Bearing in mind that women attending the ED are eight times more likely to be admitted than those seen in the EPAU, keeping EPAUs open over the weekend reduces the overall number of emergency admissions to hospital. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. 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. Funding acquisition, Data Availability: All relevant data are within the papers Supporting information files. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, There is not a designated drop-off point. There is a space for a wheelchair user to wait within the seating area. There is step free access to the reception area/desk. The car park does have a height restriction barrier. 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. . The shelf is not higher than 95cm (3ft 1in). 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). 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. Writing review & editing, Roles Telephone: 0161 922 6000 There is sufficient space for a wheelchair user to manoeuvre within the imaging room. Walk-in centres can be accessed by anyone and have more flexible opening hours. Accessible toilet facilities are available. Conceptualization, There is a/are clearly marked/signposted Blue Badge parking bay(s) available. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. Contact. Unfortunately, bleeding can also be associated with an ectopic pregnancy (where the pregnancy grows outside the womb) or a miscarriage. Your GP can be accessed for a range of non-urgent services. You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital. You can find your nearest walk-in centre at www.nhs.uk. There is clear signage on the department/service. Early Pregnancy Assessment & Gynaecology Unit: RFL Early Pregnancy Unit and Gynae Assessment Unit | AccessAble Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain If you have concerns with regards to this please speak to the nurse in charge. The contrast between the external door and wall is good. Clinic 3 - Early Pregnancy Unit is approximately 35m from the lift. You can at any time read our cookie policy. The hospital entrance is not clearly visible from the car park. Possible symptoms include: Bleeding Princess Anne Hospital is Located on Coxford Road to the north West of the city. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. Conceptualization, Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations The room does not have background music playing. There is an/are accessible toilet(s) within this venue designated for public use. Units were divided into eight mutually exclusive strata based on these characteristics, and 5 or 6 EPAUs were randomly selected from each stratum to a total of 44 for inclusion in the VESPA study. 33 days (IQR 2447) was the median time for units to complete recruitment. 020 3688 1881 or email There is not a red flashing fire alarm beacon within the imaging room. Recurrent pregnancy loss Copyright 2023 East and North Hertfordshire NHS Trust. Copyright 2023 AccessAble. This section describes the Ultrasound Room(s), located to the left along the department corridor. Formal analysis, Formal analysis, The width of the door is 88cm (2ft 11in). EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. We could therefore calculate the actual amount of time senior clinicians spent in EPAU delivering clinical care. The unit has strong international links, in particular with KU Leuven in Belgium. All rights reserved. The lighting levels at the reception point are good. Data curation, . However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). There is a changing place located on level C of the Centre Block at the Southampton General Hospital. Visit website. This accessible toilet is approximately 15m (16yd 1ft) from the clinic entrance. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. Find Early Pregnancy Assessment Unit in Worksop, S81. Visualization, If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. This was due to the changes in provision of medical cover which occurred between the site initiation visit and the start of recruitment. 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. We would like to express our gratitude to the 44 participating Early Pregnancy Assessment Units and their supporting research staff: Bishop Auckland Hospital, Bishop Auckland, Gloucestershire Royal Hospital, Gloucester, Luton and Dunstable University Hospital, Luton, Queen Elizabeth The Queen Mother Hospital, Margate, The James Cook University Hospital, Middlesborough, Association of Early Pregnancy Units (AEPU), Pat Doyle (Chairperson), Professor in Epidemiology, London School of Hygiene and Tropical Medicine, Cecilia Bottomley, Lead clinician for Early Pregnancy, Chelsea and Westminster Hospital, Elizabeth Bradley, General Practitioner, Hampstead Group Practice, Hannah-Rose Douglas, Research lead for Analytical Services, NHS England, Marjory Maclean, Consultant Obstetrician and Gynaecologist, NHS Ayrshire and Arran, Brad Manktelow, Associate Statistics Professor, University of Leicester, Alex Peace-Gadsby, Chair, The Ectopic Pregnacy Trust. Methodology, Project administration, We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. The entrance area/door is not clearly signed. There is pictorial signage on or near the toilet door. Hospital staff do not receive disability awareness / equality training. Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. Access to the waiting area is unobstructed. 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 The toilet roll holder is placed higher than 100cm (3ft 3in). The floors which are accessible by this lift are B-LG-G-1-2. The contrast between the external door and wall is good. Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . The main car park for the Princess Anne Hospital is called the Yellow car park. The IHE receives funding from, and collaborates with, government, academic, not-for-profit and private sector organisations. 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 The height of the soap dispenser is 100cm. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. The height of the toilet roll holder is 118cm (3ft 10in). A to Z of services | Croydon Health Services NHS Trust No, Is the Subject Area "Cohort studies" applicable to this article? There is dedicated team of trained sonographers and consultants who provide the ultrasound services. The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). 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]. Software, MASS (NK) was commissioned by and became a member of the VESPA co-applicants group to provide the required workforce modelling expertise and knowledge. The car parking facilities are for Blue Badge holders only. 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. Supervision, There are volunteers available for help and assistance at the hospital. The median admission rate among 44 units was 2.8% (range 0% to 13.7%) (Fig 1). The lateral transfer space is 145cm (4ft 9in). A key is not required for the accessible toilet. 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. Fitting multivariable logistic models, we found an association between the emergency admissions from the Emergency Department and weekend opening (p = 0.037). There is/are 7 designated Blue Badge parking bay(s) within the hospital car park. The miscarriage association have put together acollection of storiesabout experiences of pregnancy after loss. The route from the car park to the hospital entrance is not clearly signposted. The soap dispenser can be reached from seated on the toilet. The dimensions of the designated Blue Badge parking bay(s) surveyed are 410cm x 440cm. Validation, The car park is located on Level B of the hospital. When describing your problem or suggestion, Early Pregnancy Unit (Day time): 0151 604 7450. . There are parking charges for the hospital car park. The study ran from December 2016 to July 2017. Methodology, Scans appointments are every weekday morning and afternoon. People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. The soap dispenser cannot be reached from seated on the toilet. Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. Warren Street (bus stop W) no's 18 and 205. There is step-free access to the accessible toilet. As a result, the group prioritised the need for future good quality research into the relative effectiveness of different EPAU configurations [10]. This is an external link. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. The Blue Badge bay(s) is/are clearly marked. The toilet roll holder can be reached from seated on the toilet. Referrals are either from GP or the emergency department. There is not a play area or toys/books for a child to play with. 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. If you do not require an ultrasound but other investigations are indicated, the team will facilitate you into a suitable appointment. Assessment is by appointment only following a consultation with a healthcare professional or telephone consultation with EPAU. Tel: 01793 605257 To provide a one-stop service. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). There are also several taxi services which run from the station. If your GP is closed you can access the out of hours GP services. The barrier controls/touchscreen can be reached from the car. Final diagnosis (FD) was divided into five groups: 1) Normal intrauterine pregnancy including early and live pregnancies; 2) Abnormal intrauterine pregnancy including early embryonic demise, incomplete, and complete miscarriage; 3) Ectopic pregnancy at any site; 4) Pregnancy of unknown location; and 5) Other: molar pregnancy, multiple pregnancy, and not pregnant. A key is not required for the accessible toilet. You will often be seen at around 6 -7 weeks for a reassurance scan. The staff in the unit are skilled in the management of early pregnancy complications, including ultrasound scanning. In the submitted paper, there are no competing interests and MASS has no claim of ownership for any IP arising from or related to this paper. There is a/are wall-mounted grab rail(s) available. See below link for maternity web page if need more information needed regarding these concerns. Future research is needed to assess whether increased participation of senior clinicians and actual time commitment in provision of early pregnancy care, a change in their training could have more significant impact on the rate of emergency admissions and other indicators of the quality of clinical care in early pregnancy. e) three or more previous miscarriages When entering the Elizabeth Garrett Anderson Wing main entrance continue past reception and turn right towards the lift. 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.
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