early pregnancy unit opening times

Electronic consent for treatment or a procedure at our hospitals, Nominate a nurse, midwife or clinical support worker for a DAISY Award, New QEII Hospital Community Diagnostic Centre, Patient-initiated follow-up appointments (PIFU), Personalised care follow-ups for cancer patients, To provide high quality, compassionate care. If you are based within a GP practice please contact the GPIT Helpdesk on The door(s) open(s) away from you (push). IMD scores were divided into 10 decile groups. In addition, we recorded the amount of time senior clinicians (consultant gynaecologists) spent working in EPAUs which is of critical importance when assessing the impact of their presence on various clinical outcomes. Funding acquisition, There is sufficient space for a wheelchair user to use the waiting area. Payment signs are located at the payment machines in the hospital building. 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? The staff in the unit are skilled in the management of early pregnancy complications,including ultrasound scanning. The height of the soap dispenser is 99cm. A hoist can be brought in from another department. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. View photos. Formal analysis, Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. Based on this study, the sample size of 44 units, each contributing 150 patients, was calculated to give us 90% power to detect a 5% absolute difference in the risk of an emergency admission. Access to the building between 21:00 - 07:00 is via intercom. We have placed cookies on your computer to help make this website better. Click here for a guide to help you assess your bleeding. 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. www.miscarriageassociation.org.ukprovides information to help thoseaffected by miscarriage, molar pregnancy or ectopic pregnancy. Writing review & editing, Affiliations This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). There is level access to the consultation / treatment room. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. Data curation, There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations 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. 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. The lateral transfer space is 170cm (5ft 7in). No, Is the Subject Area "Miscarriage" applicable to this article? There are several services which stop on Coxford Road outside the Princess Anne Hospital, they are the X11, U6C, the THREE and the 7 Bluestar and 17 Bluestar. BSL interpreters can be provided on request. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. 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. After yourscan, you will be reviewed by one of the specialist nurses who will then discuss with you the likely cause of your symptoms, whether you need to have any more investigations, and your treatment options. The Yellow car park is an underground car park on levels B and C of the Princess Anne Hospital with accessible Blue Badge Bays located on Level C. There are also 21 parent and child bays on level C of the Yellow Car park. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. 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. Tommys Tommy's is a charity that funds research for pregnancy and babies. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. Forty units met this target, whilst four units recruited between 143 and 149 women. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). 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. The toilet is not for the sole use of disabled people. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). 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. Writing original draft, 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. The email address for the Patient Advice and Liaison Service (PALS) is. Copyright: 2021 Memtsa et al. Early Pregnancy Unit (Day time): 0151 604 7450. . Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . Conceptualization, 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. The lighting levels are moderate to good. All rights reserved. The admission rates by patient characteristics is shown in Table 2. Data curation, Between the hours of 21:45 and 06:00, when the main entrance is closed, you may use the Maternity entrance situated at the end of the hospital at Glasgow Road. We care for women with acute early pregnancy problems and acute gynaecology issues. There is pictorial signage on or near the toilet door. There are volunteers available for help and assistance at the hospital. Early Pregnancy Unit & Gynaecology Assessment Unit Burnley General Teaching Hospital, Casterton Avenue, Burnley, BB10 2PQ 01282 425 071 / 01282 804 268 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0260534, https://www.rcog.org.uk/globalassets/documents/guidelines/wprgynstandards2008.pdf, https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2012_022.pdf, https://www.aomrc.org.uk/wpcontent/uploads/2016/05/Seven_Day_Consultant_Present_Care_1212.pdf, https://www.england.nhs.uk/wp-content/uploads/2013/12/evidence-base.pdf, https://www.isdscotland.org/Health-Topics/Quality-Measurement-Framework/Emergency-Admissions/, https://www.kingsfund.org.uk/sites/default/files/Avoiding-Hospital-Admissions-Sarah-Purdy-December2010_0.pdf, https://www.rcog.org.uk/globalassets/documents/careers-and-training/atsms/atsm_acutegynae_curriculum.pdf. There is level access into the waiting room / area. The contrast between the towel dispenser and the wall is good. 023 8077 7222. GAU is a 24 hour service and can offer advice and . There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. The contrast between the internal door and wall is good. Methodology, The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. During the day you can access the maternity unit by entering the hospital through the main entrance. The drop off bays are on the side of the access road to the car park and there are no kerbs. Our research lead, Professor Tom Bourne, is a founding member of the International Ovarian Tumor Analysis (IOTA) group and sits in the steering committee of several large international trials. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Formal analysis, But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. broad scope, and wide readership a perfect fit for your research every time. 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. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. Detailed information, also You're adding a service to your CPD log. View our cookie policy. The Pregnancy Sickness Support website has good advice. No, Is the Subject Area "Nurses" applicable to this article? Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. The height of the towel dispenser is 106cm (3ft 6in). If you are referred to the unit, an appointment will be offered for the next available clinic based on the following set criteria: Women between 6 - 13 weeks of pregnancy with a . There is sufficient space next to the bed/couch for a mobile hoist to operate. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. 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. The staff in the unit are skilled in the management of early pregnancy complications, including ultrasound scanning. Women with nausea and vomiting in pregnancy should contact their GP for an assessment of their symptoms to exclude other causes for nausea and vomiting in pregnancy such as urinary tract infections. EPAGU Level 2, Wellhouse Lane, Barnet, EN5 3DJ, 020 7472 6374, 020 7794 0500 ext 38205 or 31468, EPAGU 5th Floor, Pond Street, London, NW3 2QG, 020 7472 6374 (RFH) 020 8216 5233 (Barnet), Emergency clinic for women with pain or/and bleeding in early pregnancy or pregnant women with high risk of ectopic pregnancy, For recurrent miscarriages and early pregnancy concerns, For women with problems during early pregnancy. There is a Patient Advice and Liaison Service (PALS) at the hospital. 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 wash basin is not placed higher than 74cm (2ft 5in). Visualization, 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). We have placed cookies on your deviceto help improve our website. The car park is located on Level B of the hospital. The height of the wash basin is 86cm (2ft 10in). The relationship between emergency admissions from Emergency Departments and senior clinician presence, unit volume, and weekend opening hours was investigated by fitting multivariable logistic regression models. Having collected detailed data on the opening hours of all participating EPAUs over the weekend, we were able to identify that one hours increase in the weekend opening hours of an EPAU resulted, as expected, in an increased probability of a woman with first trimester complications being admitted to hospital from the EPAU, but decreased the chance of an admission to hospital from the Emergency Department. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. Investigation, Funding acquisition, This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. Mobility aids are available to help patients move around and include; wheelchairs. The height of the reception counter is low (76cm or lower) . Conceptualization, This accessible toilet is also used as a standard toilet. Dementia friendly signage is not provided. Methodology, The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. Investigation, To provide a one-stop service. 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. This accessible toilet is located straight ahead as you enter and to the right. The hospital entrance is not clearly visible from the car park. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Volunteers do not receive disability awareness / equality training. When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. Guidelines: care is provided to women following guidelines that have been produced by the department. Writing review & editing, Affiliation There is not a/are not door(s) into the waiting room / area. 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. The hospital entrance is clearly visible from the car park. Yes By clicking any link on this page you are giving your consent for us to set cookies. However, our study is the first large prospective study designed with a specific aim to study emergency admission rates in women presenting with acute first trimester pregnancy complications. be as descriptive as possible and include any specific error messages you may see. We performed sensitivity analyses by refitting the regression models using the binary variables for planned senior clinician presence, unit volume and weekend opening hours. 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. The main door(s) open(s) automatically (away from you). Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. If you have a non-urgent concern not related to your pregnancy such as chest/urine/ear infections, skin complaints, viral infections, exposure to infections i.e chickenpox, you should see your GP for advice as they are better placed to help with these problems. The entrance area/door is not clearly signed. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. There is a/are door(s) into the consultation / treatment room. A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. 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. Assistance may be required because there is/are slopes/ramps. There is step free access to the reception point. Pregnancy sickness or morning sickness can be debilitating and difficult in the early stages of pregnancy. The lift does have a visual floor indicator. When you attend an early pregnancy appointment you can bring one adult support partner with you however no children are currently able to attend with you. Copyright 2023 AccessAble. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. If a scan is required and where it cannot be performed on the same day we will do our best to ensure that any wait is as short as it can be and we will endeavour to keep you updated of any delays. We use cookies on this site to enhance your user experience, Getting To The Hospital (Princess Anne Hospital), Getting Help and Assistance (Princess Anne Hospital), Hospital Parking (Yellow Car Park - Level C - Accessible and Parent and Child Parking Only), Hospital Parking (Yellow Car Park - Open Air Parking), Hospital Parking (Yellow Car Park - Level B - Standard and Parent and Child Parking), Getting To (Early Pregnancy Unit and Gynae Assessment Unit), Outside Access (Level D and Out of Hours Entrance), Opening Times (Early Pregnancy Unit and Gynae Assessment Unit), Department / Service (Early Pregnancy Unit and Gynae Assessment Unit), To view the web page described above click here (opens in new tab), Princess Anne Hospital link (new tab) - click here, Hospital Parking at Princess Anne Hospital link (new tab) - click here. The width of the door is 88cm (2ft 11in). e0260534. There is sufficient space to write or sign documents on the desk. An ambulant toilet with wall mounted grab rails is available. The details that will be required when requesting in advance are - Blue Badge serial number, date of expiry and issuing authority/council. There is a space for a wheelchair user to manoeuvre. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. The towel dispenser is placed higher than 100cm (3ft 3in). Writing original draft, Google map of Princess Anne Hospital Location. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. Visualization, This accessible toilet is located to the right as you pass through the waiting area. b) vaginal bleeding 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. Contact us. A key is not required for the accessible toilet. Formal analysis, There is clear signage on the department/service. The car park does not have a barrier control system. The hospital does have a dedicated car park. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . The lateral transfer space is 145cm (4ft 9in). Calls will be answered whenever possible but a voicemail facility will also be in place for times when the phone cannot be answered, including out of hours. View Accessibility Symbols. If our guide needs updating - just let us know using this form. The entrance area/door is clearly signed. 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. Volunteers can be found on the ground floor of the main University College Hospital building. Disposal facilities are available in the cubicle. The waiting room / area does not have background music playing. The distance between the floor and the highest table is 43cm (1ft 5in). BSL interpreters can be provided on request. To view other access guides that are related to this one please use the links below. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. You may find that certain parts of the The door does not have a horizontal grab rail. 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. Software, EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. In this national prospective cohort study, we aimed to determine whether higher participation of senior clinicians in the delivery of first trimester pregnancy care would result in better quality clinical care reflected in a lower risk of acute admissions to hospital for women presenting with first trimester complications. 2018 37:1533-1538. pmid:29119588 . Data curation, Language interpreters can be provided on request. Access to the waiting area is unobstructed. Site by daysix. new North Central London GP Website do not work as expected. It has been created to raise awareness and help others to see that what they are going through is completely normal. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. This information is for the entrance located on the lower ground floor. No, Is the Subject Area "Pregnancy complications" applicable to this article? We ask that they call the unit so that we can book them a timed appointment. Mobility aids are available to help patients move around and include; wheelchairs and crutches. That is, a one-hour increase in weekend opening hours was associated with a 3.0% (95% CI: 0.3% to 5.8%) increase in the odds of an emergency admission from EPAU. Writing review & editing, Roles We see women in the first 17 weeks of pregnancy only (up to 14 weeks at Basildon University Hospital). Otherwise, we will assume that you're OK to continue. There is not a red flashing fire alarm beacon within the imaging room. 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 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services Supervision, Inside the venue, there is level access to the female toilet(s). 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. 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. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. The car park is located to the left of the main underground car parks. 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. 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. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . 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. 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. If you do not require an ultrasound but other investigations are indicated, the team will facilitate you into a suitable appointment. There is step free access into the imaging room. Software, Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. Payment machines are located inside the hospital building. . A hearing assistance system is not available in the department/service. For more information about what these symbols mean, view our Accessibility Symbols Guide. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. There is a low section of the desk (76cm or below) available. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles J Ultrasound Med. We carefully assessed the burden and timings of the study participation and questionnaires on patients. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Methodology, Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. To obtain mobility aids please contact a member of staff. The wash basin cannot be reached from seated on the toilet. The height of the toilet seat above floor level is 48cm (1ft 7in). We also accept GP referrals for emergency gynaecology problems. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). There is a space for a wheelchair user to wait within the seating area. Urgent GP referrals are seen on the same day. Conceptualization, 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. General Practitioner (GP) This commercial affiliation does not alter our adherence to PLOS ONE policies on sharing data and materials. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. Disposal facilities are available in the toilet. The post code for the Sat-nav is SO16 5YA. This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. The name / number of the room surveyed was; 3. There is a dropdown rail on the transfer side. We will keep you updated and we have refreshments available for your comfort. You will be given a copy of your ultrasound report. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. 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 step-free access to the accessible toilet. https://doi.org/10.1371/journal.pone.0260534.t001. The contrast between the external door and wall is good. Please send a referral letter with all patients. The lighting levels at the reception area/desk are medium. The route from the car park to the entrance is accessible to a wheelchair user with assistance. 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.

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