early pregnancy unit opening times

Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. Yes Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Access to Early Pregnancy Unit and Gynae Assessment Unit is via the Level D entrance. The main car park for the Princess Anne Hospital is called the Yellow car park. e) three or more previous miscarriages Validation, (2021) Differences in the organisation of early pregnancy units and the effect of senior clinician presence, volume of patients and weekend opening on emergency hospital admissions: Findings from the VESPA Study. The VESPA study recruited from the EPAU population. 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. Once your referral has been received, please await a telephone call from the EPAU. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. The email address for the Patient Advice and Liaison Service (PALS) is. Contact us. 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. Institute of Health Economics, Edmonton, Canada, Roles 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 entrance area/door is not clearly signed. The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . The room does not have background music playing. Accident and Emergency Department/999 Also required will be vehicle registration number, date of appointment and time of appointment. Methodology, 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. The car park surface is a shared surface. A member of staff is available to assist with opening the door if required. Opening times Weekdays: 07:30 - 15:00 Weekends and Bank Holidays: 09:00 - 13:00 Contact us Patients already under the care of the EPAU may contact the unit on 01274 364325 and Ward 20 on 01274 364414. Software, Parking spaces for Blue Badge holders do not need to be booked in advance. The soap dispenser can be reached from seated on the toilet. 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. A key is not required for the accessible toilet. Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. The total number of opening hours per weekend was used to illustrate weekend opening. 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. VESPA included the services provided by MASS in the submittal for funding to NIHR. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. However, there was evidence of an association between the emergency admission rate and weekend opening hours. www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. Data curation, The name / number of the room surveyed was; 3. A . The Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. There is level access to this accessible toilet. Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles The width of the door opening is 88cm (2ft 11in). You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. Data curation, We have links to excellent onsite gynaecological oncology and endometriosis services across sites. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. Site map. The email address for the Patient Advice and Liaison Service (PALS) is. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. The entrance door(s) does not/do not contrast visually with its immediate surroundings. Print this page 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 lighting levels in the imaging room are low to moderate. To provide a one-stop service. An email request option is offered where the completed dispensation will be emailed so the patient/carer can print prior to arriving for their appointment, email requests are via. 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. There is level access to the consultation / treatment room. Warren Street (Northern / Victoria Lines) and Euston Square (Circle / Hammersmith & City / Metropolitan Lines) are the closest tube stations to University College Hospital (UCH). A moderate level of clustering within units (Intraclass Correlation Coefficient, ICC = 0.04) was assumed. The contrast between the walls and floor is good. This accessible toilet is also used as a standard toilet. This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. These associations did not markedly change after further confounder adjustment. Wall mounted grab rails are available for the toilet. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles As it is not necessary for UCH staff to see the Blue Badge at the time of issuing a dispensation notice, a notice can be issued in advance and posted or emailed to patients. 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 intercom is in a suitable position to allow wheelchair users to gain access. Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. Contact us. The drop off bays are on the side of the access road to the car park and there are no kerbs. The car park does not have a barrier control system. we'll add the event details to your CPD section automatically. The contrast between the internal door and wall is good. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? The door(s) open(s) away from you (push). Your GP can be accessed for a range of non-urgent services. Investigation, The toilet roll holder can be reached from seated on the toilet. 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. Formal analysis, 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. Contact. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. We are a very activeunit located in the Woodlands building (pink zone) at the Lister hospital and we see around 5,500 women every year. The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. The route from the car park to the hospital entrance is not clearly signposted. Yes Data curation, Project administration, www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles PLOS ONE promises fair, rigorous peer review, Ultrasound based assessment for suspected pelvic pathology. This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. An Early Pregnancy Unit in the United States: An Effective Method for Evaluating First-Trimester Pregnancy Complications. Find Early Pregnancy Assessment Unit in Worksop, S81. The car park does have a barrier control system. The wash basin cannot be reached from seated on the toilet. There is a dropped kerb from the drop-off point. There is also a need to further explore the skill mix of a multidisciplinary team of nurses, midwives and sonographers, which could facilitate effective running of EPAUs in the absence of senior clinicians. The reception counter is not placed in front of a background which is patterned. The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). The lateral transfer space is 170cm (5ft 7in). Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. There is not a play area or toys/books for a child to play with. The Blue Badge bay(s) is/are signposted but have no markings. Try to follow the advice about drinking little and often to avoid this as much as you can. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. Resources, Language interpreters can be provided on request. There are sofas and also a mixture of single seats with and without armrests. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. 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. The relationship between emergency admissions from the Emergency Department and senior clinicians presence in EPAU is shown in Fig 4. https://doi.org/10.1371/journal.pone.0260534.g004. All units were asked to recruit a minimum number of 150 women each. This accessible toilet is located straight ahead as you enter and to the right. Validation, 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. The barrier controls/touchscreen can be reached from the car. The toilet roll holder can be reached from seated on the toilet. The contrast between the external door and wall is good. If your condition may affect your pregnancy, you will be referred to the appropriate department. Assistance may be required because there is/are slopes/ramps. Funding acquisition, The wash basin is placed higher than 74cm (2ft 5in). 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. 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. There is level access into the waiting room / area. Methodology, View our cookie policy. Payment signs do not make it clear if parking charges apply to Blue Badge holders. 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. Upon completion of data collection, we revisited the activity in all 44 units. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. The type of flooring in walkways and corridors is vinyl/laminate. The Unit is open at all times. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. View on a map. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. You can visit a walk in centre for any general illness or concern for which you may have visited your GP. 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 We value all people andstrive to beopen, honest and accountable for the care provided. There is a waiting area close to the reception point. During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. However, at the time of your scan, you can be accompanied by your partner. Our study has several limitations. 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. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. Cancer Centre dispensations that the UCH main reception team are unable to deal with will be forwarded to the Cancer centre team at. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. These are further broken down by diagnosis in Tables 3 and 4. https://doi.org/10.1371/journal.pone.0260534.g001, https://doi.org/10.1371/journal.pone.0260534.t002, https://doi.org/10.1371/journal.pone.0260534.t003, https://doi.org/10.1371/journal.pone.0260534.t004. Guidelines: care is provided to women following guidelines that have been produced by the department. We have placed cookies on your deviceto help improve our website. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. Please be aware that some external resources may be restricted to NHS Secure Network connections only. Validation, The unit has strong international links, in particular with KU Leuven in Belgium. 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services 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. Visualization, The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. broad scope, and wide readership a perfect fit for your research every time. This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. The entrance area/door is clearly signed with the name of the service/department. The ramp/slope is located in front of the entrance. The height of the bell/buzzer is 134cm (4ft 5in). The IHE does not currently receive funds for research related to the submitted work. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. There is not a red flashing fire alarm beacon within the toilet. We accept GP, midwife and A&E referrals for assessment. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. The contrast between the dropdown rail(s) and wall is good. Forty units met this target, whilst four units recruited between 143 and 149 women. If you have concerns with regards to this please speak to the nurse in charge. Data curation, There is step free access to the reception area/desk. The height of the toilet seat above floor level is 48cm (1ft 7in). The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. 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 The door(s) open(s) automatically (towards you). We see women in the first 17 weeks of pregnancy only (up to 14 weeks at Basildon University Hospital). The contrast between the dropdown rail(s) and wall is good. Standard manual wheelchairs are available for people to borrow at this entrance. This information is for the entrance located on Grafton Way. The height of the soap dispenser is 100cm. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. There are also several taxi services which run from the station. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. Yes The lighting levels at the reception point are good. Funding acquisition, The Early Pregnancy Assessment Unit is part of the Gynaecology Assessment Unit, which offers help and support for those experiencing problems in early pregnancy up to 16 weeks. In line with our Trusts policy a chaperone is available for all intimate examinations. 