early pregnancy unit opening times

Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles There is a vertical wall-mounted grab rail on the transfer side. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. There is a/are wall-mounted grab rail(s) available. Click here for a guide to help you assess your bleeding. The contrast between the wall-mounted grab rail(s) and wall is good. If you are based within a GP practice please contact the GPIT Helpdesk on There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlotte's & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. For further advice about emergency gynaecology at Barnet Hospital, call the hospital. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. The width of the door is 88cm (2ft 11in). Project administration, a new pregnancy and under the care of the recurrent miscarriage clinic. The hospital entrance is clearly visible from the car park. We are a very activeunit located in the Woodlands building (pink zone) at the Lister hospital and we see around 5,500 women every year. J Ultrasound Med. All rights reserved. Scans appointments are every weekday morning and afternoon. Contact. Formal analysis, 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. Abdominal pain can also be related to non pregnancy causes including muscular pain, pain related to fibroids, urinary tract infection and other surgical causes egappendicitis. Peter Brocklehurst reports grants and personal fees from MRC, grants from MRC, NIHR HS&DR, NIHR HJTA, Wellcome Trust, personal fees from AG Biotest, outside the submitted work. Clinic 3 - Early Pregnancy Unit is/are located on the lower ground floor. Visit website. If you are experiencing heavy bleeding and/or severe pain, or feeling dizzy, please go straight to the Emergency Department. View our cookie policy. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. There is not sufficient space to write or sign documents on the counter. There is not a door release button when exiting. You can find your nearest walk-in centre at www.nhs.uk. 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. The toilet is not for the sole use of disabled people. Your GP can be accessed for a range of non-urgent services. Once you have been discharged from our care you can still contact us if you have any questions or problems. Yell.com Yell Business. 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 telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. Methodology, Where applicable, participants gave informed written consent before taking part in the study. By clicking any link on this page you are giving your consent for us to set cookies. 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 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). Hospital staff do not receive disability awareness / equality training. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. 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. Methodology, The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . View Article PubMed/NCBI . There is not a bell to attract attention. The distance between the floor and the highest table is 43cm (1ft 5in). Aberford Road There is space for an assistance dog to rest within the seating area. 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 a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. We collected data about the total number of Emergency Department attendances and emergency in-patient admissions of women who presented with first trimester pregnancy complications. To obtain mobility aids please contact the main reception. These associations did not markedly change after further confounder adjustment. here. The contrast between the internal door and wall is good. Competing interests: I have read the journals policy and the authors of this manuscript have the following competing interests: MM, VG, GA, ZA, NK, JH, GB, RBA, JS, DJ has nothing to disclose. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). We also accept GP referrals for emergency gynaecology problems. 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. There is not a play area or toys/books for a child to play with. The contrast between the dropdown rail(s) and wall is fair. There is sufficient space next to the bed/couch for a mobile hoist to operate. There is a/are door(s) leading into the department/service. This information is for the entrance located on the lower ground floor. The height of the reception desk is high (110cm+). The drop off bays are on the side of the access road to the car park and there are no kerbs. The entrance door(s) does/do contrast visually with its immediate surroundings. 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. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. Data curation, here. The Miscarriage Association The Ectopic Pregnancy Trust There is a/are door(s) into the consultation / treatment room. There is a changing place located on level C of the Centre Block at the Southampton General Hospital. If you are not under the care of the EPAU, please contact your GP. 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. Five working days should be allowed by patients/carers to receive their dispensation notice in the post, to allow time for the request to be processed and received in by second class post. 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. Investigation, The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. 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. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. Methodology, 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. Walk-in centres can be accessed by anyone and have more flexible opening hours. Funding acquisition, 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. Both provide consultant-led care for women who experience problems in early pregnancy. Patients can call 0203 447 3013 to request a dispensation notice in advance. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical need is identified. Therefore many women may prefer to monitor mild painless bleeding in early pregnancy (below 12 weeks and 6 days) and you may want to explore our information about bleeding and pain in pregnancy prior to contacting the unit, here. Please send a referral letter with all patients. Wherever possible, all data relating to hospital admissions provided by the IS departments were crosschecked by a member of the research team against ward admission books/databases in an attempt to check their accuracy. The ramp/slope is located in front of the entrance. There are several possible explanations for our findings. The width of the door opening is 86cm (2ft 10in). A mobile hoist is not available on the department/service. Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. The toilet roll holder can be reached from seated on the toilet. There are 4 consultation/treatment rooms in this department/service. Wall mounted grab rails are available for the toilet. If our guide needs updating - just let us know using this form. This is an external link. 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. There is not a clear knee recess beneath the low section of the desk. Send email. There is step free access to the reception point. Walk-in Centres 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. Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. Download the app Get a . Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. The room does not have background music playing. f) Intrauterine Contraceptive Device in-situ. If your condition may affect your pregnancy, you will be referred to the appropriate department. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. Mirrors are not placed at a lower level or at an angle for ease of use. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. A key is not required for the accessible toilet. Due to the current Covid-19 restrictions, we ask that you do not bring childrento your appointment. The nearest designated Blue Badge parking bay is approximately 25m (27yd 1ft) from the Elizabeth Garrett Anderson Wing main entrance. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. Resources, There are vertical wall-mounted grab rails on both sides of the wash basin. We are able to offer electives for medical students. We carefully assessed the burden and timings of the study participation and questionnaires on patients. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. Parking spaces for Blue Badge holders do not need to be booked in advance. The admission rates by patient characteristics is shown in Table 2. Supervision, Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. Planned and actual senior clinician presence, unit size, and weekend opening. Formal analysis, This website is for healthcare professionals only. The car park does not have a height restriction barrier. This national study has been realised thanks to the participation and hard work of 44 Early Pregnancy Assessment Units and their supporting research staff, a large number of patients who took the time to advise us before and during the study, as well as complete questionnaires and take part in interviews, and a number of organisations and individuals, to which we are extremely grateful. Please call the ward to find out more. In some cases additional treatment is needed such as: An early pregnancy loss can be a deeply distressing experience both physically and emotionally and we want to ensure that you are able to access the support you need during this difficult time. PLoS ONE 16(11): A hoist can be brought in from another department. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. Do you want to change or cancel an appointment? General Practitioner (GP) There is / are 4 consultation / treatment room(s) available. 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. 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. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard Pregnancy Sickness Support website, here. 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). 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 Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Writing review & editing, Affiliation There is level access to the consultation / treatment room. d) previous tubal surgery 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. 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. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. There is step-free access to the accessible toilet. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations Resources, This commercial affiliation does not alter our adherence to PLOS ONE policies on sharing data and materials. this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. Funding acquisition, The wash basin is not placed higher than 74cm (2ft 5in). The width of the door opening is 87cm (2ft 10in). The Ectopic Pregnancy Trust The door(s) open(s) automatically (towards you). Opening Hours for patient assessment and care planning. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. 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. broad scope, and wide readership a perfect fit for your research every time. Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles The height of the reception counter is low (76cm or lower) . People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. It has been created to raise awareness and help others to see that what they are going through is completely normal. The details that will be required when requesting in advance are - Blue Badge serial number, date of expiry and issuing authority/council. Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. Report a problem or suggestion using this facility. There are no chairs with armrests available. Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. The main door(s) open(s) towards you (pull). A mobility scooter charging point is not available at the hospital. After 18 weeks, the patient is seen in the Emergency Obstetric Unit or Delivery Suite. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. As you face the toilet the wall-mounted grab rails are on both sides. The name / number of the room surveyed was; D190. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. The main door(s) open(s) automatically (away from you). 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. If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. The reception area/desk is clearly visible from the entrance. Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. Formal analysis, Investigation, There is not a Patient Advice and Liaison Service (PALS) at the hospital. 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. There is not a flashing fire alarm beacon within the room. 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. We care for women with acute early pregnancy problems and acute gynaecology issues. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. 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. The following buses are used to access the University College Hospital (UCH): Tottenham Court Road - Northbound (Warren Street station) - no's 10, 73, 24, 29, 134. For many people who have experienced pregnancy loss, finding out they are pregnant again can bring with it a mixture of hope and fear, along with a range of other feelings. 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. You can find more information about these on the patient information page. During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. The reception point is approximately 5m (5yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Accessible toilet facilities are available. GAU is a 24 hour service and can offer advice and . The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. Urgent GP referrals are seen on the same day. Software, This analysis was based on the 29 units (5,464 patients) that were able to provide us with reliable data regarding the attendances to Emergency Department and emergency admissions out of hours. Validation, 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. 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. Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. 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. This technique was adopted to ensure that units of all configurations were equally represented in the final sample. If your GP is closed you can access the out of hours GP services. Writing original draft, There is a canopy or recess which provides weather protection at this entrance. 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. 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. The variable Emergency admission indicates whether a patient had an unplanned admission to hospital following any visit for investigations or treatment of first trimester pregnancy complications. Euston Road - no's 18, 27, 30, 88. 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. Find Early Pregnancy Assessment Unit in Worksop, S81. Once your referral has been received, please await a telephone call from the EPAU. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. Turn right onto Beaumont Place before reaching Warren Street tube station. There are not parking charges for the hospital car park. We have placed cookies on your deviceto help improve our website. Access to the hospital is via the main hospital lifts. The accessible toilet was out of use at the time of the survey. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. The following websites have helpful information and forums to access information and support. The post code for the Sat-nav is SO16 5YA. There are also several taxi services which run from the station. There is sufficient space to write or sign documents on the low section of the desk. 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. Data Availability: All relevant data are within the papers Supporting information files. Yes On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. Discover a faster, simpler path to publishing in a high-quality journal. The lateral transfer space is 145cm (4ft 9in). The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. We do not accept self-referral to the Early Pregnancy Unit for vomiting in pregnancy unless you are currently under our care or have been diagnosed with hyperemesis in a previous pregnancy. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). 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. Contact us. There is level access into the day room/lounge area. The contrast between the external door and wall is good. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, 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. You can visit a walk in centre for any general illness or concern for which you may have visited your GP. Clinic 3 - Early Pregnancy Unit. A hearing assistance system is not available in the department/service. The towel dispenser is placed higher than 100cm (3ft 3in). Research that could potentially guide recommendations and policies on staffing and configurations of EPAUs has been scarce [69]. The soap dispenser can be reached from seated on the toilet. View Accessibility Symbols.

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