here. Writing review & editing, Affiliation The transfer space is obstructed by a waste disposal bin. This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. The Miscarriage Association, Wakefield, United Kingdom, Roles Roles There is a canopy or recess which provides weather protection at this entrance. In line with our Trusts policy a chaperone is available for all intimate examinations. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. The car park does not have a height restriction barrier. 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. 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. The width of the accessible toilet door is 87cm (2ft 10in). Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. It is likely that the caller ID will show as a private number orwithheld number. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. View photos. https://doi.org/10.1371/journal.pone.0260534.t001. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. If you are over 20 weeks of pregnancy please contact Maternity Triage. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. https://doi.org/10.1371/journal.pone.0260534.g002. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. 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. There is a/are door(s) leading into the department/service. This accessible toilet is located straight ahead as you enter and to the right. Traffic light controlled pedestrian crossing points are located adjacent to each tube station. 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. 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. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. Planned and actual senior clinician presence, unit size, and weekend opening. Accident and Emergency Department/999 here. The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. We will keep you updated and we have refreshments available for your comfort. The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. 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. There are no chairs with armrests available. You should still contact the Early Pregnancy Unit on the phone number below, which will inform you of where to call in the event of an emergency. Contact details will be put on all outpatient letters. 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. To provide a one-stop service. 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. 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. 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. Funding acquisition, b) vaginal bleeding 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. c) previous ectopic pregnancy We have placed cookies on your computer to help make this website better. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people. The width of the door opening is 86cm (2ft 10in). Yes Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Download the app Get a . Writing review & editing, Roles There is a Patient Advice and Liaison Service (PALS) at the hospital. The contrast between the external door and wall is good. The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. If you have had a previous miscarriage, we would you advise to contact the Early Pregnancy Assessment Unit if you experience bleeding. Methodology, The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. There is a/are manual, heavy, double door(s) between the lift and the department/service. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). Parking spaces for Blue Badge holders do not need to be booked in advance. Conceptualization, The door does not have a horizontal grab rail. 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. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. The towel dispenser can be reached from seated on the toilet. Formal analysis, Try to follow the advice about drinking little and often to avoid this as much as you can. A mobility scooter charging point is not available at the hospital. No, Is the Subject Area "Nurses" applicable to this article? 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. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles 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. This showed substantial variations in the proportion of in-patient emergency admissions with 8.5% in units without, and 3.5% in those with, senior clinician presence. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. There are 21 Parent and Child Bays available on this level. Theyprovide a range of services such as peer support and counselling services. The unit sees women with common symptoms such as bleeding or pain in early pregnancy. There is not a play area or toys/books for a child to play with. The height of the toilet seat above floor level is 48cm (1ft 7in). PLOS ONE promises fair, rigorous peer review, The wash basin is not placed higher than 74cm (2ft 5in). EPAU opening times. a new pregnancy and under the care of the recurrent miscarriage clinic. Formal analysis, The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). 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 have a non-urgent concern not related to your pregnancy such as chest/urine/ear infections, skin complaints, viral infections, exposure to infections i.e chickenpox, you should see your GP for advice as they are better placed to help with these problems. Telephone: 0161 922 6000 COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. Conceptualization, 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 shelf is not higher than 95cm (3ft 1in). 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. As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. For service contact details please visit the relevant service page. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. on the right to withdraw consent, can be found in the website's privacy policy. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, There is / are 10 consultation / treatment room(s) available. All rights reserved. The contrast between the internal door and wall is good. The hospital does have a dedicated car park. We provide a dedicated service to women under 16 weeks gestation. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. View on a map. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard Resources, There is not a/are not Blue Badge parking bay(s) available. If necessary, patients can be admitted under the on-call gynaecology team 24 hours a day, seven days a week. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. You can contact the service by calling 01279 827107. The type of flooring in walkways and corridors is vinyl/laminate. 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. 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? This venue does not play background music. You must telephone the unit before attending we do not run a walk-in clinic or service. Resources, The Ectopic Pregnancy Trust 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. The contrast between the towel dispenser and the wall is good. Methodology, Access to the hospital is via the main hospital lifts. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. There is sufficient space next to the bed/couch for a mobile hoist to operate. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlotte's & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. 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. Language interpreters can be provided on request. 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. We report the data from two of the VESPA study strands: 1) the prospective cohort study of women attending EPAUs due to first trimester complications; and 2) the emergency hospital care audit of women admitted as an emergency with first trimester pregnancy complications. For some analyses, this variable was also dichotomised to indicate whether a unit was open at weekends (yes/no), whilst a three-level weekend opening variable was defined: None/Saturday only/Saturday and Sunday. 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. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. A hearing assistance system is not available in the department/service. The width of the accessible toilet opening is 84cm. The width of the door opening is 88cm (2ft 11in). The hospital entrance is clearly visible from the car park. Writing original draft, You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. There is not a designated drop-off point. There is level access to the consultation / treatment room. There is a/are clinical waste disposal units. All rights reserved. Urgent GP referrals are seen on the same day. There is level access into the waiting room / area. There is a/are door(s) into the day room/lounge area. 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. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. Assistance may be required because there is/are slopes/ramps. The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. new North Central London GP Website do not work as expected. 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. We would advise you attend your local emergency department unitif bleeding worsens whereby you are having to change your sanitary pad more frequently and feel unwell, or ifyou are experiencing severe abdominal pain which is not improving with simple pain relief egparacetamol. Visualization, Find Early Pregnancy Assessment Unit in Worksop, S81. Search for local Pregnancy near you on Yell. Tel: 01793 605257 The lighting levels in the imaging room are low to moderate. Some women may also be advised to monitor their symptoms at home. 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. Warren Street (bus stop W) no's 18 and 205. 023 8077 7222. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles Visualization, Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles This accessible toilet is located to the right as you pass through the waiting area. Yes 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. The clinic reception is located to the left as you enter. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. 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. Tommys Tommy's is a charity that funds research for pregnancy and babies. The reception point is approximately 5m (5yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Turn left as you pass through the doors and continue ahead. The tube stations are located at opposite ends of the hospital main building. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. There is a canopy or recess which provides weather protection at this entrance. Referral: patients are mainly referred to the Unit by their GP, but also from Gynaecology wards, by Midwives and other medical routes. Where applicable, participants gave informed written consent before taking part in the study. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. 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. 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. Opening Times. The contrast between the dropdown rail(s) and wall is good. Possible symptoms include: Bleeding We do not accept self-referral to the Early Pregnancy Unit for vomiting in pregnancy unless you are currently under our care or have been diagnosed with hyperemesis in a previous pregnancy. There is step free access into the imaging room. Yes, however bleeding does not necessarily mean there is a problem. e0260534. A . Recurrent pregnancy loss Is the Subject Area "Pregnancy" applicable to this article? If our guide needs updating - just let us know using this form. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. There is not a dropped kerb from the drop-off point. If you feel your symptoms require urgent assessment outside of these hours the wider medical team are here to support you 24 hours a day 7 days a week. There is a dropdown rail on the transfer side. Charges apply to all users of these car parks. https://doi.org/10.1371/journal.pone.0260534.g003. The car park does have a barrier control system. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. Validation, The contrast between the dropdown rail(s) and wall is good. The contrast between the walls and floor is good. There is room for a wheelchair user to manoeuvre. Please call the ward to find out more. There is a dropdown rail on the transfer side. We are closed in Bank holidays. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page Opening Hours for patient assessment and care planning. There is room for a wheelchair user to manoeuvre. Always inform the staff in the department you are pregnant. Neither planned senior clinician presence (p = 0.874) nor unit volume (p = 0.247) were associated with lower admission rates from EPAU, whilst EPAU opening over the weekend resulted in lower admission rates (p = 0.027). The reception area/desk is clearly visible from the entrance. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. You can visit a walk in centre for any general illness or concern for which you may have visited your GP. The height of the intercom is 134cm (4ft 5in). Dementia friendly signage is not provided. The wash basin can be reached from seated on the toilet. Writing review & editing, Affiliations e) three or more previous miscarriages Click here for a guide to help you assess your bleeding. www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? A key is not required for the accessible toilet. Yell.com Yell Business. For more information about what these symbols mean, view our Accessibility Symbols Guide. There is pictorial signage on or near the toilet door. The drop-off point is located to the right of the Level D entrance. Mirrors are placed at a lower level or at an angle for ease of use. Accessible toilet facilities are available. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. Software, Our research lead, Professor Tom Bourne, is a founding member of the International Ovarian Tumor Analysis (IOTA) group and sits in the steering committee of several large international trials. Get contact details, videos, photos, opening times and map directions. Pregnancy Sickness Support website, here. There is a/are wall-mounted grab rail(s) available. The waiting room / area is approximately 7m from the clinic entrance. 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/are clearly marked/signposted Blue Badge parking bay(s) available. We see women in the first 18 weeks of pregnancy only. 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. We are open Monday - Friday 08 - 20:00 (last patient accepted 19:15) and Saturday -Sunday 08:30 - 14:00 (last patient accepted 13:15). Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. The lighting level in the lift is medium. A key is not required for the accessible toilet. The reception area/desk is clearly visible from the entrance. We value all people andstrive to beopen, honest and accountable for the care provided. 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. Monday to Sunday 08:00 to 13:00. This website is for healthcare professionals only. There is sufficient space to write or sign documents on the desk. Travel information is subject to change. The details that will be required when requesting in advance are - Blue Badge serial number, date of expiry and issuing authority/council. The clinic is open from 08.30 to 11.00 Monday to Saturday. General Practitioner (GP) Writing review & editing, Roles Funding acquisition, MASS (NK) was commissioned by and became a member of the VESPA co-applicants group to provide the required workforce modelling expertise and knowledge. There is not a Patient Advice and Liaison Service (PALS) at the hospital. This analysis was based on the 29 units (5,464 patients) that were able to provide us with reliable data regarding the attendances to Emergency Department and emergency admissions out of hours. The sonography team will advise if you need to empty your bladder prior to the scan. The wash basin cannot be reached from seated on the toilet. 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. This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions.