There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles Please contact your midwife or maternity triage urgently if your symptoms relate to fetal movement. The unit has strong international links, in particular with KU Leuven in Belgium. 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. Copyright 2023 AccessAble. 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. Early Pregnancy and Gynaecology Emergency Unit (EPU), Follow us on social media for all the latest news and announcements, Lister Hospital, Coreys Mill Lane, Stevenage, SG1 4AB. www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. 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. Validation, A hearing assistance system is not available in the department/service. Parking spaces for Blue Badge holders do not need to be booked in advance. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Tommys Tommy's is a charity that funds research for pregnancy and babies. The soap dispenser cannot be reached from seated on the toilet. The shelf is not higher than 95cm (3ft 1in). 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. Send email. Validation, A . A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Always inform the staff in the department you are pregnant. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. The Miscarriage Association The Ectopic Pregnancy Trust a new pregnancy and under the care of the recurrent miscarriage clinic. There are accessible toilet facilities within the department/service. Opening times Weekdays: 07:30 - 15:00 Weekends and Bank Holidays: 09:00 - 13:00 Contact us Patients already under the care of the EPAU may contact the unit on 01274 364325 and Ward 20 on 01274 364414. The car park does have a barrier control system. The route from the car park to the hospital entrance is not clearly signposted. We care for women with acute early pregnancy problems and acute gynaecology issues. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). This national study has been realised thanks to the participation and hard work of 44 Early Pregnancy Assessment Units and their supporting research staff, a large number of patients who took the time to advise us before and during the study, as well as complete questionnaires and take part in interviews, and a number of organisations and individuals, to which we are extremely grateful. 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. Data curation, 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. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). 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. We use cookies on this site to enhance your user experience, Hospital Parking (Blue Badge Parking Only), Getting To (Clinic 3 - Early Pregnancy Unit), Consultation / Treatment Room (Ultrasound), Consultation / Treatment Room (Consultations), To view the web page described above click here (opens in new tab), To find your way around the University College Hospital sites please click here, Availability and Location of Standard Toilets, Elizabeth Garrett Anderson Wing link (new tab) - click here. The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. You can find more information about these on the patient information page. 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. You're adding a service to your CPD log. There is a space for a wheelchair user to manoeuvre. There is not a bell to attract attention. The main door(s) open(s) towards you (pull). Copyright 2023 AccessAble. The lighting levels at the reception point are good. 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? There is not a door release button when exiting. t: 020 7794 0500 ext 38205 or 31468. If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. Continuing will take you away from the The soap dispenser can be reached from seated on the toilet. We value all people andstrive to beopen, honest and accountable for the care provided. 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 unit sees women with common symptoms such as bleeding or pain in early pregnancy. There are not separate entry and exit doors in the lift. Access to the waiting area is unobstructed. Disposal facilities are available in the toilet. 2018 37:1533-1538. pmid:29119588 . The service is then located on the right. The NICE guideline developing group, which includes a patient and public involvement panel, concluded that the configuration of services between different units varied considerably but, due to paucity of data, they were unable to make recommendations on the optimal structure of EPAUs that would balance clinical and service outcomes against cost-effectiveness. The IHE receives funding from, and collaborates with, government, academic, not-for-profit and private sector organisations. The route from the car park to the hospital entrance is not clearly signposted. 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. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. From the north of the city there are several routes from the M27, from the north east the A33 offers the best route towards the hospital. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . The nearest National Rail station is Euston. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. There is level access throughout the department/service. 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. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. The distance between the floor and the highest table is 43cm (1ft 5in). There is space for an assistance dog to rest within the seating area. Detailed information, also Bleeding and pain during early pregnancy are relatively common symptoms and do not always mean there is a problem. Keeping you away from the hospital unless absolutely necessary is to keep you and your family healthy. This accessible toilet is located along the department corridor. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. The early pregnancy and acute gynaecology unit (EPAGU) is an emergency unit. 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. Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. . Based on this study, the sample size of 44 units, each contributing 150 patients, was calculated to give us 90% power to detect a 5% absolute difference in the risk of an emergency admission. The reception area/desk is clearly visible from the entrance. There is sufficient space next to the bed/couch for a mobile hoist to operate. Some women may also be advised to monitor their symptoms at home. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. Writing original draft, 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. We will also send an electronic copy to your GP. Continue along Grafton Way and rejoin the A400. The Blue Badge bay(s) is/are signposted but have no markings. Payment signs are located at the payment machines in the hospital building. Roles Early Pregnancy Unit and Gynae Assessment Unit. Methodology, This information is for the entrance located on Grafton Way. There is space for an assistance dog to rest within the seating area. PLOS ONE promises fair, rigorous peer review, Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. 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 The door(s) is/are double width but one door is locked. View Accessibility Symbols. 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%. There is a space for a wheelchair user to wait within the seating area. The height of the bell/buzzer is 134cm (4ft 5in). There is a/are door(s) leading into the department/service. 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. The hospital entrance is not clearly visible from the car park. Assistance may be required because there is/are slopes/ramps. Writing review & editing, Affiliation Euston Square station has lift access from the platform to the street. here. If the outcome of your consultation is that you require an ultrasound then our ultrasound scanning appointment times are from 9:30am 4.00pm on weekdays. We obtained clinical data from 6,606 women. Hospital staff do not receive disability awareness / equality training. We are closed in Bank holidays. People who still have an ongoing pregnancy will be discharged back to the care of their midwife. A previousmolar pregnancy, not less than 8 weeks gestation. Contact details will be put on all outpatient letters. Formal analysis, Formal analysis, Funding acquisition, Yell.com Yell Business. The contrast between the dropdown rail(s) and wall is good. Keeping an EPAU open over the weekend for an additional hour was associated with 2.4% (95% CI 0.1% to 4.7%) lower odds of an emergency admission from ED. There is a/are door(s) into the consultation / treatment room. 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. The floors which are accessible by stairs are B-LG-G-1-2. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. The lighting levels are moderate to good. 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. Miscarriage is the most common type of pregnancy loss. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0260534, https://www.rcog.org.uk/globalassets/documents/guidelines/wprgynstandards2008.pdf, https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2012_022.pdf, https://www.aomrc.org.uk/wpcontent/uploads/2016/05/Seven_Day_Consultant_Present_Care_1212.pdf, https://www.england.nhs.uk/wp-content/uploads/2013/12/evidence-base.pdf, https://www.isdscotland.org/Health-Topics/Quality-Measurement-Framework/Emergency-Admissions/, https://www.kingsfund.org.uk/sites/default/files/Avoiding-Hospital-Admissions-Sarah-Purdy-December2010_0.pdf, https://www.rcog.org.uk/globalassets/documents/careers-and-training/atsms/atsm_acutegynae_curriculum.pdf. By clicking any link on this page you are giving your consent for us to set cookies. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. Software, The wash basin is not placed higher than 74cm (2ft 5in). When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. Assistance may be required because there is/are uneven surfaces. Clinic 3 - Early Pregnancy Unit is/are located on the lower ground floor. Yes We ask that they call the unit so that we can book them a timed appointment. On your first visit to UCH or the UCH Macmillan Cancer Centre you need to park your car and bring the following to the reception desk - your valid Blue Badge, your vehicle registration document or Motability documents, proof of hospital attendance, showing appointment time and date e.g. The Unit is open at all times. The transfer space is obstructed by a waste disposal bin. The study ran from December 2016 to July 2017. 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. Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. There is sufficient space to write or sign documents on the desk. As a result, we have been appointed by the Tommys charity as the Tommys National Centre for Miscarriage Research in collaboration with the University of Birmingham and the University of Warwick. If your GP is closed you can access the out of hours GP services. Writing review & editing, Affiliation You will be given a copy of your ultrasound report. Click through the PLOS taxonomy to find articles in your field. 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. 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. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. The department/service does play background music. There is no signage on or near the toilet door. 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. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. 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. For more information about what these symbols mean, view our Accessibility Symbols Guide. The day room/lounge area is not always open. There is a horizontal wall-mounted grab rail on the opposite side of the seat to the transfer space. The contrast between the wash basin wall-mounted grab rail(s) and wall is good. The height of the soap dispenser is 99cm. Funding acquisition, Recurrent pregnancy loss You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. This section describes the Ultrasound Room(s), located to the left along the department corridor. There is level access to this accessible toilet. 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. Due to the current Covid-19 restrictions, we ask that you do not bring childrento your appointment. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. 023 8077 7222. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. Formal analysis, MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. 2023 North Central London GP Website This site is intended for healthcare professionals only. EPAUs are currently operating in most acute hospital units in the UK aiming to provide women with comprehensive early pregnancy care, which includes clinical and ultrasound assessment, laboratory investigations, further management, as well as counselling and support, all in an out-patient setting. Investigation, The service provides specialist care for the following: Where medically appropriate, we offer a range of management options for conditions in early pregnancy and acute gynaecology. 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.