The car park does have a height restriction barrier. Data curation, 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. Methodology, Non-urgent referrals seen on the same or next day. You may find that certain parts of the We will keep you updated and we have refreshments available for your comfort. The entrance area/door is clearly signed with the name of the service/department. 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. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. Guidelines: care is provided to women following guidelines that have been produced by the department. Project administration, This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). Language interpreters can be provided on request. The door(s) open(s) away from you (push). Both provide consultant-led care for women who experience problems in early pregnancy. The service is then located on the right. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. The unit is open Monday to Friday, from 9am-5pm. Study participants will not be individually informed of the study results; however, dissemination to the public will be through media outreach (e.g., press release) upon publication of this study. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. 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. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. Conceptualization, The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. There is level access to the consultation / treatment room. However, there was evidence of an association between the emergency admission rate and weekend opening hours. As part of this assessment, they may ask for investigations that may be performed on the same day or within urgent time frames and a management plan will be made for you. If you are over 20 weeks of pregnancy please contact Maternity Triage. If you have concerns with regards to this please speak to the nurse in charge. Bleeding and pain during early pregnancy are relatively common symptoms and do not always mean there is a problem. Contact us. Formal analysis, We see people who: are in the early stages of their pregnancy (up to 18 weeks) have acute gynaecological problems needing urgent support We provide: same day emergency care urgent planned appointments support during the first 18 weeks of pregnancy Planned and actual senior clinician presence, unit size, and weekend opening. The type of flooring in walkways and corridors is vinyl/laminate. This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . The width of the door opening is 86cm (2ft 10in). Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles Opening Times. There is not a flashing fire alarm beacon within the room. Contact. 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. Possible symptoms include: Bleeding The contrast between the wall-mounted grab rail(s) and wall is fair. Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. There is / are 1 Ultrasound Room(s) available. here. 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. 2023 North Central London GP Website This site is intended for healthcare professionals only. You can visit a walk in centre for any general illness or concern for which you may have visited your GP. As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. The toilet is not for the sole use of disabled people. 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. 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. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. This variable was also dichotomised for some analyses to indicate whether the annual number of patient visits for a unit was above or below the median. Resources, Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. All rights reserved. The Pregnancy Sickness Support website has good advice. 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. We recommend upgrading your browser to continue. EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. 020 3456 7890. 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. There is a/are clinical waste disposal units. Investigation, Women are often contacted on the same day, or the next working day if the referral is received after 3pm. The car park does have a barrier control system. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. 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. 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. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. www.miscarriageassociation.org.ukprovides information to help thoseaffected by miscarriage, molar pregnancy or ectopic pregnancy. There is a space for a wheelchair user to wait within the seating area. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. Referral: patients are mainly referred to the Unit by their GP, but also from Gynaecology wards, by Midwives and other medical routes. Site by daysix. Cancer Centre dispensations that the UCH main reception team are unable to deal with will be forwarded to the Cancer centre team at. There is a/are door(s) into the consultation / treatment room. Women may self-refer to the Royal Free EPAGU with early pregnancy problems. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. J Ultrasound Med. Copyright 2023 AccessAble. Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. The day room/lounge area is not always open. The towel dispenser cannot 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. Final diagnosis (FD) was divided into five groups: 1) Normal intrauterine pregnancy including early and live pregnancies; 2) Abnormal intrauterine pregnancy including early embryonic demise, incomplete, and complete miscarriage; 3) Ectopic pregnancy at any site; 4) Pregnancy of unknown location; and 5) Other: molar pregnancy, multiple pregnancy, and not pregnant. The EPAGU at Queen Charlottes is well-known globally for its research output. The contrast between the walls and floor is good. Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. on the right to withdraw consent, can be found in the website's privacy policy. An ambulant toilet with wall mounted grab rails is available. There are not parking charges for the hospital car park. You can also call020 7794 0500 ext 38205 or 31468. The Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. 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. Warren Street (bus stop W) no's 18 and 205. Conceptualization, The contrast between the wash basin wall-mounted grab rail(s) and wall is good. The contrast between the internal door and wall is good. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. 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. The hospital entrance is clearly visible from the car park. The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. Yes In some miscarriages the uterus (womb) empties itself completely. To view other access guides that are related to this one please use the links below. Search for local Pregnancy near you on Yell. The car park is located on Level B of the hospital. All women aged 16 years of age who attended the participating EPAUs presenting with first trimester pregnancy complications for the first time during the index pregnancy were included in the cohort study. There is a/are door(s) into the consultation / treatment room. There are 4 consultation/treatment rooms in this department/service. 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. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. Writing review & editing, Roles 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. If you are unable to book an appointment, or need to see a GP out of hours, call your surgery and follow the advice provided. There are several possible explanations for our findings. A number of organisations give dedicated support and advice to people affected by pregnancy loss: CRADLE is anational registered pregnancy loss charity working in partnership with Lewisham and Greenwich NHS Trust. c) previous ectopic pregnancy EPAGU Level 2, Wellhouse Lane, Barnet, EN5 3DJ, 020 7472 6374, 020 7794 0500 ext 38205 or 31468, EPAGU 5th Floor, Pond Street, London, NW3 2QG, 020 7472 6374 (RFH) 020 8216 5233 (Barnet), Emergency clinic for women with pain or/and bleeding in early pregnancy or pregnant women with high risk of ectopic pregnancy, For recurrent miscarriages and early pregnancy concerns, For women with problems during early pregnancy. The relationship between emergency admissions from Emergency Departments and senior clinician presence, unit volume, and weekend opening hours was investigated by fitting multivariable logistic regression models. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). There is / are 10 consultation / treatment room(s) available. You can contact the service by calling 01279 827107. Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. There is sufficient space next to the bed/couch for a mobile hoist to operate. A hearing assistance system is not available in the department/service. Writing original draft, These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. During the day you can access the maternity unit by entering the hospital through the main entrance. In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. This information is for the entrance located on Grafton Way. The toilet roll holder can be reached from seated on the toilet. The lift does have a visual floor indicator. The room does not have background music playing. 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? The towel dispenser is placed higher than 100cm (3ft 3in). Yes Early Pregnancy Unit and Gynae Assessment Unit is approximately 14m from the Level D entrance. d) previous tubal surgery 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. Get contact details, videos, photos, opening times and map directions. Writing review & editing, Affiliation Pregnancy Sickness Support website, here. 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. Do not wait to be called by the EPAU team. Accident and emergency patient information leaflets, Video consultations - frequently asked questions, Visiting and keeping in touch during Covid-19, Log in or register with Patients Know Best, Patients Know Best - frequently asked questions, Patients Know Best and NHS App integration, Yorkshire Regional Spinal Injuries Centre (YRSIC), Psychology department - Every Voice Matters, Complex Eating, Weight and Bariatric Psychology, Plastic, Reconstructive and Burns Surgery, Breast plastic and reconstructive surgery, Skin cancer plastic and reconstructive surgery, Trauma plastic, reconstructive and burns surgery, Population and people who use our services, Zero Tolerance - Abuse is not in a day's work, Genetic Links to Anxiety and Depression (GLAD) study, Providing Online guided Self-help for Eating disorders in adults with type 2 Diabetes (POSE-D) pilot study, General Data Protection Regulation (GDPR), Safe Nursing and Midwifery staffing levels, Medical Education & Simulation Hub (MESH), Visit the Miscarriage Association website, previous ectopic or molar pregnancy with a new pregnancy. Copyright 2023 East and North Hertfordshire NHS Trust. You can at any time read our cookie policy. Hospital staff do not receive disability awareness / equality training. Writing review & editing, Affiliations Early Pregnancy Unit (Day time): 0151 604 7450. . It has been created to raise awareness and help others to see that what they are going through is completely normal. Find Early Pregnancy Assessment Unit in Worksop, S81. Water bowls for assistance dogs are available on request. There is / are 4 consultation / treatment room(s) available. Methodology, Senior clinicians were present only in 19 of the 44 EPAUs. Once your referral has been received, please await a telephone call from the EPAU. There is sufficient space to write or sign documents on the low section of the desk. Supervision, PLOS ONE promises fair, rigorous peer review, Access to the building between 21:00 - 07:00 is via intercom. Supervision, 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. Mirrors are placed at a lower level or at an angle for ease of use. The reception area/desk is clearly visible from the entrance. There is a/are manual, heavy, double door(s) between the lift and the department/service. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. These responses were used to categorize the units according to three factors: planned senior clinician presence (yes or no); weekend opening (yes or no); and the annual volume of patients, as reported by the corresponding clinicians (low volume <3000 appointments per year vs. high volume 3000 appointments annually). During working hours, women needing EPAGU services who attend A&E will be sent directly to the unit. Data curation, The Ectopic Pregnancy Trust There is written text and pictorial signage on or near the toilet door. The contrast between the wall-mounted grab rail(s) and wall is good. This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option. 