early pregnancy unit opening times

We have placed cookies on your computer to help make this website better. 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. In addition, obtaining good quality data on emergency admissions from the Emergency Department based on routine hospital databases proved to be challenging, and we were only able to confidently utilise the data obtained from a fraction of the participating units. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). For more information about what these symbols mean, view our Accessibility Symbols Guide. on the right to withdraw consent, can be found in the website's privacy policy. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. MASS (NK) was commissioned by and became a member of the VESPA co-applicants group to provide the required workforce modelling expertise and knowledge. The type of flooring in walkways and corridors is vinyl/laminate. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. The car park does not have a height restriction barrier. 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. We accept GP, midwife and A&E referrals for assessment. Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. 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. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. The width of the door is 88cm (2ft 11in). Visiting restrictions are in place. The toilet roll holder can be reached from seated on the toilet. Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. 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. 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 UCLH email address for Blue Badge parking enquiries is. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. The floors which are accessible by stairs are B-LG-G-1-2. There is not a dropped kerb from the drop-off point. 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. There are not separate entry and exit doors in the lift. There is step free access into the imaging room. Opening times. If our guide needs updating - just let us know using this form. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlottes & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. Research that could potentially guide recommendations and policies on staffing and configurations of EPAUs has been scarce [69]. See below link for maternity web page if need more information needed regarding these concerns. The controls for the lift are within 90cm - 120cm from the floor. Peter Brocklehurst reports grants and personal fees from MRC, grants from MRC, NIHR HS&DR, NIHR HJTA, Wellcome Trust, personal fees from AG Biotest, outside the submitted work. For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing t.bourne@ic.ac.uk at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing shahla.ahmed1@nhs.net at St Marys. Formal analysis, These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. The hospital entrance is not clearly visible from the car park. There is sufficient space next to the bed/couch for a mobile hoist to operate. 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. 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 information is for the entrance located on the lower ground floor. The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. 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. Methodology, e0260534. There is a/are door(s) into the consultation / treatment room. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. Writing original draft. Methodology, Guidelines: care is provided to women following guidelines that have been produced by the department. 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. 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 height of the toilet roll holder is 118cm (3ft 10in). Early Pregnancy Assessment & Gynaecology Unit: RFL - North Central London GP Website Find out about the Early Pregnancy Assessment & Gynaecology Unit: RFL service in North Central London Find out about the Early Pregnancy Assessment & Gynaecology Unit: RFL service in North Central London Your browser is out of date! There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). Institute of Health Economics, Edmonton, Canada, Roles The nearest designated Blue Badge parking bay is approximately 25m (27yd 1ft) from the Elizabeth Garrett Anderson Wing main entrance. The door does not have a horizontal grab rail. Dementia friendly signage is not provided. Volunteers can be found on the ground floor of the main University College Hospital building. Staff do not need to be notified for use of the lift. The lateral transfer space is 145cm (4ft 9in). Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. Validation, This is because women with an early pregnancy complication may not necessarily need to attend in-person or may be more suited for an assessment in different clinical or maternity service. The nearest National Rail station is Euston. Validation, Project administration, The unit is open Monday to Friday, from 9am-5pm. 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. As you face the toilet the wall-mounted grab rails are on both sides. Referral: patients are mainly referred to the Unit by their GP, but also from Gynaecology wards, by Midwives and other medical routes. Yes The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. 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 are over 20 weeks of pregnancy please contact Maternity Triage. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. 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. Both telephone and email applications will be coordinated by the UCH main reception team. https://doi.org/10.1371/journal.pone.0260534.t001. Warren Street (bus stop W) no's 18 and 205. The soap dispenser cannot be reached from seated on the toilet. An ambulant toilet with wall mounted grab rails is available. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. The lift does have a visual floor indicator. Twenty-three units were open during weekends. 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. 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. Child Emotional Wellbeing & Mental Health, Learning Disabilities & Neurodevelopmental Disorders (NDD), Gastroenterology, Colorectal, Renal & Urology, Care Home Training & Development (Islington), Data quality/standard referral form programme, 020 7472 6374(RFH) and 020 8216 5233 (Barnet), 020 7472 6374 (rfh: specialist nurse advice during opening hours) or020 7794 0500 ext 38205 or 31468, Early Pregnancy Assessment & Gynaecology Unit: RFL, assessment and management of women with pain and bleeding in early pregnancy (up to 15 weeks and sixdays), assessment of women at high risk of an ectopic pregnancy, assessment and management of women with acute gynaecological problems. We obtained clinical data from 6,606 women. 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. We also accept GP referrals for emergency gynaecology problems. Language interpreters can be provided on request. Turn left as you pass through the doors and continue ahead. Investigation, 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 dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). 020 3456 7890. https://doi.org/10.1371/journal.pone.0260534.t005, https://doi.org/10.1371/journal.pone.0260534.t006. Continuing will take you away from the Dementia friendly signage is not provided. This may be a stressful time for both couples and their families and the unit aims to support you through the early stages of your pregnancy. The route from the car park to the hospital entrance is not clearly signposted. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. The height of the reception desk is high (110cm+). The waiting room / area is approximately 7m from the clinic entrance. 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 object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. The door(s) open(s) away from you (push). 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services Data curation, The accessible toilet was out of use at the time of the survey. 33 days (IQR 2447) was the median time for units to complete recruitment. There is not sufficient space to write or sign documents on the counter. 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. 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]. https://doi.org/10.1371/journal.pone.0260534.g002. Data curation, Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . 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. on the right to withdraw consent, can be found in the website's privacy policy. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. The dimensions of the accessible toilet are 212cm x 220cm (6ft 11in x 7ft 3in). d) previous tubal surgery As you face the toilet pan the transfer space is on the left. Turn right onto Beaumont Place before reaching Warren Street tube station. The NICE guideline developing group, which includes a patient and public involvement panel, concluded that the configuration of services between different units varied considerably but, due to paucity of data, they were unable to make recommendations on the optimal structure of EPAUs that would balance clinical and service outcomes against cost-effectiveness. Writing review & editing, Affiliation Wakefield To obtain mobility aids please contact a member of staff. We care for women with acute early pregnancy problems and acute gynaecology issues. The car park surface is a shared surface. The Early Pregnancy Unit is an emergency referral service providing care for women experiencing pregnancy complications, primarily pain or vaginal bleeding, up to 15+6 weeks. The hospital entrance is clearly visible from the car park. Clinic 3 - Early Pregnancy Unit. This is an external link. There are vertical wall-mounted grab rails on both sides of the wash basin. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. 023 8077 7222. Access to the waiting area is unobstructed. Payment machines are located inside the hospital building. The Miscarriage Association, Wakefield, United Kingdom, Roles On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. Your GP can be accessed for a range of non-urgent services. There is not a/are not Blue Badge parking bay(s) available. The dropped kerb does not have tactile paving. Get contact details, videos, photos, opening times and map directions. 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. Yes 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. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. Access to the hospital is via the main hospital lifts. For many people who experience miscarriage it isnt just a physical loss, but the loss of hopes and dreams for the future. There is not a door release button when exiting. 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. The day room/lounge area is not always open.

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