If our guide needs updating - just let us know using this form. The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. Search for local Pregnancy near you on Yell. The total number of opening hours per weekend was used to illustrate weekend opening. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. We obtained clinical data from 6,606 women. You can find your nearest walk-in centre at www.nhs.uk. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. The senior clinicians were actually spending less time in the EPAUs than expected. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. 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. EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. There is not a door release button when exiting. Contact us. Contact. The specific roles of these authors are articulated in the author contributions section. The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. The main door(s) open(s) automatically (away from you). GP EPAU referral form [docx] 99KB (click to download). Writing original draft. 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]. Urgent GP referrals are seen on the same day. The car park does have a height restriction barrier. Early Pregnancy Assessment Unit - Betsi Cadwaladr University Health Board There is sufficient space next to the bed/couch for a mobile hoist to operate. The early pregnancy and acute gynaecology unit (EPAGU) is an emergency unit. Tommys Tommy's is a charity that funds research for pregnancy and babies. The admission rates by patient characteristics is shown in Table 2. If it is decided that you need outpatient care,the Emergency Department will send an electronic referral to the EPAU nurse, and you will be contacted either the same dayor the next working day. You can also be referred by a clinician (doctor, midwife or advanced clinical practitioner) who will complete an electronic referral, or by yourGP who will email us directly. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. The door(s) open(s) automatically (towards you). There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. Women are often contacted on the same day, or the next working day if the referral is received after 3pm. The height of the reception desk is high (110cm+). Maternity Services | NHS Lanarkshire We listen to patient feedbackto deliver patient-centred care. Both provide consultant-led care for women who experience problems in early pregnancy. Validation, The towel dispenser is placed higher than 100cm (3ft 3in). 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. Writing original draft, Validation, Formal analysis, The entrance area/door is clearly signed with the name of the service/department. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. This section describes the Ultrasound Room(s), located to the left along the department corridor. The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . Investigation, a new pregnancy and under the care of the recurrent miscarriage clinic. 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. The towel dispenser cannot be reached from seated on the toilet. This accessible toilet is approximately 15m (16yd 1ft) from the clinic entrance. The contrast between the external door and wall is good. King's College Hospital Early Pregnancy Assessment Unit (EPAU) 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. Conceptualization, If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. The drop off bays have a maximum 20 minute waiting restriction. 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. The intercom is in a suitable position to allow wheelchair users to gain access. Assistance may be required because there is/are uneven surfaces. Data curation, Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. We are able to offer electives for medical students. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. You will be given a copy of your ultrasound report. We chose to study the rate of emergency admissions which is a recognised quality outcome indicator for acute hospital units [19, 20]. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option. The department/service does play background music. Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). The contrast between the dropdown rail(s) and wall is fair. If our guide needs updating - just let us know using this form. Tel: 0118 322 8741. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. Tel: 01793 605257 Send email. Opening Hours for patient assessment and care planning. 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. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. Click here for a guide to help you assess your bleeding. 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. When describing your problem or suggestion, Our findings are in contrast with the results of previous studies in other clinical settings, which showed that involvement of more experienced clinicians in delivering emergency care results in a significant reduction in emergency hospital admissions and the length of stay in hospital [12, 18]. There is not a play area or toys/books for a child to play with. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard There is room for a wheelchair user to manoeuvre. There is not a Patient Advice and Liaison Service (PALS) at the hospital. The Pregnancy Sickness Support website has good advice. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. 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. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. This accessible toilet is located straight ahead as you enter and to the right. We are closed in Bank holidays. 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. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. Prospective cohort study and emergency hospital care audit; data were collected as part of the national prospective mixed-methods VESPA study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. The Early Pregnancy Unit is a consultant-led service and is delivered by a team of specialist nurse sonographers who provide consultation, assessment, scans and treatment plans for women with complications of pregnancy from 5 to 20 weeks. Software, The IHE does not currently receive funds for research related to the submitted work. Writing review & editing, Affiliation Payment signs do not make it clear if parking charges apply to Blue Badge holders. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Yes The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). Data curation, Data curation, The hospital does have a dedicated car park. The accessible toilet was out of use at the time of the survey. The height of the bell/buzzer is 134cm (4ft 5in). here. 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. Site map.