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. The lighting levels at the reception area/desk are medium. The Early Pregnancy Unit is a consultant-led service and is delivered by a team of specialist nurse sonographers who provide consultation, assessment, scans and treatment plans for women with complications of pregnancy from 5 to 20 weeks. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. Calls will be answered whenever possible but a voicemail facility will also be in place for times when the phone cannot be answered, including out of hours. Early Pregnancy Unit and Gynae Assessment Unit is approximately 14m from the Level D entrance. The Early Pregnancy Clinic should be your first port of call. Clinic 3 - Early Pregnancy Unit is/are located on the lower ground floor. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. This video animation tells the story of one couples experience of miscarriage. Opening Times. Funding acquisition, 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. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. 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. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. 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. All rights reserved. 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. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. 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. There is level access to this accessible toilet. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? The soap dispenser cannot be reached from seated on the toilet. The Ectopic Pregnancy Trust There is a/are wall-mounted grab rail(s) available. Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your 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. Wall mounted grab rails are available for the toilet. 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). (2021) Differences in the organisation of early pregnancy units and the effect of senior clinician presence, volume of patients and weekend opening on emergency hospital admissions: Findings from the VESPA Study. These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. View Article PubMed/NCBI . There is a low section of the desk (76cm or below) available. This venue does not play background music. Get contact details, videos, photos, opening times and map directions. Planned senior clinician presence was defined as the percentage of planned hours which they were expected to spend in the unit according to their weekly timetable, divided by the planned unit opening hours. Payment signs do not make it clear if parking charges apply to Blue Badge holders. There is step free access to the reception area/desk. This website is for healthcare professionals only. Non-urgent referrals seen on the same or next day. There is not a designated drop-off point. (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. There is sufficient space to write or sign documents on the desk. The route from the car park to the entrance is accessible to a wheelchair user with assistance. From the west of the city Southampton General Hospital can be accessed via several routes from the M271. 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. 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. Yes 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. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. This commercial affiliation does not alter our adherence to PLOS ONE policies on sharing data and materials. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. In addition, we recorded the amount of time senior clinicians (consultant gynaecologists) spent working in EPAUs which is of critical importance when assessing the impact of their presence on various clinical outcomes. The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. 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. 020 3456 7890. This is based on 6397 women that had complete information on the outcome and key characteristics. There is a waiting area close to the reception point. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. Traffic light controlled pedestrian crossing points are located adjacent to each tube station. There is level access throughout the department/service. We found that, in general, the actual amount of time spent by the senior clinicians in the units was less than planned, and in only five units, they were present for more than 5% of the time (Fig 3). The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. A hoist can be brought in from another department. 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. To view other access guides that are related to this one please use the links below. We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. Pinderfields Hospital The Unit is open at all times. . Also required will be vehicle registration number, date of appointment and time of appointment. We use cookies on this site to enhance your user experience, Getting To The Hospital (Princess Anne Hospital), Getting Help and Assistance (Princess Anne Hospital), Hospital Parking (Yellow Car Park - Level C - Accessible and Parent and Child Parking Only), Hospital Parking (Yellow Car Park - Open Air Parking), Hospital Parking (Yellow Car Park - Level B - Standard and Parent and Child Parking), Getting To (Early Pregnancy Unit and Gynae Assessment Unit), Outside Access (Level D and Out of Hours Entrance), Opening Times (Early Pregnancy Unit and Gynae Assessment Unit), Department / Service (Early Pregnancy Unit and Gynae Assessment Unit), To view the web page described above click here (opens in new tab), Princess Anne Hospital link (new tab) - click here, Hospital Parking at Princess Anne Hospital link (new tab) - click here. 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. The type of flooring in walkways and corridors is vinyl/laminate. The toilet is not for the sole use of disabled people. The contrast between the walls and floor is good. 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. Both provide consultant-led care for women who experience problems in early pregnancy. The lateral transfer space is 145cm (4ft 9in). The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. The height of the reception counter is low (76cm or lower) . There is step-free access to the accessible toilet. 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. There is level access to the consultation / treatment room. The total number of opening hours per weekend was used to illustrate weekend opening. Charges apply to all users of these car parks. There are not separate entry and exit doors in the lift. 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. Department of Statistical Science, University College London, London, United Kingdom, Roles Our findings are in contrast with the results of previous studies in other clinical settings, which showed that involvement of more experienced clinicians in delivering emergency care results in a significant reduction in emergency hospital admissions and the length of stay in hospital [12, 18]. WF1 4DG. 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. Both telephone and email applications will be coordinated by the UCH main reception team. 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. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. The toilet roll holder can be reached from seated on the toilet. The mirror is not placed at a lower level or at an angle for ease of use. Senior clinician (consultant gynaecologist) involvement in the delivery of acute clinical care has been of interest recently [11], as there is emerging evidence of their positive impact on Emergency Departments (EDs) and Acute Medical Units, contributing to reduced mortality, fewer emergency hospital admissions and accelerated discharge from hospital [1214]. Funding acquisition, The email address for the Patient Advice and Liaison Service (PALS) is. 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. The reception point is approximately 5m (5yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. There is a/are Blue Badge parking bay(s) available. The sonography team will advise if you need to empty your bladder prior to the scan. Sexual health, contraception and HIV services, Vaginal bleeding and/or pain in early pregnancy up to 16 weeks, A loss of liquor before 16 weeks (watery vaginal loss), A positive pregnancy test and ascanresult showinga pregnancy of unknown location with pain, bleeding or other relevant symptoms, A previous ectopic pregnancy (at sixweeks gestation they can be referred for a scan). The unit is open Monday to Friday, from 9am-5pm. Yes 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. 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. There is clear signage on the department/service. Opening times. As you face the toilet the wall-mounted grab rails are on both sides. There is not an assistance dog toilet or toileting area on the hospital site. 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.
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