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On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. 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. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. There is a space for a wheelchair user to manoeuvre. Citation: Memtsa M, Goodhart V, Ambler G, Brocklehurst P, Keeney E, Silverio SA, et al. If you have abdominal pain inearly pregnancy, we want to ensure that the pain is not caused bya miscarriage or anectopic pregnancy. Yes This venue does not play background music. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain A hoist can be brought in from another department. There are not volunteers available for help and assistance at the hospital. You can find more information about these on the patient information page. The reception counter is not placed in front of a background which is patterned. 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. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Parking spaces for Blue Badge holders do not need to be booked in advance. There is step free access to the reception point. View photos. Payment signs do not make it clear if parking charges apply to Blue Badge holders. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. There are 21 Parent and Child Bays available on this level. We could therefore calculate the actual amount of time senior clinicians spent in EPAU delivering clinical care. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). There is not a bell to attract attention. 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. Between the hours of 21:45 and 06:00, when the main entrance is closed, you may use the Maternity entrance situated at the end of the hospital at Glasgow Road. Peter Brocklehurst reports grants and personal fees from MRC, grants from MRC, NIHR HS&DR, NIHR HJTA, Wellcome Trust, personal fees from AG Biotest, outside the submitted work. A key is not required for the accessible toilet. Visualization, View photos. There are accessible toilet facilities within the department/service. Formal analysis, There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. For more information about what these symbols mean, view our Accessibility Symbols Guide. . You can find your nearest walk-in centre at www.nhs.uk. Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. We are able to offer electives for medical students. Copyright 2023 East and North Hertfordshire NHS Trust. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page There is not sufficient space to write or sign documents on the counter. The car park does have a height restriction barrier. In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. The height of the soap dispenser is 99cm. Conceptualization, You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an 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. https://doi.org/10.1371/journal.pone.0260534.t001. The barrier controls/touchscreen can be reached from the car. Funding acquisition, 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. Urgent GP referrals are seen on the same day. Early Pregnancy Unit (Day time): 0151 604 7450. . There is a dark mat or floor marking at this entrance that might be perceived as a hole. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. We are now welcoming self referrals from women,however, we will still accept referrals from the existing pathway. Turn left as you pass through the doors and continue ahead. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. On entering via the Level D entrance continue ahead and the entrance to the Early Pregnancy Unit and Gynae Assessment Unit department is on the right. Find Early Pregnancy Assessment Unit in Worksop, S81. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. The towel dispenser can be reached from seated on the toilet. Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. The mirror is not placed at a lower level or at an angle for ease of use. Possible symptoms include: Bleeding Investigation, The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). The car park does not have a height restriction barrier. 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. Supervision, There is a dropdown rail on the transfer side. Is the Subject Area "Pregnancy" applicable to this article? The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). Dementia friendly signage is not provided. c) previous ectopic pregnancy 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. 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. Disposal facilities are available in the cubicle. There is step free access at this entrance. The accessible toilet was out of use at the time of the survey. The UCLH email address for Blue Badge parking enquiries is. The height of the intercom is 134cm (4ft 5in). 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. The wash basin is not placed higher than 74cm (2ft 5in). This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. 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 soap dispenser can be reached from seated on the toilet. The contrast between the wall-mounted grab rail(s) and wall is fair. The contrast between the internal door and wall is good. There is a vertical wall-mounted grab rail on the transfer side. The Blue Badge bay(s) is/are signposted but have no markings. It has been created to raise awareness and help others to see that what they are going through is completely normal. There is written text and pictorial signage on or near the toilet door. Yes To obtain mobility aids please contact the main reception. The height of the toilet seat above floor level is 48cm (1ft 7in). All rights reserved. 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. Writing review & editing, Affiliation Wall mounted grab rails are available for the toilet. 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. Patients already under the care of the early pregnancy assessment unit (EPAU) may contact the team through the following number: 01904 726489 . Visualization, Assistance may be required because there is/are uneven surfaces. Jeff Round reports grants from NIHR, during the conduct of the study; and Dr Round is currently employed by the Insitute of Health Economics (IHE). Payment machines are located inside the hospital building. Twenty-three units were open during weekends. PLoS ONE 16(11): Conceptualization, GP EPAU referral form [docx] 99KB (click to download). There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. There are several services which stop on Coxford Road outside the Princess Anne Hospital, they are the X11, U6C, the THREE and the 7 Bluestar and 17 Bluestar. This is an external link. A hearing assistance system is not available in the department/service. To keep our patients safe, we are currently offering a telphone advice, triage and referral service. Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing [email protected] at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing [email protected] at St Marys. In preparation for the study, we carried out a prospective audit of clinical activity in eight EPAUs in London, UK, which included 3,600 women. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. The main door(s) open(s) automatically (away from you). The drop off bays are on the side of the access road to the car park and there are no kerbs. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, The NICE guideline developing group, which includes a patient and public involvement panel, concluded that the configuration of services between different units varied considerably but, due to paucity of data, they were unable to make recommendations on the optimal structure of EPAUs that would balance clinical and service outcomes against cost-effectiveness. Disposal facilities are available in the toilet. The route from the car park to the entrance is accessible to a wheelchair user with assistance. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. There is a/are door(s) leading into the department/service. This relatively low level of senior clinicians involvement could explain the lack of an observed association between their presence and emergency admissions in this study. EPAU opening times. e) three or more previous miscarriages By clicking any link on this page you are giving your consent for us to set cookies. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. Women with nausea and vomiting in pregnancy should contact their GP for an assessment of their symptoms to exclude other causes for nausea and vomiting in pregnancy such as urinary tract infections. 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. If you do not wish to have them in the room during your appointment, please let the nurse or doctor know and students can be asked to step outside. The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. Language interpreters can be provided on request. 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. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Contact us. 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. There is clear signage on the department/service. 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 step-free access to the accessible toilet. 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. There is a low section of the desk (76cm or below) available. There is not a play area or toys/books for a child to play with. We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. Access to the waiting area is unobstructed. Methodology, We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. View Accessibility Symbols. 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. The email address for the Patient Advice and Liaison Service (PALS) is. You may find that certain parts of the No, Is the Subject Area "Hospitals" applicable to this article? You are accessing this website using a legacy browser. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Contact details will be put on all outpatient letters. Writing review & editing, Affiliation There is a/are door(s) into the consultation / treatment room. If you are experiencing heavy bleeding and/or severe pain, or feeling dizzy, please go straight to the Emergency Department. 020 3456 7890. Writing original draft, However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). Click through the PLOS taxonomy to find articles in your field. We have placed cookies on your deviceto help improve our website. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. If our guide needs updating - just let us know using this form. If you are over 20 weeks of pregnancy please contact Maternity Triage. There is a clear unobstructed route to the reception point. e0260534. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. 023 8077 7222. There is not a Patient Advice and Liaison Service (PALS) at the hospital. The reception area/desk is clearly visible from the entrance. View on a map. When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. 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%. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). Validation, We listen to patient feedbackto deliver patient-centred care. 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. Writing review & editing, Affiliation Visiting restrictions are in place. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. This video animation tells the story of one couples experience of miscarriage. We have placed cookies on your computer to help make this website better. Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. Print this page 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.