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. The car park is located on Level C of the hospital building. The wash basin is not placed higher than 74cm (2ft 5in). There is not sufficient space to write or sign documents on the counter. There are several services which stop on Coxford Road outside the Princess Anne Hospital, they are the X11, U6C, the THREE and the 7 Bluestar and 17 Bluestar. Access to Early Pregnancy Unit and Gynae Assessment Unit is via the Level D entrance. The name / number of the room surveyed was; D190. Find Early Pregnancy Assessment Unit in Worksop, S81. Euston Road - no's 18, 27, 30, 88. If our guide needs updating - just let us know using this form. Tommys Tommy's is a charity that funds research for pregnancy and babies. If you are under 5 weeks of pregnancy it may be more suitable to contact your GP for further advice and support. The intercom is in a suitable position to allow wheelchair users to gain access. There is not a mirror to aid reversing out of the lift. As you face the toilet pan the transfer space is on the right. The upper gestational age limit was set at 13+6 weeks gestation in order to keep recruitment from all participating EPAUs consistent. A . The lift is located to the right as you enter the Elizabeth Garrett Anderson Wing main entrance. 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 found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. broad scope, and wide readership a perfect fit for your research every time. b) vaginal bleeding The clinic is open from 08.30 to 11.00 Monday to Saturday. We would advise you attend your local emergency department unitif bleeding worsens whereby you are having to change your sanitary pad more frequently and feel unwell, or ifyou are experiencing severe abdominal pain which is not improving with simple pain relief egparacetamol. Opening Hours for patient assessment and care planning. We apologise for any inaccuracies in the following list of contributors, whose primary role has been described. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. The Early Pregnancy Unit runs in parallel with the Gynaecology Assessment Unit (GAU) and provides services for women with complications of pregnancy such as pain or bleeding up to 16+6 weeks gestation. There is written text and pictorial signage on or near the toilet door. A key is not required for the accessible toilet. The Blue Badge bay(s) is/are signposted but have no markings. Yes Cancer Centre dispensations that the UCH main reception team are unable to deal with will be forwarded to the Cancer centre team at. Introduction Pregnancy can be a turbulent time, both physically and emotionally, for women and their partners. The entrance door(s) does not/do not contrast visually with its immediate surroundings. 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. The height of the reception counter is low (76cm or lower) . Aberford Road Areas in Camden, south of the Euston Road, are not covered by the national Blue Badge disabled parking scheme. 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. Warren Street (bus stop W) no's 18 and 205. Our team isproudto provide compassionate care during anxious times in early pregnancy, when you may be experiencing pain and/or bleeding or have had a previous ectopic or molar pregnancy. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. The Miscarriage Association, Wakefield, United Kingdom, Roles Yes You can also be referred by a clinician (doctor, midwife or advanced clinical practitioner) who will complete an electronic referral, or by yourGP who will email us directly. Investigation, View photos. There is a vertical wall-mounted grab rail on the transfer side. We also accept GP referrals for emergency gynaecology problems. Investigation, Citation: Memtsa M, Goodhart V, Ambler G, Brocklehurst P, Keeney E, Silverio SA, et al. There is a dropdown rail on the transfer side. Turn right onto Beaumont Place before reaching Warren Street tube station. There are no chairs with armrests available. The height of the reception desk is high (110cm+). The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. we'll add the event details to your CPD section automatically. 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. Find your hospital ward contact information: This service runs across two sites at Queen Charlottes & Chelsea Hospital and St Marys Hospital. Writing review & editing, Roles The unit characteristics were confirmed again immediately prior to commencing patient recruitment. The car park does have a height restriction barrier. If you wish to book your pregnancy care with the Trust, please instead fill out our maternity self-referral form. The early pregnancy and acute gynaecology unit (EPAGU) at Queen Charlottes & Chelsea Hospital is internationally recognised for expertise in early pregnancy and gynaecology ultrasound scanning. 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 designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. WF1 4DG. gpit@camdenccg.nhs.uk to carry out the upgrade. Resources, Monday to Friday 8.30am - 4.30pm (excluding Bank Holidays). There is level access to the consultation / treatment room. Yes Referrals are either from GP or the emergency department. For more information about PLOS Subject Areas, click The height of the intercom is 134cm (4ft 5in). The hospital entrance is not clearly visible from the car park. