has lift access from the platform to the street. In some cases additional treatment is needed such as: An early pregnancy loss can be a deeply distressing experience both physically and emotionally and we want to ensure that you are able to access the support you need during this difficult time. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. On the UCH site, security staff, at the security desk in the UCH Atrium and at the Elizabeth Garrett Anderson Hospital EGAH reception are able to issue dispensation notices out of hours.