Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). 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. The drop off bays are on the side of the access road to the car park and there are no kerbs. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. By clicking any link on this page you are giving your consent for us to set cookies. The unit is open Monday to Friday, from 9am-5pm. Keeping you away from the hospital unless absolutely necessary is to keep you and your family healthy. The entrance door(s) does/do contrast visually with its immediate surroundings. 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, 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 width of the door is 88cm (2ft 11in). Clinic 3 - Early Pregnancy Unit | AccessAble As long as the future appointment can be verified then there is no time limit on how far in advance a specific dated dispensation notice can be issued. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. There is a waiting area close to the reception point. Women's experiences of early pregnancy assessment unit services: a These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). Contact details for early pregnancy services for your Trust can be found on the homepage. 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 . The route from the car park to the hospital entrance is not clearly signposted. They are not issued to carers, relatives, visitors or friends who are Blue Badge holders bringing a non-Blue Badge holder patient to an appointment. The name / number of the room surveyed was; 3. . Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. We provide a dedicated service to women under 16 weeks gestation. 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. be as descriptive as possible and include any specific error messages you may see. 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. Guidelines: care is provided to women following guidelines that have been produced by the department. The following websites have helpful information and forums to access information and support. Possible symptoms include: Bleeding The association between the three factors: senior clinician presence, unit volume, and weekend opening hours, and the proportion of emergency admissions was investigated by using regression models, where hierarchical models were used for analysing patient-level data, and standard models were used for analysing unit-level data. Opening Times. There are accessible toilet facilities within the department/service. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Visualization, Standard manual wheelchairs are available for people to borrow at this entrance. 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 overCardiffand the Vale of Glamorgan. These responses were used to categorize the units according to three factors: planned senior clinician presence (yes or no); weekend opening (yes or no); and the annual volume of patients, as reported by the corresponding clinicians (low volume <3000 appointments per year vs. high volume 3000 appointments annually). Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Early Pregnancy Assessment | Mid Yorks When you attend an event booked through the North Central London GP Website, Ultrasound based assessment for suspected pelvic pathology. Telephone: 0161 922 6000 Staff do not need to be notified for use of the lift. https://doi.org/10.1371/journal.pone.0260534.g002. There are also several taxi services which run from the station. Roles Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. As you face the toilet the wall-mounted grab rails are on both sides. Writing review & editing, Affiliation The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. (2021) Differences in the organisation of early pregnancy units and the effect of senior clinician presence, volume of patients and weekend opening on emergency hospital admissions: Findings from the VESPA Study. 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 female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Once you have been referred you will be contacted by a member of staff who will initially offer a triage assessment over the phone. Please be aware that some external resources may be restricted to NHS Secure Network connections only. From the west of the city Southampton General Hospital can be accessed via several routes from the M271. There is a dropdown rail on the transfer side. There is a low section of the desk (76cm or below) available. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations You should still contact the Early Pregnancy Unit on the phone number below, which will inform you of where to call in the event of an emergency. Visualization, The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. The admission rates by patient characteristics is shown in Table 2. Early Pregnancy Assessment clinics | Homerton Healthcare NHS Foundation The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. There is not a red flashing fire alarm beacon within the imaging room. No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). There is an/are accessible toilet(s) within this venue designated for public use. The wash basin is not placed higher than 74cm (2ft 5in). We use cookies on this site to enhance your user experience, Hospital Parking (Blue Badge Parking Only), Getting To (Clinic 3 - Early Pregnancy Unit), Consultation / Treatment Room (Ultrasound), Consultation / Treatment Room (Consultations), To view the web page described above click here (opens in new tab), To find your way around the University College Hospital sites please click here, Availability and Location of Standard Toilets, Elizabeth Garrett Anderson Wing link (new tab) - click here. A moderate level of clustering within units (Intraclass Correlation Coefficient, ICC = 0.04) was assumed. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. Data curation, We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. 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. There is a/are door(s) leading into the department/service. The contrast between the wall-mounted grab rail(s) and wall is good. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. We do not accept self-referral to the Early Pregnancy Unit for vomiting in pregnancy unless you are currently under our care or have been diagnosed with hyperemesis in a previous pregnancy. Methodology, Once you have been discharged from our care you can still contact us if you have any questions or problems. The lighting levels are moderate to good. The hospital does have a dedicated car park. The Early Pregnancy Unit (EPU) provides care and support for women up to 21 and 6 days weeks gestation who may be experiencing problems in their pregnancy. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. If you require an ultrasound we aim to offer this within 72 hours of referral. We accept GP, midwife and A&E referrals for assessment. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy such as pain or bleeding up to 16+6 weeks gestation. Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. https://doi.org/10.1371/journal.pone.0260534.g003. The lighting levels at the reception area/desk are medium. This information is for the entrance located on the lower ground floor. Early Pregnancy Unit and Gynae Assessment Unit is approximately 14m from the Level D entrance. There is sufficient space to write or sign documents on the desk. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. No, Is the Subject Area "Pregnancy complications" applicable to this article? View our cookie policy. b) vaginal bleeding There is sufficient space next to the bed/couch for a mobile hoist to operate. 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. Early pregnancy and acute gynaecology units The wash basin is placed higher than 74cm (2ft 5in). 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. EPAU opening times | Wirral University Hospital NHS Foundation Trust Maternity Services | NHS Lanarkshire This accessible toilet is also used as a standard toilet. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. 