early pregnancy unit opening times early pregnancy unit opening times

You will be given a copy of your ultrasound report. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. 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. Yes Copyright 2023 Imperial College Healthcare NHS Trust, Early pregnancy and acute gynaecology units, Assessment of women with bleeding and/or pain in early pregnancy, Diagnosis and subsequent management of miscarriage and ectopic pregnancy, Nausea and vomiting in pregnancy (hyperemesis), Gynaecology: scans for suspected pelvic pathology requiring emergency review, Possible ovarian cyst accidents (ovarian cyst rupture or torsion), Significant heavy menstrual bleeding with anaemia requiring hospital admission, Expectant, medical and surgical management of miscarriage, Management of ectopic pregnancy: medical, surgical and close monitoring with expectant management, Inpatient and outpatient management of nausea and vomiting in pregnancy, Surgical management of molar pregnancy and liaison with the, Incision and drainage of Bartholins cysts and abscesses under local anaesthesia or general anaesthesia. clinic appointment letter. Having collected detailed data on the opening hours of all participating EPAUs over the weekend, we were able to identify that one hours increase in the weekend opening hours of an EPAU resulted, as expected, in an increased probability of a woman with first trimester complications being admitted to hospital from the EPAU, but decreased the chance of an admission to hospital from the Emergency Department. Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. The Pregnancy Sickness Support website has good advice. 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. The reception counter is not placed in front of a background which is patterned. There is not a hearing assistance system. Monday to Sunday 08:00 to 13:00. Conceptualization, There are coat hooks in the toilet at 107cm and 147cm from the floor. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). You can change the description, reflection or CPD Credit Hours at any time from within Methodology, The controls for the lift are within 90cm - 120cm from the floor. 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). 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. 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. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. If our guide needs updating - just let us know using this form. GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. If you require an ultrasound we aim to offer this within 72 hours of referral. The towel dispenser is placed higher than 100cm (3ft 3in). PLoS ONE 16(11): We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. There are accessible toilet facilities within the department/service. Opening Hours for patient assessment and care planning. The majority of units (37/44) had a unit volume of less than 4000 visits per year, and 22 units had a yearly visit volume lower than 2500 visits per year. During the day you can access the maternity unit by entering the hospital through the main entrance. Methodology, The drop off bays are on the side of the access road to the car park and there are no kerbs. If you want to park near, or in UCLH disabled parking bays, you will need to apply for a parking dispensation to use with your Blue Badge. Urgent GP referrals are seen on the same day. We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . Click here for a guide to help you assess your bleeding. The name / number of the room surveyed was; 3. We value all people andstrive to beopen, honest and accountable for the care provided. Early Pregnancy Assessment & Gynaecology Unit: RFL The email address for the Patient Advice and Liaison Service (PALS) is. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Yes There is a canopy or recess which provides weather protection at this entrance. The Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. 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. They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). Travel information is subject to change. 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? 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. The lighting levels at the reception point are good. 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. Yes There is a Patient Advice and Liaison Service (PALS) at the hospital. Payment machines are located inside the hospital building. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. Visualization, There is not a bell to attract attention. 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. Referrals are accepted direct to the unit from GPs, Midwives and the Emergency Department. Dementia friendly signage is not provided. For more information about PLOS Subject Areas, click The toilet is not for the sole use of disabled people. Wakefield There is dedicated team of trained sonographers and consultants who provide the ultrasound services. Contact details will be put on all outpatient letters. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. Writing original draft, Early Pregnancy Unit - Cardiff and Vale University Health Board 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. For more information about PLOS Subject Areas, click Data for this observational study were collected as part of the VESPA study, a UK-wide prospective mixed-methods study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. This is an external link. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). 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. There are volunteers available for help and assistance at the hospital. 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. View on a map. Copyright 2023 AccessAble. Funding acquisition, A member of staff is available to assist with opening the door if required. The maternity unit is situated on the second floor of the hospital (level2). There is a/are manual, heavy, double door(s) between the lift and the department/service. Our research lead, Professor Tom Bourne, is a founding member of the International Ovarian Tumor Analysis (IOTA) group and sits in the steering committee of several large international trials. Assistance may be required because there is/are uneven surfaces. The toilet roll holder can be reached from seated on the toilet. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. Writing review & editing, Affiliation The lighting levels are moderate to good. In addition, patients/carers should be encouraged, where they know the date and time of their next appointment, to get their dispensation notice prior to leaving the hospital. The main car park for the Princess Anne Hospital is called the Yellow car park. There is not a play area or toys/books for a child to play with. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. Discover a faster, simpler path to publishing in a high-quality journal. Always inform the staff in the department you are pregnant. The lighting levels are moderate to good. Blue Badge parking bays cannot be booked in advance. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. In line with our Trusts policy a chaperone is available for all intimate examinations. Formal analysis, Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. The contrast between the wall-mounted grab rail(s) and wall is fair. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. There is a space for a wheelchair user to manoeuvre. Early pregnancy assessment unit - East Lancashire Hospitals NHS Trust There is not a red flashing fire alarm beacon within the toilet. J Ultrasound Med. There is written text and pictorial signage on or near the toilet door. The height of the soap dispenser is 97cm. EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. The mirror is not placed at a lower level or at an angle for ease of use. 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. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: The height of the reception counter is low (76cm or lower) . This variable was also dichotomised for some analyses to indicate whether the annual number of patient visits for a unit was above or below the median. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. However, our study is the first large prospective study designed with a specific aim to study emergency admission rates in women presenting with acute first trimester pregnancy complications. The following websites have helpful information and forums to access information and support. There are strong links with the Institute of Reproductive and Developmental Biology (IRDB) at Imperial College London run by Professor Phillip Bennett, with projects ranging from the study of the microbiome to novel biomarkers in early pregnancy. Validation, 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. 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. Therefore many women may prefer to monitor mild painless bleeding in early pregnancy (below 12 weeks and 6 days) and you may want to explore our information about bleeding and pain in pregnancy prior to contacting the unit, here. There is an/are accessible toilet(s) within this venue designated for public use. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. The Early Pregnancy Unit | Princess Alexandra Hospital Methodology, For some analyses, this variable was also dichotomised to indicate whether a unit was open at weekends (yes/no), whilst a three-level weekend opening variable was defined: None/Saturday only/Saturday and Sunday. The car park is located on Level C of the hospital building. Investigation, Validation, There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. Validation, Data curation, Non-urgent referrals seen on the same or next day. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. For many people who have experienced pregnancy loss, finding out they are pregnant again can bring with it a mixture of hope and fear, along with a range of other feelings. WF1 4DG. In the submitted paper, there are no competing interests and MASS has no claim of ownership for any IP arising from or related to this paper. In the UK, the care of women experiencing complications in the first trimester of pregnancy is mainly provided in Early Pregnancy Assessment Units (EPAUs). Bleeding and pain during early pregnancy are relatively common symptoms and do not always mean there is a problem. Investigation, 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. Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles There is step free access to the reception area/desk. Investigation, If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. This information is for the entrance located on the lower ground floor. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). Hospital staff do not receive disability awareness / equality training. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. The type of flooring in walkways and corridors is vinyl/laminate. Fitting hierarchical logistic regression models for Emergency admission from EPAU, there was little evidence of an association between the admission rate and planned senior clinician presence or unit volume controlled for final diagnosis and maternal age, as shown in Table 5. We are closed in Bank holidays. VESPA included the services provided by MASS in the submittal for funding to NIHR. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles To obtain mobility aids please contact a member of staff. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. 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. The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. 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. There is a/are Blue Badge parking bay(s) available. When you attend an event booked through the North Central London GP Website, Writing review & editing, Roles The waiting room / area does have background music playing. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. Visit website. There are not separate entry and exit doors in the lift. 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. However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). View Accessibility Symbols. Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. Twenty-three units were open during weekends. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. Once you have been discharged from our care you can still contact us if you have any questions or problems. We chose to study the rate of emergency admissions which is a recognised quality outcome indicator for acute hospital units [19, 20]. The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. They were established following a publication by Bigrigg and Read [5] in 1991 who reported on cost savings and improved quality of early pregnancy care following the opening of an EPAU in their local hospital. The transfer space is obstructed by a waste disposal bin. Mirrors are not placed at a lower level or at an angle for ease of use. The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. There is step-free access to the accessible toilet. The contrast between the internal door and wall is good. However, at the time of your scan, you can be accompanied by your partner. 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. If you have had a previous miscarriage, we would you advise to contact the Early Pregnancy Assessment Unit if you experience bleeding. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. Accessible toilet facilities are available. The IHE receives funding from, and collaborates with, government, academic, not-for-profit and private sector organisations. There is sufficient space next to the bed/couch for a mobile hoist to operate. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. Writing review & editing, Affiliation Women may also be referred to the units if they are pregnant and have a previous history of miscarriage or ectopic pregnancy, or if there is a suspected gynaecological problem that requires urgent clinical assessment. 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. The entrance area/door is not clearly signed.