There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). There is not a clear knee recess beneath the low section of the desk. Hospital staff do not receive disability awareness / equality training. There are not parking charges for the hospital car park. The results of our study indicate that the presence of senior clinicians in early pregnancy units may not lead to more effective care when this is measured by the proportion of women who are admitted as an emergency. A 1-hour increase in the weekend opening hours of the EPAU was associated with 2.4% (95% CI: 0.1% to 4.7%) lower odds of an emergency admission from the Emergency Department. A hearing assistance system is not available in the department/service. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. Senior clinician (consultant gynaecologist) involvement in the delivery of acute clinical care has been of interest recently [11], as there is emerging evidence of their positive impact on Emergency Departments (EDs) and Acute Medical Units, contributing to reduced mortality, fewer emergency hospital admissions and accelerated discharge from hospital [1214]. Supervision, Women are often contacted on the same day, or the next working day if the referral is received after 3pm. There is a/are Blue Badge parking bay(s) available. Investigation, The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. Writing review & editing, Affiliation We are able to offer electives for medical students. The car park is located to the left of the main underground car parks. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. The association between the three factors: senior clinician presence, unit volume, and weekend opening hours, and the proportion of emergency admissions was investigated by using regression models, where hierarchical models were used for analysing patient-level data, and standard models were used for analysing unit-level data. 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. Language interpreters can be provided on request. Project administration, The reception counter is not placed in front of a background which is patterned. Email this page new North Central London GP Website do not work as expected. Turn left as you pass through the doors and continue ahead. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. Early Pregnancy Assessment Units are highly valued by women but aspects of their care experiences, particularly around sensitive management of pregnancy loss, could be improved. This may be a stressful time for both couples and their families and the unit aims to support you through the early stages of your pregnancy. 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 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. Wall mounted grab rails are available for the toilet. Please call the ward to find out more. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). We are now welcoming self referrals from women,however, we will still accept referrals from the existing pathway. If you are having a problem in early pregnancy, your first contact should be with your GP, or the out-of-hours service when your GP surgery is closed. 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. We appreciate that this is a very difficult and painful time, this leaflet aims to answer some of the many questions you will have about what has happened. 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. You should contact the Early Pregnancy Unit if you have a positive urine pregnancy test, and are experiencing pain and or bleeding from 5 to 20 weeks of pregnancy. The drop off bays have a maximum 20 minute waiting restriction. People who still have an ongoing pregnancy will be discharged back to the care of their midwife. Both provide consultant-led care for women who experience problems in early pregnancy. There are vertical wall-mounted grab rails on both sides of the wash basin. Funding acquisition, Methodology, Cancer Centre dispensations that the UCH main reception team are unable to deal with will be forwarded to the Cancer centre team at. If you do not wish to have them in the room during your appointment, please let the nurse or doctor know and students can be asked to step outside. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. The route from the car park to the hospital entrance is not clearly signposted. Assistance may be required because there is/are slopes/ramps. www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. Methodology, a new pregnancy and under the care of the recurrent miscarriage clinic. The entrance door(s) does/do contrast visually with its immediate surroundings. Contact. Prospective cohort study and emergency hospital care audit; data were collected as part of the national prospective mixed-methods VESPA study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . 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 contrast between the internal door and wall is good. Yell.com Yell Business. Validation, The contrast between the walls and floor is good. If our guide needs updating - just let us know using this form. Validation, Our findings are in contrast with the results of previous studies in other clinical settings, which showed that involvement of more experienced clinicians in delivering emergency care results in a significant reduction in emergency hospital admissions and the length of stay in hospital [12, 18]. Staff do not need to be notified for use of the lift. The contrast between the dropdown rail(s) and wall is good. The height of the toilet seat above floor level is 48cm (1ft 7in). The main door(s) open(s) towards you (pull). You can contact the service by calling 01279 827107. An Early Pregnancy Unit in the United States: An Effective Method for Evaluating First-Trimester Pregnancy Complications. c) previous ectopic pregnancy There is a payment machine at a convenient height for wheelchair users. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. 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. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. Discover a faster, simpler path to publishing in a high-quality journal. The Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. There is / are 10 consultation / treatment room(s) available. For more information about what these symbols mean, view our Accessibility Symbols Guide. Writing review & editing, Roles Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. The door(s) open(s) automatically (towards you). There is a dark mat or floor marking at this entrance that might be perceived as a hole. The service is then located on the right. Pregnancy Sickness Support website, here. Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. Warren Street (Northern / Victoria Lines) and Euston Square (Circle / Hammersmith & City / Metropolitan Lines) are the closest tube stations to University College Hospital (UCH). Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. We performed sensitivity analyses by refitting the regression models using the binary variables for planned senior clinician presence, unit volume and weekend opening hours. Roles Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. For the emergency hospital care audit strand, data from routine hospital databases for women attending hospital emergency services (EDs) at the same location as the EPAU were collected in collaboration with the Information Services (IS) departments in the participating hospitals. . Our team isproudto provide compassionate care during anxious times in early pregnancy, when you may be experiencing pain and/or bleeding or have had a previous ectopic or molar pregnancy. The waiting room / area does have background music playing. 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. It is not intended for public use. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. You will often be seen at around 6 -7 weeks for a reassurance scan. Formal analysis, This maynot always possible depending on service demand and the type of investigation, monitoring or treatment you may need. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. The following websites have helpful information and forums to access information and support. Recurrent pregnancy loss 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. Opening hours This line is open Monday to Friday 10-12pm Women's choices Use this number to discuss your pregnancy options 01592 6433355 ext 25445 Email: fifewomenschoices@nhs.scot Opening hours This line is open Monday to Friday 11am-3pm Bleeding in the early stages of your pregnancy? Tel: 0118 322 8741. 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. gpit@camdenccg.nhs.uk to carry out the upgrade. About the EPAU The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have had the following: Vaginal bleeding and/or pain in early pregnancy up to 16 weeks Writing review & editing, Roles Tommys Tommy's is a charity that funds research for pregnancy and babies. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. Is the Subject Area "Pregnancy" applicable to this article? You will be given a copy of your ultrasound report. To obtain mobility aids please contact a member of staff. EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. Getting To The Hospital Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. Travel information is subject to change. There is level access to this accessible toilet. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. WF1 4DG. PLOS ONE promises fair, rigorous peer review, However, at the time of your scan, you can be accompanied by your partner. J Ultrasound Med. Writing review & editing, Roles Send email. Some women require hospital admission for rehydration. If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. By clicking any link on this page you are giving your consent for us to set cookies. The width of the door opening is 86cm (2ft 10in). The car park is located on Level B of the hospital. Urgent GP referrals are seen on the same day. To obtain mobility aids please contact the main reception. Standard manual wheelchairs are available for people to borrow at this entrance. They were established following a publication by Bigrigg and Read [5] in 1991 who reported on cost savings and improved quality of early pregnancy care following the opening of an EPAU in their local hospital. Data curation, No, Is the Subject Area "Pregnancy complications" applicable to this article? There is / are 1 Ultrasound Room(s) available. COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. There is room for a wheelchair user to manoeuvre. 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 height of the towel dispenser is 125cm (4ft 1in). If you require an ultrasound we aim to offer this within 72 hours of referral. The post code for the Sat-nav is SO16 5YA. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. In view of this, we revised our cut-off and used 2500 instead of 3000 visits to describe the units as high or low volume in the final data analysis. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. View photos. If you feel your symptoms require urgent assessment outside of these hours the wider medical team are here to support you 24 hours a day 7 days a week. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. Conceptualization, Mirrors are placed at a lower level or at an angle for ease of use. This is to ensure you have a consultation with the specialist nursing team who can call you back and advise the best management going forward. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. When you attend an event booked through the North Central London GP Website, There is space for an assistance dog to rest within the seating area. The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. As you face the toilet the wall-mounted grab rails are on both sides. Upon completion of data collection, we revisited the activity in all 44 units. Women are seen in order of clinical priority, which means that you may be in the department for longer than anticipated. Also required will be vehicle registration number, date of appointment and time of appointment. Referrals are either from GP or the emergency department. The car park is located at the side of the Elizabeth Garrett Anderson Wing. Early Pregnancy Unit (Day time): 0151 604 7450. . There is not a designated drop-off point. The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. 