Access to Early Pregnancy Unit and Gynae Assessment Unit is via the Level D entrance. The toilet roll holder can be reached from seated on the toilet. In addition, patients/carers should be encouraged, where they know the date and time of their next appointment, to get their dispensation notice prior to leaving the hospital. 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. Yes We provide a dedicated service to women under 16 weeks gestation. Both provide consultant-led care for women who experience problems in early pregnancy. 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. There is an/are accessible toilet(s) within this venue designated for public use. Formal analysis, Click through the PLOS taxonomy to find articles in your field. The door(s) open(s) away from you (push). https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. The contrast between the dropdown rail(s) and wall is good. 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. 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. 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. Assistance may be required because there is/are slopes/ramps. The contrast between the dropdown rail(s) and wall is fair. General Practitioner (GP)
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. There is a payment machine at a convenient height for wheelchair users. Wakefield The width of the door opening is 86cm (2ft 10in). Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. Please call the ward to find out more. Once you have been discharged from our care you can still contact us if you have any questions or problems. A member of staff is available to assist with opening the door if required. This video animation tells the story of one couples experience of miscarriage. Software, The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. Accessible toilet facilities are available. The route from the car park to the entrance is accessible to a wheelchair user with assistance. We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. 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. This accessible toilet is located along the department corridor. The towel dispenser cannot be reached from seated on the toilet. The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. Access to the hospital is via the main hospital lifts. . If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. All rights reserved. IMD scores were divided into 10 decile groups. In the submitted paper, there are no competing interests and MASS has no claim of ownership for any IP arising from or related to this paper. The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. 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. Methodology, Contact us. The National Institute for Health and Care Excellence (NICE) guideline on Ectopic Pregnancy and Miscarriage (CG 154) [10] included a review of evidence comparing EPAUs with other models of providing early pregnancy care for women presenting with first trimester pregnancy complications. We care for women with acute early pregnancy problems and acute gynaecology issues. An ambulant toilet with wall mounted grab rails is available. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. Writing review & editing, Affiliation There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. here. Continue along Grafton Way and rejoin the A400. 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. The height of the towel dispenser is 106cm (3ft 6in). View our cookie policy. 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. There is space for an assistance dog to rest within the seating area. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. 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. We accept GP, midwife and A&E referrals for assessment. Recurrent pregnancy loss The other possibility is that senior clinicians, who are fully trained in general obstetrics and gynaecology, lack the additional clinical and ultrasound skills necessary for the effective running of an EPAU. 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). 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 is a clear unobstructed route to the reception point. The width of the door opening is 88cm (2ft 11in). The dropped kerb does not have tactile paving. Investigation, There is step-free access to the accessible toilet. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. Theyprovide a range of services such as peer support and counselling services. broad scope, and wide readership a perfect fit for your research every time. 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 emergency pull cord alarm is not fully functional. Both telephone and email applications will be coordinated by the UCH main reception team. new North Central London GP Website do not work as expected. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. The senior clinicians were actually spending less time in the EPAUs than expected. PLOS ONE promises fair, rigorous peer review, If your GP is closed you can access the out of hours GP services. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. The toilet roll holder is placed higher than 100cm (3ft 3in). 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. Data curation, This venue does not play background music. 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. 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. Visualization, You must telephone the unit before attending we do not run a walk-in clinic or service. Validation, Tel: 01793 605257 Click here for a guide to help you assess your bleeding. This accessible toilet is located straight ahead as you enter and to the right. There is a/are wall-mounted grab rail(s) available. Urgent GP referrals are seen on the same day. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). There is a/are door(s) into the consultation / treatment room. Tel: 0118 322 8741. Contact. You are accessing this website using a legacy browser. The drop-off point is located on Beaumont Place. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Visualization, The wash basin is not placed higher than 74cm (2ft 5in). 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. There is pictorial signage on or near the toilet door. Walk-in Centres
The admission rates by patient characteristics is shown in Table 2. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Copyright 2023 AccessAble. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. 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). The main car park for the Princess Anne Hospital is called the Yellow car park. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. 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). Assistance may be required because there is/are slopes/ramps. 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. Funding acquisition, A key is not required for the accessible toilet. The Early Pregnancy Clinic should be your first port of call. No, Is the Subject Area "Pregnancy complications" applicable to this article? Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles Contact details will be put on all outpatient letters. a new pregnancy and under the care of the recurrent miscarriage clinic. There is not a play area or toys/books for a child to play with. The towel dispenser can be reached from seated on the toilet. 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. 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 strive for continuous improvement and provide evidence based care. 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. 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. The Pregnancy Sickness Support website has good advice. The height of the soap dispenser is 97cm. The car park does have a height restriction barrier. The department/service does play background music. 33 days (IQR 2447) was the median time for units to complete recruitment. The NICE guideline developing group, which includes a patient and public involvement panel, concluded that the configuration of services between different units varied considerably but, due to paucity of data, they were unable to make recommendations on the optimal structure of EPAUs that would balance clinical and service outcomes against cost-effectiveness. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). Staff do not need to be notified for use of the lift. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. Pregnancy Sickness Support website, here. The entrance area/door is clearly signed. There is clear signage on the department/service. The specific roles of these authors are articulated in the author contributions section. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. There is level access into the waiting room / area. There is step free access to the reception area/desk. Planned and actual senior clinician presence, unit size, and weekend opening. Keeping an EPAU open over the weekend for an additional hour was associated with 2.4% (95% CI 0.1% to 4.7%) lower odds of an emergency admission from ED. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. This is based on 6397 women that had complete information on the outcome and key characteristics. 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. 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. There is sufficient space to write or sign documents on the low section of the desk. We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. View Accessibility Symbols. Funding acquisition, The contrast between the internal door and wall is good. Writing review & editing, Roles (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. Both units contribute to large multicentre research projects. These associations did not markedly change after further confounder adjustment. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. There is not a play area or toys/books for a child to play with. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. There is written text and pictorial signage on or near the toilet door. There is level access to the consultation / treatment room. If you do not require an ultrasound but other investigations are indicated, the team will facilitate you into a suitable appointment. The wash basin is placed higher than 74cm (2ft 5in). The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). The toilet is not for the sole use of disabled people. Payment signs are located at the payment machines in the hospital building. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. The accessible toilet was out of use at the time of the survey. 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. A previousmolar pregnancy, not less than 8 weeks gestation. Data for this observational study were collected as part of the VESPA study, a UK-wide prospective mixed-methods study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. The following websites have helpful information and forums to access information and support. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, The drop-off point is located to the right of the Level D entrance. Hospital staff do not receive disability awareness / equality training. 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. The width of the accessible toilet opening is 84cm. The toilet roll holder is not placed higher than 100cm (3ft 3in). Language interpreters can be provided on request. Google map of Princess Anne Hospital Location. The clinic is open from 08.30 to 11.00 Monday to Saturday. This relatively low level of senior clinicians involvement could explain the lack of an observed association between their presence and emergency admissions in this study. All patients should receive a call back within one working day of a message being left acknowledging the message. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. Formal analysis, The staff in the unit are skilled in the management of early pregnancy complications, including ultrasound scanning. The car park does not have a height restriction barrier. Yes Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. This is an important finding for health providers as the cost of employing senior clinicians is much higher compared to nurses and other healthcare professionals. There is step free access to Early Pregnancy Unit and Gynae Assessment Unit. 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. However, at the time of your scan, you can be accompanied by your partner. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. Supervision, Supervision, 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. There is not a flashing fire alarm beacon within the room. The unit is open Monday to Friday, from 9am-5pm. The Miscarriage Association, Wakefield, United Kingdom, Roles You should contact the Early Pregnancy Unit if you have a positive urine pregnancy test, and are experiencing pain and or bleeding from 5 to 20 weeks of pregnancy. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. Mobility aids are available to help patients move around and include; wheelchairs and crutches. An email request option is offered where the completed dispensation will be emailed so the patient/carer can print prior to arriving for their appointment, email requests are via. 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. The contrast between the towel dispenser and the wall is good. The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. We value all people andstrive to beopen, honest and accountable for the care provided. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services There is sufficient space for a wheelchair user to manoeuvre within the imaging room. Validation, Telephone: 0161 922 6000 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. This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. 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. There is a low section of the desk (76cm or below) available. Clinic 3 - Early Pregnancy Unit is/are located on the lower ground floor. There is not a door release button when exiting. Writing review & editing, Roles There is not a clear knee recess beneath the low section of the desk. The name / number of the room surveyed was; D190. For more information about what these symbols mean, view our Accessibility Symbols Guide. 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. There is a/are door(s) into the day room/lounge area. Writing original draft. For service contact details please visit the relevant service page. Find Early Pregnancy Assessment Unit in Worksop, S81. A mobility scooter charging point is not available at the hospital. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. 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? Volunteers do not receive disability awareness / equality training. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. 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 towel dispenser is placed higher than 100cm (3ft 3in). 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. e) three or more previous miscarriages
Data curation, Resources, GAU is a 24 hour service and can offer advice and . Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. Mirrors are not placed at a lower level or at an angle for ease of use. Formal analysis, The height of the toilet seat above floor level is 48cm (1ft 7in). The shelf is not higher than 95cm (3ft 1in). f) Intrauterine Contraceptive Device in-situ. 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.