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. on the right to withdraw consent, can be found in the website's privacy policy. Validation, Forty units met this target, whilst four units recruited between 143 and 149 women. During the day you can access the maternity unit by entering the hospital through the main entrance. Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. Disposal facilities are available in the toilet. The contrast between the external door and wall is good. Writing review & editing, Affiliation If you are not under the care of the EPAU, please contact your GP. The room does not have background music playing. There is space for an assistance dog to rest within the seating area. The car park does not have a height restriction barrier. 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. 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%. Supervision, These associations did not markedly change after further confounder adjustment. There is no signage on or near the toilet door. The toilet roll holder can be reached from seated on the toilet. Bleeding and pain during early pregnancy are relatively common symptoms and do not always mean there is a problem. We report the data from two of the VESPA study strands: 1) the prospective cohort study of women attending EPAUs due to first trimester complications; and 2) the emergency hospital care audit of women admitted as an emergency with first trimester pregnancy complications. You will often be seen at around 6 -7 weeks for a reassurance scan. The hospital does have a dedicated car park. There is not a hearing assistance system. View Accessibility Symbols. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. The Pregnancy Sickness Support website has good advice. Funding acquisition, There is not an assistance dog toilet or toileting area on the hospital site. Final diagnosis (FD) was divided into five groups: 1) Normal intrauterine pregnancy including early and live pregnancies; 2) Abnormal intrauterine pregnancy including early embryonic demise, incomplete, and complete miscarriage; 3) Ectopic pregnancy at any site; 4) Pregnancy of unknown location; and 5) Other: molar pregnancy, multiple pregnancy, and not pregnant. The lighting levels at the reception point are good. 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services Early pregnancy assessment unit - East Lancashire Hospitals NHS Trust 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. In line with our Trusts policy a chaperone is available for all intimate examinations. This accessible toilet is located straight ahead as you enter and to the right. Language interpreters can be provided on request. The Ectopic Pregnancy Trust Euston Square station has lift access from the platform to the street. The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. The dimensions of the accessible toilet are 156cm x 241cm. The hospital entrance is not clearly visible from the car park. The dropped kerb does not have tactile paving. The wash basin and tap(s) can be reached from seated on the toilet. 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. There is not a Patient Advice and Liaison Service (PALS) at the hospital. You can also call020 7794 0500 ext 38205 or 31468. There is a/are door(s) into the consultation / treatment room. The contrast between the external door and wall is good. The lighting levels in the imaging room are low to moderate. Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? Funding acquisition, There is ramped/sloped access at this entrance. The Unit is open at all times. Funding acquisition, Early Pregnancy Unit/Emergency Gynaecology Unit (EPU/EGU) 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. If you are based within a GP practice please contact the GPIT Helpdesk on King's College Hospital Early Pregnancy Assessment Unit (EPAU) Address: Suite 8, Third Floor Golden Jubilee Wing Denmark Hill London SE5 9RS Telephone: 0203 299 3168 Usual Opening Times Location Map Get Directions This is a walk in service so you need no appointment, simply attend the unit. EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. Conceptualization, This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. 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. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). The drop-off point is located to the right of the Level D entrance. Contact details will be put on all outpatient letters. 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. 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. Early Pregnancy Unit & Gynaecology Assessment Unit | AccessAble The soap dispenser cannot be reached from seated on the toilet. Accessible toilet facilities are available. 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. Please call the ward to find out more. Access to the waiting area is unobstructed. View Accessibility Symbols. A to Z of services | Croydon Health Services NHS Trust Standard toilet facilities are available. Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. We listen to patient feedbackto deliver patient-centred care. Investigation, The IHE does not currently receive funds for research related to the submitted work. Get contact details, videos, photos, opening times and map directions. A mobile hoist is not available on the department/service. We would like to express our gratitude to the 44 participating Early Pregnancy Assessment Units and their supporting research staff: Bishop Auckland Hospital, Bishop Auckland, Gloucestershire Royal Hospital, Gloucester, Luton and Dunstable University Hospital, Luton, Queen Elizabeth The Queen Mother Hospital, Margate, The James Cook University Hospital, Middlesborough, Association of Early Pregnancy Units (AEPU), Pat Doyle (Chairperson), Professor in Epidemiology, London School of Hygiene and Tropical Medicine, Cecilia Bottomley, Lead clinician for Early Pregnancy, Chelsea and Westminster Hospital, Elizabeth Bradley, General Practitioner, Hampstead Group Practice, Hannah-Rose Douglas, Research lead for Analytical Services, NHS England, Marjory Maclean, Consultant Obstetrician and Gynaecologist, NHS Ayrshire and Arran, Brad Manktelow, Associate Statistics Professor, University of Leicester, Alex Peace-Gadsby, Chair, The Ectopic Pregnacy Trust. Early Pregnancy Assessment Unit - Tameside and Glossop Integrated Care Five working days should be allowed by patients/carers to receive their dispensation notice in the post, to allow time for the request to be processed and received in by second class post. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. 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. This accessible toilet is located along the department corridor. When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. The entrance area/door is clearly signed with the name of the service/department. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page The bollards do not restrict access to the entrance. Yes As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. Planned and actual senior clinician presence, unit size, and weekend opening. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. Yes, however bleeding does not necessarily mean there is a problem. The contrast between the wall-mounted grab rail(s) and wall is fair. The height of the wash basin is 86cm (2ft 10in). No, Is the Subject Area "Nurses" applicable to this article? . Software, Scans appointments are every weekday morning and afternoon. There is not a hearing assistance system. They were established following a publication by Bigrigg and Read [5] in 1991 who reported on cost savings and improved quality of early pregnancy care following the opening of an EPAU in their local hospital. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . The car park is located on Level C of the hospital building. The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. The variable Gestational Age Policy (GAP) captures whether units either accepted referrals for women of any gestational age or only reviewed women of six weeks gestation or more. PDF Emergency Department Early Pregnancy Unit (EPU) - St George's Hospital