early pregnancy unit opening times

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%. 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. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Yes 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 height of the reception desk is high (110cm+). 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. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. The contrast between the wall-mounted grab rail(s) and wall is good. 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. The car park surface is a shared surface. The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. The car park does not have a height restriction barrier. We see people who: are in the early stages of their pregnancy (up to 18 weeks) have acute gynaecological problems needing urgent support We provide: same day emergency care urgent planned appointments support during the first 18 weeks of pregnancy 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. This maynot always possible depending on service demand and the type of investigation, monitoring or treatment you may need. 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. Blue Badge parking bays cannot be booked in advance. Access to the building between 21:00 - 07:00 is via intercom. This room is not accessed via a changing room. Email this page 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. Coping with problems in early pregnancy can be difficult, however unfortunately due to COVID 19 restrictions we are limited to the number of people who can be allowed into the department. There are accessible toilet facilities within the department/service. You can contact the service by calling 01279 827107. There is written text and pictorial signage on or near the toilet door. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. Validation, For more information about what these symbols mean, view our Accessibility Symbols Guide. The width of the door opening is 88cm (2ft 11in). 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. There is not a Patient Advice and Liaison Service (PALS) at the hospital. b) vaginal bleeding The maternity unit is situated on the second floor of the hospital (level2). The height of the toilet seat above floor level is 48cm (1ft 7in). This is an external link. Turn right onto Beaumont Place before reaching Warren Street tube station. on the right to withdraw consent, can be found in the website's privacy policy. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. IMD scores were divided into 10 decile groups. Early Pregnancy and Gynaecology Emergency Unit (EPU), Follow us on social media for all the latest news and announcements, Lister Hospital, Coreys Mill Lane, Stevenage, SG1 4AB. The contrast between the wash basin wall-mounted grab rail(s) and wall is good. The clinic reception is located to the left as you enter. Forty units met this target, whilst four units recruited between 143 and 149 women. Software, The lift does have a visual floor indicator. When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. We strive for continuous improvement and provide evidence based care. The height of the toilet roll holder is 118cm (3ft 10in). It is likely that they will be unable to offer reassurance scans if you have experienced previous early pregnancy problems unless you have symptoms in this pregnancy but individual units availability may vary. here. Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). The route from the car park to the hospital entrance is not clearly signposted. The route from the car park to the entrance is accessible to a wheelchair user with assistance. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. There is not a red flashing fire alarm beacon within the toilet. The reception area/desk is clearly visible from the entrance. The toilet roll holder is placed higher than 100cm (3ft 3in). 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). Volunteers can be found on the ground floor of the main University College Hospital building. Wall mounted grab rails are available for the toilet. If you have had a previous miscarriage, we would you advise to contact the Early Pregnancy Assessment Unit if you experience bleeding. Senior clinicians were present only in 19 of the 44 EPAUs. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. 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. We would advise you attend your local emergency department unitif bleeding worsens whereby you are having to change your sanitary pad more frequently and feel unwell, or ifyou are experiencing severe abdominal pain which is not improving with simple pain relief egparacetamol. Click through the PLOS taxonomy to find articles in your field. An Early Pregnancy Unit in the United States: An Effective Method for Evaluating First-Trimester Pregnancy Complications. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . 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. If your condition may affect your pregnancy, you will be referred to the appropriate department. Conceptualization, www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. There are not volunteers available for help and assistance at the hospital. View photos. 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 may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. Validation, This site is intended for healthcare professionals only. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. Investigation, e) three or more previous miscarriages Early Pregnancy Assessment clinics | Homerton Healthcare NHS Foundation COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles Click here for a guide to help you assess your bleeding. There is a/are manual, heavy, double door(s) between the lift and the department/service. The admission rates by patient characteristics is shown in Table 2. Early pregnancy and gynaecology unit - Overview There is a/are clearly marked/signposted Blue Badge parking bay(s) available. Referrals are accepted direct to the unit from GPs, Midwives and the Emergency Department. Early Pregnancy Unit - Wirral University Teaching Hospital NHS We see women in the first 18 weeks of pregnancy only. There is a payment machine at a convenient height for wheelchair users. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Disposal facilities are available in the cubicle. Formal analysis, The towel dispenser cannot be reached from seated on the toilet. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. The door(s) open(s) away from you (push). The hospital entrance is not clearly visible from the car park. The toilet is not for the sole use of disabled people. Project administration, If your GP is closed you can access the out of hours GP services. Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. The Miscarriage Association The Ectopic Pregnancy Trust Report a problem or suggestion using this facility. The day room/lounge area is not always open. We also accept GP referrals for emergency gynaecology problems. EPU and UGCC | NHS Frimley Health Foundation Trust There is not a clear knee recess beneath the low section of the desk. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. The email address for the Patient Advice and Liaison Service (PALS) is. The service provides specialist care for the following: Where medically appropriate, we offer a range of management options for conditions in early pregnancy and acute gynaecology. General Practitioner (GP) We are open Monday - Friday 08 - 20:00 (last patient accepted 19:15) and Saturday -Sunday 08:30 - 14:00 (last patient accepted 13:15). The height of the reception counter is low (76cm or lower) . There is not a bell to attract attention. They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). People who still have an ongoing pregnancy will be discharged back to the care of their midwife. Find Early Pregnancy Assessment Unit in Worksop, S81. 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. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. A mobility scooter charging point is not available at the hospital. Supervision, The entrance area/door is not clearly signed. There is a Patient Advice and Liaison Service (PALS) at the hospital. This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. Conceptualization, Writing review & editing, Affiliation Sexual health, contraception and HIV services, Vaginal bleeding and/or pain in early pregnancy up to 16 weeks, A loss of liquor before 16 weeks (watery vaginal loss), A positive pregnancy test and ascanresult showinga pregnancy of unknown location with pain, bleeding or other relevant symptoms, A previous ectopic pregnancy (at sixweeks gestation they can be referred for a scan). Urgent GP referrals are seen on the same day. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. There is a dropped kerb from the drop-off point. Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. The height of the towel dispenser is 125cm (4ft 1in). The Blue Badge bay(s) is/are clearly marked. Writing original draft, As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. There are strong links with the Institute of Reproductive and Developmental Biology (IRDB) at Imperial College London run by Professor Phillip Bennett, with projects ranging from the study of the microbiome to novel biomarkers in early pregnancy. Disposal facilities are available in the toilet. 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 median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. Project administration, There is / are 4 consultation / treatment room(s) available. No, Is the Subject Area "Nurses" applicable to this article? As a result, we have been appointed by the Tommys charity as the Tommys National Centre for Miscarriage Research in collaboration with the University of Birmingham and the University of Warwick. Differences in the organisation of early pregnancy units and the effect . There is a shelf within the accessible toilet. Google map of Princess Anne Hospital Location. The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. Early Pregnancy Assessment Unit - Tameside and Glossop Integrated Care 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. Opening Times. There are sofas and also a mixture of single seats with and without armrests. 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 pictorial signage on or near the toilet door. 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). Funding acquisition, 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. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). You will be given a copy of your ultrasound report. Yes The width of the door is 88cm (2ft 11in). Resources, We ask that they call the unit so that we can book them a timed appointment. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. King's College Hospital Early Pregnancy Assessment Unit (EPAU) Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, gpit@camdenccg.nhs.uk to carry out the upgrade. 2018 37:1533-1538. pmid:29119588 . There is a dropdown rail on the transfer side. View Accessibility Symbols. 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. Ultrasound based assessment for suspected pelvic pathology. Formal analysis, 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 unit has strong international links, in particular with KU Leuven in Belgium. Early pregnancy/emergency gynaecology unit - Clinic 24 | CUH Writing review & editing, Affiliation We chose to study the rate of emergency admissions which is a recognised quality outcome indicator for acute hospital units [19, 20]. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. A . There is a space for a wheelchair user to wait within the seating area. There is a changing place located on level C of the Centre Block at the Southampton General Hospital. All women aged 16 years of age who attended the participating EPAUs presenting with first trimester pregnancy complications for the first time during the index pregnancy were included in the cohort study. 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. There is / are 10 consultation / treatment room(s) available. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. We are able to offer electives for medical students. This information is for the entrance located on the lower ground floor. The car park is located to the left of the main underground car parks. There are vertical wall-mounted grab rails on both sides of the wash basin. Early Pregnancy Assessment Unit - Betsi Cadwaladr University Health Board The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. There is a/are door(s) into the consultation / treatment room. Pinderfields Hospital Competing interests: I have read the journals policy and the authors of this manuscript have the following competing interests: MM, VG, GA, ZA, NK, JH, GB, RBA, JS, DJ has nothing to disclose. Methodology, 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. Assistance may be required because there is/are slopes/ramps. The hospital entrance is clearly visible from the car park. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people. There are also several taxi services which run from the station. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. If you are over 20 weeks of pregnancy please contact Maternity Triage. The room does not have background music playing. You will often be seen at around 6 -7 weeks for a reassurance scan. Send email. The wash basin can be reached from seated on the toilet. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital.