You can contact the service by calling 01279 827107. (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. Investigation, The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. Statistical models were adjusted for final diagnosis, maternal age at initial visit, deprivation score, and unit referral policy regarding gestational age, as these variables have a known effect on the rate of emergency admissions [1517]. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. Board Meetings (including Agenda and Papers), Corporate publications (Annual Reports and Accounts), COVID vaccine resources for minority ethnic communities, Accelerating care across Lancashire and South Cumbria, Patient Portal: mobile phone appointment letters, Test your equipment for Video Appointments / Calls, Academic Surgical and Perioperative Medicine Unit. gpit@camdenccg.nhs.uk to carry out the upgrade. The drop-off point is located to the right of the Level D entrance. If you have concerns with regards to this please speak to the nurse in charge. There is a shelf within the accessible toilet. If you are not under the care of the EPAU, please contact your GP. Opening hours This line is open Monday to Friday 10-12pm Women's choices Use this number to discuss your pregnancy options 01592 6433355 ext 25445 Email: fifewomenschoices@nhs.scot Opening hours This line is open Monday to Friday 11am-3pm Bleeding in the early stages of your pregnancy? Women are seen in order of clinical priority, which means that you may be in the department for longer than anticipated. The lighting levels are moderate to good. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. There is clear signage on the department/service. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Methodology, 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. Visualization, There is sufficient space for a wheelchair user to manoeuvre within the imaging room. There is a canopy or recess which provides weather protection at this entrance. The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. The accessible toilet was out of use at the time of the survey. There are 21 Parent and Child Bays available on this level. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. There is not a play area or toys/books for a child to play with. Formal analysis, The car park is located at the side of the Elizabeth Garrett Anderson Wing. Formal analysis, If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. 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 percentage of emergency admissions from the Emergency Department ranged from 7% to 58% with the majority of the units having an emergency admission rate of between 10% and 30%. In view of this, we revised our cut-off and used 2500 instead of 3000 visits to describe the units as high or low volume in the final data analysis. Accessible toilet facilities are available. 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. Please contact your midwife or maternity triage urgently if your symptoms relate to fetal movement. The car park does not have a height restriction barrier. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. Parking spaces for Blue Badge holders do not need to be booked in advance. Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. There are vertical wall-mounted grab rails on both sides of the wash basin. EPAGU Level 2, Wellhouse Lane, Barnet, EN5 3DJ, 020 7472 6374, 020 7794 0500 ext 38205 or 31468, EPAGU 5th Floor, Pond Street, London, NW3 2QG, 020 7472 6374 (RFH) 020 8216 5233 (Barnet), Emergency clinic for women with pain or/and bleeding in early pregnancy or pregnant women with high risk of ectopic pregnancy, For recurrent miscarriages and early pregnancy concerns, For women with problems during early pregnancy. 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. Funding acquisition, There is a clear unobstructed route to the reception point. The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. 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. https://doi.org/10.1371/journal.pone.0260534, Editor: Gang Qin, Nantong University, CHINA, Received: April 5, 2021; Accepted: November 11, 2021; Published: November 30, 2021. 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. From the north of the city there are several routes from the M27, from the north east the A33 offers the best route towards the hospital. We performed sensitivity analyses by refitting the regression models using the binary variables for planned senior clinician presence, unit volume and weekend opening hours. Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. Methodology, 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. You can find your nearest walk-in centre at www.nhs.uk. As you face the toilet the wall-mounted grab rails are on both sides. We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. Euston Road - no's 18, 27, 30, 88. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). This is based on 6397 women that had complete information on the outcome and key characteristics. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. 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. Yes 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. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy such as pain or bleeding up to 16+6 weeks gestation. The reception area/desk is clearly visible from the entrance. We are closed in Bank holidays. Methodology, The soap dispenser can be reached from seated on the toilet. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. We have placed cookies on your computer to help make this website better. Turn right onto Beaumont Place before reaching Warren Street tube station. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. Detailed information, also 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 drop-off point is located on Beaumont Place. There are also several taxi services which run from the station. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. Scans appointments are every weekday morning and afternoon. The unit has strong international links, in particular with KU Leuven in Belgium. The clinic reception is located to the left as you enter. There is / are 10 consultation / treatment room(s) available. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. 9.00am 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day), 10.00 to 12.00 Sunday and Bank Holiday except 25th December, Clinical assessment if you present with symptoms in early pregnancy, USS scan to assess pregnancy, pelvis, ovaries, Medical/surgical/conservative management for miscarriage orectopic pregnancy, Surgical management of miscarriage under Local anaesthesia (MVA), Outpatient Treatment for hyperemesis (vomiting in early pregnancy), Outpatient treatment for Bartholins abscess, Telephone advise and follow up regarding further investigations, assessment of symptoms and management plans. Tommys Tommy's is a charity that funds research for pregnancy and babies. EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. Pregnancy sickness or morning sickness can be debilitating and difficult in the early stages of pregnancy. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. There are sofas and also a mixture of single seats with and without armrests. The floors which are accessible by this lift are B-LG-G-1-2. 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 the right to withdraw consent, can be found in the website's privacy policy. You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. There is not a red flashing fire alarm beacon within the toilet. 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 Investigation, . The car park does have a barrier control system. The unit is open Monday to Friday, from 9am-5pm. Dementia friendly signage is not provided. The association between the three factors: senior clinician presence, unit volume, and weekend opening hours, and the proportion of emergency admissions was investigated by using regression models, where hierarchical models were used for analysing patient-level data, and standard models were used for analysing unit-level data. 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. f) Intrauterine Contraceptive Device in-situ. www.miscarriageassociation.org.ukprovides information to help thoseaffected by miscarriage, molar pregnancy or ectopic pregnancy. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. The staff in the unit are skilled in the management of early pregnancy complications,including ultrasound scanning. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. Conceptualization, It is not intended for public use. 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. Once you have been discharged from our care you can still contact us if you have any questions or problems. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. There is level access to this accessible toilet. We provide a dedicated service to women under 16 weeks gestation. The day room/lounge area is not always open. 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. Writing review & editing, Affiliation 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. Roles There is a dropdown rail on the transfer side. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. Methodology, 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. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. https://doi.org/10.1371/journal.pone.0260534.g003. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). The lighting levels at the reception point are good. Copyright: 2021 Memtsa et al. 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. Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. Site by daysix. There are accessible toilet facilities within the department/service. Contact. 023 8077 7222. The aim was to capture hospital emergency activity with regards to early pregnancy care in EDs. There is space for an assistance dog to rest within the seating area. The study ran from December 2016 to July 2017. There is a vertical wall-mounted grab rail on the transfer side. The lateral transfer space is 145cm (4ft 9in). 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. Non-urgent referrals seen on the same or next day. The car park does not have a barrier control system. Volunteers can be found on the ground floor of the main University College Hospital building. Payment machines are located inside the hospital building. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). Please complete the form calledEarly Pregnancy Assessment Unit (EPAU) and email to: GP to telephone to make an appointment Despite the fact that an advanced training module in acute gynaecology and early pregnancy has been running for a number of years from The Royal College of Obstetricians and Gynaecologists, to our knowledge, a rigorous assessment of its quality and effectiveness has not been undertaken [21]. There is written text and pictorial signage on or near the toilet door. Always inform the staff in the department you are pregnant. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. The car park surface is a shared surface. Resources, We provide high quality healthcare services primarily to the residents of East Lancashire and Blackburn with Darwen, which have a combined population in the region of 530,000. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). c) previous ectopic pregnancy Miscarriage is the most common type of pregnancy loss. If your GP is closed you can access the out of hours GP services. 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. They are not issued to carers, relatives, visitors or friends who are Blue Badge holders bringing a non-Blue Badge holder patient to an appointment. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. View photos. We are able to offer electives for medical students. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. The maximum period staff are allowed to issue a dispensation notice is for 31 calendar days, any requests for dispensation notices for more than 31 calendar days should be sent to the Operations Manager, Property and Transport Services at. PLOS ONE promises fair, rigorous peer review, You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. Yes From the west of the city Southampton General Hospital can be accessed via several routes from the M271. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. Methodology, We report the data from two of the VESPA study strands: 1) the prospective cohort study of women attending EPAUs due to first trimester complications; and 2) the emergency hospital care audit of women admitted as an emergency with first trimester pregnancy complications. The height of the toilet roll holder is 118cm (3ft 10in). The reception counter is not placed in front of a background which is patterned. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. Child Emotional Wellbeing & Mental Health, Learning Disabilities & Neurodevelopmental Disorders (NDD), Gastroenterology, Colorectal, Renal & Urology, Care Home Training & Development (Islington), Data quality/standard referral form programme, 020 7472 6374(RFH) and 020 8216 5233 (Barnet), 020 7472 6374 (rfh: specialist nurse advice during opening hours) or020 7794 0500 ext 38205 or 31468, Early Pregnancy Assessment & Gynaecology Unit: RFL, assessment and management of women with pain and bleeding in early pregnancy (up to 15 weeks and sixdays), assessment of women at high risk of an ectopic pregnancy, assessment and management of women with acute gynaecological problems.