Your GP can be accessed for a range of non-urgent services. A to Z of services | Croydon Health Services NHS Trust There is not a/are not door(s) into the waiting room / area. The car park is located at the side of the Elizabeth Garrett Anderson Wing. Standard manual wheelchairs are available for people to borrow at this entrance. Pinderfields Hospital 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 reception area/desk is clearly visible from the entrance. 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. 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. There are bollards outside this entrance. We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. The details that will be required when requesting in advance are - Blue Badge serial number, date of expiry and issuing authority/council. Early Pregnancy Unit - Wirral University Teaching Hospital NHS You can visit a walk in centre for any general illness or concern for which you may have visited your GP. 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. Guidelines: care is provided to women following guidelines that have been produced by the department. We are able to offer electives for medical students. The hospital entrance is not clearly visible from the car park. The floors which are accessible by this lift are B-LG-G-1-2. There are several services which stop on Coxford Road outside the Princess Anne Hospital, they are the X11, U6C, the THREE and the 7 Bluestar and 17 Bluestar. We are closed in Bank holidays. 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. Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. Software, The unit is open Monday to Friday, from 9am-5pm. Writing review & editing, Affiliation The senior clinicians were actually spending less time in the EPAUs than expected. PDF Emergency Department Early Pregnancy Unit (EPU) - St George's Hospital Copyright: 2021 Memtsa et al. However, at the time of your scan, you can be accompanied by your partner. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. This is an external link. This is based on 6397 women that had complete information on the outcome and key characteristics. The height of the wash basin is 86cm (2ft 10in). Some women may also be advised to monitor their symptoms at home. Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. The results of our study indicate that the presence of senior clinicians in early pregnancy units may not lead to more effective care when this is measured by the proportion of women who are admitted as an emergency. Software, 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. We next investigated the relationship between emergency admissions from the Emergency Department and planned senior clinician presence in EPAU, unit volume and weekend opening hours of the EPAU. Supervision, However, there was evidence of an association between the emergency admission rate and weekend opening hours. The car parking facilities are for Blue Badge holders only. We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . Writing review & editing, Affiliation The transfer space is obstructed by a waste disposal bin. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? Once your referral has been received, please await a telephone call from the EPAU. 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. Dementia friendly signage is not provided. All rights reserved. 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. Copyright 2023 Imperial College Healthcare NHS Trust, Early pregnancy and acute gynaecology units, Assessment of women with bleeding and/or pain in early pregnancy, Diagnosis and subsequent management of miscarriage and ectopic pregnancy, Nausea and vomiting in pregnancy (hyperemesis), Gynaecology: scans for suspected pelvic pathology requiring emergency review, Possible ovarian cyst accidents (ovarian cyst rupture or torsion), Significant heavy menstrual bleeding with anaemia requiring hospital admission, Expectant, medical and surgical management of miscarriage, Management of ectopic pregnancy: medical, surgical and close monitoring with expectant management, Inpatient and outpatient management of nausea and vomiting in pregnancy, Surgical management of molar pregnancy and liaison with the, Incision and drainage of Bartholins cysts and abscesses under local anaesthesia or general anaesthesia. Both units contribute to large multicentre research projects. Contact details will be put on all outpatient letters. There is not a dropped kerb from the drop-off point. The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. There is step free access into the imaging room. We listen to patient feedbackto deliver patient-centred care. Early Pregnancy Assessment & Gynaecology Unit: RFL Payment machines are located inside the hospital building. The Miscarriage Association The Ectopic Pregnancy Trust Between the hours of 21:45 and 06:00, when the main entrance is closed, you may use the Maternity entrance situated at the end of the hospital at Glasgow Road. The door(s) is/are single width with a locked extension leaf. Do not wait to be called by the EPAU team. Data curation, There are also several taxi services which run from the station. We provide a dedicated service to women under 16 weeks gestation. Click here for a guide to help you assess your bleeding. Pregnancy sickness or morning sickness can be debilitating and difficult in the early stages of pregnancy. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. 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? here. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. b) vaginal bleeding Tommys Tommy's is a charity that funds research for pregnancy and babies. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. 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. Visualization, Accident and Emergency Department/999 There is step free access to the reception area/desk. Contact. There is a waiting area close to the reception point. This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). Visiting restrictions are in place. Early Pregnancy Assessment Unit (EPAU) - Mid and South Essex NHS Institute of Health Economics, Edmonton, Canada, Roles 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. Euston Square station has lift access from the platform to the street. Conceptualization, You can contact the service by calling 01279 827107. The height of the intercom is 134cm (4ft 5in). There is / are 1 Ultrasound Room(s) available. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. Wall mounted grab rails are available for the toilet. Funding acquisition, There is a/are manual, heavy, double door(s) between the lift and the department/service. This accessible toilet is located to the right as you pass through the waiting area. The main car park for the Princess Anne Hospital is called the Yellow car park. Opening Times. Detailed information, also Click through the PLOS taxonomy to find articles in your field. Copyright 2023 AccessAble. There is a payment machine at a convenient height for wheelchair users. A . 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services https://doi.org/10.1371/journal.pone.0260534.t001. The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. View on a map. here. The Early Pregnancy Unit (EPU) provides care and support for women up to 21 and 6 days weeks gestation who may be experiencing problems in their pregnancy. Find Early Pregnancy Assessment Unit in Worksop, S81. Wakefield If you are not under the care of the EPAU, please contact your GP. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? 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. The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. Early pregnancy clinic | NHS Fife Yes The width of the door is 88cm (2ft 11in). 