The door(s) open(s) away from you (push). 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? 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. Writing review & editing, Affiliation Early Pregnancy Unit/Emergency Gynaecology Unit (EPU/EGU) The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. There is not a door release button when exiting. Mirrors are placed at a lower level or at an angle for ease of use. Final diagnosis (FD) was divided into five groups: 1) Normal intrauterine pregnancy including early and live pregnancies; 2) Abnormal intrauterine pregnancy including early embryonic demise, incomplete, and complete miscarriage; 3) Ectopic pregnancy at any site; 4) Pregnancy of unknown location; and 5) Other: molar pregnancy, multiple pregnancy, and not pregnant. By clicking any link on this page you are giving your consent for us to set cookies. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. A . There is not a mirror to aid reversing out of the lift. The width of the door opening is 88cm (2ft 11in). The door does not have a horizontal grab rail. 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. 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 not a clear knee recess beneath the low section of the desk. As a secondary outcome, we aimed to establish the number of emergency hospital admissions for women attending EDs in the same location as the EPAU for first trimester pregnancy complications. Early Pregnancy Assessment & Gynaecology Unit: RFL The wash basin can be reached from seated on the toilet. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. 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. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. There is a/are door(s) into the consultation / treatment room. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. The wash basin is not placed higher than 74cm (2ft 5in). Opening Times. This is based on 6397 women that had complete information on the outcome and key characteristics. We are actively involved in studies developing diagnostic tests and in particular the use of ultrasound diagnostics. There is not a hearing assistance system. Validation, EPAU opening times | Wirral University Hospital NHS Foundation Trust Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. Yes The study ran from December 2016 to July 2017. Non-urgent referrals seen on the same or next day. The clinic is open from 08.30 to 11.00 Monday to Saturday. However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). The Miscarriage Association, Wakefield, United Kingdom, Roles Both units contribute to large multicentre research projects. 6606 pregnant women (16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. The entrance area/door is clearly signed. It has been created to raise awareness and help others to see that what they are going through is completely normal. 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. Disposal facilities are available in the toilet. . The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. You are accessing this website using a legacy browser. 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? Possible symptoms include: Bleeding You can at any time read our cookie policy. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. There is not a dropped kerb from the drop-off point. 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. PLOS ONE promises fair, rigorous peer review, The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. No, Is the Subject Area "Miscarriage" applicable to this article? The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. We will also send an electronic copy to your GP. The room does not have background music playing. The towel dispenser can be reached from seated on the toilet. Yes Your GP can be accessed for a range of non-urgent services. To view other access guides that are related to this one please use the links below. The route from the car park to the hospital entrance is not clearly signposted. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations Early Pregnancy Assessment Unit (EPAU) - Mid and South Essex NHS Software, Early Pregnancy Unit - Cardiff and Vale University Health Board There is a/are manual, heavy, double door(s) between the lift and the department/service. Investigation, The contrast between the walls and floor is good. 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. Validation, If your GP is closed you can access the out of hours GP services. The Rotherham NHS Foundation Trust The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). Access to the hospital is via the main hospital lifts. An email request option is offered where the completed dispensation will be emailed so the patient/carer can print prior to arriving for their appointment, email requests are via. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. There is not a red flashing fire alarm beacon within the imaging room. There is level access into the waiting room / area. We received input from patients who had experienced first trimester pregnancy complications in the design and timing of the study materials, and management oversight through membership of the study steering committee. There are also several taxi services which run from the station. We provide a dedicated service to women under 16 weeks gestation. on the right to withdraw consent, can be found in the website's privacy policy. The contrast between the dropdown rail(s) and wall is good. You must telephone the unit before attending we do not run a walk-in clinic or service. Data curation, The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. The type of flooring in walkways and corridors is vinyl/laminate. The lateral transfer space is 145cm (4ft 9in). Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. 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). No, Is the Subject Area "Nurses" applicable to this article? The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. 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. There is space for an assistance dog to rest within the seating area. 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. (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. This accessible toilet is located to the right as you pass through the waiting area. 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. Site by daysix. 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. The height of the reception counter is low (76cm or lower) . . There is step free access to the reception area/desk. Visit website. GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. Resources, View Accessibility Symbols. We care for women with acute early pregnancy problems and acute gynaecology issues. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. The height of the soap dispenser is 100cm. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. The Miscarriage Association The Ectopic Pregnancy Trust 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. Click through the PLOS taxonomy to find articles in your field. 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 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. Yes The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. Tel: 01793 605257 . Current constraints on health expenditure have compelled providers to explore ways of delivering a greater proportion of care in outpatient settings whilst maintaining good clinical outcomes and high levels of patient satisfaction. The car park is located at the side of the Elizabeth Garrett Anderson Wing. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. However, there was evidence of an association between the emergency admission rate and weekend opening hours. 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. The height of the bell/buzzer is 134cm (4ft 5in). PLoS ONE 16(11): Recurrent pregnancy loss The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. Writing original draft. Yes To keep our patients safe, we are currently offering a telphone advice, triage and referral service. We will keep you updated and we have refreshments available for your comfort. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. The entrance door(s) does not/do not contrast visually with its immediate surroundings. Monday to Sunday 08:00 to 13:00. The door(s) is/are double width but one door is locked. The early pregnancy and acute gynaecology unit (EPAGU) is an emergency unit. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. 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. Early Pregnancy Unit and Gynae Assessment Unit | AccessAble Staff do not need to be notified for use of the lift. The height of the toilet seat above floor level is 48cm (1ft 7in). Do not wait to be called by the EPAU team. e0260534. Access to Early Pregnancy Unit and Gynae Assessment Unit is via the Level D entrance. All units were asked to recruit a minimum number of 150 women each. 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. The lighting levels in the imaging room are low to moderate. You should contact the Early Pregnancy Unit if you have a positive urine pregnancy test, and are experiencing pain and or bleeding from 5 to 20 weeks of pregnancy. You can find more information about these on the patient information page. There is a space for a wheelchair user to wait within the seating area. There is a/are door(s) leading into the department/service. During patient recruitment, we collected data on the grade of all members of staff present in the EPAU during its opening hours, their involvement in delivering early pregnancy care, as well as the actual hours which each member of staff spent in the unit. Validation, Report a problem or suggestion using this facility. The dropped kerb does not have tactile paving. Early pregnancy/emergency gynaecology unit - Clinic 24 | CUH The lighting level in the lift is medium. The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have hadthe following: Whilethis is NOT a standardmaternity triage form, if neededyou can self-refer to the EPAU by filling out our EPAU self-referral form. 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). 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. Inside the venue, there is level access to the female toilet(s). You will be given a copy of your ultrasound report. we'll add the event details to your CPD section automatically. The contrast between the dropdown rail(s) and wall is fair. 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. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. The drop-off point is located on Beaumont Place. Disposal facilities are available in the cubicle. The car park does have a barrier control system. Yes The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. a new pregnancy and under the care of the recurrent miscarriage clinic. 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. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. If our guide needs updating - just let us know using this form. The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. Methodology, Telephone: 0161 922 6000 This site is intended for healthcare professionals only. Wakefield An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. 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. Writing review & editing, Roles Copyright: 2021 Memtsa et al. be as descriptive as possible and include any specific error messages you may see. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. Opening Hours for patient assessment and care planning. Methodology, In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. This accessible toilet is located straight ahead as you enter and to the right. Edna Keeney reports personal fees from Novartis Pharma, personal fees from Pfizer Inc., outside the submitted work. 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.