Language interpreters can be provided on request. 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]. When describing your problem or suggestion, Funding acquisition, Miscarriage is the most common type of pregnancy loss. 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. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. Tommys Tommy's is a charity that funds research for pregnancy and babies. 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%. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, 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. You will be given a copy of your ultrasound report. 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]. (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. Conceptualization, Early Pregnancy Unit and Gynae Assessment Unit | AccessAble . There is / are 10 consultation / treatment room(s) available. The details that will be required when requesting in advance are - Blue Badge serial number, date of expiry and issuing authority/council. When you attend an event booked through the North Central London GP Website, 023 8077 7222. this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. Patients already under the care of the early pregnancy assessment unit (EPAU) may contact the team through the following number: 01904 726489 . Clinic 3 - Early Pregnancy Unit | AccessAble You may find that certain parts of the Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. For more information about what these symbols mean, view our Accessibility Symbols Guide. The soap dispenser can be reached from seated on the toilet. Accident and emergency patient information leaflets, Video consultations - frequently asked questions, Visiting and keeping in touch during Covid-19, Log in or register with Patients Know Best, Patients Know Best - frequently asked questions, Patients Know Best and NHS App integration, Yorkshire Regional Spinal Injuries Centre (YRSIC), Psychology department - Every Voice Matters, Complex Eating, Weight and Bariatric Psychology, Plastic, Reconstructive and Burns Surgery, Breast plastic and reconstructive surgery, Skin cancer plastic and reconstructive surgery, Trauma plastic, reconstructive and burns surgery, Population and people who use our services, Zero Tolerance - Abuse is not in a day's work, Genetic Links to Anxiety and Depression (GLAD) study, Providing Online guided Self-help for Eating disorders in adults with type 2 Diabetes (POSE-D) pilot study, General Data Protection Regulation (GDPR), Safe Nursing and Midwifery staffing levels, Medical Education & Simulation Hub (MESH), Visit the Miscarriage Association website, previous ectopic or molar pregnancy with a new pregnancy. The Patient Advice and Liaison Service (PALS) is located on the ground floor of the main University College Hospital building. 020 3688 1881 or email The hospital entrance is not clearly visible from the car park. We do not accept self-referral to the Early Pregnancy Unit for vomiting in pregnancy unless you are currently under our care or have been diagnosed with hyperemesis in a previous pregnancy. Opening Times (Early Pregnancy Unit and Gynae Assessment Unit) Department / Service (Early Pregnancy Unit and Gynae Assessment Unit) Reception Consultation / Treatment Room (3) Imaging Room Day Room / Lounge Area (Quiet Room) Accessible Toilet (s) Related Access Guides Getting To The Hospital (Princess Anne Hospital) Collapse all By Road View The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. This is based on 6397 women that had complete information on the outcome and key characteristics. Parking spaces for Blue Badge holders do not need to be booked in advance. We recommend upgrading your browser to continue. Software, If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. You will then have an ultrasound scan which is usually a transvaginal scan (internal scan), to assess your pregnancy. Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles EPAU opening times | Wirral University Hospital NHS Foundation Trust A mobile hoist is not available on the department/service. Yes There is a vertical wall-mounted grab rail on the transfer side. View Article PubMed/NCBI . You can at any time read our cookie policy. Once your referral has been received, please await a telephone call from the EPAU. The reception area/desk is clearly visible from the entrance. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). Opening Times. Do not wait to be called by the EPAU team. 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. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. 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. The day room/lounge area is not always open. Tel: 01793 605257 The Early Pregnancy Assessment Unit (EPAU) is for patients in the early stages of pregnancy up to 16 weeks. The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. In some miscarriages the uterus (womb) empties itself completely. new North Central London GP Website do not work as expected. 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. 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. Early Pregnancy Assessment Unit - Tameside and Glossop Integrated Care The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. The main door(s) open(s) automatically (away from you). Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. Standard toilet facilities are available. There is not a designated drop-off point. We see women in the first 17 weeks of pregnancy only (up to 14 weeks at Basildon University Hospital). Conceptualization, The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. The National Institute for Health and Care Excellence (NICE) guideline on Ectopic Pregnancy and Miscarriage (CG 154) [10] included a review of evidence comparing EPAUs with other models of providing early pregnancy care for women presenting with first trimester pregnancy complications. If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. The car park does not have a height restriction barrier. Early pregnancy and gynaecology unit - Overview Weekend opening, however, may be an effective way of reducing emergency admissions from ED. The towel dispenser is placed higher than 100cm (3ft 3in). Early Pregnancy Assessment Unit (EPAU) - Mid and South Essex NHS People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. 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. There are not separate entry and exit doors in the lift. Assistance may be required because there is/are slopes/ramps. You will often be seen at around 6 -7 weeks for a reassurance scan. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. . Hospital staff do not receive disability awareness / equality training. Data curation, We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. Formal analysis, The contrast between the toilet roll holder and the wall is good. The height of the reception counter is low (76cm or lower) . Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. Warren Street (Northern / Victoria Lines) and Euston Square (Circle / Hammersmith & City / Metropolitan Lines) are the closest tube stations to University College Hospital (UCH). The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. Electronic consent for treatment or a procedure at our hospitals, Nominate a nurse, midwife or clinical support worker for a DAISY Award, New QEII Hospital Community Diagnostic Centre, Patient-initiated follow-up appointments (PIFU), Personalised care follow-ups for cancer patients, To provide high quality, compassionate care. Walk-in Centres The car park is located on Level C of the hospital building. Conceptualization, 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. There is sufficient space next to the bed/couch for a mobile hoist to operate. 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? Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. Early Pregnancy Unit (Day time): 0151 604 7450. . Twenty-three units were open during weekends. The staff in the unit are skilled in the management of early pregnancy complications,including ultrasound scanning. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. Yes The intercom is in a suitable position to allow wheelchair users to gain access. The Blue Badge bay(s) is/are clearly marked. We are closed in Bank holidays. Yes Data curation, This section describes the Ultrasound Room(s), located to the left along the department corridor. 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 over Cardiff and the Vale of Glamorgan. There is not a flashing fire alarm beacon within the waiting room / area. on the right to withdraw consent, can be found in the website's privacy policy. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. The waiting room / area is approximately 7m from the clinic entrance. Guidelines: care is provided to women following guidelines that have been produced by the department. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. Barnet Hospital also offers a walk-in service. 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. There is step free access into the imaging room. Early pregnancy clinic | NHS Fife There is level access into the waiting room / area. The main car park for the Princess Anne Hospital is called the Yellow car park. View on a map. View photos. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. Opening Times. Water bowls for assistance dogs are available on request. This accessible toilet is located to the right as you pass through the waiting area. Early Pregnancy Unit (EPU) - Royal Berkshire NHS Foundation Trust PLOS ONE promises fair, rigorous peer review, In line with our Trusts policy a chaperone is available for all intimate examinations. There is not a 120cm hatched zone around the Blue Badge parking bay(s). 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. The soap dispenser can be reached from seated on the toilet. Scan is an appointment based service and we aim to see you at your given appointment time, but if you have been referred as an emergency without an appointment time or if you require further assessment or investigations then there may be a waiting time to be seen, which can vary. All patients should receive a call back within one working day of a message being left acknowledging the message. The VESPA study recruited from the EPAU population. In view of that, we were unable to identify the threshold above which senior clinicians would need to be present in the units actively delivering early pregnancy care in order to improve clinical outcomes. There is step-free access to the accessible toilet. General Practitioner (GP) Copyright 2023 AccessAble. The admission rates by patient characteristics is shown in Table 2. Women may self-refer to the Royal Free EPAGU with early pregnancy problems. The funder provided support in the form of salaries for authors MM, VG, GA, PB, EK, SS, ZA, JR, NK, JH, GB, JS, DJ; however, the funder and sponsors of the study did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.