Staff do not need to be notified for use of the lift. We recommend upgrading your browser to continue. There is not a clear knee recess beneath the low section of the desk. on the right to withdraw consent, can be found in the website's privacy policy. The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. Funding acquisition, The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). Standard toilet facilities are available. However, at the time of your scan, you can be accompanied by your partner. An ambulant toilet with wall mounted grab rails is available. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. Dementia friendly signage is not provided. Electronic consent for treatment or a procedure at our hospitals, Nominate a nurse, midwife or clinical support worker for a DAISY Award, New QEII Hospital Community Diagnostic Centre, Patient-initiated follow-up appointments (PIFU), Personalised care follow-ups for cancer patients, To provide high quality, compassionate care. 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. Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. There is a dropped kerb from the drop-off point. There is a Patient Advice and Liaison Service (PALS) at the hospital. The contrast between the external door and wall is good. The contrast between the towel dispenser and the wall is good. Contact details for early pregnancy services for your Trust can be found on the homepage. BSL interpreters can be provided on request. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. Investigation, If it is decided that you need outpatient care,the Emergency Department will send an electronic referral to the EPAU nurse, and you will be contacted either the same dayor the next working day. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. 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. There are bollards outside this entrance. 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. Opening times. 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 dropdown rail on the transfer side. 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. Visiting restrictions are in place. 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. When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. Please call the ward to find out more. 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. View on a map. 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 unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. There is not a/are not door(s) into the waiting room / area. GP EPAU referral form [docx] 99KB (click to download). The mirror is not placed at a lower level or at an angle for ease of use. 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). There is sufficient space next to the bed/couch for a mobile hoist to operate. It has been created to raise awareness and help others to see that what they are going through is completely normal. Travel information is subject to change. we'll add the event details to your CPD section automatically. 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. Department of Statistical Science, University College London, London, United Kingdom, Roles The VESPA study recruited from the EPAU population. Resources, Opening Times. The hospital does have a dedicated car park. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. 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. 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. We see women in the first 18 weeks of pregnancy only. This accessible toilet is located to the right as you pass through the waiting area. Search for local Pregnancy near you on Yell. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. The study ran from December 2016 to July 2017. t: 020 7794 0500 ext 38205 or 31468. Click here for a guide to help you assess your bleeding. There is a/are door(s) into the day room/lounge area. You can contact the service by calling 01279 827107. There are also several taxi services which run from the station. The type of flooring in walkways and corridors is vinyl/laminate. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. The height of the towel dispenser is 125cm (4ft 1in). . Scan is an appointment based service and we aim to see you at your given appointment time, but if you have been referred as an emergency without an appointment time or if you require further assessment or investigations then there may be a waiting time to be seen, which can vary. The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. The wash basin is placed higher than 74cm (2ft 5in). The Unit is open at all times. When you attend the Emergency Department, you will be assessed by a doctor to see whether you need to stay in hospital and receive care as an inpatient, or whether you can be discharged and referred to to the EPAU as an outpatient. 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. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. 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. The car park is located to the left of the main underground car parks. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). Women are seen in order of clinical priority, which means that you may be in the department for longer than anticipated. Walk-in Centres Site by daysix. Turn right onto Beaumont Place before reaching Warren Street tube station. There is sufficient space for a wheelchair user to use the waiting area. https://doi.org/10.1371/journal.pone.0260534.g002. Women may self-refer to the Royal Free EPAGU with early pregnancy problems. Keeping you away from the hospital unless absolutely necessary is to keep you and your family healthy. The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. We care for women with acute early pregnancy problems and acute gynaecology issues. Conceptualization, The entrance door(s) does not/do not contrast visually with its immediate surroundings. We would like to express our gratitude to the 44 participating Early Pregnancy Assessment Units and their supporting research staff: Bishop Auckland Hospital, Bishop Auckland, Gloucestershire Royal Hospital, Gloucester, Luton and Dunstable University Hospital, Luton, Queen