All women aged 16 years of age who attended the participating EPAUs presenting with first trimester pregnancy complications for the first time during the index pregnancy were included in the cohort study. J Ultrasound Med. 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. Whilst the majority of pregnancies will progress without complications, many women experience problems that they feel they would like support or further information for. 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. Urgent GP referrals are seen on the same day. We see people who: are in the early stages of their pregnancy (up to 18 weeks) have acute gynaecological problems needing urgent support We provide: same day emergency care urgent planned appointments support during the first 18 weeks of pregnancy Do not wait to be called by the EPAU team. Please check the latest information before planning your journey. 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. 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 clinic reception is located to the left as you enter. We report the data from two of the VESPA study strands: 1) the prospective cohort study of women attending EPAUs due to first trimester complications; and 2) the emergency hospital care audit of women admitted as an emergency with first trimester pregnancy complications. The controls for the lift are within 90cm - 120cm from the floor. Mirrors are not placed at a lower level or at an angle for ease of use. on the right to withdraw consent, can be found in the website's privacy policy. Please complete the form calledEarly Pregnancy Assessment Unit (EPAU) and email to: GP to telephone to make an appointment The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. Clinic 3 - Early Pregnancy Unit | AccessAble Funding acquisition, Dispensation notices are issued at the main reception at the UCH site (07.00-20.00 Monday to Friday and 08.00-16.00 on Saturdays, Sundays and Bank Holidays). The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm in front of the seat. In some cases additional treatment is needed such as: An early pregnancy loss can be a deeply distressing experience both physically and emotionally and we want to ensure that you are able to access the support you need during this difficult time. 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. This website is for healthcare professionals only. Statistical models were adjusted for final diagnosis, maternal age at initial visit, deprivation score, and unit referral policy regarding gestational age, as these variables have a known effect on the rate of emergency admissions [1517]. There is written text and pictorial signage on or near the toilet door. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. Early Pregnancy Assessment Unit - Betsi Cadwaladr University Health Board The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. These associations did not markedly change after further confounder adjustment. There is sufficient space to write or sign documents on the low section of the desk. 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). You can also call020 7794 0500 ext 38205 or 31468. gpit@camdenccg.nhs.uk to carry out the upgrade. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. There are also several bus routes which stop at the Southampton General which is a short walk from the Princess Anne Hospital on Tremona Road. Research that could potentially guide recommendations and policies on staffing and configurations of EPAUs has been scarce [69]. King's College Hospital Early Pregnancy Assessment Unit (EPAU) Address: Suite 8, Third Floor Golden Jubilee Wing Denmark Hill London SE5 9RS Telephone: 0203 299 3168 Usual Opening Times Location Map Get Directions This is a walk in service so you need no appointment, simply attend the unit. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. 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. The wash basin is not placed higher than 74cm (2ft 5in). This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. Resources, There is a dark mat or floor marking at this entrance that might be perceived as a hole. There are 4 consultation/treatment rooms in this department/service. Copyright 2023 Imperial College Healthcare NHS Trust, Early pregnancy and acute gynaecology units, Assessment of women with bleeding and/or pain in early pregnancy, Diagnosis and subsequent management of miscarriage and ectopic pregnancy, Nausea and vomiting in pregnancy (hyperemesis), Gynaecology: scans for suspected pelvic pathology requiring emergency review, Possible ovarian cyst accidents (ovarian cyst rupture or torsion), Significant heavy menstrual bleeding with anaemia requiring hospital admission, Expectant, medical and surgical management of miscarriage, Management of ectopic pregnancy: medical, surgical and close monitoring with expectant management, Inpatient and outpatient management of nausea and vomiting in pregnancy, Surgical management of molar pregnancy and liaison with the, Incision and drainage of Bartholins cysts and abscesses under local anaesthesia or general anaesthesia. We have placed cookies on your deviceto help improve our website. Disposal facilities are available in the cubicle. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. 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. Early pregnancy services. Data curation, We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. Access to the waiting area is unobstructed. There is a/are door(s) leading into the department/service. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. Discover a faster, simpler path to publishing in a high-quality journal. 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. EPAU opening times | Wirral University Hospital NHS Foundation Trust Early pregnancy services - Northern Ireland Maternity and Parenting The car park does have a barrier control system. The toilet roll holder is not placed higher than 100cm (3ft 3in). 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 following buses are used to access the University College Hospital (UCH): Tottenham Court Road - Northbound (Warren Street station) - no's 10, 73, 24, 29, 134. The height of the towel dispenser is 125cm (4ft 1in). Email this page A previousmolar pregnancy, not less than 8 weeks gestation. Detailed information, also To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. View photos. A member of staff is available to assist with opening the door if required. Take the lift to the lower ground floor and on exiting turn right and go through the double doors. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: 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. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard The post code for the Sat-nav is SO16 5YA. The door(s) open(s) automatically (towards you). Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. Yes . . Contact. This link takes you to the University College Hospital (UCH) page with information on travelling to the hospital. Ultrasound based assessment for suspected pelvic pathology. We chose to study the rate of emergency admissions which is a recognised quality outcome indicator for acute hospital units [19, 20]. Occasionally, for both early pregnancyand emergency gynaecology you may need to be admitted into hospital for us to perform further investigations,monitor you, or initiate treatment but we will keep you informed of this and support you through this process. 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. Resources, The type of flooring in walkways and corridors is vinyl/laminate. The width of the door is 88cm (2ft 11in).