During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. The Miscarriage Association The Ectopic Pregnancy Trust The variable Emergency admission indicates whether a patient had an unplanned admission to hospital following any visit for investigations or treatment of first trimester pregnancy complications. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. The entrance area/door is clearly signed with the name of the service/department. Contact. The email address for the Patient Advice and Liaison Service (PALS) is. GAU is a 24 hour service and can offer advice and . This variable was also dichotomised for some analyses to indicate whether the annual number of patient visits for a unit was above or below the median. 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. The door(s) is/are double width but one door is locked. on the right to withdraw consent, can be found in the website's privacy policy. The dropped kerb does not have tactile paving. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. Turn left as you pass through the doors and continue ahead. The height of the reception counter is low (76cm or lower) . Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. 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! 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). 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. Data curation, Opening Times (Early Pregnancy Unit and Gynae Assessment Unit) Department / Service (Early Pregnancy Unit and Gynae Assessment Unit) Reception Consultation / Treatment Room (3) Imaging Room Day Room / Lounge Area (Quiet Room) Accessible Toilet (s) Related Access Guides Getting To The Hospital (Princess Anne Hospital) Collapse all By Road View If you are not under the care of the EPAU, please contact your GP. 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. The room does not have background music playing. 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. The lighting levels are moderate to good. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. e0260534. The details that will be required when requesting in advance are - Blue Badge serial number, date of expiry and issuing authority/council. View Accessibility Symbols. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. A hoist can be brought in from another department. 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. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). Writing original draft. Methodology, No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? There is sufficient space next to the bed/couch for a mobile hoist to operate. Current constraints on health expenditure have compelled providers to explore ways of delivering a greater proportion of care in outpatient settings whilst maintaining good clinical outcomes and high levels of patient satisfaction. Writing review & editing, Affiliation MASS (NK) was commissioned by and became a member of the VESPA co-applicants group to provide the required workforce modelling expertise and knowledge. 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. When you attend an event booked through the North Central London GP Website, Some women require hospital admission for rehydration. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. There is step-free access to the accessible toilet. We are actively involved in studies developing diagnostic tests and in particular the use of ultrasound diagnostics. There is not a clear knee recess beneath the low section of the desk. Conceptualization, The hospital does have a dedicated car park. Please be aware that some external resources may be restricted to NHS Secure Network connections only. A number of organisations give dedicated support and advice to people affected by pregnancy loss: CRADLE is anational registered pregnancy loss charity working in partnership with Lewisham and Greenwich NHS Trust. Language interpreters can be provided on request. There is a dropdown rail on the transfer side. Search for local Pregnancy near you on Yell. All units were asked to recruit a minimum number of 150 women each. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). The car park is located to the left of the main underground car parks. 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. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. Mirrors are placed at a lower level or at an angle for ease of use. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. We are able to offer electives for medical students. The contrast between the dropdown rail(s) and wall is good. Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. Investigation, 020 3688 1881 or email Guidelines: care is provided to women following guidelines that have been produced by the department. All patients should receive a call back within one working day of a message being left acknowledging the message. Please call the ward to find out more. Conceptualization, If the outcome of your consultation is that you require an ultrasound then our ultrasound scanning appointment times are from 9:30am 4.00pm on weekdays. Yes The contrast between the walls and floor is good. Opening Hours for patient assessment and care planning. There is a/are door(s) leading into the department/service. There is not a hearing assistance system. The drop off bays have a maximum 20 minute waiting restriction. Inside the venue, there is level access to the female toilet(s). There is level access to the consultation / treatment room. We ask that they call the unit so that we can book them a timed appointment. 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. The entrance area/door is not clearly signed. If counselling is required then people are signposted to Charlies Angels for further support. The Ectopic Pregnancy Trust The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. Otherwise, we will assume that you're OK to continue. The hospital entrance is not clearly visible from the car park. There are accessible toilet facilities within the department/service. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. here. Investigation, The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. There is a dark mat or floor marking at this entrance that might be perceived as a hole. The wash basin can be reached from seated on the toilet. Funding acquisition, Copyright 2023 AccessAble. The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. Writing review & editing, Affiliation Validation, The car park does not have a height restriction barrier. Email this page Contact details will be put on all outpatient letters. 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. Staff do not need to be notified for use of the lift. You must telephone the unit before attending we do not run a walk-in clinic or service. There is a/are door(s) into the consultation / treatment room. There is a/are door(s) into the day room/lounge area. 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? Do not wait to be called by the EPAU team. We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. The car park does not have a barrier control system. 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. 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 . Methodology, The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. The entrance door(s) does/do contrast visually with its immediate surroundings. The controls for the lift are within 90cm - 120cm from the floor. Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. Early Pregnancy Assessment Units are highly valued by women but aspects of their care experiences, particularly around sensitive management of pregnancy loss, could be improved. Getting To The Hospital Department of Statistical Science, University College London, London, United Kingdom, Roles The nearest designated Blue Badge parking bay is approximately 25m (27yd 1ft) from the Elizabeth Garrett Anderson Wing main entrance. We listen to patient feedbackto deliver patient-centred care. This accessible toilet is located to the right as you pass through the waiting area. There is / are 1 Ultrasound Room(s) available. Detailed information, also However, there was evidence of an association between the emergency admission rate and weekend opening hours. There is space for an assistance dog to rest within the seating area. 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. The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. The total number of opening hours per weekend was used to illustrate weekend opening. Wall mounted grab rails are available for the toilet. The height of the towel dispenser is 106cm (3ft 6in). Volunteers do not receive disability awareness / equality training. Charges apply to all users of these car parks. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. A hearing assistance system is not available in the department/service. Google map of Princess Anne Hospital Location. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations This national study has been realised thanks to the participation and hard work of 44 Early Pregnancy Assessment Units and their supporting research staff, a large number of patients who took the time to advise us before and during the study, as well as complete questionnaires and take part in interviews, and a number of organisations and individuals, to which we are extremely grateful. Please send a referral letter with all patients. There is not a/are not Blue Badge parking bay(s) available. Parking spaces for Blue Badge holders do not need to be booked in advance. When describing your problem or suggestion, 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. If you require an ultrasound we aim to offer this within 72 hours of referral. Data curation, In view of this, we revised our cut-off and used 2500 instead of 3000 visits to describe the units as high or low volume in the final data analysis. 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. Data curation, They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. This is based on 6397 women that had complete information on the outcome and key characteristics. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. The hospital entrance is clearly visible from the car park. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). Contact details for early pregnancy services for your Trust can be found on the homepage. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. Funding acquisition, The lighting levels at the reception point are good. To view other access guides that are related to this one please use the links below. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). The study ran from December 2016 to July 2017. Yes These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. The maternity unit is situated on the second floor of the hospital (level2). Yes There is step free access to the reception point. There is not a/are not door(s) into the waiting room / area. The intercom is in a suitable position to allow wheelchair users to gain access. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. 33 days (IQR 2447) was the median time for units to complete recruitment. There is not a play area or toys/books for a child to play with. Return to maternity and newborn services home, View our current vacancies and read about working with us, Read about our Media service and Communications Team, you are in significant pain despite simple pain killers such as Paracetamol, experiencing moderate to severe vaginal bleeding. 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. Funding acquisition, 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. Planned senior clinician presence was defined as the percentage of planned hours which they were expected to spend in the unit according to their weekly timetable, divided by the planned unit opening hours. If your GP is closed you can access the out of hours GP services. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. Site map. You should contact the Early Pregnancy Unit if you have a positive urine pregnancy test, and are experiencing pain and or bleeding from 5 to 20 weeks of pregnancy. The lighting levels in the imaging room are low to moderate. Visualization, If our guide needs updating - just let us know using this form. If you are based within a GP practice please contact the GPIT Helpdesk on The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. All rights reserved. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. The width of the door opening is 88cm (2ft 11in). Both provide consultant-led care for women who experience problems in early pregnancy. Keeping an EPAU open over the weekend for an additional hour was associated with 2.4% (95% CI 0.1% to 4.7%) lower odds of an emergency admission from ED. The toilet roll holder is placed higher than 100cm (3ft 3in). The waiting room / area does have background music playing. No, Is the Subject Area "Hospitals" applicable to this article? If your condition may affect your pregnancy, you will be referred to the appropriate department. Yes The door(s) open(s) away from you (push). As part of this assessment, they may ask for investigations that may be performed on the same day or within urgent time frames and a management plan will be made for you. There is sufficient space to write or sign documents on the desk. The maximum period staff are allowed to issue a dispensation notice is for 31 calendar days, any requests for dispensation notices for more than 31 calendar days should be sent to the Operations Manager, Property and Transport Services at. 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. View photos. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. See below link for maternity web page if need more information needed regarding these concerns. The height of the soap dispenser is 99cm. 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. The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. Writing review & editing, Roles The contrast between the wash basin wall-mounted grab rail(s) and wall is good. The unit has strong international links, in particular with KU Leuven in Belgium. The early pregnancy and acute gynaecology unit (EPAGU) is an emergency unit. Traffic light controlled pedestrian crossing points are located adjacent to each tube station. Investigation, Payment signs do not make it clear if parking charges apply to Blue Badge holders. The contrast between the internal door and wall is good. 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. 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.
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