The total number of opening hours per weekend was used to illustrate weekend opening. The relationship between emergency admissions from the Emergency Department and senior clinicians presence in EPAU is shown in Fig 4. https://doi.org/10.1371/journal.pone.0260534.g004. The reception area/desk is clearly visible from the entrance. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). This national study has been realised thanks to the participation and hard work of 44 Early Pregnancy Assessment Units and their supporting research staff, a large number of patients who took the time to advise us before and during the study, as well as complete questionnaires and take part in interviews, and a number of organisations and individuals, to which we are extremely grateful. The contrast between the wall-mounted grab rail(s) and wall is fair. 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. Funding acquisition, To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. On arrivalyou will be booked in by our dedicated admin clerk anddirected to the EPAU waiting area with your referral form and a number. The car parking facilities are for Blue Badge holders only. Formal analysis, The hospital entrance is not clearly visible from the car park. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. We are closed in Bank holidays. Copyright: 2021 Memtsa et al. The car park is located at the side of the Elizabeth Garrett Anderson Wing. BSL interpreters can be provided on request. The height of the bell/buzzer is 134cm (4ft 5in). Tel: 01793 605257 Tommys Tommy's is a charity that funds research for pregnancy and babies. Volunteers can be found on the ground floor of the main University College Hospital building. We strive for continuous improvement and provide evidence based care. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0260534, https://www.rcog.org.uk/globalassets/documents/guidelines/wprgynstandards2008.pdf, https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2012_022.pdf, https://www.aomrc.org.uk/wpcontent/uploads/2016/05/Seven_Day_Consultant_Present_Care_1212.pdf, https://www.england.nhs.uk/wp-content/uploads/2013/12/evidence-base.pdf, https://www.isdscotland.org/Health-Topics/Quality-Measurement-Framework/Emergency-Admissions/, https://www.kingsfund.org.uk/sites/default/files/Avoiding-Hospital-Admissions-Sarah-Purdy-December2010_0.pdf, https://www.rcog.org.uk/globalassets/documents/careers-and-training/atsms/atsm_acutegynae_curriculum.pdf. Contact details will be put on all outpatient letters. 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. Yes, however bleeding does not necessarily mean there is a problem. If you are having a problem in early pregnancy, your first contact should be with your GP, or the out-of-hours service when your GP surgery is closed. 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. Theyprovide a range of services such as peer support and counselling services. These three factors were selected as being important factors associated with clinical outcomes from the literature [6]. The percentage of emergency admissions from the Emergency Department ranged from 7% to 58% with the majority of the units having an emergency admission rate of between 10% and 30%. There is a/are door(s) into the day room/lounge area. Parking spaces for Blue Badge holders do not need to be booked in advance. The reception area/desk is approximately 6m (6yd 1ft) from the clinic entrance. We carefully assessed the burden and timings of the study participation and questionnaires on patients. The Yellow car park is an underground car park on levels B and C of the Princess Anne Hospital with accessible Blue Badge Bays located on Level C. There are also 21 parent and child bays on level C of the Yellow Car park. Early pregnancy services. The room does not have background music playing. The height of the towel dispenser is 106cm (3ft 6in). There are parking charges for the hospital car park. The door(s) open(s) automatically (towards you). Writing review & editing, Roles Formal analysis, 020 3688 1881 or email If you are over 20 weeks of pregnancy please contact Maternity Triage. We chose to study the rate of emergency admissions which is a recognised quality outcome indicator for acute hospital units [19, 20]. You can also call020 7794 0500 ext 38205 or 31468. GAU is a 24 hour service and can offer advice and . 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services The association between the three factors: senior clinician presence, unit volume, and weekend opening hours, and the proportion of emergency admissions was investigated by using regression models, where hierarchical models were used for analysing patient-level data, and standard models were used for analysing unit-level data. Methodology, Volunteers do not receive disability awareness / equality training. Data curation, We listen to patient feedbackto deliver patient-centred care. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. There is a dark mat or floor marking at this entrance that might be perceived as a hole. The route from the car park to the entrance is accessible to a wheelchair user with assistance. The car park is located to the left of the main underground car parks. We obtained clinical data from 6,606 women. Writing review & editing, Affiliation Radiotherapy patients receive a dispensation notice directly from the Radiotherapy department. Some women require hospital admission for rehydration. Methodology, The severe form of nausea and vomiting in pregnancy is called Hyperemesis Gravidarum, which affects about 0.33.6% of pregnant women. As a secondary outcome, we aimed to establish the number of emergency hospital admissions for women attending EDs in the same location as the EPAU for first trimester pregnancy complications. There is a canopy or recess which provides weather protection at this entrance. There is sufficient space for a wheelchair user to use the waiting area. From the north of the city there are several routes from the M27, from the north east the A33 offers the best route towards the hospital. The route from the car park to the entrance is accessible to a wheelchair user with assistance. Accessible toilet facilities are available. There are coat hooks in the toilet at 107cm and 147cm from the floor. Standard manual wheelchairs are available for people to borrow at this entrance. There is level access to the consultation / treatment room. Data curation, 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. Methodology, The car park does have a barrier control system. Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. Dementia friendly signage is not provided. Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. e) three or more previous miscarriages (2021) Differences in the organisation of early pregnancy units and the effect of senior clinician presence, volume of patients and weekend opening on emergency hospital admissions: Findings from the VESPA Study. This room is not accessed via a changing room. Senior clinicians were present only in 19 of the 44 EPAUs. Wakefield The toilet roll holder is not placed higher than 100cm (3ft 3in). Yes Google map of Princess Anne Hospital Location. 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. This website is for healthcare professionals only. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. A hearing assistance system is not available in the department/service. Turn left as you pass through the doors and continue ahead. Wall mounted grab rails are available for the toilet. 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. Find Early Pregnancy Assessment Unit in Worksop, S81. . Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. The contrast between the wash basin wall-mounted grab rail(s) and wall is good. 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. The height of the soap dispenser is 99cm. Having collected contemporaneous data documenting the actual time that senior clinicians spent in the EPAU delivering early pregnancy care, we found no significant association whether we analysed for planned or actual presence of the senior clinicians in EPAU. The IHE receives funding from, and collaborates with, government, academic, not-for-profit and private sector organisations. Funding acquisition, 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. The unit has strong international links, in particular with KU Leuven in Belgium. By clicking any link on this page you are giving your consent for us to set cookies. 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. The waiting room / area is approximately 7m from the clinic entrance. Visualization, However, our study is the first large prospective study designed with a specific aim to study emergency admission rates in women presenting with acute first trimester pregnancy complications. f) Intrauterine Contraceptive Device in-situ. There is a/are door(s) leading into the department/service. Download the app Get a . The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. Resources, There is space for an assistance dog to rest within the seating area. 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 is not a door release button when exiting. See below link for maternity web page if need more information needed regarding these concerns. e0260534. 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 Assistance may be required because there is/are slopes/ramps. There is not a bell to attract attention. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. Two sets were used because IMD and gestational age policy had a reasonable amount of missing data. The unit is open Monday to Friday from 8am-6pm and Sunday 9am-5pm (closed on Saturday). The hospital does have a dedicated car park. Conceptualization, Continue along Grafton Way and rejoin the A400. The E&N Hertfordshire NHS Trust website uses cookies to improve your on-site experience. Keeping an EPAU open over the weekend for an additional hour was associated with 2.4% (95% CI 0.1% to 4.7%) lower odds of an emergency admission from ED. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. Conceptualization, For more information please contact Professor Tom Bourne, consultant gynaecologist by emailing t.bourne@ic.ac.uk at Queen Charlottes, or Dr Shahla Ahmed, consultant gynaecologist by emailing shahla.ahmed1@nhs.net at St Marys. Yes Search for local Pregnancy near you on Yell. The contrast between the walls and floor is good. The clinic reception is located to the left as you enter. Send email. The type of flooring in walkways and corridors is vinyl/laminate. Early Pregnancy Unit & Gynaecology Assessment Unit | AccessAble There is not a hearing assistance system. The post code for the Sat-nav is SO16 5YA. 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 are sofas and also a mixture of single seats with and without armrests. A total of 205/6397 (3.2%; 95% CI 2.83.7) women were admitted following their EPAU attendance. Visit the Miscarriage Association website which has a wide range of information as well as the different ways you can access support. There is a payment machine at a convenient height for wheelchair users. You can change the description, reflection or CPD Credit Hours at any time from within The width of the door opening is 88cm (2ft 11in). The hospital does have a dedicated car park. All women aged 16 years of age who attended the participating EPAUs presenting with first trimester pregnancy complications for the first time during the index pregnancy were included in the cohort study. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. Send email. Funding acquisition, 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. 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. The lift does have a visual floor indicator. There is step free access to Early Pregnancy Unit and Gynae Assessment Unit. Opening hours This line is open Monday to Friday 10-12pm Women's choices Use this number to discuss your pregnancy options 01592 6433355 ext 25445 Email: fifewomenschoices@nhs.scot Opening hours This line is open Monday to Friday 11am-3pm Bleeding in the early stages of your pregnancy? The dedicated staff are sensitive and committed to supporting the emotional needs of women and couples requiring this service. If you have symptoms of pain and or bleeding in the first 13 weeks of pregnancy you may want to seek advice. The hospital entrance is clearly visible from the car park. There is step free access at this entrance. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. The Unit is open at all times. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. A mobile hoist is not available on the department/service. View Accessibility Symbols. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. The hospital entrance is not clearly visible from the car park. Travel information is subject to change. Non-identifiable demographic and routine clinical data were collected for all women attending the participating EPAUs, and if women gave their written consent to participate to the VESPA study, their clinical data were linked. There is a canopy or recess which provides weather protection at this entrance. If you are not under the care of the EPAU, please contact your GP. There is a/are door(s) into the consultation / treatment room. Site by daysix. No, Is the Subject Area "Cohort studies" applicable to this article? You will often be seen at around 6 -7 weeks for a reassurance scan. Accident and emergency patient information leaflets, Video consultations - frequently asked questions, Visiting and keeping in touch during Covid-19, Log in or register with Patients Know Best, Patients Know Best - frequently asked questions, Patients Know Best and NHS App integration, Yorkshire Regional Spinal Injuries Centre (YRSIC), Psychology department - Every Voice Matters, Complex Eating, Weight and Bariatric Psychology, Plastic, Reconstructive and Burns Surgery, Breast plastic and reconstructive surgery, Skin cancer plastic and reconstructive surgery, Trauma plastic, reconstructive and burns surgery, Population and people who use our services, Zero Tolerance - Abuse is not in a day's work, Genetic Links to Anxiety and Depression (GLAD) study, Providing Online guided Self-help for Eating disorders in adults with type 2 Diabetes (POSE-D) pilot study, General Data Protection Regulation (GDPR), Safe Nursing and Midwifery staffing levels, Medical Education & Simulation Hub (MESH), Visit the Miscarriage Association website, previous ectopic or molar pregnancy with a new pregnancy. View Accessibility Symbols. This is because women with an early pregnancy complication may not necessarily need to attend in-person or may be more suited for an assessment in different clinical or maternity service. The designated Blue Badge parking bays are located at the rear of the hospital on Beaumont Place. WF1 4DG. 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). There are not separate entry and exit doors in the lift. Funding acquisition, Accident and Emergency Department/999 . 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. There are also several taxi services which run from the station. 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.