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. If you are unable to book an appointment, or need to see a GP out of hours, call your surgery and follow the advice provided. (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. Search for local Pregnancy near you on Yell. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Planned and actual senior clinician presence, unit size, and weekend opening. Investigation, Walk-in Centres A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. A previousmolar pregnancy, not less than 8 weeks gestation. You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. d) previous tubal surgery Edna Keeney reports personal fees from Novartis Pharma, personal fees from Pfizer Inc., outside the submitted work. Twenty-three units were open during weekends. Conceptualization, Investigation, be as descriptive as possible and include any specific error messages you may see. The Early Pregnancy Clinic should be your first port of call. North Central London GP Website. Funding acquisition, You will be given a copy of your ultrasound report. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. This accessible toilet is located along the department corridor. Get contact details, videos, photos, opening times and map directions. You are accessing this website using a legacy browser. The specific roles of these authors are articulated in the author contributions section. Parking spaces for Blue Badge holders do not need to be booked in advance. Non-identifiable demographic and routine clinical data were collected for all women attending the participating EPAUs, and if women gave their written consent to participate to the VESPA study, their clinical data were linked. e0260534. As you face the toilet pan the transfer space is on the right. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. The waiting room / area does have background music playing. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. Both provide consultant-led care for women who experience problems in early pregnancy. Yes The maternity unit is situated on the second floor of the hospital (level2). There are not volunteers available for help and assistance at the hospital. This is an external link. 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. As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. Copyright 2023 AccessAble. 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. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. The transfer space is obstructed by a waste disposal bin. If you require an ultrasound we aim to offer this within 72 hours of referral. The accessible toilet was out of use at the time of the survey. Early Pregnancy Unit (Day time): 0151 604 7450. . This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have hadthe following: Whilethis is NOT a standardmaternity triage form, if neededyou can self-refer to the EPAU by filling out our EPAU self-referral form. All rights reserved. This video animation tells the story of one couples experience of miscarriage. The bollards do not restrict access to the entrance. The dimensions of the accessible toilet are 212cm x 220cm (6ft 11in x 7ft 3in). Copyright 2023 AccessAble. 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. The contrast between the external door and wall is good. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. There is no signage on or near the toilet door. The waiting room / area does not have background music playing. There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). Disposal facilities are available in the toilet. The Pregnancy Sickness Support website has good advice. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. Find Early Pregnancy Assessment Unit in Worksop, S81. There is a/are door(s) into the consultation / treatment room. The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. The hospital entrance is clearly visible from the car park. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. Referrals are either from GP or the emergency department. 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. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. Pregnancy Sickness Support website, here. The contrast between the walls and floor is good. There is sufficient space next to the bed/couch for a mobile hoist to operate. There is a changing place located on level C of the Centre Block at the Southampton General Hospital. No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). Writing review & editing, Affiliation The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. There is a/are manual, heavy, double door(s) between the lift and the department/service. 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 wash basin can be reached from seated on the toilet. Yes Peter Brocklehurst reports grants and personal fees from MRC, grants from MRC, NIHR HS&DR, NIHR HJTA, Wellcome Trust, personal fees from AG Biotest, outside the submitted work. The percentage of emergency admissions from the Emergency Department ranged from 7% to 58% with the majority of the units having an emergency admission rate of between 10% and 30%. Click here for a guide to help you assess your bleeding. 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 step free access to Early Pregnancy Unit and Gynae Assessment Unit. The door(s) open(s) away from you (push). Disposal facilities are available in the cubicle. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. . 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. Yes Opening times. As long as the future appointment can be verified then there is no time limit on how far in advance a specific dated dispensation notice can be issued. Women may self-refer to the Royal Free EPAGU with early pregnancy problems. Referrals are accepted direct to the unit from GPs, Midwives and the Emergency Department. For more information about what these symbols mean, view our Accessibility Symbols Guide. There is not a/are not Blue Badge parking bay(s) available. The reception area/desk is clearly visible from the entrance. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours.