The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. This is based on 6397 women that had complete information on the outcome and key characteristics. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. The contrast between the internal door and wall is good. The contrast between the wall-mounted grab rail(s) and wall is good. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. 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). Investigation, Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. The towel dispenser can be reached from seated on the toilet. 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 . Formal analysis, (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. The percentage of emergency admissions from the Emergency Department ranged from 7% to 58% with the majority of the units having an emergency admission rate of between 10% and 30%. There is not a dropped kerb from the drop-off point. View on a map. The lighting levels in the imaging room are low to moderate. There is step free access into the imaging room. Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. There is a/are door(s) into the consultation / treatment room. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. There is a canopy or recess which provides weather protection at this entrance. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. Where possible units will try to give you fluid and anti-sickness medication as a day patient to avoid you having to stay in hospital where possible. Methodology, 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. 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. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. 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 Yes The main car park for the Princess Anne Hospital is called the Yellow car park. There are standard toilet facilities within this department/service. 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. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. 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. t: 020 7794 0500 ext 38205 or 31468. This information is for the entrance located on the lower ground floor. The Ectopic Pregnancy Trust . Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. If our guide needs updating - just let us know using this form. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. Otherwise, we will assume that you're OK to continue. From the north of the city there are several routes from the M27, from the north east the A33 offers the best route towards the hospital. If you are not under the care of the EPAU, please contact your GP. Formal analysis, This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. We have a dedicated team of nurse practitioners, doctors, sonographers and consultants who aim to offer seamless care to assess, diagnose and offer treatment and support if required. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. 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. A previousmolar pregnancy, not less than 8 weeks gestation. There are no chairs with armrests available. Find Early Pregnancy Assessment Unit in Worksop, S81. Euston Square station has lift access from the platform to the street. The entrance door(s) does not/do not contrast visually with its immediate surroundings. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. To provide a one-stop service. Copyright: 2021 Memtsa et al. You must telephone the unit before attending we do not run a walk-in clinic or service. 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. Research that could potentially guide recommendations and policies on staffing and configurations of EPAUs has been scarce [69]. Early pregnancy clinic | NHS Fife b) vaginal bleeding The lighting levels at the reception area/desk are medium. Tel: 01793 605257 The car park surface is a shared surface. Department of Statistical Science, University College London, London, United Kingdom, Roles Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain We appreciate that this is a very difficult and painful time, this leaflet aims to answer some of the many questions you will have about what has happened. If you develop worrying symptoms during pregnancy or you need to discuss any underlying medical conditions in pregnancy, there are several places that you can turn to for advice: Midwife Our findings are in contrast with the results of previous studies in other clinical settings, which showed that involvement of more experienced clinicians in delivering emergency care results in a significant reduction in emergency hospital admissions and the length of stay in hospital [12, 18]. Writing original draft, There are not volunteers available for help and assistance at the hospital. The staff in the unit are skilled in the management of early pregnancy complications, including ultrasound scanning. The clinic is open from 08.30 to 11.00 Monday to Saturday. Conceptualization, The intercom is in a suitable position to allow wheelchair users to gain access. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. The wash basin and tap(s) can be reached from seated on the toilet. Some women require hospital admission for rehydration. 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. Formal analysis, There is dedicated team of trained sonographers and consultants who provide the ultrasound services. Board Meetings (including Agenda and Papers), Corporate publications (Annual Reports and Accounts), COVID vaccine resources for minority ethnic communities, Accelerating care across Lancashire and South Cumbria, Patient Portal: mobile phone appointment letters, Test your equipment for Video Appointments / Calls, Academic Surgical and Perioperative Medicine Unit. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. All units were asked to recruit a minimum number of 150 women each. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. 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. We care for women with acute early pregnancy problems and acute gynaecology issues. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. If it is decided that you need outpatient care,the Emergency Department will send an electronic referral to the EPAU nurse, and you will be contacted either the same dayor the next working day. Writing review & editing, Affiliation 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 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. As it is not necessary for UCH staff to see the Blue Badge at the time of issuing a dispensation notice, a notice can be issued in advance and posted or emailed to patients. The contrast between the wall-mounted grab rail(s) and wall is fair. You may find that certain parts of the Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles Your local early pregnancy unit is still available but opening times and appointment availability may have changed. The hospital entrance is clearly visible from the car park. The hospital does have a dedicated car park. In the submitted paper, there are no competing interests and MASS has no claim of ownership for any IP arising from or related to this paper. 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. 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. Assistance may be required because there is/are uneven surfaces. Both telephone and email applications will be coordinated by the UCH main reception team. Funding acquisition, These are further broken down by diagnosis in Tables 3 and 4. https://doi.org/10.1371/journal.pone.0260534.g001, https://doi.org/10.1371/journal.pone.0260534.t002, https://doi.org/10.1371/journal.pone.0260534.t003, https://doi.org/10.1371/journal.pone.0260534.t004. 023 8077 7222. The height of the soap dispenser is 99cm. Get contact details, videos, photos, opening times and map directions. The toilet is not for the sole use of disabled people. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? 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. There is space for an assistance dog to rest within the seating area. Clinic 3 - Early Pregnancy Unit | AccessAble Validation, The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. 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. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Early Pregnancy Assessment Unit - Tameside and Glossop Integrated Care The car park does not have a height restriction barrier. Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. Conceptualization, 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. 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. Once your referral has been received, please await a telephone call from the EPAU. There is a clear unobstructed route to the reception point. 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. VESPA included the services provided by MASS in the submittal for funding to NIHR. Early Pregnancy Unit - Cardiff and Vale University Health Board A hearing assistance system is not available in the department/service. Please send a referral letter with all patients. 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. There is level access throughout the department/service. Accident and Emergency Department/999 on the right to withdraw consent, can be found in the website's privacy policy. 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. These associations did not markedly change after further confounder adjustment. The VESPA study received a favourable ethical opinion from the North West Research Ethics Committee (REC reference 16/NW/0587) in the UK, registration number ISRCTN 10728897. Blue Badge parking bays cannot be booked in advance. A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. There is a space for a wheelchair user to manoeuvre. 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. 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 written text and pictorial signage on or near the toilet door. 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. 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. 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 level access to the consultation / treatment room. The height of the soap dispenser is 100cm. The route from the car park to the entrance is accessible to a wheelchair user with assistance. You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. The door(s) open(s) automatically (towards you). Copyright 2023 AccessAble. Scan is an appointment based service and we aim to see you at your given appointment time, but if you have been referred as an emergency without an appointment time or if you require further assessment or investigations then there may be a waiting time to be seen, which can vary. The car park is located to the left of the main underground car parks. 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. For more information about what these symbols mean, view our Accessibility Symbols Guide. 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. Contact. The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. This showed substantial variations in the proportion of in-patient emergency admissions with 8.5% in units without, and 3.5% in those with, senior clinician presence. The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. Clinic 3 - Early Pregnancy Unit. The early pregnancy and acute gynaecology unit (EPAGU) is an emergency unit. Methodology, We value all people andstrive to beopen, honest and accountable for the care provided. Mirrors are placed at a lower level or at an angle for ease of use. Opening times Weekdays: 07:30 - 15:00 Weekends and Bank Holidays: 09:00 - 13:00 Contact us Patients already under the care of the EPAU may contact the unit on 01274 364325 and Ward 20 on 01274 364414.

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