The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. The sonography team will advise if you need to empty your bladder prior to the scan. Non-urgent referrals seen on the same or next day. The car park is located on Level B of the hospital. 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? Get contact details, videos, photos, opening times and map directions. 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. COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. There are strong links with the Institute of Reproductive and Developmental Biology (IRDB) at Imperial College London run by Professor Phillip Bennett, with projects ranging from the study of the microbiome to novel biomarkers in early pregnancy. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. Where applicable, participants gave informed written consent before taking part in the study. As you face the toilet pan the transfer space is on the right. There is a Patient Advice and Liaison Service (PALS) at the hospital. Conceptualization, There is level access to this accessible toilet. The toilet is not for the sole use of disabled people. There is not a designated drop-off point. If you do not require an ultrasound but other investigations are indicated, the team will facilitate you into a suitable appointment. The toilet roll holder is placed higher than 100cm (3ft 3in). The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. 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. Upon completion of data collection, we revisited the activity in all 44 units. 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. 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. Payment signs are located at the payment machines in the hospital building. 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. 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. 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. The towel dispenser is placed higher than 100cm (3ft 3in). Assistance may be required because there is/are slopes/ramps. 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. Our research lead, Professor Tom Bourne, is a founding member of the International Ovarian Tumor Analysis (IOTA) group and sits in the steering committee of several large international trials. The service is then located on the right. The wash basin and tap(s) can be reached from seated on the toilet. here. Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. Having collected detailed data on the opening hours of all participating EPAUs over the weekend, we were able to identify that one hours increase in the weekend opening hours of an EPAU resulted, as expected, in an increased probability of a woman with first trimester complications being admitted to hospital from the EPAU, but decreased the chance of an admission to hospital from the Emergency Department. View on a map. This is to ensure you have a consultation with the specialist nursing team who can call you back and advise the best management going forward. 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). We could therefore calculate the actual amount of time senior clinicians spent in EPAU delivering clinical care. Early Pregnancy Unit and Gynae Assessment Unit. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). We provide a dedicated service to women under 16 weeks gestation. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. The percentage of emergency admissions from the Emergency Department ranged from 7% to 58% with the majority of the units having an emergency admission rate of between 10% and 30%. Disposal facilities are available in the toilet. The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . There is a/are Blue Badge parking bay(s) available. We have placed cookies on your deviceto help improve our website. The Blue Badge bay(s) is/are clearly marked. b) vaginal bleeding Women are often contacted on the same day, or the next working day if the referral is received after 3pm. View photos. The email address for the Patient Advice and Liaison Service (PALS) is. we'll add the event details to your CPD section automatically. Inside the venue, there is level access to the female toilet(s). 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. Language interpreters can be provided on request. PLoS ONE 16(11): Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, 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. Tommys Tommy's is a charity that funds research for pregnancy and babies. The lateral transfer space is 170cm (5ft 7in). EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. Yes There is level access to the consultation / treatment room. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. The contrast between the external door and wall is good. Software, Tel: 01793 605257 Send email. You can at any time read our cookie policy. here. on the right to withdraw consent, can be found in the website's privacy policy. The funder provided support in the form of salaries for authors MM, VG, GA, PB, EK, SS, ZA, JR, NK, JH, GB, JS, DJ; however, the funder and sponsors of the study did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. 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. Standard toilet facilities are available. Writing review & editing, Roles Data curation, 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. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. Methodology, Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. Yes If you want to park near, or in UCLH disabled parking bays, you will need to apply for a parking dispensation to use with your Blue Badge. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations There is a shelf within the accessible toilet. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. Resources, The car park is located at the side of the Elizabeth Garrett Anderson Wing. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Euston Road - no's 18, 27, 30, 88. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. Detailed information, also There is step free access at this entrance. Recurrent pregnancy loss We have a dedicated team of nurse practitioners, doctors, sonographers and consultants who aim to offer seamless care to assess, diagnose and offer treatment and support if required. Funding acquisition, Yes Planned and actual senior clinician presence, unit size, and weekend opening. Site map. The Early Pregnancy Clinic should be your first port of call. The following websites have helpful information and forums to access information and support. The lighting levels are moderate to good. There is a/are door(s) into the consultation / treatment room. The floors which are accessible by this lift are B-LG-G-1-2. Getting To The Hospital As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. There are sofas and also a mixture of single seats with and without armrests. The controls for the lift are within 90cm - 120cm from the floor. 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. this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. c) previous ectopic pregnancy Opening Times. Parking spaces for Blue Badge holders do not need to be booked in advance. This involves clinical review, investigations,diagnosis and treatment on the same day. 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. Project administration, The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. Opening Times (Early Pregnancy Unit and Gynae Assessment Unit) Department / Service (Early Pregnancy Unit and Gynae Assessment Unit) Reception Consultation / Treatment Room (3) Imaging Room Day Room / Lounge Area (Quiet Room) Accessible Toilet (s) Related Access Guides Getting To The Hospital (Princess Anne Hospital) Collapse all By Road View Walk-in centres can be accessed by anyone and have more flexible opening hours. Funding acquisition, https://doi.org/10.1371/journal.pone.0260534.t001. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. The height of the toilet seat above floor level is 48cm (1ft 7in). In view of that, we were unable to identify the threshold above which senior clinicians would need to be present in the units actively delivering early pregnancy care in order to improve clinical outcomes. The lighting levels in the imaging room are low to moderate. 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. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. We are able to offer electives for medical students. The car park does not have a height restriction barrier. There is a/are clinical waste disposal units. Travel information is subject to change. There is a/are wall-mounted grab rail(s) available. 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. GP EPAU referral form [docx] 99KB (click to download). IMD scores were divided into 10 decile groups. The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. 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). MASS (NK) was commissioned by and became a member of the VESPA co-applicants group to provide the required workforce modelling expertise and knowledge. Is the Subject Area "Pregnancy" applicable to this article? The width of the door opening is 88cm (2ft 11in). The main door(s) open(s) automatically (away from you). Search for local Pregnancy near you on Yell. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. Copyright: 2021 Memtsa et al. The type of flooring in walkways and corridors is vinyl/laminate. Click through the PLOS taxonomy to find articles in your field. Yes Find Early Pregnancy Assessment Unit in Worksop, S81. 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. Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles A previousmolar pregnancy, not less than 8 weeks gestation. 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. This is based on 6397 women that had complete information on the outcome and key characteristics. The contrast between the toilet roll holder and the wall is good. Senior clinicians were present only in 19 of the 44 EPAUs. As a secondary outcome, we aimed to establish the number of emergency hospital admissions for women attending EDs in the same location as the EPAU for first trimester pregnancy complications. There are volunteers available for help and assistance at the hospital. The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. Methodology, Discover a faster, simpler path to publishing in a high-quality journal. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. 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. VESPA included the services provided by MASS in the submittal for funding to NIHR. 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. Investigation, Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. There is room for a wheelchair user to manoeuvre. You can also call020 7794 0500 ext 38205 or 31468. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. A summary of all units showing their characteristics in respect to the key factors of interest and outlining participants median age, parity, deprivation score, ethnicity and gestational age at presentation is provided in Table 1. To keep our patients safe, we are currently offering a telphone advice, triage and referral service. We care for women with acute early pregnancy problems and acute gynaecology issues. The room does not have background music playing. If you feel your symptoms require urgent assessment outside of these hours the wider medical team are here to support you 24 hours a day 7 days a week. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). The toilet roll holder can be reached from seated on the toilet. You will be given a copy of your ultrasound report. All units were asked to recruit a minimum number of 150 women each. Visiting restrictions are in place. 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. The clinic is open from 08.30 to 11.00 Monday to Saturday. On entering via the Level D entrance continue ahead and the entrance to the Early Pregnancy Unit and Gynae Assessment Unit department is on the right. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. 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. 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? Standard manual wheelchairs are available for people to borrow at this entrance. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. 020 3456 7890. www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. The waiting room / area is approximately 7m from the clinic entrance. There is level access throughout the department/service. The contrast between the internal door and wall is good. 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. 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. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. View our cookie policy. The Blue Badge bay(s) is/are signposted but have no markings. For more information about PLOS Subject Areas, click Accident and Emergency Department/999 There is room for a wheelchair user to manoeuvre. To view other access guides that are related to this one please use the links below. https://doi.org/10.1371/journal.pone.0260534.g003. Dementia friendly signage is not provided. There is a space for a wheelchair user to manoeuvre. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. There is a clear unobstructed route to the reception point. View Accessibility Symbols. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. There is sufficient space for a wheelchair user to use the waiting area. This information is for the entrance located on the lower ground floor. Software, Copyright 2023 AccessAble. Do you want to change or cancel an appointment? There are standard toilet facilities within this department/service. There is clear signage on the department/service. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. Visualization, Funding acquisition, 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. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. Language interpreters can be provided on request. 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. These associations did not markedly change after further confounder adjustment. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. Methodology, 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 telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. If your GP is closed you can access the out of hours GP services. The unit sees women with common symptoms such as bleeding or pain in early pregnancy. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). View Article PubMed/NCBI . Data Availability: All relevant data are within the papers Supporting information files. Writing review & editing, Affiliation You can find more information about these on the patient information page. The hospital does have a dedicated car park. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Please check the latest information before planning your journey. There is not an assistance dog toilet or toileting area on the hospital site. Please contact your midwife or maternity triage urgently if your symptoms relate to fetal movement. The VESPA study recruited from the EPAU population. The senior clinicians were actually spending less time in the EPAUs than expected. Urgent GP referrals are seen on the same day. 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). The lateral transfer space is 145cm (4ft 9in).