Study participants will not be individually informed of the study results; however, dissemination to the public will be through media outreach (e.g., press release) upon publication of this study. The drop-off point is located to the right of the Level D 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 over Cardiff and the Vale of Glamorgan. For some analyses, this variable was also dichotomised to indicate whether a unit was open at weekends (yes/no), whilst a three-level weekend opening variable was defined: None/Saturday only/Saturday and Sunday. 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. Calls will be answered whenever possible but a voicemail facility will also be in place for times when the phone cannot be answered, including out of hours. 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. We will keep you updated and we have refreshments available for your comfort. For further advice about emergency gynaecology at Barnet Hospital, call the hospital. Yes The contrast between the internal door and wall is good. Download the app Get a . 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. Your GP can be accessed for a range of non-urgent services. The nearest designated Blue Badge parking bay is approximately 25m (27yd 1ft) from the Elizabeth Garrett Anderson Wing main entrance. The study ran from December 2016 to July 2017. Euston Square station has lift access from the platform to the street. Funding acquisition, Writing review & editing, Affiliation There is pictorial signage on or near the toilet door. Data curation, We have links to excellent onsite gynaecological oncology and endometriosis services across sites. 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. here. The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. The dimensions of the accessible toilet are 156cm x 241cm. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. Inside the venue, there is level access to the female toilet(s). Access to the hospital is via the main hospital lifts. A hoist can be brought in from another department. We see women in the first 18 weeks of pregnancy only. 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 . Language interpreters can be provided on request. 020 3456 7890. When describing your problem or suggestion, We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. The soap dispenser cannot be reached from seated on the toilet. 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. BSL interpreters can be provided on request. 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. This involves clinical review, investigations,diagnosis and treatment on the same day. We accept GP, midwife and A&E referrals for assessment. The height of the toilet roll holder is 118cm (3ft 10in). 2018 37:1533-1538. pmid:29119588 . Models were either unadjusted or adjusted for gestational age unit policy. We ask that they call the unit so that we can book them a timed appointment. Please call the ward to find out more. There is sufficient space to write or sign documents on the low section of the desk. The name / number of the room surveyed was; 3. Unit volume was defined as the number of patient visits per year and was estimated using the time taken to obtain data on the required number of patients and the average number of visits per patient. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. The reception point is approximately 5m (5yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Having collected detailed data on the opening hours of all participating EPAUs over the weekend, we were able to identify that one hours increase in the weekend opening hours of an EPAU resulted, as expected, in an increased probability of a woman with first trimester complications being admitted to hospital from the EPAU, but decreased the chance of an admission to hospital from the Emergency Department. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. The width of the accessible toilet door is 87cm (2ft 10in). Investigation, Out of hours, they will either be given an appointment to attend the next day or will be seen by the on-call medical team. Urgent GP referrals are seen on the same day. The majority of units (37/44) had a unit volume of less than 4000 visits per year, and 22 units had a yearly visit volume lower than 2500 visits per year. The route from the car park to the hospital entrance is not clearly signposted. BSL interpreters can be provided on request. You can find more information about these on the patient information page. There is not a bell to attract attention. Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. The toilet roll holder is not placed higher than 100cm (3ft 3in). Also required will be vehicle registration number, date of appointment and time of appointment. This venue does not play background music. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. 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. Yes Payment machines are located inside the hospital building. Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. The admission rates by patient characteristics is shown in Table 2. The Unit is open at all times. PLOS ONE promises fair, rigorous peer review, There is a Patient Advice and Liaison Service (PALS) at the hospital. If you are unable to book an appointment, or need to see a GP out of hours, call your surgery and follow the advice provided. 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. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. You are accessing this website using a legacy browser. The staff in the unit are skilled in the management of early pregnancy complications, including ultrasound scanning. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. Citation: Memtsa M, Goodhart V, Ambler G, Brocklehurst P, Keeney E, Silverio SA, et al. The nearest National Rail station is Euston. Disposal facilities are available in the cubicle. The car park does not have a height restriction barrier. 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. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. The contrast between the external door and wall is good. All patients should receive a call back within one working day of a message being left acknowledging the message. Always inform the staff in the department you are pregnant. 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? From the west of the city Southampton General Hospital can be accessed via several routes from the M271. There is not a play area or toys/books for a child to play with. When you attend an event booked through the North Central London GP Website, The toilet is not for the sole use of disabled people. Ultrasound based assessment for suspected pelvic pathology. There is a space for a wheelchair user to manoeuvre. 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. The hospital entrance is clearly visible from the car park. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. There are accessible toilet facilities within the department/service. We also accept GP referrals for emergency gynaecology problems. Institute of Health Economics, Edmonton, Canada, Roles There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Yes, however bleeding does not necessarily mean there is a problem. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. 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. 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. Standard manual wheelchairs are available for people to borrow at this entrance. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. 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. Investigation, We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. Princess Anne Hospital is Located on Coxford Road to the north West of the city. 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. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. There is / are 10 consultation / treatment room(s) available. There are 4 consultation/treatment rooms in this department/service. There are sofas and also a mixture of single seats with and without armrests. Euston Road - no's 18, 27, 30, 88. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). 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. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. 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. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. There are not parking charges for the hospital car park. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. When you attend the Emergency Department, you will be assessed by a doctor to see whether you need to stay in hospital and receive care as an inpatient, or whether you can be discharged and referred to to the EPAU as an outpatient. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. Funding acquisition, The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. If counselling is required then people are signposted to Charlies Angels for further support. Dementia friendly signage is not provided. 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. 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. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. The entrance area/door is clearly signed. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. Writing review & editing, Affiliation Visualization, There is a space for a wheelchair user to wait within the seating area. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. There are not volunteers available for help and assistance at the hospital. Resources, Bearing in mind that women attending the ED are eight times more likely to be admitted than those seen in the EPAU, keeping EPAUs open over the weekend reduces the overall number of emergency admissions to hospital. This accessible toilet is located along the department corridor. 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. Bleeding and pain during early pregnancy are relatively common symptoms and do not always mean there is a problem. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. The height of the soap dispenser is 97cm. The height of the reception desk is high (110cm+). The accessible toilet was out of use at the time of the survey. this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. Writing original draft, Opening Hours for patient assessment and care planning. Wall mounted grab rails are available for the toilet. There are parking charges for the hospital car park. As you face the toilet the wall-mounted grab rails are on both sides. 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. Methodology, Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. The lighting levels are moderate to good. Funding acquisition, Mirrors are placed at a lower level or at an angle for ease of use. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. 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. There is space for an assistance dog to rest within the seating area. Sergio A. Silverio (Kings College London) is supported by the National Institute for Health Research Applied Research Collaboration South London [NIHR ARC South London] at Kings College Hospital NHS Foundation Trust. There are vertical wall-mounted grab rails on both sides of the wash basin. The car park is located to the left of the main underground car parks. The Miscarriage Association The Ectopic Pregnancy Trust People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. Software, The shelf is not higher than 95cm (3ft 1in). 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. This site is intended for healthcare professionals only. 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. 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. The name / number of the room surveyed was; D190. There is level access into the day room/lounge area. 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. 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. My CPD. Do not wait to be called by the EPAU team. The dispensation notice is a Camden Councils parking scheme for Blue Badge holders who are attending outpatients appointments at University College London Hospitals NHS Foundation Trust (UCLH). This video animation tells the story of one couples experience of miscarriage. Validation, We listen to patient feedbackto deliver patient-centred care. The dropped kerb does not have tactile paving. We have placed cookies on your computer to help make this website better. Women may self-refer to the Royal Free EPAGU with early pregnancy problems. The waiting room / area is approximately 7m from the clinic entrance. During the day you can access the maternity unit by entering the hospital through the main entrance. The width of the accessible toilet opening is 84cm. The senior clinicians were actually spending less time in the EPAUs than expected. 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. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. The door(s) is/are double width but one door is locked. Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. 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. Mobility aids are available to help patients move around and include; wheelchairs. 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. Conceptualization, Methodology, Non-identifiable demographic and routine clinical data were collected for all women attending the participating EPAUs, and if women gave their written consent to participate to the VESPA study, their clinical data were linked. We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . GP EPAU referral form [docx] 99KB (click to download). Print this page Data curation, 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. Referrals are accepted direct to the unit from GPs, Midwives and the Emergency Department. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. 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. Get contact details, videos, photos, opening times and map directions. For more information about PLOS Subject Areas, click The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. Resources, Data curation, Investigation, 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. These associations did not markedly change after further confounder adjustment. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. 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. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. There is not a dropped kerb from the drop-off point. The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations Validation, The unit is open Monday to Friday, from 9am-5pm. We obtained clinical data from 6,606 women. For more information about PLOS Subject Areas, click 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. Conceptualization, Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647).
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