However, there was evidence of an association between the emergency admission rate and weekend opening hours. There is not a dropped kerb from the drop-off point. Signs and universally accepted symbols or pictograms, indicating lifts, stairs, WCs, circulation routes and other parts of the building are not provided in the reception area. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. 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. The accessible toilet was out of use at the time of the survey. Site map. 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. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. 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. An ambulant toilet with wall mounted grab rails is available. The car park is located on Level C of the hospital building. This commercial affiliation does not alter our adherence to PLOS ONE policies on sharing data and materials. here. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. 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. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. The other possibility is that senior clinicians, who are fully trained in general obstetrics and gynaecology, lack the additional clinical and ultrasound skills necessary for the effective running of an EPAU. The Pregnancy Sickness Support website has good advice. The maximum period staff are allowed to issue a dispensation notice is for 31 calendar days, any requests for dispensation notices for more than 31 calendar days should be sent to the Operations Manager, Property and Transport Services at. Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. This department/service has; a main reception, accessible toilet facilities for everyone, ambulant toilet facilities for everyone, consultation rooms, standard toilet facilities and a waiting room/area. Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). If you have a non-urgent concern not related to your pregnancy such as chest/urine/ear infections, skin complaints, viral infections, exposure to infections i.e chickenpox, you should see your GP for advice as they are better placed to help with these problems. The contrast between the dropdown rail(s) and wall is fair. A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. The main door(s) open(s) towards you (pull). All rights reserved. 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. 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. The entrance door(s) does/do contrast visually with its immediate surroundings. The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. 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. Opening Hours for patient assessment and care planning. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. The entrance area/door is clearly signed. The hospital entrance is not clearly visible from the car park. 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. Writing review & editing, Affiliation Visualization, Visit website. The car parking facilities are for Blue Badge holders only. The wash basin cannot be reached from seated on the toilet. gpit@camdenccg.nhs.uk to carry out the upgrade. Most models were adjusted using one of two sets of potential confounder variables: i) maternal age and final diagnosis (MA+FD) or; ii) maternal age, final diagnosis, IMD and gestational age policy (MA+FD+IMD+GAP). Turn left as you pass through the doors and continue ahead. Recurrent pregnancy loss Once you have been discharged from our care you can still contact us if you have any questions or problems. This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. Yes The unit is open Monday to Fridayfrom 7.30am to 8pm with scanning facilities from 9am-5pm. Access to the building between 21:00 - 07:00 is via intercom. There is step free access at this entrance. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). The name / number of the room surveyed was; 3. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. Parking spaces for Blue Badge holders do not need to be booked in advance. If you experience vaginal bleeding and/or abdominal pain you can be seen for assessment up to 19+6 weeks gestation. Equally, weekend opening of an EPAU, even for a limited number of hours, is associated with lower probability of emergency hospital admissions. Supervision, You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. . We carefully assessed the burden and timings of the study participation and questionnaires on patients. Validation, There is a canopy or recess which provides weather protection at this entrance. Copyright 2023 AccessAble. This room is not accessed via a changing room. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. The admission rates by patient characteristics is shown in Table 2. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. There is not a door release button when exiting. The VESPA study recruited from the EPAU population. View our cookie policy. There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. Methodology, Methodology, The door(s) is/are double width but one door is locked. Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. Click here for a guide to help you assess your bleeding. clinic appointment letter. We performed sensitivity analyses by refitting the regression models using the binary variables for planned senior clinician presence, unit volume and weekend opening hours. Tel: 01793 605257 If you develop worrying symptoms during pregnancy or you need to discuss any underlying medical conditions in pregnancy, there are several places that you can turn to for advice: Midwife Supervision, There is a/are door(s) into the consultation / treatment room. The room does not have background music playing. However, at the time of your scan, you can be accompanied by your partner. View Accessibility Symbols. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. The Miscarriage Association, Wakefield, United Kingdom, Roles The VESPA study received a favourable ethical opinion from the North West Research Ethics Committee (REC reference 16/NW/0587) in the UK, registration number ISRCTN 10728897. If you are based within a GP practice please contact the GPIT Helpdesk on If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. Theyprovide a range of services such as peer support and counselling services. As you face the toilet pan the transfer space is on the right. These responses were used to categorize the units according to three factors: planned senior clinician presence (yes or no); weekend opening (yes or no); and the annual volume of patients, as reported by the corresponding clinicians (low volume <3000 appointments per year vs. high volume 3000 appointments annually). The toilet roll holder can be reached from seated on the toilet. We accept GP, midwife and A&E referrals for assessment. Ultrasound based assessment for suspected pelvic pathology. Clinic 3 - Early Pregnancy Unit. 