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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. There is step free access to Early Pregnancy Unit and Gynae Assessment Unit. Data curation, The car park does not have a height restriction barrier. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. 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. You will have a telephone assessment with a specialist EPAU nurse, and they will advise whether you need to attend a booked appointment for a face-to-face assessment and/orscan. Formal analysis, We strive for continuous improvement and provide evidence based care. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. The type of flooring in walkways and corridors is vinyl/laminate. A key is not required for the accessible toilet. For service contact details please visit the relevant service page. We have placed cookies on your deviceto help improve our website. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. 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. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. There is a dark mat or floor marking at this entrance that might be perceived as a hole. There is not a mirror to aid reversing out of the lift. You're adding a service to your CPD log. Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. At the time of patient recruitment, we collected information about the unit referral policy with regards to the minimum gestational age at which women could be seen at the EPAU. 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. Formal analysis, This technique was adopted to ensure that units of all configurations were equally represented in the final sample. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. There is a/are Blue Badge parking bay(s) available. Please send a referral letter with all patients. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). Your GP can be accessed for a range of non-urgent services. We carefully assessed the burden and timings of the study participation and questionnaires on patients. Child Emotional Wellbeing & Mental Health, Learning Disabilities & Neurodevelopmental Disorders (NDD), Gastroenterology, Colorectal, Renal & Urology, Care Home Training & Development (Islington), Data quality/standard referral form programme, 020 7472 6374(RFH) and 020 8216 5233 (Barnet), 020 7472 6374 (rfh: specialist nurse advice during opening hours) or020 7794 0500 ext 38205 or 31468, Early Pregnancy Assessment & Gynaecology Unit: RFL, assessment and management of women with pain and bleeding in early pregnancy (up to 15 weeks and sixdays), assessment of women at high risk of an ectopic pregnancy, assessment and management of women with acute gynaecological problems. There are also several taxi services which run from the station. https://doi.org/10.1371/journal.pone.0260534, Editor: Gang Qin, Nantong University, CHINA, Received: April 5, 2021; Accepted: November 11, 2021; Published: November 30, 2021. 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 accept GP, midwife and A&E referrals for assessment. 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. EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. Copyright: 2021 Memtsa et al. All units were asked to recruit a minimum number of 150 women each. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. No, Is the Subject Area "Nurses" applicable to this article? This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. . After yourscan, you will be reviewed by one of the specialist nurses who will then discuss with you the likely cause of your symptoms, whether you need to have any more investigations, and your treatment options. Do not wait to be called by the EPAU team. An Early Pregnancy Unit in the United States: An Effective Method for Evaluating First-Trimester Pregnancy Complications. This accessible toilet is located straight ahead as you enter and to the right. A 1-hour increase in the weekend opening hours of the EPAU was associated with 2.4% (95% CI: 0.1% to 4.7%) lower odds of an emergency admission from the Emergency Department. There is a clear unobstructed route to the reception point. The specific roles of these authors are articulated in the author contributions section. The admission rates by patient characteristics is shown in Table 2. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. Software, 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. View photos. To obtain mobility aids please contact a member of staff. 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 A mobile hoist is not available on the department/service. The towel dispenser is placed higher than 100cm (3ft 3in). Future research is needed to assess whether increased participation of senior clinicians and actual time commitment in provision of early pregnancy care, a change in their training could have more significant impact on the rate of emergency admissions and other indicators of the quality of clinical care in early pregnancy. Accessible toilet facilities are available. Site map. 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. The towel dispenser can be reached from seated on the toilet. As you face the toilet pan the transfer space is on the left. 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. Monday to Sunday 08:00 to 13:00. Conceptualization, Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. PLoS ONE 16(11): The car park does have a barrier control system. Standard manual wheelchairs are available for people to borrow at this entrance. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. Non-urgent referrals seen on the same or next day. As long as the future appointment can be verified then there is no time limit on how far in advance a specific dated dispensation notice can be issued. Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. 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. There is a/are wall-mounted grab rail(s) available. Data curation, Is the Subject Area "Pregnancy" applicable to this article? You can also call020 7794 0500 ext 38205 or 31468. 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. Writing review & editing, Roles broad scope, and wide readership a perfect fit for your research every time. During working hours, women needing EPAGU services who attend A&E will be sent directly to the unit. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. 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. on the right to withdraw consent, can be found in the website's privacy policy. If necessary, patients can be admitted under the on-call gynaecology team 24 hours a day, seven days a week. Funding acquisition, The entrance door(s) does not/do not contrast visually with its immediate surroundings. 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. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. PLOS ONE promises fair, rigorous peer review, However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. There is not sufficient space to write or sign documents on the counter. The email address for the Patient Advice and Liaison Service (PALS) is. The Miscarriage Association, Wakefield, United Kingdom, Roles A hearing assistance system is not available in the department/service. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. The soap dispenser can be reached from seated on the toilet. The drop off bays have a maximum 20 minute waiting restriction. Volunteers can be found on the ground floor of the main University College Hospital building. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard Early Pregnancy and Gynaecology Emergency Unit (EPU) The wash basin can be reached from seated on the toilet. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. 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? Writing original draft, 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. This may be a stressful time for both couples and their families and the unit aims to support you through the early stages of your pregnancy. North Central London GP Website. About the EPAU The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have had the following: Vaginal bleeding and/or pain in early pregnancy up to 16 weeks However, our study is the first large prospective study designed with a specific aim to study emergency admission rates in women presenting with acute first trimester pregnancy complications. The car park does not have a height restriction barrier. The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. This involves clinical review, investigations,diagnosis and treatment on the same day. For more information about what these symbols mean, view our Accessibility Symbols Guide. Report a problem or suggestion using this facility. 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. 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. The door(s) open(s) away from you (push). Copyright 2023 East and North Hertfordshire NHS Trust. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. There is not a red flashing fire alarm beacon within the imaging room. Some women require hospital admission for rehydration. There is ramped/sloped access at this entrance. There is step-free access to the accessible toilet. The emergency pull cord alarm is not fully functional. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. Tel: 01793 605257 The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). A mobility scooter charging point is not available at the hospital. There is a dropped kerb from the drop-off point. There is not a hearing assistance system. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. Always inform the staff in the department you are pregnant. Urgent GP referrals are seen on the same day. There are several possible explanations for our findings. The nearest designated Blue Badge parking bay is approximately 25m (27yd 1ft) from the Elizabeth Garrett Anderson Wing main entrance. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. In line with our Trusts policy a chaperone is available for all intimate examinations. Standard toilet facilities are available. Warren Street (bus stop W) no's 18 and 205. Access to the waiting area is unobstructed. 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. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. There is room for a wheelchair user to manoeuvre. 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. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. 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. Yes Contact us. The shelf is not higher than 95cm (3ft 1in). The waiting room / area does have background music playing. Volunteers do not receive disability awareness / equality training. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. The nearest National Rail station is Euston. There is a changing place located on level C of the Centre Block at the Southampton General Hospital. Opening Times. However, at the time of your scan, you can be accompanied by your partner. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. The bollards do not restrict access to the entrance. Yes Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. The transfer space is obstructed by a waste disposal bin. The toilet is not for the sole use of disabled people. On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. The soap dispenser cannot be reached from seated on the toilet. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. There are volunteers available for help and assistance at the hospital. 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 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. There are coat hooks in the toilet at 107cm and 147cm from the floor. There is sufficient space next to the bed/couch for a mobile hoist to operate. Access to the hospital is via the main hospital lifts. The main door(s) open(s) automatically (away from you). Differences in the organisation of early pregnancy units and the effect We would like to express our gratitude to the 44 participating Early Pregnancy Assessment Units and their supporting research staff: Bishop Auckland Hospital, Bishop Auckland, Gloucestershire Royal Hospital, Gloucester, Luton and Dunstable University Hospital, Luton, Queen Elizabeth The Queen Mother Hospital, Margate, The James Cook University Hospital, Middlesborough, Association of Early Pregnancy Units (AEPU), Pat Doyle (Chairperson), Professor in Epidemiology, London School of Hygiene and Tropical Medicine, Cecilia Bottomley, Lead clinician for Early Pregnancy, Chelsea and Westminster Hospital, Elizabeth Bradley, General Practitioner, Hampstead Group Practice, Hannah-Rose Douglas, Research lead for Analytical Services, NHS England, Marjory Maclean, Consultant Obstetrician and Gynaecologist, NHS Ayrshire and Arran, Brad Manktelow, Associate Statistics Professor, University of Leicester, Alex Peace-Gadsby, Chair, The Ectopic Pregnacy Trust. All rights reserved. f) Intrauterine Contraceptive Device in-situ. on the right to withdraw consent, can be found in the website's privacy policy. The unit sees women with common symptoms such as bleeding or pain in early pregnancy. The reception area/desk is clearly visible from the entrance. The towel dispenser cannot be reached from seated on the toilet. www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. 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. Formal analysis, BSL interpreters can be provided on request. VESPA included the services provided by MASS in the submittal for funding to NIHR. The width of the door opening is 87cm (2ft 10in). The toilet roll holder is not placed higher than 100cm (3ft 3in). Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services Conceptualization, The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. There are not separate entry and exit doors in the lift. Supervision, No, Is the Subject Area "Miscarriage" applicable to this article? We provide a dedicated service to women under 16 weeks gestation. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Once you have been referred you will be contacted by a member of staff who will initially offer a triage assessment over the phone. Click here for a guide to help you assess your bleeding. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Methodology, Writing review & editing, Affiliations Institute of Health Economics, Edmonton, Canada, Roles There are 4 consultation/treatment rooms in this department/service. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. Payment signs are located at the payment machines in the hospital building. 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. EPAU opening times. As you face the toilet the wall-mounted grab rails are on both sides. clinic appointment letter. Keeping you away from the hospital unless absolutely necessary is to keep you and your family healthy.