Early Pregnancy Unit & Gynaecology Assessment Unit | AccessAble Early Pregnancy Assessment Unit (EPAU) - Mid and South Essex NHS There is a Patient Advice and Liaison Service (PALS) at the hospital. 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. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Print this page Copyright 2023 AccessAble. Detailed information, also A hearing assistance system is not available in the department/service. a new pregnancy and under the care of the recurrent miscarriage clinic. Get contact details, videos, photos, opening times and map directions. The Blue Badge bay(s) is/are signposted but have no markings. The car park is located on Level C of the hospital building. Opening Times. be as descriptive as possible and include any specific error messages you may see. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Blue Badge parking bays cannot be booked in advance. 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. The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. The floors which are accessible by stairs are B-LG-G-1-2. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. Early pregnancy and acute gynaecology units 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. Both telephone and email applications will be coordinated by the UCH main reception team. 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 waiting room / area is approximately 7m from the clinic entrance. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. Contact details will be put on all outpatient letters. Scans appointments are every weekday morning and afternoon. 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. You can also call020 7794 0500 ext 38205 or 31468. The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. Women may self-refer to the Royal Free EPAGU with early pregnancy problems. Disposal facilities are available in the cubicle. There is a/are manual, heavy, double door(s) between the lift and the department/service. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. 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. To obtain mobility aids please contact a member of staff. The department/service does play background music. 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. Some women may also be advised to monitor their symptoms at home. 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. View photos. Visualization, The contrast between the walls and floor is good. 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. 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. Project administration, www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. Google map of Princess Anne Hospital Location. There is a waiting area close to the reception point. The height of the soap dispenser is 99cm. Early Pregnancy Unit (EPU) - Royal Berkshire NHS Foundation Trust Try to follow the advice about drinking little and often to avoid this as much as you can. VESPA included the services provided by MASS in the submittal for funding to NIHR. Early Pregnancy Unit/Emergency Gynaecology Unit (EPU/EGU) There is a/are wall-mounted grab rail(s) available. This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. The name / number of the room surveyed was; 3. Validation, This video animation tells the story of one couples experience of miscarriage. 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. Resources, Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. Methodology, 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. You can contact the service by calling 01279 827107. Tommys Tommy's is a charity that funds research for pregnancy and babies. 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. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. Funding acquisition, If you are over 20 weeks of pregnancy please contact Maternity Triage. EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. The contrast between the external door and wall is good. . 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 designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. 6606 pregnant women (16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. 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. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. J Ultrasound Med. The nearest National Rail station is Euston. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard There are vertical wall-mounted grab rails on both sides of the wash basin. 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. Copyright 2023 East and North Hertfordshire NHS Trust. 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 Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. As a secondary outcome, we aimed to establish the number of emergency hospital admissions for women attending EDs in the same location as the EPAU for first trimester pregnancy complications. 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 is an external link. Euston Square station has lift access from the platform to the street. Methodology, Your local early pregnancy unit is still available but opening times and appointment availability may have changed. The hospital entrance is not clearly visible from the car park. Validation, For more information about what these symbols mean, view our Accessibility Symbols Guide. Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. Data curation, 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. Send email. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. Is the Subject Area "Pregnancy" applicable to this article? My CPD. There is step free access into the imaging room. Writing review & editing, Affiliation For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. There is not a red flashing fire alarm beacon within the toilet. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. Funding acquisition, The contrast between the walls and floor is good. 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. 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 Early Pregnancy Unit | Princess Alexandra Hospital The type of flooring in walkways and corridors is vinyl/laminate. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain 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. Dispensation notices are issued at the main reception at the UCH site (07.00-20.00 Monday to Friday and 08.00-16.00 on Saturdays, Sundays and Bank Holidays). The car park is located to the left of the main underground car parks. Miscarriage is the most common type of pregnancy loss. There is a dropped kerb from the drop-off point. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. Princess Anne Hospital is Located on Coxford Road to the north West of the city. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. 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. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. The door(s) open(s) away from you (push). The door(s) open(s) away from you (push). There is not a door release button when exiting. Early Pregnancy Assessment & Gynaecology Unit: RFL - North Central London GP Website Find out about the Early Pregnancy Assessment & Gynaecology Unit: RFL service in North Central London Find out about the Early Pregnancy Assessment & Gynaecology Unit: RFL service in North Central London Your browser is out of date! 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. 2018 37:1533-1538. pmid:29119588 . Volunteers can be found on the ground floor of the main University College Hospital building. 