205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. To obtain mobility aids please contact a member of staff. 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. Access to the hospital is via the main hospital lifts. For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing t.bourne@ic.ac.uk at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing shahla.ahmed1@nhs.net at St Marys. To obtain mobility aids please contact the main reception. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. Guidelines: care is provided to women following guidelines that have been produced by the department. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). If your condition may affect your pregnancy, you will be referred to the appropriate department. 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. The lighting levels in the imaging room are low to moderate. The unit is open Monday to Friday, from 9am-5pm. It is not intended for public use. To keep our patients safe, we are currently offering a telphone advice, triage and referral service. Non-urgent referrals seen on the same or next day. The contrast between the wash basin wall-mounted grab rail(s) and wall is good. View photos. Assistance may be required because there is/are slopes/ramps. This is based on 6397 women that had complete information on the outcome and key characteristics. 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). No, Is the Subject Area "Cohort studies" applicable to this article? Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles on the right to withdraw consent, can be found in the website's privacy policy. Telephone: 0161 922 6000 The soap dispenser cannot be reached from seated on the toilet. Conceptualization, We are closed in Bank holidays. Access to the building between 21:00 - 07:00 is via intercom. 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. Project administration, a new pregnancy and under the care of the recurrent miscarriage clinic. The contrast between the dropdown rail(s) and wall is good. 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 Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. After 18 weeks, the patient is seen in the Emergency Obstetric Unit or Delivery Suite. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. 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 Pregnancy Sickness Support website has good advice. 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. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Data curation, 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. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Pregnancy Sickness Support website, here. The toilet roll holder can be reached from seated on the toilet. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. Search for local Pregnancy near you on Yell. View on a map. Clinic 3 - Early Pregnancy Unit is/are located on the lower ground floor. Send email. IMD scores were divided into 10 decile groups. There are several possible explanations for our findings. The contrast between the internal door and wall is good. b) vaginal bleeding Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. Early pregnancy assessment unit - East Lancashire Hospitals NHS Trust The lift does have a visual floor indicator. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. In some miscarriages the uterus (womb) empties itself completely. An Early Pregnancy Unit in the United States: An Effective Method for Evaluating First-Trimester Pregnancy Complications. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. The bollards do not restrict access to the entrance. 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. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. Traffic light controlled pedestrian crossing points are located adjacent to each tube station. If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. However, at the time of your scan, you can be accompanied by your partner. The door(s) is/are double width but one door is locked. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . Yes new North Central London GP Website do not work as expected. Hospital staff do not receive disability awareness / equality training. The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). Euston Road - no's 18, 27, 30, 88. The Early Pregnancy Assessment Unit is part of the Gynaecology Assessment Unit, which offers help and support for those experiencing problems in early pregnancy up to 16 weeks. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. Planned and actual senior clinician presence, unit size, and weekend opening. Please contact your midwife or maternity triage urgently if your symptoms relate to fetal movement. There is / are 10 consultation / treatment room(s) available. There is a canopy or recess which provides weather protection at this entrance. The controls for the lift are within 90cm - 120cm from the floor. Warren Street (bus stop W) no's 18 and 205. Validation, Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Princess Anne Hospital is Located on Coxford Road to the north West of the city. There is not a hearing assistance system. There is a low section of the desk (76cm or below) available. There is level access into the day room/lounge area. Charges apply to all users of these car parks. We are now welcoming self referrals from women,however, we will still accept referrals from the existing pathway. This information is for the entrance located on Grafton Way. broad scope, and wide readership a perfect fit for your research every time. Try to follow the advice about drinking little and often to avoid this as much as you can. The width of the accessible toilet door is 87cm (2ft 10in). For the emergency hospital care audit strand, data from routine hospital databases for women attending hospital emergency services (EDs) at the same location as the EPAU were collected in collaboration with the Information Services (IS) departments in the participating hospitals. There is a/are door(s) into the day room/lounge area. The admission rates by patient characteristics is shown in Table 2. 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. Pregnancy sickness or morning sickness can be debilitating and difficult in the early stages of pregnancy. There is a canopy or recess which provides weather protection at this entrance. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. The staff in the unit are skilled in the management of early pregnancy complications, including ultrasound scanning. 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. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. The towel dispenser can be reached from seated on the toilet. There is sufficient space next to the bed/couch for a mobile hoist to operate. This department/service has; a main reception, accessible toilet facilities for everyone, ambulant toilet facilities for everyone, consultation rooms, standard toilet facilities and a waiting room/area. GAU is a 24 hour service and can offer advice and . This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. 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 clinic reception is located to the left as you enter. 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. There is level access to this accessible toilet. Resources, View on a map. Contact details for early pregnancy services for your Trust can be found on the homepage. Monday to Sunday 08:00 to 13:00. Despite the fact that an advanced training module in acute gynaecology and early pregnancy has been running for a number of years from The Royal College of Obstetricians and Gynaecologists, to our knowledge, a rigorous assessment of its quality and effectiveness has not been undertaken [21]. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. 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 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. The dimensions of the accessible toilet are 156cm x 241cm. A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. You will often be seen at around 6 -7 weeks for a reassurance scan. Inside the venue, there is level access to the female toilet(s). Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. Both provide consultant-led care for women who experience problems in early pregnancy. There is a/are door(s) into the consultation / treatment room. A key is not required for the accessible toilet. Euston Square station has lift access from the platform to the street. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. View Accessibility Symbols. The door(s) open(s) away from you (push). There is not a flashing fire alarm beacon within the room. There is level access to the consultation / treatment room. Tommys Tommy's is a charity that funds research for pregnancy and babies. Recurrent pregnancy loss J Ultrasound Med. There is sufficient space for a wheelchair user to use the waiting area. 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. 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). The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. Validation, The height of the towel dispenser is 106cm (3ft 6in). 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? This website is for healthcare professionals only. 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. Opening Times. Click here for a guide to help you assess your bleeding. Cancer Centre dispensations that the UCH main reception team are unable to deal with will be forwarded to the Cancer centre team at. As a secondary outcome, we aimed to establish the number of emergency hospital admissions for women attending EDs in the same location as the EPAU for first trimester pregnancy complications. Mirrors are placed at a lower level or at an angle for ease of use. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. The Miscarriage Association The Ectopic Pregnancy Trust Women are often contacted on the same day, or the next working day if the referral is received after 3pm. On entering via the Level D entrance continue ahead and the entrance to the Early Pregnancy Unit and Gynae Assessment Unit department is on the right. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. Our study has several limitations. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. 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. 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. You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. The dimensions of the accessible toilet are 212cm x 220cm (6ft 11in x 7ft 3in). Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. 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. Software, The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. 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. Investigation, The main door(s) open(s) automatically (away from you). People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. Referrals are accepted direct to the unit from GPs, Midwives and the Emergency Department. Early Pregnancy Assessment Unit - Betsi Cadwaladr University Health Board The main car park for the Princess Anne Hospital is called the Yellow car park. 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. Payment machines are located inside the hospital building. The drop off bays have a maximum 20 minute waiting restriction. This is an external link. 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). Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles The service is then located on the right. There is a/are Blue Badge parking bay(s) available. Walk-in Centres EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. 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. Assistance may be required because there is/are slopes/ramps. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. Validation, This video animation tells the story of one couples experience of miscarriage. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. Methodology, The email address for the Patient Advice and Liaison Service (PALS) is. The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. Turn right onto Beaumont Place before reaching Warren Street tube station. There is / are 4 consultation / treatment room(s) available. Funding acquisition, Funding acquisition, The towel dispenser is placed higher than 100cm (3ft 3in). If counselling is required then people are signposted to Charlies Angels for further support. This accessible toilet is also used as a standard toilet. 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. PLoS ONE 16(11): 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. Writing review & editing, Roles 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. Volunteers can be found on the ground floor of the main University College Hospital building. There is / are 1 Ultrasound Room(s) available. No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). 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. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page GP EPAU referral form [docx] 99KB (click to download). Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. Early pregnancy services. 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. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. Copyright 2023 AccessAble. Yes Writing review & editing, Affiliation 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. Early pregnancy and acute gynaecology units We ask that they call the unit so that we can book them a timed appointment. All rights reserved. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. The dropped kerb does not have tactile paving. Writing review & editing, Roles There is step free access into the imaging room. 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. The drop off bays are on the side of the access road to the car park and there are no kerbs. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. From the west of the city Southampton General Hospital can be accessed via several routes from the M271. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Where applicable, participants gave informed written consent before taking part in the study. This accessible toilet is located along the department corridor. Twenty-three units were open during weekends. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. The room does not have background music playing. Do you want to change or cancel an appointment? 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. All rights reserved. Referrals are either from GP or the emergency department. Contact us. 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. On your first visit to UCH or the UCH Macmillan Cancer Centre you need to park your car and bring the following to the reception desk - your valid Blue Badge, your vehicle registration document or Motability documents, proof of hospital attendance, showing appointment time and date e.g. For further advice about emergency gynaecology at Barnet Hospital, call the hospital. The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. 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. Early pregnancy clinic | NHS Fife