We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. Out of hours, they will either be given an appointment to attend the next day or will be seen by the on-call medical team. Find Early Pregnancy Assessment Unit in Worksop, S81. 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. We care for women with acute early pregnancy problems and acute gynaecology issues. 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. Aberford Road If counselling is required then people are signposted to Charlies Angels for further support. There are not parking charges for the hospital car park. Detailed information, also The contrast between the dropdown rail(s) and wall is good. We recommend upgrading your browser to continue. Yes, however bleeding does not necessarily mean there is a problem. d) previous tubal surgery Unit volume was defined as the number of patient visits per year and was estimated using the time taken to obtain data on the required number of patients and the average number of visits per patient. There is also a need to further explore the skill mix of a multidisciplinary team of nurses, midwives and sonographers, which could facilitate effective running of EPAUs in the absence of senior clinicians. The admission rates by patient characteristics is shown in Table 2. Turn right onto Beaumont Place before reaching Warren Street tube station. The main door(s) open(s) towards you (pull). 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 www.ectopic.org.ukSupporting people who have experienced an early pregnancy complication. Yes We are closed in Bank holidays. 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. https://doi.org/10.1371/journal.pone.0260534.g003. The unit sees women with common symptoms such as bleeding or pain in early pregnancy. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. In some miscarriages the uterus (womb) empties itself completely. This national study has been realised thanks to the participation and hard work of 44 Early Pregnancy Assessment Units and their supporting research staff, a large number of patients who took the time to advise us before and during the study, as well as complete questionnaires and take part in interviews, and a number of organisations and individuals, to which we are extremely grateful. Investigation, For service contact details please visit the relevant service page. As our hospitals are teaching hospitals, medical or midwifery students may be present during your appointment. There are not volunteers available for help and assistance at the hospital. 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. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. Yes The route from the car park to the hospital entrance is not clearly signposted. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. 2018 37:1533-1538. pmid:29119588 . When describing your problem or suggestion, As part of this assessment, they may ask for investigations that may be performed on the same day or within urgent time frames and a management plan will be made for you. A key is not required for the accessible toilet. The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). This website is for healthcare professionals only. Competing interests: I have read the journals policy and the authors of this manuscript have the following competing interests: MM, VG, GA, ZA, NK, JH, GB, RBA, JS, DJ has nothing to disclose. Data Availability: All relevant data are within the papers Supporting information files. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. 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. There is an/are accessible toilet(s) within this venue designated for public use. There is not a designated drop-off point. There is not a 120cm hatched zone around the Blue Badge parking bay(s). Tel: 01793 605257 The nearest National Rail station is Euston. The car park is located to the left of the main underground car parks. The entrance area/door is clearly signed. Funding acquisition, A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. 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). Google map of Princess Anne Hospital Location. The drop off bays are on the side of the access road to the car park and there are no kerbs. This venue does not play background music. Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. Parking spaces for Blue Badge holders do not need to be booked in advance. Formal analysis, Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. Is the Subject Area "Pregnancy" applicable to this article? e) three or more previous miscarriages There is sufficient space to write or sign documents on the desk. 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. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. Investigation, The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. We strive for continuous improvement and provide evidence based care. Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. Conceptualization, There is not a bell to attract attention. There is / are 10 consultation / treatment room(s) available. The waiting room / area does not have background music playing. Yell.com Yell Business. The sonography team will advise if you need to empty your bladder prior to the scan. General Practitioner (GP) The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. It is likely that the caller ID will show as a private number orwithheld number. Monday to Sunday 08:00 to 13:00. Conceptualization, The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. Methodology, There is space for an assistance dog to rest within the seating area. Please be aware that some external resources may be restricted to NHS Secure Network connections only. The height of the toilet seat above floor level is 48cm (1ft 7in). The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). Funding acquisition, There is not a Patient Advice and Liaison Service (PALS) at the hospital. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). Patients can call 0203 447 3013 to request a dispensation notice in advance. The height of the intercom is 134cm (4ft 5in). The towel dispenser can be reached from seated on the toilet. clinic appointment letter. The car park does have a height restriction barrier. Methodology, broad scope, and wide readership a perfect fit for your research every time. 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. Edna Keeney reports personal fees from Novartis Pharma, personal fees from Pfizer Inc., outside the submitted work. 