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 Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. The hospital entrance is not clearly visible from the car park. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. If a family member or friend has accompaniedyou, the clinician will still request that a member of staff acts as chaperone for an intimate examination. At the time of patient recruitment, we collected information about the unit referral policy with regards to the minimum gestational age at which women could be seen at the EPAU. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. Please send a referral letter with all patients. 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). Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. Access to the hospital is via the main hospital lifts. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. No, Is the Subject Area "Pregnancy complications" applicable to this article? The towel dispenser can be reached from seated on the toilet. 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 contrast between the wash basin wall-mounted grab rail(s) and wall is good. The Patient Advice and Liaison Service (PALS) is located on Level C of the Centre Block at the Southampton General Hospital. Walk-in Centres The towel dispenser is placed higher than 100cm (3ft 3in). As a result, we have been appointed by the Tommys charity as the Tommys National Centre for Miscarriage Research in collaboration with the University of Birmingham and the University of Warwick. Getting To The Hospital Investigation, 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. Yes 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. If necessary, patients can be admitted under the on-call gynaecology team 24 hours a day, seven days a week. There is / are 10 consultation / treatment room(s) available. Supervision, 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). We are actively involved in studies developing diagnostic tests and in particular the use of ultrasound diagnostics. We could therefore calculate the actual amount of time senior clinicians spent in EPAU delivering clinical care. In this national prospective cohort study, we aimed to determine whether higher participation of senior clinicians in the delivery of first trimester pregnancy care would result in better quality clinical care reflected in a lower risk of acute admissions to hospital for women presenting with first trimester complications. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . Methodology, You are accessing this website using a legacy browser. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. Opening Times. Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. Inside the venue, there is level access to the female toilet(s). All rights reserved. Formal analysis, Early Pregnancy Assessment Units are highly valued by women but aspects of their care experiences, particularly around sensitive management of pregnancy loss, could be improved. The towel dispenser is placed higher than 100cm (3ft 3in). 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. Writing review & editing, Affiliation 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. The contrast between the dropdown rail(s) and wall is fair. The door(s) open(s) away from you (push). The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. Scan is an appointment based service and we aim to see you at your given appointment time, but if you have been referred as an emergency without an appointment time or if you require further assessment or investigations then there may be a waiting time to be seen, which can vary. Tel: 0118 322 8741. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. As you face the toilet pan the transfer space is on the right. The female toilet facilities that were surveyed are located to the left as you pass through the waiting area. 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. Data curation, Wakefield To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. The floors which are accessible by this lift are B-LG-G-1-2. If you are over 20 weeks of pregnancy please contact Maternity Triage. The car park does not have a height restriction barrier. The senior clinicians were actually spending less time in the EPAUs than expected. The entrance area/door is clearly signed with the name of the service/department. Keeping you away from the hospital unless absolutely necessary is to keep you and your family healthy. There is a horizontal wall-mounted grab rail on the opposite side of the seat to the transfer space. Yes, however bleeding does not necessarily mean there is a problem. Supervision, We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . Methodology, Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. The height of the towel dispenser is 106cm (3ft 6in). Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant . There is not a hearing assistance system. The National Institute for Health and Care Excellence (NICE) guideline on Ectopic Pregnancy and Miscarriage (CG 154) [10] included a review of evidence comparing EPAUs with other models of providing early pregnancy care for women presenting with first trimester pregnancy complications. No, Is the Subject Area "Critical care and emergency medicine" applicable to this article? During the day you can access the maternity unit by entering the hospital through the main entrance. Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. here. Euston Road - no's 18, 27, 30, 88. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. On entering via the Level D entrance continue ahead and the entrance to the Early Pregnancy Unit and Gynae Assessment Unit department is on the right. There are strong links with the Institute of Reproductive and Developmental Biology (IRDB) at Imperial College London run by Professor Phillip Bennett, with projects ranging from the study of the microbiome to novel biomarkers in early pregnancy. 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. Conceptualization, EPAUs are currently operating in most acute hospital units in the UK aiming to provide women with comprehensive early pregnancy care, which includes clinical and ultrasound assessment, laboratory investigations, further management, as well as counselling and support, all in an out-patient setting. The entrance door(s) does not/do not contrast visually with its immediate surroundings. We have placed cookies on your deviceto help improve our website. The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). There is not a bell to attract attention. Some women may also be advised to monitor their symptoms at home. 