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. Yes This is an external link. There is not a play area or toys/books for a child to play with. Investigation, Writing review & editing, Affiliation There is a canopy or recess which provides weather protection at this entrance. Data for this observational study were collected as part of the VESPA study, a UK-wide prospective mixed-methods study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. We carefully assessed the burden and timings of the study participation and questionnaires on patients. Therefore many women may prefer to monitor mild painless bleeding in early pregnancy (below 12 weeks and 6 days) and you may want to explore our information about bleeding and pain in pregnancy prior to contacting the unit, here. GP EPAU referral form [docx] 99KB (click to download). We recommend upgrading your browser to continue. Sergio A. Silverio (Kings College London) is supported by the National Institute for Health Research Applied Research Collaboration South London [NIHR ARC South London] at Kings College Hospital NHS Foundation Trust. Models were either unadjusted or adjusted for gestational age unit policy. The contrast between the walls and floor is good. The door(s) is/are double width but one door is locked. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people. Twenty-three units were open during weekends. This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). Please be aware that some external resources may be restricted to NHS Secure Network connections only. 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. 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. Wakefield We value all people andstrive to beopen, honest and accountable for the care provided. Investigation, Funding acquisition, Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. Investigation, Guidelines: care is provided to women following guidelines that have been produced by the department. The study ran from December 2016 to July 2017. A summary of all units showing their characteristics in respect to the key factors of interest and outlining participants median age, parity, deprivation score, ethnicity and gestational age at presentation is provided in Table 1. There are not volunteers available for help and assistance at the hospital. The door(s) open(s) away from you (push). Study participants will not be individually informed of the study results; however, dissemination to the public will be through media outreach (e.g., press release) upon publication of this study. Formal analysis, . The hospital entrance is clearly visible from the car park. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. We strive for continuous improvement and provide evidence based care. This venue does not play background music. We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. BSL interpreters can be provided on request. Once you have been discharged from our care you can still contact us if you have any questions or problems. Access to Early Pregnancy Unit and Gynae Assessment Unit is via the Level D entrance. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. Investigation, A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. This room is not accessed via a changing room. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. This analysis was based on the 29 units (5,464 patients) that were able to provide us with reliable data regarding the attendances to Emergency Department and emergency admissions out of hours. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. The sonography team will advise if you need to empty your bladder prior to the scan. Visit website. The type of flooring in walkways and corridors is vinyl/laminate. Formal analysis, The tube stations are located at opposite ends of the hospital main building. Planned senior clinician presence was defined as the percentage of planned hours which they were expected to spend in the unit according to their weekly timetable, divided by the planned unit opening hours. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. 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. 2023 North Central London GP Website This site is intended for healthcare professionals only. 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 contrast between the toilet roll holder and the wall is good. Clinic 3 - Early Pregnancy Unit. However, there was evidence of an association between the emergency admission rate and weekend opening hours. The lift does have a visual floor indicator. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. The height of the towel dispenser is 106cm (3ft 6in). Contact details will be put on all outpatient letters. The soap dispenser can be reached from seated on the toilet. There are 21 Parent and Child Bays available on this level. Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. Mobility aids are available to help patients move around and include; wheelchairs and crutches. Conceptualization, King's College Hospital Early Pregnancy Assessment Unit (EPAU) Address: Suite 8, Third Floor Golden Jubilee Wing Denmark Hill London SE5 9RS Telephone: 0203 299 3168 Usual Opening Times Location Map Get Directions This is a walk in service so you need no appointment, simply attend the unit. There is a changing place located on level C of the Centre Block at the Southampton General Hospital. This information is for the entrance located on Grafton Way. The lateral transfer space is 170cm (5ft 7in). If a family member or friend has accompaniedyou, the clinician will still request that a member of staff acts as chaperone for an intimate examination. If you develop worrying symptoms during pregnancy or you need to discuss any underlying medical conditions in pregnancy, there are several places that you can turn to for advice: Midwife
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