Writing original draft. The barrier controls/touchscreen can be reached from the car. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. The senior clinicians were actually spending less time in the EPAUs than expected. All rights reserved. The car park is located on Level C of the hospital building. If you are based within a GP practice please contact the GPIT Helpdesk on The contrast between the toilet roll holder and the wall is good. The Early Pregnancy Clinic should be your first port of call. The Early Pregnancy Assessment Unit (EPAU) provides care and support to women and anyone experiencing complications in early pregnancy, as well as their partners. Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). By clicking any link on this page you are giving your consent for us to set cookies. Clinic 3 - Early Pregnancy Unit | AccessAble MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. We are actively involved in studies developing diagnostic tests and in particular the use of ultrasound diagnostics. Visualization, When describing your problem or suggestion, There is not a bell to attract attention. . The mirror is not placed at a lower level or at an angle for ease of use. For more information about PLOS Subject Areas, click Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Models were either unadjusted or adjusted for gestational age unit policy. This maynot always possible depending on service demand and the type of investigation, monitoring or treatment you may need. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. 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. 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). The width of the accessible toilet opening is 84cm. There is not a/are not door(s) into the waiting room / area. The early pregnancy and acute gynaecology unit (EPAGU) is an emergency unit. There are 4 consultation/treatment rooms in this department/service. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. The clinic is open from 08.30 to 11.00 Monday to Saturday. Methodology, Funding acquisition, 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. Access to the building between 21:00 - 07:00 is via intercom. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. 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. 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. 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 All patients should receive a call back within one working day of a message being left acknowledging the message. Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. https://doi.org/10.1371/journal.pone.0260534.g003. Coping with problems in early pregnancy can be difficult, however unfortunately due to COVID 19 restrictions we are limited to the number of people who can be allowed into the department. 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. Early Pregnancy Unit/Emergency Gynaecology Unit (EPU/EGU) 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). The width of the door opening is 87cm (2ft 10in). Barnet Hospital also offers a walk-in service. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. Assistance may be required because there is/are slopes/ramps. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. Data Availability: All relevant data are within the papers Supporting information files. The door(s) is/are single width with a locked extension leaf. Methodology, The height of the toilet seat above floor level is 48cm (1ft 7in). Parking spaces for Blue Badge holders do not need to be booked in advance. There are not volunteers available for help and assistance at the hospital. 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. We care for women with acute early pregnancy problems and acute gynaecology issues. There is a clear unobstructed route to the reception point. A mobile hoist is not available on the department/service. Writing review & editing, Affiliation on the right to withdraw consent, can be found in the website's privacy policy. 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. 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. Validation, The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. Writing review & editing, Affiliations When you attend an event booked through the North Central London GP Website, There is a/are door(s) leading into the department/service. We see women in the first 18 weeks of pregnancy only. The admission rate among 44 units ranged from 0% to 13.7% (median 2.8). Maternity Services | NHS Lanarkshire Investigation, Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. We provide high quality healthcare services primarily to the residents of East Lancashire and Blackburn with Darwen, which have a combined population in the region of 530,000. All units were asked to recruit a minimum number of 150 women each. A total of 205 EPAUs which completed the survey reported on unit location, opening hours, access to services, and staffing configurations. Validation, Opening Times. 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. Sergio A. Silverio (Kings College London) is supported by the National Institute for Health Research Applied Research Collaboration South London [NIHR ARC South London] at Kings College Hospital NHS Foundation Trust. You can at any time read our cookie policy. There is space for an assistance dog to rest within the seating area. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. Royal Free London (RFL)offers a seven-dayper week specialist service for women who need emergency care for early pregnancy and gynaecological problems at Royal Freeand Barnet Hospitals. The toilet roll holder is placed higher than 100cm (3ft 3in). The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. Validation, Where possible units will try to give you fluid and anti-sickness medication as a day patient to avoid you having to stay in hospital where possible. 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. e0260534. The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . Data for this observational study were collected as part of the VESPA study, a UK-wide prospective mixed-methods study on the Variations in the organization of EPAUs in the UK and their effects on clinical, Service and PAtient-centred outcomes. Investigation, No, Is the Subject Area "Pregnancy complications" applicable to this article? Software, 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. There is a dropdown rail on the transfer side. 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. There is a canopy or recess which provides weather protection at this entrance. The tube stations are located at opposite ends of the hospital main building. 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. We appreciate that this is a very difficult and painful time, this leaflet aims to answer some of the many questions you will have about what has happened.