The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. There is a/are door(s) into the consultation / treatment room. The lighting levels are moderate to good. be as descriptive as possible and include any specific error messages you may see. This accessible toilet is located along the department corridor. 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. To view other access guides that are related to this one please use the links below. 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. Research that could potentially guide recommendations and policies on staffing and configurations of EPAUs has been scarce [69]. We see women in the first 18 weeks of pregnancy only. Early Pregnancy Assessment Unit - Tameside and Glossop Integrated Care Your GP can be accessed for a range of non-urgent services. Senior clinicians were present only in 19 of the 44 EPAUs. This information is for the entrance located on the lower ground floor. Methodology, Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. 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. These associations did not markedly change after further confounder adjustment. EPAU opening times | Wirral University Hospital NHS Foundation Trust The car park does not have a barrier control system. The admission rates by patient characteristics is shown in Table 2. People who still have an ongoing pregnancy will be discharged back to the care of their midwife. The car park does have a barrier control system. The height of the soap dispenser is 100cm. We are able to offer electives for medical students. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. 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. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). Assistance may be required because there is/are uneven surfaces. Volunteers can be found on the ground floor of the main University College Hospital building. Telephone: 0161 922 6000 Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). 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. The maternity unit is situated on the second floor of the hospital (level2). There is sufficient space for a wheelchair user to manoeuvre within the imaging room. The door does not have a horizontal grab rail. 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. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. This is based on 6397 women that had complete information on the outcome and key characteristics. Accessible toilet facilities are available. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. There is ramped/sloped access at this entrance. 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services 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 was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. Visualization, 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. The email address for the Patient Advice and Liaison Service (PALS) is. Access to the hospital is via the main hospital lifts. Investigation, Clinic 3 - Early Pregnancy Unit | AccessAble Early Pregnancy Unit - Wirral University Teaching Hospital NHS Always inform the staff in the department you are pregnant. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, 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. Women may self-refer to the Barnet EPAGU only if they have had a previous ectopic pregnancy or recurrent miscarriages. The wash basin is placed higher than 74cm (2ft 5in). There is not an assistance dog toilet or toileting area on the hospital site. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). There are accessible toilet facilities within the department/service. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. Early Pregnancy Unit & Gynaecology Assessment Unit Burnley General Teaching Hospital, Casterton Avenue, Burnley, BB10 2PQ 01282 425 071 / 01282 804 268 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? There is a/are clinical waste disposal units. A previousmolar pregnancy, not less than 8 weeks gestation. The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. However, there was evidence of an association between the emergency admission rate and weekend opening hours. 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. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. The contrast between the dropdown rail(s) and wall is good. Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. 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. Guidelines: care is provided to women following guidelines that have been produced by the department. There is no signage on or near the toilet door. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. 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. Theyprovide a range of services such as peer support and counselling services. Copyright: 2021 Memtsa et al. The route from the car park to the hospital entrance is not clearly signposted. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. IMD scores were divided into 10 decile groups. This is an external link. Standard manual wheelchairs are available for people to borrow at this entrance. www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. The contrast between the wall-mounted grab rail(s) and wall is fair. 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. There is step free access to the reception point. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). Based on this study, the sample size of 44 units, each contributing 150 patients, was calculated to give us 90% power to detect a 5% absolute difference in the risk of an emergency admission. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. Staff do not need to be notified for use of the lift. The Miscarriage Association The Ectopic Pregnancy Trust https://doi.org/10.1371/journal.pone.0260534.g002. The unit has strong international links, in particular with KU Leuven in Belgium. If you are not under the care of the EPAU, please contact your GP. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. All patients should receive a call back within one working day of a message being left acknowledging the message. 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). No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are not provided in the reception area. Contact us. Referral: patients are mainly referred to the Unit by their GP, but also from Gynaecology wards, by Midwives and other medical routes. The contrast between the dropdown rail(s) and wall is fair. No, Is the Subject Area "Cohort studies" applicable to this article? 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. There is a/are door(s) into the day room/lounge area. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. . The day room/lounge area is not always open. There is a/are wall-mounted grab rail(s) available. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0260534, https://www.rcog.org.uk/globalassets/documents/guidelines/wprgynstandards2008.pdf, https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2012_022.pdf, https://www.aomrc.org.uk/wpcontent/uploads/2016/05/Seven_Day_Consultant_Present_Care_1212.pdf, https://www.england.nhs.uk/wp-content/uploads/2013/12/evidence-base.pdf, https://www.isdscotland.org/Health-Topics/Quality-Measurement-Framework/Emergency-Admissions/, https://www.kingsfund.org.uk/sites/default/files/Avoiding-Hospital-Admissions-Sarah-Purdy-December2010_0.pdf, https://www.rcog.org.uk/globalassets/documents/careers-and-training/atsms/atsm_acutegynae_curriculum.pdf. We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. 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 In some cases additional treatment is needed such as: An early pregnancy loss can be a deeply distressing experience both physically and emotionally and we want to ensure that you are able to access the support you need during this difficult time. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. The car park does have a height restriction barrier. Writing review & editing, Affiliation The hospital entrance is clearly visible from the car park. 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. Early Pregnancy Unit (EPU) - Royal Berkshire NHS Foundation Trust There is a low section of the desk (76cm or below) available. e) three or more previous miscarriages There are volunteers available for help and assistance at the hospital. This video animation tells the story of one couples experience of miscarriage. A mobility scooter charging point is not available at the hospital. All rights reserved. This accessible toilet is approximately 15m (16yd 1ft) from the clinic entrance. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. Early Pregnancy Assessment Unit (EPAU) - Lewisham and Greenwich Early Pregnancy Unit and Gynae Assessment Unit is approximately 14m from the Level D entrance. Pregnancy sickness or morning sickness can be debilitating and difficult in the early stages of pregnancy. We are actively involved in studies developing diagnostic tests and in particular the use of ultrasound diagnostics. Early Pregnancy Assessment & Gynaecology Unit: RFL Find Early Pregnancy Assessment Unit in Worksop, S81. The clinic is open from 08.30 to 11.00 Monday to Saturday. There is room for a wheelchair user to manoeuvre. This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. 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. There are not separate entry and exit doors in the lift. The Blue Badge bay(s) is/are clearly marked. Aberford Road The entrance area/door is clearly signed with the name of the service/department. The Miscarriage Association, Wakefield, United Kingdom, Roles Yes The door(s) is/are single width with a locked extension leaf. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy . It has been created to raise awareness and help others to see that what they are going through is completely normal. EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. There are vertical wall-mounted grab rails on both sides of the wash basin. 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. Unit volume was defined as the number of patient visits per year and was estimated using the time taken to obtain data on the required number of patients and the average number of visits per patient. Institute of Health Economics, Edmonton, Canada, Roles Please check the latest information before planning your journey. 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. View our cookie policy. 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. 023 8077 7222. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. The lighting levels are moderate to good. All units were asked to recruit a minimum number of 150 women each. The ramp/slope is located in front of the entrance. The IHE does not currently receive funds for research related to the submitted work.