6606 pregnant women (16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. Early Pregnancy Assessment & Gynaecology Unit: RFL - North Central London GP Website Find out about the Early Pregnancy Assessment & Gynaecology Unit: RFL service in North Central London Find out about the Early Pregnancy Assessment & Gynaecology Unit: RFL service in North Central London Your browser is out of date! 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 waiting room / area is approximately 7m from the clinic entrance. Methodology, The main door(s) open(s) towards you (pull). The staff in the unit are skilled in the management of early pregnancy complications,including ultrasound scanning. Units were divided into eight mutually exclusive strata based on these characteristics, and 5 or 6 EPAUs were randomly selected from each stratum to a total of 44 for inclusion in the VESPA study. Conceptualization, Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles 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 Early Pregnancy Clinic should be your first port of call. Funding acquisition, The width of the door opening is 87cm (2ft 10in). You can also call020 7794 0500 ext 38205 or 31468. When you attend an event booked through the North Central London GP Website, Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. Validation, No, Is the Subject Area "Nurses" applicable to this article? Early Pregnancy Unit and Gynae Assessment Unit | AccessAble EPAU opening times. If your GP is closed you can access the out of hours GP services. 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. Continuing will take you away from the There is a/are clinical waste disposal units. During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. 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. Get contact details, videos, photos, opening times and map directions. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. The admission rates by patient characteristics is shown in Table 2. 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. 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. An email request option is offered where the completed dispensation will be emailed so the patient/carer can print prior to arriving for their appointment, email requests are via. GAU is a 24 hour service and can offer advice and . The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. The unit has strong international links, in particular with KU Leuven in Belgium. This accessible toilet is approximately 15m (16yd 1ft) from the clinic entrance. The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. The floors which are accessible by stairs are B-LG-G-1-2. 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? Get contact details, videos, photos, opening times and map directions. My CPD. Access to the building between 21:00 - 07:00 is via intercom. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. The contrast between the internal door and wall is good. Upon completion of data collection, we revisited the activity in all 44 units. Early Pregnancy Assessment Unit (EPAU) - York and Scarborough Teaching Conceptualization, The sonography team will advise if you need to empty your bladder prior to the scan. 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 not a designated drop-off point. 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. Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. The controls for the lift are within 90cm - 120cm from the floor. The waiting room / area does have background music playing. The UCLH email address for Blue Badge parking enquiries is. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. Funding acquisition, 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. The Unit is open at all times. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. 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. 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. We may be able to offer an immediate appointment for those walking in, but if not, women will be asked to attend A&E or return at a later date or time. 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. 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. To obtain mobility aids please contact the main reception. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. . 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%. 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. EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. A moderate level of clustering within units (Intraclass Correlation Coefficient, ICC = 0.04) was assumed. The height of the reception counter is low (76cm or lower) . EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. 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. Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). 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 Yes Clinic 3 - Early Pregnancy Unit | AccessAble Clinic 3 - Early Pregnancy Unit. There is a/are door(s) into the consultation / treatment room. The wash basin and tap(s) can be reached from seated on the toilet. There is a clear unobstructed route to the reception point. Referral: patients are mainly referred to the Unit by their GP, but also from Gynaecology wards, by Midwives and other medical routes. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . The entrance area/door is not clearly signed. General Practitioner (GP) There is room for a wheelchair user to manoeuvre. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. Walk-in Centres Language interpreters can be provided on request. 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. Always inform the staff in the department you are pregnant. BSL interpreters can be provided on request. The toilet roll holder can be reached from seated on the toilet. You may find that certain parts of the A key is not required for the accessible toilet. There is step free access to the reception point. be as descriptive as possible and include any specific error messages you may see. Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . Continue along Grafton Way and rejoin the A400. As you face the toilet the wall-mounted grab rails are on both sides. The drop off bays have a maximum 20 minute waiting restriction. The height of the reception desk is high (110cm+). If a family member or friend has accompaniedyou, the clinician will still request that a member of staff acts as chaperone for an intimate examination. When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. d) previous tubal surgery c) previous ectopic pregnancy A hearing assistance system is not available in the department/service. 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 Data curation, Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical need is identified. Assistance may be required because there is/are slopes/ramps. There is a dark mat or floor marking at this entrance that might be perceived as a hole. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. 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). There is sufficient space next to the bed/couch for a mobile hoist to operate. Edna Keeney reports personal fees from Novartis Pharma, personal fees from Pfizer Inc., outside the submitted work. Twenty-three units were open during weekends. 020 3688 1881 or email Abdominal pain can also be related to non pregnancy causes including muscular pain, pain related to fibroids, urinary tract infection and other surgical causes egappendicitis. 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 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.
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