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If you are not under the care of the EPAU, please contact your GP. There is not a mirror to aid reversing out of the lift. Keeping you away from the hospital unless absolutely necessary is to keep you and your family healthy. You can change the description, reflection or CPD Credit Hours at any time from within The wash basin is not placed higher than 74cm (2ft 5in). 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. The lift does have a visual floor indicator. Opening hours This line is open Monday to Friday 10-12pm Women's choices Use this number to discuss your pregnancy options 01592 6433355 ext 25445 Email: fifewomenschoices@nhs.scot Opening hours This line is open Monday to Friday 11am-3pm Bleeding in the early stages of your pregnancy? 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. Access to the building between 21:00 - 07:00 is via intercom. c) previous ectopic pregnancy Writing original draft, Data curation, We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. 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. Copyright 2023 Imperial College Healthcare NHS Trust, Early pregnancy and acute gynaecology units, Assessment of women with bleeding and/or pain in early pregnancy, Diagnosis and subsequent management of miscarriage and ectopic pregnancy, Nausea and vomiting in pregnancy (hyperemesis), Gynaecology: scans for suspected pelvic pathology requiring emergency review, Possible ovarian cyst accidents (ovarian cyst rupture or torsion), Significant heavy menstrual bleeding with anaemia requiring hospital admission, Expectant, medical and surgical management of miscarriage, Management of ectopic pregnancy: medical, surgical and close monitoring with expectant management, Inpatient and outpatient management of nausea and vomiting in pregnancy, Surgical management of molar pregnancy and liaison with the, Incision and drainage of Bartholins cysts and abscesses under local anaesthesia or general anaesthesia. Google map of Princess Anne Hospital Location. You can also be referred by a clinician (doctor, midwife or advanced clinical practitioner) who will complete an electronic referral, or by yourGP who will email us directly. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. The height of the towel dispenser is 106cm (3ft 6in). here. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. There is not a/are not door(s) into the waiting room / area. This section describes the Ultrasound Room(s), located to the left along the department corridor. You can contact the service by calling 01279 827107. 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. The entrance area/door is not clearly signed. 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 wash basin can be reached from seated on the toilet. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. Print this page . There is level access into the day room/lounge area. Mirrors are not placed at a lower level or at an angle for ease of use. Early Pregnancy Assessment Unit (EPAU) - Mid and South Essex NHS The Unit is open at all times. The hospital entrance is clearly visible from the car park. Investigation, Supervision, 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. The lighting levels are moderate to good. Walk-in Centres 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. Project administration, Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. Do you want to change or cancel an appointment? Data curation, 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. This accessible toilet is located to the right as you pass through the waiting area. Data Availability: All relevant data are within the papers Supporting information files. The door(s) open(s) away from you (push). The door does not have a horizontal grab rail. Funding acquisition, There is not a 120cm hatched zone around the Blue Badge parking bay(s). Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. 2018 37:1533-1538. pmid:29119588 . 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. There is not a red flashing fire alarm beacon within the imaging room. During working hours, women needing EPAGU services who attend A&E will be sent directly to the unit. 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. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. Validation, The toilet roll holder 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 . There is level access to the consultation / treatment room. This venue does not play background music. The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. Yes A mobility scooter charging point is not available at the hospital. Software, There is not a bell to attract attention. 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 is part of the Gynaecology Assessment Unit, which offers help and support for those experiencing problems in early pregnancy up to 16 weeks. We value all people andstrive to beopen, honest and accountable for the care provided. You can also call020 7794 0500 ext 38205 or 31468. If you are having a problem in early pregnancy, your first contact should be with your GP, or the out-of-hours service when your GP surgery is closed. 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. There are accessible toilet facilities within the department/service. The height of the soap dispenser is 99cm. 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. Fitting hierarchical logistic regression models for Emergency admission from EPAU, there was little evidence of an association between the admission rate and planned senior clinician presence or unit volume controlled for final diagnosis and maternal age, as shown in Table 5. There is not a door release button when exiting. We next investigated the relationship between emergency admissions from the Emergency Department and planned senior clinician presence in EPAU, unit volume and weekend opening hours of the EPAU. Also required will be vehicle registration number, date of appointment and time of appointment. We carefully assessed the burden and timings of the study participation and questionnaires on patients. (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. EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. We will also send an electronic copy to your GP. The wash basin is not placed higher than 74cm (2ft 5in). The car park is located at the side of the Elizabeth Garrett Anderson Wing. Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). Conceptualization, To obtain mobility aids please contact the main reception. 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. Visit website. Miscarriage is the most common type of pregnancy loss. Opening Times. We accept GP, midwife and A&E referrals for assessment. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. There are bollards outside this entrance. The senior clinicians were actually spending less time in the EPAUs than expected. Opening Times. We are able to offer electives for medical students. Access to the hospital is via the main hospital lifts. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? Data curation, The contrast between the walls and floor is good. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). The width of the door is 88cm (2ft 11in). The department/service does play background music. This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option. To provide a one-stop service. Writing review & editing, Roles 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. The contrast between the dropdown rail(s) and wall is good. The height of the toilet seat above floor level is 48cm (1ft 7in). The contrast between the external door and wall is good. As a result, we have been appointed by the Tommys charity as the Tommys National Centre for Miscarriage Research in collaboration with the University of Birmingham and the University of Warwick. A to Z of services | Croydon Health Services NHS Trust To obtain mobility aids please contact a member of staff. The main door(s) open(s) towards you (pull). Clinic 3 - Early Pregnancy Unit. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. 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. A . The dimensions of the accessible toilet are 212cm x 220cm (6ft 11in x 7ft 3in). It is likely that the caller ID will show as a private number orwithheld number. There is not a clear knee recess beneath the low section of the desk. The contrast between the dropdown rail(s) and wall is fair. There is not a red flashing fire alarm beacon within the toilet. The height of the bell/buzzer is 134cm (4ft 5in). Women are seen in order of clinical priority, which means that you may be in the department for longer than anticipated. There is step-free access to the accessible toilet. 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. There is a/are clinical waste disposal units. There is a payment machine at a convenient height for wheelchair users. In some miscarriages the uterus (womb) empties itself completely. The IHE receives funding from, and collaborates with, government, academic, not-for-profit and private sector organisations. 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. Investigation, If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. The towel dispenser is placed higher than 100cm (3ft 3in). 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 EPAGU at Queen Charlottes is well-known globally for its research output. This information is for the entrance located on the lower ground floor. Contact us. Yes Both units contribute to large multicentre research projects. 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. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. The width of the door opening is 87cm (2ft 10in). The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. Validation, Euston Square station has lift access from the platform to the street. 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. Try to follow the advice about drinking little and often to avoid this as much as you can. There is not a designated drop-off point. Early Pregnancy Assessment Unit, Worksop | Pregnancy - Yell We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . Data curation, 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 dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. The name / number of the room surveyed was; 3. Turn right onto Beaumont Place before reaching Warren Street tube station. 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. 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. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0260534, https://www.rcog.org.uk/globalassets/documents/guidelines/wprgynstandards2008.pdf, https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2012_022.pdf, https://www.aomrc.org.uk/wpcontent/uploads/2016/05/Seven_Day_Consultant_Present_Care_1212.pdf, https://www.england.nhs.uk/wp-content/uploads/2013/12/evidence-base.pdf, https://www.isdscotland.org/Health-Topics/Quality-Measurement-Framework/Emergency-Admissions/, https://www.kingsfund.org.uk/sites/default/files/Avoiding-Hospital-Admissions-Sarah-Purdy-December2010_0.pdf, https://www.rcog.org.uk/globalassets/documents/careers-and-training/atsms/atsm_acutegynae_curriculum.pdf. If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. Please contact your midwife or maternity triage urgently if your symptoms relate to fetal movement. Conceptualization, There is a dark mat or floor marking at this entrance that might be perceived as a hole. Writing original draft. There is not a play area or toys/books for a child to play with. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. 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. Writing review & editing, Roles Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. 33 days (IQR 2447) was the median time for units to complete recruitment. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. Copyright 2023 AccessAble. 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. Conceptualization, This accessible toilet is located along the department corridor. The main door(s) open(s) automatically (away from you). For further advice about emergency gynaecology at Barnet Hospital, call the hospital. The door(s) is/are single width with a locked extension leaf. Writing review & editing, Affiliation EPAU opening times | Wirral University Hospital NHS Foundation Trust 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. Formal analysis, Occasionally, for both early pregnancyand emergency gynaecology you may need to be admitted into hospital for us to perform further investigations,monitor you, or initiate treatment but we will keep you informed of this and support you through this process. 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. 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. Travel information is subject to change. 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. General Practitioner (GP) The service is then located on the right. The Blue Badge bay(s) is/are signposted but have no markings. The ramp/slope is located in front of the entrance. Referrals are either from GP or the emergency department. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). There are parking charges for the hospital car park. The car park surface is a shared surface. 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. View on a map. The height of the towel dispenser is 125cm (4ft 1in). Methodology, Charges apply to all users of these car parks. The contrast between the internal door and wall is good. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles 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]. Accessible toilet facilities are available. This accessible toilet is approximately 15m (16yd 1ft) from the clinic entrance. The height of the wash basin is 86cm (2ft 10in). 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. A member of staff is available to assist with opening the door if required. Non-urgent referrals seen on the same or next day. There are sofas and also a mixture of single seats with and without armrests. There are not volunteers available for help and assistance at the hospital. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain The Early Pregnancy Clinic should be your first port of call. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. Between the hours of 21:45 and 06:00, when the main entrance is closed, you may use the Maternity entrance situated at the end of the hospital at Glasgow Road. There are several services which stop on Coxford Road outside the Princess Anne Hospital, they are the X11, U6C, the THREE and the 7 Bluestar and 17 Bluestar. You are accessing this website using a legacy browser. For more information about what these symbols mean, view our Accessibility Symbols Guide. Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. 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.