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]. The intercom is in a suitable position to allow wheelchair users to gain access. www.miscarriageassociation.org.ukprovides information to help thoseaffected by miscarriage, molar pregnancy or ectopic pregnancy. Dementia friendly signage is not provided. https://doi.org/10.1371/journal.pone.0260534.t001. Volunteers can be found on the ground floor of the main University College Hospital building. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. 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). There is a dropped kerb from the drop-off point. You are accessing this website using a legacy browser. Conceptualization, Contact details will be put on all outpatient letters. The total number of opening hours per weekend was used to illustrate weekend opening. As long as the future appointment can be verified then there is no time limit on how far in advance a specific dated dispensation notice can be issued. 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 There is space for an assistance dog to rest within the seating area. By clicking any link on this page you are giving your consent for us to set cookies. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. Mirrors are placed at a lower level or at an angle for ease of use. The room does not have background music playing. Get contact details, videos, photos, opening times and map directions. e) three or more previous miscarriages The height of the toilet seat above floor level is 48cm (1ft 7in). 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. Methodology, If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Walk-in centres can be accessed by anyone and have more flexible opening hours. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. Abdominal pain can also be related to non pregnancy causes including muscular pain, pain related to fibroids, urinary tract infection and other surgical causes egappendicitis. There is not a Patient Advice and Liaison Service (PALS) at the hospital. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. Opening times. COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. A number of organisations give dedicated support and advice to people affected by pregnancy loss: CRADLE is anational registered pregnancy loss charity working in partnership with Lewisham and Greenwich NHS Trust. There is sufficient space next to the bed/couch for a mobile hoist to operate. The drop-off point is located to the right of the Level D entrance. The shelf is not higher than 95cm (3ft 1in). Patients can call 0203 447 3013 to request a dispensation notice in advance. Formal analysis, If you are unable to book an appointment, or need to see a GP out of hours, call your surgery and follow the advice provided. Both telephone and email applications will be coordinated by the UCH main reception team. There are no chairs with armrests available. There is level access into the waiting room / area. There are not separate entry and exit doors in the lift. From the west of the city Southampton General Hospital can be accessed via several routes from the M271. The floors which are accessible by stairs are B-LG-G-1-2. The entrance area/door is not clearly signed. We are able to offer electives for medical students. There is / are 4 consultation / treatment room(s) available. 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services The car park surface is a shared surface. The hospital does have a dedicated car park. Our team isproudto provide compassionate care during anxious times in early pregnancy, when you may be experiencing pain and/or bleeding or have had a previous ectopic or molar pregnancy. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. The Early Pregnancy Clinic should be your first port of call. 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. 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. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. There is a/are door(s) into the consultation / treatment room. Charges apply to all users of these car parks. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. Data curation, The car park is located to the left of the main underground car parks. There is level access throughout the department/service. There is not a 120cm hatched zone around the Blue Badge parking bay(s). broad scope, and wide readership a perfect fit for your research every time. Detailed information, also There is dedicated team of trained sonographers and consultants who provide the ultrasound services. The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. The soap dispenser cannot be reached from seated on the toilet. Opening hours: Mon-Fri 7.30am-8pmwith scanning facilities from 9am-5pm. Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. The door(s) is/are single width with a locked extension leaf. . We are a very activeunit located in the Woodlands building (pink zone) at the Lister hospital and we see around 5,500 women every year. Tommys Tommy's is a charity that funds research for pregnancy and babies. We chose to study the rate of emergency admissions which is a recognised quality outcome indicator for acute hospital units [19, 20]. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. There is not a mirror to aid reversing out of the lift. 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. Assistance may be required because there is/are slopes/ramps. Wherever possible, all data relating to hospital admissions provided by the IS departments were crosschecked by a member of the research team against ward admission books/databases in an attempt to check their accuracy. Our study has several limitations. Planned and actual senior clinician presence, unit size, and weekend opening. Disposal facilities are available in the cubicle. this will normally be done within 2 days and you will need to be nil by mouth for 6 hours. Visiting restrictions are in place. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? Writing original draft, A 1-hour increase in the weekend opening hours of the EPAU was associated with 2.4% (95% CI: 0.1% to 4.7%) lower odds of an emergency admission from the Emergency Department. 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! The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. The Unit is open at all times. 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). You're adding a service to your CPD log. Send email. Contact us. You can find some more helpful advice regarding nausea and vomiting in pregnancy on the Pregnancy Sickness Support website, here. These are further broken down by diagnosis in Tables 3 and 4. https://doi.org/10.1371/journal.pone.0260534.g001, https://doi.org/10.1371/journal.pone.0260534.t002, https://doi.org/10.1371/journal.pone.0260534.t003, https://doi.org/10.1371/journal.pone.0260534.t004. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. The lateral transfer space is 170cm (5ft 7in). The wash basin and tap(s) can be reached from seated on the toilet. There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. The contrast between the walls and floor is good. 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. They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). 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.

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