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. This section describes the Ultrasound Room(s), located to the left along the department corridor. No, Is the Subject Area "Hospitals" applicable to this article? Guidelines: care is provided to women following guidelines that have been produced by the department. These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. The door(s) open(s) automatically (towards you). The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. The car parking facilities are for Blue Badge holders only. The variable Gestational Age Policy (GAP) captures whether units either accepted referrals for women of any gestational age or only reviewed women of six weeks gestation or more. Hospital staff do not receive disability awareness / equality training. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles 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. Carole Johnston / Nicky Hewitt, Clinical Nurse Specialists for early pregnancy: 01924 541123, Gynaecology assessment unit: 01924 541135, Back to top of page 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. The following websites have helpful information and forums to access information and support. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. The door does not have a horizontal grab rail. The car park does not have a barrier control system. Do not wait to be called by the EPAU team. The height of the soap dispenser is 97cm. 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 pictorial signage on or near the toilet door. If you would prefer to contact the Early Pregnancy Unit for information and support, you can contact the Specialist Nursing Team for a consultation between 8:30 am and 5:30 pm, Monday to Friday. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. A hoist can be brought in from another department. 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 are vertical wall-mounted grab rails on both sides of the wash basin. The dispensation notice is a Camden Councils parking scheme for Blue Badge holders who are attending outpatients appointments at University College London Hospitals NHS Foundation Trust (UCLH). This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. The specific roles of these authors are articulated in the author contributions section. Due to the current Covid-19 restrictions, we ask that you do not bring childrento your appointment. This information is for the entrance located on the lower ground floor. . 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. You should contact your midwife if you require advice on non-urgent symptoms or conditions in pregnancy. There is a/are door(s) into the day room/lounge area. The contrast between the external door and wall is good. Yes There are volunteers available for help and assistance at the hospital. View on a map. (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. View Accessibility Symbols. EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. Warren Street (bus stop W) no's 18 and 205. 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. Visit website. Planned senior clinician presence was defined as the percentage of planned hours which they were expected to spend in the unit according to their weekly timetable, divided by the planned unit opening hours. View Accessibility Symbols. 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. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. 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. 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. Assistance may be required because there is/are slopes/ramps. Opening Times. We collected data about the total number of Emergency Department attendances and emergency in-patient admissions of women who presented with first trimester pregnancy complications. Opening Hours for patient assessment and care planning. Once your referral has been received, please await a telephone call from the EPAU. When you attend an early pregnancy appointment you can bring one adult support partner with you however no children are currently able to attend with you. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. You can visit a walk in centre for any general illness or concern for which you may have visited your GP. The Ectopic Pregnancy Trust Clinic 3 - Early Pregnancy Unit is/are located on the lower ground floor. In line with our Trusts policy a chaperone is available for all intimate examinations. Supervision, That is, a one-hour increase in weekend opening hours was associated with a 3.0% (95% CI: 0.3% to 5.8%) increase in the odds of an emergency admission from EPAU. 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. Visiting restrictions are in place. You may find that certain parts of the We accept GP, midwife and A&E referrals for assessment. 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. The entrance door(s) does not/do not contrast visually with its immediate surroundings. . The door(s) open(s) away from you (push). Neither planned senior clinician presence (p = 0.874) nor unit volume (p = 0.247) were associated with lower admission rates from EPAU, whilst EPAU opening over the weekend resulted in lower admission rates (p = 0.027). The room does not have background music playing. There are not separate entry and exit doors in the lift. Find Early Pregnancy Assessment Unit in Worksop, S81. This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option. The width of the door opening is 86cm (2ft 10in). We ask that they call the unit so that we can book them a timed appointment. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). Yes There is / are 1 Ultrasound Room(s) available. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. We are able to offer electives for medical students. The toilet roll holder can be reached from seated on the toilet. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles Project administration, Non-urgent referrals seen on the same or next day. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. The contrast between the wall-mounted grab rail(s) and wall is good. Funding acquisition, Writing review & editing, Roles There is not a play area or toys/books for a child to play with. This is an important finding for health providers as the cost of employing senior clinicians is much higher compared to nurses and other healthcare professionals. 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. A key is not required for the accessible toilet. The Early Pregnancy Assessment Unit is part of the Gynaecology Assessment Unit, which offers help and support for those experiencing problems in early pregnancy up to 16 weeks. The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). You can find your nearest walk-in centre at www.nhs.uk.