Elizabeth The Queen Mother Hospital, Margate, The James Cook University Hospital, Middlesborough, Association of Early Pregnancy Units (AEPU), Pat Doyle (Chairperson), Professor in Epidemiology, London School of Hygiene and Tropical Medicine, Cecilia Bottomley, Lead clinician for Early Pregnancy, Chelsea and Westminster Hospital, Elizabeth Bradley, General Practitioner, Hampstead Group Practice, Hannah-Rose Douglas, Research lead for Analytical Services, NHS England, Marjory Maclean, Consultant Obstetrician and Gynaecologist, NHS Ayrshire and Arran, Brad Manktelow, Associate Statistics Professor, University of Leicester, Alex Peace-Gadsby, Chair, The Ectopic Pregnacy Trust. Writing review & editing, Affiliation 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 Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. You can find more information about these on the patient information page. Print this page Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlottes & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. In some miscarriages the uterus (womb) empties itself completely. The main door(s) open(s) automatically (away from you). There is clear signage on the department/service. Formal analysis, Monday to Sunday 08:00 to 13:00. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. Copyright 2023 East and North Hertfordshire NHS Trust. The day room/lounge area is not always open. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. There is not a red flashing fire alarm beacon within the toilet. If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. The entrance area/door is not clearly signed. 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. If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. Validation, The toilet roll holder is not placed higher than 100cm (3ft 3in). 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). There is ramped/sloped access at this entrance. The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). The floors which are accessible by stairs are B-LG-G-1-2. There is a canopy or recess which provides weather protection at this entrance. GAU is a 24 hour service and can offer advice and . Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. There are vertical wall-mounted grab rails on both sides of the wash basin. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. We accept GP, midwife and A&E referrals for assessment. Data curation, If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. 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. Non-identifiable demographic and routine clinical data were collected for all women attending the participating EPAUs, and if women gave their written consent to participate to the VESPA study, their clinical data were linked. 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. here. You can also be referred by a clinician (doctor, midwife or advanced clinical practitioner) who will complete an electronic referral, or by yourGP who will email us directly. www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. e0260534. The emergency pull cord alarm is not fully functional. If our guide needs updating - just let us know using this form. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. The drop-off point is located on Beaumont Place. Payment signs do not make it clear if parking charges apply to Blue Badge holders. If you are experiencing heavy bleeding and/or severe pain, or feeling dizzy, please go straight to the Emergency Department. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. This may be a stressful time for both couples and their families and the unit aims to support you through the early stages of your pregnancy. The drop off bays are on the side of the access road to the car park and there are no kerbs. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. A key is not required for the accessible toilet. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. There is sufficient space next to the bed/couch for a mobile hoist to operate. Coping with problems in early pregnancy can be difficult, however unfortunately due to COVID 19 restrictions we are limited to the number of people who can be allowed into the department. 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 overCardiffand the Vale of Glamorgan. Language interpreters can be provided on request. Possible symptoms include: Bleeding The contrast between the wall-mounted grab rail(s) and wall is good. 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. We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . The Pregnancy Sickness Support website has good advice. 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. c) previous ectopic pregnancy No, Is the Subject Area "Hospitals" applicable to this article? This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. f) Intrauterine Contraceptive Device in-situ. The car park does not have a height restriction barrier. Yes This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. 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. The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. Methodology, Contact us. Writing review & editing, Affiliation The dispensation notice is a Camden Councils parking scheme for Blue Badge holders who are attending outpatients appointments at University College London Hospitals NHS Foundation Trust (UCLH). VESPA included the services provided by MASS in the submittal for funding to NIHR. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. In line with our Trusts policy a chaperone is available for all intimate examinations. The unit is open Monday to Friday, from 9am-5pm. This room is not accessed via a changing room. There are no chairs with armrests available. Data curation, There is not a bell to attract attention. The door does not have a horizontal grab rail. This information is for the entrance located on Grafton Way. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. This involves clinical review, investigations,diagnosis and treatment on the same day. There is not a Patient Advice and Liaison Service (PALS) at the hospital. If your condition may affect your pregnancy, you will be referred to the appropriate department. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. 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. Return to maternity and newborn services home, View our current vacancies and read about working with us, Read about our Media service and Communications Team, you are in significant pain despite simple pain killers such as Paracetamol, experiencing moderate to severe vaginal bleeding. Charges apply to all users of these car parks. The Blue Badge bay(s) is/are clearly marked. 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. 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. Funding acquisition, Assistance may be required because there is/are uneven surfaces. Mobility aids are available to help patients move around and include; wheelchairs and crutches. Supervision, Parking spaces for Blue Badge holders do not need to be booked in advance. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. gpit@camdenccg.nhs.uk to carry out the upgrade. Early Pregnancy Unit and Gynae Assessment Unit. Supervision, Blue Badge parking bays cannot be booked in advance. 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. Data curation, The nearest designated Blue Badge parking bay is approximately 25m (27yd 1ft) from the Elizabeth Garrett Anderson Wing main entrance. Funding acquisition, There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Non-urgent referrals seen on the same or next day. There are standard toilet facilities within this department/service. There is not an assistance dog toilet or toileting area on the hospital site. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. There is step free access to the reception point. The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have hadthe following: Whilethis is NOT a standardmaternity triage form, if neededyou can self-refer to the EPAU by filling out our EPAU self-referral form. 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. After yourscan, you will be reviewed by one of the specialist nurses who will then discuss with you the likely cause of your symptoms, whether you need to have any more investigations, and your treatment options. Writing review & editing, Affiliation We obtained clinical data from 6,606 women. 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. At the time of patient recruitment, we collected information about the unit referral policy with regards to the minimum gestational age at which women could be seen at the EPAU. The door(s) open(s) away from you (push). Detailed information, also We performed sensitivity analyses by refitting the regression models using the binary variables for planned senior clinician presence, unit volume and weekend opening hours. The hospital entrance is not clearly visible from the car park. It is likely that they will be unable to offer reassurance scans if you have experienced previous early pregnancy problems unless you have symptoms in this pregnancy but individual units availability may vary. The VESPA study received a favourable ethical opinion from the North West Research Ethics Committee (REC reference 16/NW/0587) in the UK, registration number ISRCTN 10728897. Yes This accessible toilet is located along the department corridor. If you are referred to the unit, an appointment will be offered for the next available clinic based on the following set criteria: Women between 6 - 13 weeks of pregnancy with a . The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. The main car park for the Princess Anne Hospital is called the Yellow car park. Data curation, The room does not have background music playing. Your GP can be accessed for a range of non-urgent services. As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. 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. Find Early Pregnancy Assessment Unit in Worksop, S81. The early pregnancy and acute gynaecology unit (EPAGU) is an emergency unit. We value all people andstrive to beopen, honest and accountable for the care provided. . Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. We will keep you updated and we have refreshments available for your comfort. View Accessibility Symbols. Investigation, There is level access throughout the department/service. There is a waiting area close to the reception point. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. As you face the toilet the wall-mounted grab rails are on both sides. Copyright: 2021 Memtsa et al. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. Tommys Tommy's is a charity that funds research for pregnancy and babies. Yes Mobility aids are available to help patients move around and include; wheelchairs. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. This accessible toilet is located straight ahead as you enter and to the right. 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. The height of the toilet roll holder is 118cm (3ft 10in). We listen to patient feedbackto deliver patient-centred care. Early Pregnancy Assessment Units are highly valued by women but aspects of their care experiences, particularly around sensitive management of pregnancy loss, could be improved. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. 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. For service contact details please visit the relevant service page. Both telephone and email applications will be coordinated by the UCH main reception team. Report a problem or suggestion using this facility. As you face the toilet pan the transfer space is on the left. The towel dispenser can be reached from seated on the toilet. When describing your problem or suggestion, The name / number of the room surveyed was; D190. Project administration, 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. Walk-in centres can be accessed by anyone and have more flexible opening hours. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. The car park surface is a shared surface. The contrast between the toilet roll holder and the wall is good. This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option.
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