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%. Aberford Road The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. There is not a clear knee recess beneath the low section of the desk. We ask that they call the unit so that we can book them a timed appointment. You can change the description, reflection or CPD Credit Hours at any time from within MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. The tube stations are located at opposite ends of the hospital main building. Guidelines: care is provided to women following guidelines that have been produced by the department. Visit website. Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. The maternity unit is situated on the second floor of the hospital (level2). The contrast between the wall-mounted grab rail(s) and wall is fair. 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. We also accept GP referrals for emergency gynaecology problems. Funding acquisition, The entrance area/door is clearly signed with the name of the service/department. 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. Funding acquisition, GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. Accident and emergency patient information leaflets, Video consultations - frequently asked questions, Visiting and keeping in touch during Covid-19, Log in or register with Patients Know Best, Patients Know Best - frequently asked questions, Patients Know Best and NHS App integration, Yorkshire Regional Spinal Injuries Centre (YRSIC), Psychology department - Every Voice Matters, Complex Eating, Weight and Bariatric Psychology, Plastic, Reconstructive and Burns Surgery, Breast plastic and reconstructive surgery, Skin cancer plastic and reconstructive surgery, Trauma plastic, reconstructive and burns surgery, Population and people who use our services, Zero Tolerance - Abuse is not in a day's work, Genetic Links to Anxiety and Depression (GLAD) study, Providing Online guided Self-help for Eating disorders in adults with type 2 Diabetes (POSE-D) pilot study, General Data Protection Regulation (GDPR), Safe Nursing and Midwifery staffing levels, Medical Education & Simulation Hub (MESH), Visit the Miscarriage Association website, previous ectopic or molar pregnancy with a new pregnancy. Software, Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. A mobile hoist is not available on the department/service. Staff do not need to be notified for use of the lift. All rights reserved. The soap dispenser cannot be reached from seated on the toilet. 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. There are volunteers available for help and assistance at the hospital. Supervision, There are several possible explanations for our findings. 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. 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). The specific roles of these authors are articulated in the author contributions section. Contact us. The unit is open Monday to Friday, from 9am-5pm. Visiting restrictions are in place. Your GP can be accessed for a range of non-urgent services. Conceptualization, There is not a red flashing fire alarm beacon within the imaging room. Telephone: 0161 922 6000 This accessible toilet is located straight ahead as you enter and to the right. Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. Pregnancy sickness or morning sickness can be debilitating and difficult in the early stages of pregnancy. North Central London GP Website. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Early Pregnancy Unit - Cardiff and Vale University Health Board The contrast between the external door and wall is good. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. Do you want to change or cancel an appointment? In addition, obtaining good quality data on emergency admissions from the Emergency Department based on routine hospital databases proved to be challenging, and we were only able to confidently utilise the data obtained from a fraction of the participating units. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. Validation, Yes Get contact details, videos, photos, opening times and map directions. Our study has several limitations. Always inform the staff in the department you are pregnant. Turn right onto Beaumont Place before reaching Warren Street tube station. On your first visit to UCH or the UCH Macmillan Cancer Centre you need to park your car and bring the following to the reception desk - your valid Blue Badge, your vehicle registration document or Motability documents, proof of hospital attendance, showing appointment time and date e.g. Conceptualization, 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). Data curation, You can find more information about these on the patient information page. https://doi.org/10.1371/journal.pone.0260534.g003. We are now welcoming self referrals from women,however, we will still accept referrals from the existing pathway. The height of the toilet seat above floor level is 48cm (1ft 7in). But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). Women's experiences of early pregnancy assessment unit services: a The towel dispenser is placed higher than 100cm (3ft 3in). Both provide consultant-led care for women who experience problems in early pregnancy. Funding acquisition, The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . The hospital entrance is clearly visible from the car park. Early Pregnancy and Gynaecology Emergency Unit (EPU) Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. To keep our patients safe, we are currently offering a telphone advice, triage and referral service. You will often be seen at around 6 -7 weeks for a reassurance scan. Units were divided into eight mutually exclusive strata based on these characteristics, and 5 or 6 EPAUs were randomly selected from each stratum to a total of 44 for inclusion in the VESPA study. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. There is level access to the consultation / treatment room. The room does not have background music playing. Opening Hours for patient assessment and care planning. Methodology, It has been created to raise awareness and help others to see that what they are going through is completely normal. 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. The day room/lounge area is not always open. Writing original draft, Non-urgent referrals seen on the same or next day. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. . The car park surface is a shared surface. The width of the door opening is 87cm (2ft 10in). Yes here. The height of the intercom is 134cm (4ft 5in). Writing original draft, A . There is not a designated drop-off point. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). All patients should receive a call back within one working day of a message being left acknowledging the message. In the submitted paper, there are no competing interests and MASS has no claim of ownership for any IP arising from or related to this paper. This involves clinical review, investigations,diagnosis and treatment on the same day. Data curation, Methodology, There is step free access to the reception area/desk. Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. We are able to offer electives for medical students. We have placed cookies on your deviceto help improve our website. Parking spaces for Blue Badge holders do not need to be booked in advance. Early Pregnancy Unit (Day time): 0151 604 7450. . Supervision, Investigation, Methodology,
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