Inside the venue, there is level access to the female toilet(s). There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. This information is for the entrance located on Grafton Way. The contrast between the dropdown rail(s) and wall is good. c) previous ectopic pregnancy 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. The drop-off point is located to the right of the Level D entrance. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. The hospital entrance is not clearly visible from the car park. 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. If you have concerns with regards to this please speak to the nurse in charge. The door(s) open(s) automatically (towards you). Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. The tube stations are located at opposite ends of the hospital main building. The staff in the unit are skilled in the management of early pregnancy complications, including ultrasound scanning. The main door(s) open(s) towards you (pull). Early Pregnancy Unit (EPU) - Royal Berkshire NHS Foundation Trust GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. Investigation, The lighting levels in the imaging room are low to moderate. There is ramped/sloped access at this entrance. Data curation, The Miscarriage Association, Wakefield, United Kingdom, Roles In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. 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 National Institute for Health and Care Excellence (NICE) guideline on Ectopic Pregnancy and Miscarriage (CG 154) [10] included a review of evidence comparing EPAUs with other models of providing early pregnancy care for women presenting with first trimester pregnancy complications. Referrals are either from GP or the emergency department. A mobile hoist is not available on the department/service. The entrance area/door is clearly signed with the name of the service/department. As it is not necessary for UCH staff to see the Blue Badge at the time of issuing a dispensation notice, a notice can be issued in advance and posted or emailed to patients. We accept GP, midwife and A&E referrals for assessment. Opening Hours for patient assessment and care planning. For the emergency hospital care audit strand, data from routine hospital databases for women attending hospital emergency services (EDs) at the same location as the EPAU were collected in collaboration with the Information Services (IS) departments in the participating hospitals. This accessible toilet is approximately 15m (16yd 1ft) from the clinic entrance. This accessible toilet is located straight ahead as you enter and to the right. Princess Anne Hospital is Located on Coxford Road to the north West of the city. Supervision, 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. Clinic 3 - Early Pregnancy Unit | AccessAble Accident and Emergency Department/999 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 your GP is closed you can access the out of hours GP services. The car park is located at the side of the Elizabeth Garrett Anderson Wing. 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. 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. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. Staff do not need to be notified for use of the lift. The Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. Validation, The toilet roll holder is not placed higher than 100cm (3ft 3in). We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. Writing original draft, When we compared actual with planned senior clinicians presence, we found that in only 3/19 units (16%) did senior clinicians spend more than 15% of their time actively delivering clinical care, and in 13/19 units (68%) their actual documented presence was less than 5%. Also required will be vehicle registration number, date of appointment and time of appointment. There is not a dropped kerb from the drop-off point. The lighting levels are moderate to good. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. Mirrors are not placed at a lower level or at an angle for ease of use. The clinic is open from 08.30 to 11.00 Monday to Saturday. The car parking facilities are for Blue Badge holders only. You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. The unit has strong international links, in particular with KU Leuven in Belgium. The room does not have background music playing. Copyright 2023 East and North Hertfordshire NHS Trust. This maynot always possible depending on service demand and the type of investigation, monitoring or treatment you may need. 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. Funding acquisition, There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. There is a waiting area close to the reception point. The day room/lounge area is not always open. The height of the soap dispenser is 97cm. You can contact the service by calling 01279 827107. Monday to Sunday 08:00 to 13:00. We could therefore calculate the actual amount of time senior clinicians spent in EPAU delivering clinical care. Click through the PLOS taxonomy to find articles in your field. Our team isproudto provide compassionate care during anxious times in early pregnancy, when you may be experiencing pain and/or bleeding or have had a previous ectopic or molar pregnancy. Access to Early Pregnancy Unit and Gynae Assessment Unit is via the Level D entrance. Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. The car park does not have a height restriction barrier. Dementia friendly signage is not provided. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. That is, a one-hour increase in weekend opening hours was associated with a 3.0% (95% CI: 0.3% to 5.8%) increase in the odds of an emergency admission from EPAU. 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. Writing original draft, There are volunteers available for help and assistance at the hospital. A mobility scooter charging point is not available at the hospital. There is not a Patient Advice and Liaison Service (PALS) at the hospital. There is a/are wall-mounted grab rail(s) available. The car park does not have a barrier control system. As long as the future appointment can be verified then there is no time limit on how far in advance a specific dated dispensation notice can be issued. The contrast between the toilet roll holder and the wall is good. The senior clinicians were actually spending less time in the EPAUs than expected. Differences in the organisation of early pregnancy units and the effect The following websites have helpful information and forums to access information and support. Data Availability: All relevant data are within the papers Supporting information files. We will also send an electronic copy to your GP. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. Google map of Princess Anne Hospital Location. There is step free access to the reception area/desk. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. . Mirrors are placed at a lower level or at an angle for ease of use. Access to the building between 21:00 - 07:00 is via intercom. on the right to withdraw consent, can be found in the website's privacy policy. The wash basin cannot be reached from seated on the toilet. 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. The towel dispenser cannot be reached from seated on the toilet. Writing review & editing, Affiliation Your GP can be accessed for a range of non-urgent services. 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. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. The door(s) is/are double width but one door is locked. Investigation, Travel information is subject to change. Senior clinicians were present only in 19 of the 44 EPAUs. Early pregnancy clinic | NHS Fife The intercom is in a suitable position to allow wheelchair users to gain access. Upon completion of data collection, we revisited the activity in all 44 units. There is / are 10 consultation / treatment room(s) available. The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. There is sufficient space for a wheelchair user to use the waiting area. The post code for the Sat-nav is SO16 5YA. If you are over 20 weeks of pregnancy please contact Maternity Triage. Early Pregnancy and Gynaecology Emergency Unit (EPU) 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. We are closed in Bank holidays. Theyprovide a range of services such as peer support and counselling services. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. The drop-off point is located on Beaumont Place. Early Pregnancy Assessment Unit (EPAU) - York and Scarborough Teaching Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. . Assistance may be required because there is/are slopes/ramps. 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. Early pregnancy services - Northern Ireland Maternity and Parenting Early pregnancy and gynaecology unit - Overview 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. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. If you require an ultrasound we aim to offer this within 72 hours of referral. A member of staff is available to assist with opening the door if required. GAU is a 24 hour service and can offer advice and . A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. Contact us. Ultrasound based assessment for suspected pelvic pathology. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles All rights reserved. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. The barrier controls/touchscreen can be reached from the car. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. Wherever possible, all data relating to hospital admissions provided by the IS departments were crosschecked by a member of the research team against ward admission books/databases in an attempt to check their accuracy. 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. There are sofas and also a mixture of single seats with and without armrests. View on a map. 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. Report a problem or suggestion using this facility. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles Resources, However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). 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). e0260534. When you attend an event booked through the North Central London GP Website, The soap dispenser can be reached from seated on the toilet. this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. Department of Statistical Science, University College London, London, United Kingdom, Roles The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. The UCLH email address for Blue Badge parking enquiries is. There is level access into the waiting room / area. 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. The car park does not have a height restriction barrier. The study ran from December 2016 to July 2017. Conceptualization, Please send a referral letter with all patients. The Rotherham NHS Foundation Trust If an appointment is necessary you will be offered a time to attend the unit for an ultrasound scan or to be assessed by the doctor. A hearing assistance system is not available in the department/service. To view other access guides that are related to this one please use the links below. Copyright 2023 AccessAble. This involves clinical review, investigations,diagnosis and treatment on the same day. Our study has several limitations. This website is for healthcare professionals only. Turn left as you pass through the doors and continue ahead. The email address for the Patient Advice and Liaison Service (PALS) is. 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.
