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. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. Click here for a guide to help you assess your bleeding. Early Pregnancy Unit and Gynae Assessment Unit | AccessAble Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have hadthe following: Whilethis is NOT a standardmaternity triage form, if neededyou can self-refer to the EPAU by filling out our EPAU self-referral form. Referral: patients are mainly referred to the Unit by their GP, but also from Gynaecology wards, by Midwives and other medical routes. Writing review & editing, Affiliations There is a shelf within the accessible toilet. Barnet Hospital also offers a walk-in service. Ultrasound based assessment for suspected pelvic pathology. However, there was evidence of an association between the emergency admission rate and weekend opening hours. Data Availability: All relevant data are within the papers Supporting information files. on the right to withdraw consent, can be found in the website's privacy policy. Walk-in centres can be accessed by anyone and have more flexible opening hours. The toilet roll holder can be reached from seated on the toilet. Early Pregnancy Unit and Gynae Assessment Unit. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. The width of the door opening is 86cm (2ft 10in). The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). 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. Early Pregnancy Assessment Unit - Tameside and Glossop Integrated Care If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. The contrast between the wash basin wall-mounted grab rail(s) and wall is good. Yell.com Yell Business. This information is for the entrance located on Grafton Way. 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. Early pregnancy and gynaecology unit - Overview PLoS ONE 16(11): The height of the reception desk is high (110cm+). Both telephone and email applications will be coordinated by the UCH main reception team. The entrance area/door is clearly signed with the name of the service/department. Formal analysis, There is not a designated drop-off point. The following websites have helpful information and forums to access information and support. The barrier controls/touchscreen can be reached from the car. Find Early Pregnancy Assessment Unit in Worksop, S81. On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. By clicking any link on this page you are giving your consent for us to set cookies. 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. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Access to the hospital is via the main hospital lifts. b) vaginal bleeding For more information about PLOS Subject Areas, click Writing review & editing, Affiliation Formal analysis, 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 accessible toilet is located to the right as you pass through the waiting area. The UCLH email address for Blue Badge parking enquiries is. t: 020 7794 0500 ext 38205 or 31468. If our guide needs updating - just let us know using this form. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. We report the data from two of the VESPA study strands: 1) the prospective cohort study of women attending EPAUs due to first trimester complications; and 2) the emergency hospital care audit of women admitted as an emergency with first trimester pregnancy complications. There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. There is a canopy or recess which provides weather protection at this entrance. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. 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. The wash basin is not placed higher than 74cm (2ft 5in). 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. View Article PubMed/NCBI . We also accept GP referrals for emergency gynaecology problems. You should still contact the Early Pregnancy Unit on the phone number below, which will inform you of where to call in the event of an emergency. There is a dark mat or floor marking at this entrance that might be perceived as a hole. 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. Early Pregnancy Assessment Unit (EPAU) - York and Scarborough Teaching The association between the three factors: senior clinician presence, unit volume, and weekend opening hours, and the proportion of emergency admissions was investigated by using regression models, where hierarchical models were used for analysing patient-level data, and standard models were used for analysing unit-level data. Early Pregnancy Unit/Emergency Gynaecology Unit (EPU/EGU) GAU is a 24 hour service and can offer advice and . 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. North Central London GP Website. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. Your local Accident and Emergency department can still be used if you have an emergency or accident not related to your pregnancy (chest pain, difficulty breathing, collapse, etc). The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. Language interpreters can be provided on request. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. The hospital entrance is not clearly visible from the car park. The height of the soap dispenser is 99cm. Both provide consultant-led care for women who experience problems in early pregnancy. Language interpreters can be provided on request. The reception point is approximately 5m (5yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are not provided in the reception area. There is sufficient space for a wheelchair user to use the waiting area. 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 step-free access to the accessible toilet. We see women in the first 18 weeks of pregnancy only. Opening Times. They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. 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. There are no chairs with armrests available. Early Pregnancy Assessment Unit (EPAU) - Mid and South Essex NHS 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. Early Pregnancy Assessment & Gynaecology Unit: RFL Scans appointments are every weekday morning and afternoon. The height of the reception counter is low (76cm or lower) . The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. . 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. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. 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 reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. The email address for the Patient Advice and Liaison Service (PALS) is. Roles Please complete the form calledEarly Pregnancy Assessment Unit (EPAU) and email to: GP to telephone to make an appointment The unit sees women with common symptoms such as bleeding or pain in early pregnancy. Access to Early Pregnancy Unit and Gynae Assessment Unit is via the Level D entrance. The specific roles of these authors are articulated in the author contributions section. 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. Institute of Health Economics, Edmonton, Canada, Roles EPU and UGCC | NHS Frimley Health Foundation Trust Wall mounted grab rails are available for the toilet. Travel information is subject to change. Data curation, The hospital does have a dedicated car park. A . We are open Monday - Friday 08 - 20:00 (last patient accepted 19:15) and Saturday -Sunday 08:30 - 14:00 (last patient accepted 13:15). Mobility aids are available to help patients move around and include; wheelchairs. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy such as pain or bleeding up to 16+6 weeks gestation. There are parking charges for the hospital car park. Writing review & editing, Affiliation The car park is located on Level C of the hospital building. Parking spaces for Blue Badge holders do not need to be booked in advance. There is a/are manual, heavy, double door(s) between the lift and the department/service. There is sufficient space to write or sign documents on the low section of the desk. Please check the latest information before planning your journey. EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. In preparation for the study, we carried out a prospective audit of clinical activity in eight EPAUs in London, UK, which included 3,600 women. 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. 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]. 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. Aberford Road The contrast between the towel dispenser and the wall is good. You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. The sonography team will advise if you need to empty your bladder prior to the scan. The wash basin and tap(s) can be reached from seated on the toilet. The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). There are also several taxi services which run from the station. We care for women with acute early pregnancy problems and acute gynaecology issues. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. A to Z of services | Croydon Health Services NHS Trust The route from the car park to the hospital entrance is not clearly signposted. There is not a clear knee recess beneath the low section of the desk. People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. 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. Units were divided into eight mutually exclusive strata based on these characteristics, and 5 or 6 EPAUs were randomly selected from each stratum to a total of 44 for inclusion in the VESPA study. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. Visualization, Early Pregnancy Assessment Unit (EPAU) - Lewisham and Greenwich 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? Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. Possible symptoms include: Bleeding 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. Tel: 0118 322 8741. The reception area/desk is clearly visible from the entrance. The IHE receives funding from, and collaborates with, government, academic, not-for-profit and private sector organisations. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . There is an/are accessible toilet(s) within this venue designated for public use. The toilet roll holder is not placed higher than 100cm (3ft 3in). Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. The waiting room / area does not have background music playing. The controls for the lift are within 90cm - 120cm from the floor. The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). We appreciate that this is a very difficult and painful time, this leaflet aims to answer some of the many questions you will have about what has happened. Google map of Princess Anne Hospital Location. All units were asked to recruit a minimum number of 150 women each. . The unit has strong international links, in particular with KU Leuven in Belgium. 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. The door does not have a horizontal grab rail. 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. There is a/are door(s) leading into the department/service. The height of the toilet seat above floor level is 48cm (1ft 7in). There is pictorial signage on or near the toilet door. A mobility scooter charging point is not available at the hospital. If you are over 20 weeks of pregnancy please contact Maternity Triage. 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. (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. There is a space for a wheelchair user to manoeuvre. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). However, at the time of your scan, you can be accompanied by your partner. Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. Data curation, https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. https://doi.org/10.1371/journal.pone.0260534.g003. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. You can also call020 7794 0500 ext 38205 or 31468. If your GP is closed you can access the out of hours GP services. The accessible toilet was out of use at the time of the survey. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. The soap dispenser can be reached from seated on the toilet. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. Maternity Services | NHS Lanarkshire Investigation, The Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. 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. There are also several bus routes which stop at the Southampton General which is a short walk from the Princess Anne Hospital on Tremona Road. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. We are actively involved in studies developing diagnostic tests and in particular the use of ultrasound diagnostics. Send email. Blue Badge parking bays cannot be booked in advance. If you have a non-urgent concern not related to your pregnancy such as chest/urine/ear infections, skin complaints, viral infections, exposure to infections i.e chickenpox, you should see your GP for advice as they are better placed to help with these problems. www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. 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. 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. An Early Pregnancy Unit in the United States: An Effective Method for Evaluating First-Trimester Pregnancy Complications. Validation, All rights reserved. The ramp/slope is located in front of the entrance. To view other access guides that are related to this one please use the links below. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. 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. Most models were adjusted using one of two sets of potential confounder variables: i) maternal age and final diagnosis (MA+FD) or; ii) maternal age, final diagnosis, IMD and gestational age policy (MA+FD+IMD+GAP). There is level access to this accessible toilet. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. 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. There is step free access to the reception point. If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. There is a/are Blue Badge parking bay(s) available. The bollards do not restrict access to the entrance. 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. The VESPA study recruited from the EPAU population. There is also a need to further explore the skill mix of a multidisciplinary team of nurses, midwives and sonographers, which could facilitate effective running of EPAUs in the absence of senior clinicians. During the day you can access the maternity unit by entering the hospital through the main entrance. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people.
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