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. b) vaginal bleeding www.aepu.org.uk The Association of Early Pregnancy Units providessupport and resources to help patient choice and maintain standards in Early Pregnancy Care. 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. GP EPAU referral form [docx] 99KB (click to download). Euston Square station has lift access from the platform to the street. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. It is also unclear whether completion of the module is a requirement locally for appointment to EPAU leadership roles. Walk-in centres can be accessed by anyone and have more flexible opening hours. The toilet roll holder is not placed higher than 100cm (3ft 3in). Please be aware that some external resources may be restricted to NHS Secure Network connections only. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. No, Is the Subject Area "Nurses" applicable to this article? Contact us. By clicking any link on this page you are giving your consent for us to set cookies. 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. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. The Unit is open at all times. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. There is not a flashing fire alarm beacon within the room. This is to ensure you have a consultation with the specialist nursing team who can call you back and advise the best management going forward. 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. Twenty-three units were open during weekends. View on a map. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard If you want to park near, or in UCLH disabled parking bays, you will need to apply for a parking dispensation to use with your Blue Badge. Your local early pregnancy unit is still available but opening times and appointment availability may have changed. There is a dropped kerb from the drop-off point. No, Is the Subject Area "Miscarriage" applicable to this article? 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. t: 020 7794 0500 ext 38205 or 31468. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. You can also call020 7794 0500 ext 38205 or 31468. There is a space for a wheelchair user to manoeuvre. Writing review & editing, Affiliation Blue Badge parking bays cannot be booked in advance. The Blue Badge bay(s) is/are signposted but have no markings. Resources, The EPAGU at Queen Charlottes is well-known globally for its research output. General Practitioner (GP) Once your referral has been received, please await a telephone call from the EPAU. There is ramped/sloped access at this entrance. Sexual health, contraception and HIV services, Vaginal bleeding and/or pain in early pregnancy up to 16 weeks, A loss of liquor before 16 weeks (watery vaginal loss), A positive pregnancy test and ascanresult showinga pregnancy of unknown location with pain, bleeding or other relevant symptoms, A previous ectopic pregnancy (at sixweeks gestation they can be referred for a scan). EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. The hospital entrance is clearly visible from the car park. 6606 pregnant women (16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. 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. However, at the time of your scan, you can be accompanied by your partner. Click here for a guide to help you assess your bleeding. 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. 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. There are vertical wall-mounted grab rails on both sides of the wash basin. There is not a play area or toys/books for a child to play with. Writing original draft, Data Availability: All relevant data are within the papers Supporting information files. If the outcome of your consultation is that you require an ultrasound then our ultrasound scanning appointment times are from 9:30am 4.00pm on weekdays. The room does not have background music playing. The door(s) open(s) automatically (towards you). 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. There is some flooring in the department/service which is shiny and could cause issues with glare or look slippery to some people. The contrast between the toilet roll holder and the wall is good. . Aberford Road The car park surface is a shared surface. This accessible toilet is located along the department corridor. This relatively low level of senior clinicians involvement could explain the lack of an observed association between their presence and emergency admissions in this study. This room is not accessed via a changing room. We may be able to offer an immediate appointment for those walking in, but if not, women will be asked to attend A&E or return at a later date or time. In view of that, we were unable to identify the threshold above which senior clinicians would need to be present in the units actively delivering early pregnancy care in order to improve clinical outcomes. The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. The relationship between emergency admissions from Emergency Departments and senior clinician presence, unit volume, and weekend opening hours was investigated by fitting multivariable logistic regression models. There is a low section of the desk (76cm or below) available. We provide a dedicated service to women under 16 weeks gestation. Hospital staff do not receive disability awareness / equality training. Mobility aids are available to help patients move around and include; wheelchairs. 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. No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? There is a vertical wall-mounted grab rail on the transfer side. This accessible toilet is located straight ahead as you enter and to the right. View our cookie policy. There are also several taxi services which run from the station. There is not a Patient Advice and Liaison Service (PALS) at the hospital. The Pregnancy Sickness Support website has good advice. If you feel your symptoms require urgent assessment outside of these hours the wider medical team are here to support you 24 hours a day 7 days a week. There is sufficient space for a wheelchair user to use the waiting area. Patients can call 0203 447 3013 to request a dispensation notice in advance. 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. 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. Detailed information, also There is space for an assistance dog to rest within the seating area.