early pregnancy unit opening times early pregnancy unit opening times

The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. The drop-off point is located on Beaumont Place. Visualization, new North Central London GP Website do not work as expected. The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. There is sufficient space next to the bed/couch for a mobile hoist to operate. The dropped kerb does not have tactile paving. The hospital does have a dedicated car park. Tommys Tommy's is a charity that funds research for pregnancy and babies. The lighting level in the lift is medium. There are accessible toilet facilities within the department/service. If you are referred to the unit, an appointment will be offered for the next available clinic based on the following set criteria: Women between 6 - 13 weeks of pregnancy with a . The entrance area/door is clearly signed. The Miscarriage Association The Ectopic Pregnancy Trust Once the sonographer is ready to scan you, we will ask you to call your partner to accompany you into the scan. These data were collected retrospectively at the end of the three-month period corresponding to the date when the last woman recruited to the cohort study was discharged from each hospitals EPAU. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). No, Is the Subject Area "Hospitals" applicable to this article? Current constraints on health expenditure have compelled providers to explore ways of delivering a greater proportion of care in outpatient settings whilst maintaining good clinical outcomes and high levels of patient satisfaction. The Miscarriage Association, Wakefield, United Kingdom, Roles There are parking charges for the hospital car park. Standard toilet facilities are available. For more information about what these symbols mean, view our Accessibility Symbols Guide. We are open Monday - Friday 08 - 20:00 (last patient accepted 19:15) and Saturday -Sunday 08:30 - 14:00 (last patient accepted 13:15). There is sufficient space to write or sign documents on the low section of the desk. Resources, There is a/are manual, heavy, double door(s) between the lift and the department/service. Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. Contact us. We obtained clinical data from 6,606 women. Mobility aids are available to help patients move around and include; wheelchairs and crutches. There is not a Patient Advice and Liaison Service (PALS) at the hospital. The admission rates by patient characteristics is shown in Table 2. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. In line with our Trusts policy a chaperone is available for all intimate examinations. here. Blue Badge parking bays cannot be booked in advance. 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. The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlotte's & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. Conceptualization, General Practitioner (GP) 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. Water bowls for assistance dogs are available on request. You may also consider visiting a walk-in centre if your GP is closed, or you cannot get an appointment. To view other access guides that are related to this one please use the links below. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). By clicking any link on this page you are giving your consent for us to set cookies. Involvement of senior clinicians in delivering early pregnancy care has no significant impact on emergency hospital admissions for early pregnancy complications. Yes, however bleeding does not necessarily mean there is a problem. Yes You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). The hospital entrance is clearly visible from the car park. You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. Tameside and Glossop Integrated Care NHS Foundation Trust Fountain Street Ashton-under-Lyne OL6 9RW. The contrast between the internal door and wall is good. The mirror is not placed at a lower level or at an angle for ease of use. 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. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. The route from the car park to the hospital entrance is not clearly signposted. Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. VESPA included the services provided by MASS in the submittal for funding to NIHR. This is based on 6397 women that had complete information on the outcome and key characteristics. The Early Pregnancy Clinic should be your first port of call. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard The waiting room / area is approximately 7m from the clinic entrance. The lighting levels at the reception point are good. 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. Site by daysix. Visualization, 020 3688 1881 or email The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. Mirrors are not placed at a lower level or at an angle for ease of use. The entrance area/door is not clearly signed. Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. The door(s) open(s) away from you (push). There is a/are wall-mounted grab rail(s) available. Possible symptoms include: Bleeding Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Contact details will be put on all outpatient letters. If necessary, patients can be admitted under the on-call gynaecology team 24 hours a day, seven days a week. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Access to the hospital is via the main hospital lifts. The contrast between the dropdown rail(s) and wall is good. There is not a bell to attract attention. Software, A hearing assistance system is not available in the department/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. Data curation, Inside the venue, there is level access to the female toilet(s). Your local Accident and Emergency department can still be used if you have an emergency or accident not related to your pregnancy (chest pain, difficulty breathing, collapse, etc). The study ran from December 2016 to July 2017. The main door(s) open(s) automatically (away from you). GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. From the west of the city Southampton General Hospital can be accessed via several routes from the M271. If your condition may affect your pregnancy, you will be referred to the appropriate department. When you attend the Emergency Department, you will be assessed by a doctor to see whether you need to stay in hospital and receive care as an inpatient, or whether you can be discharged and referred to to the EPAU as an outpatient. When we compared actual with planned senior clinicians presence, we found that in only 3/19 units (16%) did senior clinicians spend more than 15% of their time actively delivering clinical care, and in 13/19 units (68%) their actual documented presence was less than 5%. You may find that certain parts of the 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 Pregnancy Sickness Support website has good advice. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. The floors which are accessible by stairs are B-LG-G-1-2. If counselling is required then people are signposted to Charlies Angels for further support. The lighting levels at the reception area/desk are medium. As you face the toilet the wall-mounted grab rails are on both sides. The route from the car park to the entrance is accessible to a wheelchair user with assistance. We chose to study the rate of emergency admissions which is a recognised quality outcome indicator for acute hospital units [19, 20]. Warren Street (bus stop W) no's 18 and 205. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. Conceptualization, We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . Validation, You can also self-refer if you have had your booking appointment with your midwife in our hospital, or have a previous history of molar or ectopic pregnancy. be as descriptive as possible and include any specific error messages you may see. 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 lateral transfer space is 145cm (4ft 9in). The room does not have background music playing. Women are seen in order of clinical priority, which means that you may be in the department for longer than anticipated. Language interpreters can be provided on request. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Writing review & editing, Roles The maternity unit is situated on the second floor of the hospital (level2). The service is then located on the right. The soap dispenser cannot be reached from seated on the toilet. Writing review & editing, Affiliations If you require an ultrasound we aim to offer this within 72 hours of referral. 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. No, Is the Subject Area "Nurses" applicable to this article? 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. Do you want to change or cancel an appointment? 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. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. You can change the description, reflection or CPD Credit Hours at any time from within Software, Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. The post code for the Sat-nav is SO16 5YA. Women may also be referred to the units if they are pregnant and have a previous history of miscarriage or ectopic pregnancy, or if there is a suspected gynaecological problem that requires urgent clinical assessment. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). (include Trust leaflet get the updated version), medical management which involves taking medication, surgical management with either a general or local anaesthetic. Natural management: Many people are able to return home after their scan where their miscarriage will complete naturally. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. This venue does not play background music. The tube stations are located at opposite ends of the hospital main building. View Article PubMed/NCBI . Guidelines: care is provided to women following guidelines that have been produced by the department. View Accessibility Symbols. The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. IMD scores were divided into 10 decile groups. Conceptualization, 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. There is step free access at this entrance. They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. 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). See below link for maternity web page if need more information needed regarding these concerns. Always inform the staff in the department you are pregnant. Dementia friendly signage is not provided. The Blue Badge bay(s) is/are clearly marked. we'll add the event details to your CPD section automatically. The contrast between the dropdown rail(s) and wall is good. The clinic reception is located to the left as you enter. 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. Having collected detailed data on the opening hours of all participating EPAUs over the weekend, we were able to identify that one hours increase in the weekend opening hours of an EPAU resulted, as expected, in an increased probability of a woman with first trimester complications being admitted to hospital from the EPAU, but decreased the chance of an admission to hospital from the Emergency Department.