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. There is clear signage on the department/service. b) vaginal bleeding If you are experiencing heavy bleeding and/or severe pain, or feeling dizzy, please go straight to the Emergency Department. There is a horizontal wall-mounted grab rail on the opposite side of the seat to the transfer space. There is a canopy or recess which provides weather protection at this entrance. Having collected contemporaneous data documenting the actual time that senior clinicians spent in the EPAU delivering early pregnancy care, we found no significant association whether we analysed for planned or actual presence of the senior clinicians in EPAU. 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. Turn left as you pass through the doors and continue ahead. You must telephone the unit before attending we do not run a walk-in clinic or service. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. This video animation tells the story of one couples experience of miscarriage. 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. In line with our Trusts policy a chaperone is available for all intimate examinations. Continuing will take you away from the 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. Copyright 2023 AccessAble. For further advice about emergency gynaecology at Barnet Hospital, call the hospital. Wakefield The wash basin is not placed higher than 74cm (2ft 5in). 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. A key is not required for the accessible toilet. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). The specific roles of these authors are articulated in the author contributions section. The contrast between the toilet roll holder and the wall is good. All rights reserved. There is no signage on or near the toilet door. All patients should receive a call back within one working day of a message being left acknowledging the message. There is space for an assistance dog to rest within the seating area. The reception counter is not placed in front of a background which is patterned. They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). Access to the waiting area is unobstructed. 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. Royal Free London (RFL)offers a seven-dayper week specialist service for women who need emergency care for early pregnancy and gynaecological problems at Royal Freeand Barnet Hospitals. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. This room is not accessed via a changing room. There is step free access at this entrance. Mirrors are not placed at a lower level or at an angle for ease of use. We are a very activeunit located in the Woodlands building (pink zone) at the Lister hospital and we see around 5,500 women every year. Data curation, The route from the car park to the entrance is accessible to a wheelchair user with assistance. The unit sees women with common symptoms such as bleeding or pain in early pregnancy. VESPA included the services provided by MASS in the submittal for funding to NIHR. 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). When describing your problem or suggestion, You can find your nearest walk-in centre at www.nhs.uk. The senior clinicians were actually spending less time in the EPAUs than expected. 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. 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. As you face the toilet the wall-mounted grab rails are on both sides. We performed sensitivity analyses by refitting the regression models using the binary variables for planned senior clinician presence, unit volume and weekend opening hours. For more information about PLOS Subject Areas, click The Early Pregnancy Unit is a consultant-led service and is delivered by a team of specialist nurse sonographers who provide consultation, assessment, scans and treatment plans for women with complications of pregnancy from 5 to 20 weeks. Prospective cohort study and emergency hospital care audit; data were collected as part of the national prospective mixed-methods VESPA study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. The email address for the Patient Advice and Liaison Service (PALS) is. There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Planned senior clinician presence was defined as the percentage of planned hours which they were expected to spend in the unit according to their weekly timetable, divided by the planned unit opening hours. 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? Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing t.bourne@ic.ac.uk at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing shahla.ahmed1@nhs.net at St Marys. If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. Where applicable, participants gave informed written consent before taking part in the study. Methodology, The dimensions of the accessible toilet are 212cm x 220cm (6ft 11in x 7ft 3in). The route from the car park to the hospital entrance is not clearly signposted. The car park is located to the left of the main underground car parks. 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. Roles Conceptualization, Resources, Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. We could therefore calculate the actual amount of time senior clinicians spent in EPAU delivering clinical care. Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. The towel dispenser is placed higher than 100cm (3ft 3in). EPAU opening times. Unit volume was defined as the number of patient visits per year and was estimated using the time taken to obtain data on the required number of patients and the average number of visits per patient. The IHE does not currently receive funds for research related to the submitted work. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles The shelf is not higher than 95cm (3ft 1in). Writing review & editing, Roles We will also send an electronic copy to your GP. We see women in the first 18 weeks of pregnancy only. There is step-free access to the accessible toilet. Funding acquisition, The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. The contrast between the dropdown rail(s) and wall is good. It is likely that the caller ID will show as a private number orwithheld number. Methodology, 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). Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB.