Aberford Road Funding acquisition, Do not wait to be called by the EPAU team. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. There is not a flashing fire alarm beacon within the waiting room / area. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. IMD scores were divided into 10 decile groups. There are coat hooks in the toilet at 107cm and 147cm from the floor. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). The barrier controls/touchscreen can be reached from the car. Volunteers can be found on the ground floor of the main University College Hospital building. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. To keep our patients safe, we are currently offering a telphone advice, triage and referral service. Investigation, The study ran from December 2016 to July 2017. There are vertical wall-mounted grab rails on both sides of the wash basin. The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. There is not a clear knee recess beneath the low section of the desk. The lateral transfer space is 145cm (4ft 9in). Fitting hierarchical logistic regression models for Emergency admission from EPAU, there was little evidence of an association between the admission rate and planned senior clinician presence or unit volume controlled for final diagnosis and maternal age, as shown in Table 5. 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. MASS (NK) was commissioned by and became a member of the VESPA co-applicants group to provide the required workforce modelling expertise and knowledge. 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. 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. Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. The drop-off point is located on Beaumont Place. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. Click here for a guide to help you assess your bleeding. 2018 37:1533-1538. pmid:29119588 . Early Pregnancy Unit and Gynae Assessment Unit | AccessAble There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). . e0260534. 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. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. Board Meetings (including Agenda and Papers), Corporate publications (Annual Reports and Accounts), COVID vaccine resources for minority ethnic communities, Accelerating care across Lancashire and South Cumbria, Patient Portal: mobile phone appointment letters, Test your equipment for Video Appointments / Calls, Academic Surgical and Perioperative Medicine Unit. Visualization, We will keep you updated and we have refreshments available for your comfort. Pinderfields Hospital Methodology, https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. Click through the PLOS taxonomy to find articles in your field. There is clear signage on the department/service. The reception point is approximately 5m (5yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Data Availability: All relevant data are within the papers Supporting information files. The width of the accessible toilet opening is 84cm. There is space for an assistance dog to rest within the seating area. Continue along Grafton Way and rejoin the A400. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations 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. Current constraints on health expenditure have compelled providers to explore ways of delivering a greater proportion of care in outpatient settings whilst maintaining good clinical outcomes and high levels of patient satisfaction. c) previous ectopic pregnancy Mobility aids are available to help patients move around and include; wheelchairs. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. 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 emergency pull cord alarm is not fully functional. This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). Contact us. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. Validation, No, Is the Subject Area "Nurses" applicable to this article? There is step free access to the reception point. If you are not under the care of the EPAU, please contact your GP. If you have had a previous miscarriage, we would you advise to contact the Early Pregnancy Assessment Unit if you experience bleeding. Forty units met this target, whilst four units recruited between 143 and 149 women. Please call the ward to find out more. All rights reserved. EPAU opening times | Wirral University Hospital NHS Foundation Trust Contact us. There is no signage on or near the toilet door. The wash basin is not placed higher than 74cm (2ft 5in). There is a dropped kerb from the drop-off point. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. 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. The towel dispenser cannot be reached from seated on the toilet. There is not a 120cm hatched zone around the Blue Badge parking bay(s). All rights reserved. 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. There is not a play area or toys/books for a child to play with. Is the Subject Area "Pregnancy" applicable to this article? Once you have been discharged from our care you can still contact us if you have any questions or problems. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Early Pregnancy Unit & Gynaecology Assessment Unit | AccessAble Tommys Tommy's is a charity that funds research for pregnancy and babies. EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. Our study has several limitations. 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. 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). The EPAGU at Queen Charlottes is well-known globally for its research output. In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. Tel: 0118 322 8741. In some miscarriages the uterus (womb) empties itself completely. The name / number of the room surveyed was; D190. The toilet roll holder is not placed higher than 100cm (3ft 3in). EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. Wherever possible, all data relating to hospital admissions provided by the IS departments were crosschecked by a member of the research team against ward admission books/databases in an attempt to check their accuracy. View on a map. There is a canopy or recess which provides weather protection at this entrance. If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. Mirrors are not placed at a lower level or at an angle for ease of use. The accessible toilet was out of use at the time of the survey. The contrast between the walls and floor is good. The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. The wash basin is not placed higher than 74cm (2ft 5in). 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. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? PLOS ONE promises fair, rigorous peer review, The car park surface is a shared surface. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. The funder provided support in the form of salaries for authors MM, VG, GA, PB, EK, SS, ZA, JR, NK, JH, GB, JS, DJ; however, the funder and sponsors of the study did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The car park does not have a height restriction barrier. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). The door(s) is/are single width with a locked extension leaf. EPU and UGCC | NHS Frimley Health Foundation Trust Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. Getting To The Hospital There is pictorial signage on or near the toilet door. 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. The height of the bell/buzzer is 134cm (4ft 5in). Yes 020 3688 1881 or email The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. Formal analysis, 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. Both provide consultant-led care for women who experience problems in early pregnancy. A previousmolar pregnancy, not less than 8 weeks gestation. There is sufficient space to write or sign documents on the desk. The toilet roll holder can be reached from seated on the toilet. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. The door(s) open(s) away from you (push). There are standard toilet facilities within this department/service. For service contact details please visit the relevant service page. Please contact your midwife or maternity triage urgently if your symptoms relate to fetal movement. The NICE guideline developing group, which includes a patient and public involvement panel, concluded that the configuration of services between different units varied considerably but, due to paucity of data, they were unable to make recommendations on the optimal structure of EPAUs that would balance clinical and service outcomes against cost-effectiveness. 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. Project administration, There is step free access at this entrance. We found that, in general, the actual amount of time spent by the senior clinicians in the units was less than planned, and in only five units, they were present for more than 5% of the time (Fig 3). 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. The width of the door opening is 88cm (2ft 11in). Conceptualization, We provide a dedicated service to women under 16 weeks gestation. 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. There are no chairs with armrests available. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. 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. Standard toilet facilities are available. Wall mounted grab rails are available for the toilet. Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. 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. To obtain mobility aids please contact a member of staff. Where possible units will try to give you fluid and anti-sickness medication as a day patient to avoid you having to stay in hospital where possible. The dropped kerb does not have tactile paving. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. Send email. Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. There is not a play area or toys/books for a child to play with. There is step-free access to the accessible toilet. 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. Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. The room does not have background music playing. The route from the car park to the entrance is accessible to a wheelchair user with assistance. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. 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. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. Payment machines are located inside the hospital building. Early Pregnancy Unit/Emergency Gynaecology Unit (EPU/EGU) People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Payment signs do not make it clear if parking charges apply to Blue Badge holders. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Early Pregnancy Assessment Unit (EPAU) - Lewisham and Greenwich During the day you can access the maternity unit by entering the hospital through the main entrance. 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. If our guide needs updating - just let us know using this form. 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. Methodology, You may find that certain parts of the Writing original draft, Contact details will be put on all outpatient letters. The service is then located on the right. Telephone: 0161 922 6000 Methodology, Princess Anne Hospital is Located on Coxford Road to the north West of the city. Funding acquisition, For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing t.bourne@ic.ac.uk at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing shahla.ahmed1@nhs.net at St Marys. The height of the soap dispenser is 97cm. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. Travel information is subject to change. Data curation, Early Pregnancy Unit and Gynae Assessment Unit | AccessAble Yes 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. PDF Emergency Department Early Pregnancy Unit (EPU) - St George's Hospital The height of the reception counter is low (76cm or lower) . By clicking any link on this page you are giving your consent for us to set cookies. Always inform the staff in the department you are pregnant. 020 3456 7890. Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. Clinic 3 - Early Pregnancy Unit | AccessAble The waiting room / area does not have background music playing. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. Conceptualization, You will have a telephone assessment with a specialist EPAU nurse, and they will advise whether you need to attend a booked appointment for a face-to-face assessment and/orscan. 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 Formal analysis, There is / are 10 consultation / treatment room(s) available. Early pregnancy clinic | NHS Fife Visit website. 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. However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). There is not a designated drop-off point. If an appointment is necessary you will be offered a time to attend the unit for an ultrasound scan or to be assessed by the doctor. The height of the towel dispenser is 125cm (4ft 1in). No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? 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. Turn right onto Beaumont Place before reaching Warren Street tube station. Early Pregnancy Assessment | Mid Yorks The soap dispenser can be reached from seated on the toilet. The main door(s) open(s) towards you (pull). 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 drop-off point is located to the right of the Level D entrance. 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. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . We see women in the first 18 weeks of pregnancy only. Formal analysis, Early Pregnancy Unit and Gynae Assessment Unit is approximately 14m from the Level D entrance. Pregnancy Sickness Support website, here. 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. This accessible toilet is located to the right as you pass through the waiting area. 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. There is a/are door(s) into the consultation / treatment room. 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. There is sufficient space next to the bed/couch for a mobile hoist to operate. For some analyses, this variable was also dichotomised to indicate whether a unit was open at weekends (yes/no), whilst a three-level weekend opening variable was defined: None/Saturday only/Saturday and Sunday. Visiting restrictions are in place. View photos. Detailed information, also This accessible toilet is approximately 15m (16yd 1ft) from the clinic entrance. 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. The Pregnancy Sickness Support website has good advice. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). Yes There is a/are Blue Badge parking bay(s) available. Standard manual wheelchairs are available for people to borrow at this entrance. Unit volume was defined as the number of patient visits per year and was estimated using the time taken to obtain data on the required number of patients and the average number of visits per patient. Euston Square station has lift access from the platform to the street. Yes The soap dispenser can be reached from seated on the toilet. The height of the toilet seat above floor level is 48cm (1ft 7in). clinic appointment letter. Women's experiences of early pregnancy assessment unit services: a The width of the door is 88cm (2ft 11in). Referrals are accepted direct to the unit from GPs, Midwives and the Emergency Department. There is a/are wall-mounted grab rail(s) available. The door(s) open(s) away from you (push). Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. There are parking charges for the hospital car park. We see women in the first 17 weeks of pregnancy only (up to 14 weeks at Basildon University Hospital). Yes 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.