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. 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. The dimensions of the lift are 176cm x 270cm (5ft 9in x 8ft 10in). The height of the wash basin is 86cm (2ft 10in). The height of the soap dispenser is 99cm. The toilet roll holder is not placed higher than 100cm (3ft 3in). The unit has strong international links, in particular with KU Leuven in Belgium. For more information about what these symbols mean, view our Accessibility Symbols Guide. We use cookies on this site to enhance your user experience, Getting To The Hospital (Princess Anne Hospital), Getting Help and Assistance (Princess Anne Hospital), Hospital Parking (Yellow Car Park - Level C - Accessible and Parent and Child Parking Only), Hospital Parking (Yellow Car Park - Open Air Parking), Hospital Parking (Yellow Car Park - Level B - Standard and Parent and Child Parking), Getting To (Early Pregnancy Unit and Gynae Assessment Unit), Outside Access (Level D and Out of Hours Entrance), Opening Times (Early Pregnancy Unit and Gynae Assessment Unit), Department / Service (Early Pregnancy Unit and Gynae Assessment Unit), To view the web page described above click here (opens in new tab), Princess Anne Hospital link (new tab) - click here, Hospital Parking at Princess Anne Hospital link (new tab) - click here. There are 21 Parent and Child Bays available on this level. Always inform the staff in the department you are pregnant. If you require an ultrasound we aim to offer this within 72 hours of referral. 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). No, Is the Subject Area "Nurses" applicable to this article? The height of the toilet roll holder is 118cm (3ft 10in). IMD scores were divided into 10 decile groups. There is level access into the day room/lounge area. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. 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). There is sufficient space for a wheelchair user to manoeuvre within the imaging room. The ramp/slope is located in front of the entrance. There is a low section of the desk (76cm or below) available. There is a canopy or recess which provides weather protection at this entrance. A key is not required for the accessible toilet. Resources, Data curation, You're adding a service to your CPD log. See below link for maternity web page if need more information needed regarding these concerns. There is step free access at this entrance. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. People who are diagnosed with a pregnancy loss will be offered treatment or advised depending on the type of pregnancy loss. Methodology, We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. It is not intended for public use. There is not a dropped kerb from the drop-off point. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. . Actual senior clinician presence was defined as the percentage of hours they spent in EPAUs delivering care divided by the unit opening hours. Call our hospital switchboard on 0118 322 5111 and ask for the On-call Gynae bleep 602. View photos. There are vertical wall-mounted grab rails on both sides of the wash basin. Please contact your midwife or maternity triage urgently if your symptoms relate to fetal movement. Conceptualization, 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. There are sofas and also a mixture of single seats with and without armrests. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. Standard toilet facilities are available. Both units contribute to large multicentre research projects. The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. 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. Standard manual wheelchairs are available for people to borrow at this entrance. 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. The width of the door opening is 87cm (2ft 10in). The Early Pregnancy Unit is classified as an Emergency Service and you may be invited to attend the unit for an appointment. 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. There is level access into the waiting room / area. There is a/are manual, heavy, double door(s) between the lift and the department/service. 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). 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. Funding acquisition, This is based on 6397 women that had complete information on the outcome and key characteristics. Unit volume was defined as the number of patient visits per year and was estimated using the time taken to obtain data on the required number of patients and the average number of visits per patient. The lighting levels are moderate to good. 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. 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. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. The wash basin and tap(s) can be reached from seated on the toilet. Please check the latest information before planning your journey. The car park does not have a height restriction barrier. Theyprovide a range of services such as peer support and counselling services. Where applicable, participants gave informed written consent before taking part in the study. The dimensions of the accessible toilet are 156cm x 241cm. The width of the door opening is 86cm (2ft 10in). Abdominal pain can also be related to non pregnancy causes including muscular pain, pain related to fibroids, urinary tract infection and other surgical causes egappendicitis. There is not a/are not door(s) into the waiting room / area. here. 2023 North Central London GP Website This site is intended for healthcare professionals only. You should contact the Early Pregnancy Unit if you have a positive urine pregnancy test, and are experiencing pain and or bleeding from 5 to 20 weeks of pregnancy. There is a waiting area close to the reception point. Send email. The name / number of the room surveyed was; 3. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. The Early Pregnancy Assessment Unit (EPAU) is a nurse-run, consultant-led unit located at Junction 5 within the York Teaching Hospital. For more information about what these symbols mean, view our Accessibility Symbols Guide. The controls for the lift are within 90cm - 120cm from the floor. on the right to withdraw consent, can be found in the website's privacy policy. The lighting level in the lift is medium. Funding: The VESPA study received funding from the NIHR Health Services & Delivery Research (HS&DR) programme grant number 14/04/41. There are accessible toilet facilities within the department/service. For many people who have experienced pregnancy loss, finding out they are pregnant again can bring with it a mixture of hope and fear, along with a range of other feelings. There is not an assistance dog toilet or toileting area on the hospital site. Clinic 3 - Early Pregnancy Unit. The door(s) open(s) automatically (towards you). To obtain mobility aids please contact the main reception. Access to the University College Hospital (UCH) is via the A400, turning right onto Grafton Way. The wash basin cannot be reached from seated on the toilet. The car park surface is a shared surface. This accessible toilet is also used as a standard toilet. In line with our Trusts policy a chaperone is available for all intimate examinations. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. Writing review & editing, Roles There is sufficient space to write or sign documents on the desk. 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. There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Modelling and Analytical Systems Solutions (MASS) Ltd, Edinburgh, United Kingdom, Roles The car park does not have a barrier control system. Investigation, The unit is open Monday to Friday from 7.30am-8pm with scanning facilities from 9am-5pm, and Saturday 9am-5pm (closed on Sunday). There is an/are accessible toilet(s) within this venue designated for public use. The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. View our cookie policy. From the west of the city Southampton General Hospital can be accessed via several routes from the M271. There is not a flashing fire alarm beacon within the room. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain Writing review & editing, Affiliation 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. Conceptualization, Data curation, The towel dispenser can be reached from seated on the toilet. Methodology, The main object of the service is to minimise unnecessary hospital admissions, which benefits both patients and the staff. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. Yell.com Yell Business. BSL interpreters can be provided on request. 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. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles By clicking any link on this page you are giving your consent for us to set cookies. BSL interpreters can be provided on request. Data curation, 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. The details that will be required when requesting in advance are - Blue Badge serial number, date of expiry and issuing authority/council. In addition to senior clinicians presence, we also explored the effect that weekend opening of an EPAU has on emergency admissions. Pregnancy Sickness Support website, here. This variable was also dichotomised for some analyses to indicate whether they were expected to spend any time in EPAU (yes/no). Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. new North Central London GP Website do not work as expected. Location and opening times The EPU is based in the gynaecology clinic on the ground floor of Lanesborough Wing. There is a space for a wheelchair user to manoeuvre. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. Staff do not need to be notified for use of the lift. If you are based within a GP practice please contact the GPIT Helpdesk on Contact us. Competing interests: I have read the journals policy and the authors of this manuscript have the following competing interests: MM, VG, GA, ZA, NK, JH, GB, RBA, JS, DJ has nothing to disclose. Funding acquisition, Writing original draft, Patients can call 0203 447 3013 to request a dispensation notice in advance. The lift does have a visual floor indicator. There is step free access into the imaging room. There is / are 4 consultation / treatment room(s) available. A 1-hour increase in the weekend opening hours of the EPAU was associated with 2.4% (95% CI: 0.1% to 4.7%) lower odds of an emergency admission from the Emergency Department. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325.
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