Bleeding and pain during early pregnancy are relatively common symptoms and do not always mean there is a problem. The barrier controls/touchscreen can be reached from the car. You can find your nearest walk-in centre at www.nhs.uk. They will be asked to sign a declaration form and wait for you outside the department until you are called in for your scan. The floors which are accessible by stairs are B-LG-G-1-2. General Practitioner (GP)
They can also be obtained from UCH Macmillan Cancer Centre Site Main Ground Floor Reception (08.00-20.00 Monday to Friday only). The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. The study ran from December 2016 to July 2017. 44 Early Pregnancy Assessment Units (EPAUs) across the UK randomly selected in balanced numbers from eight pre-defined mutually exclusive strata. https://doi.org/10.1371/journal.pone.0260534, Editor: Gang Qin, Nantong University, CHINA, Received: April 5, 2021; Accepted: November 11, 2021; Published: November 30, 2021. 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 There is level access into the day room/lounge area. Copyright 2023 Imperial College Healthcare NHS Trust, Early pregnancy and acute gynaecology units, Assessment of women with bleeding and/or pain in early pregnancy, Diagnosis and subsequent management of miscarriage and ectopic pregnancy, Nausea and vomiting in pregnancy (hyperemesis), Gynaecology: scans for suspected pelvic pathology requiring emergency review, Possible ovarian cyst accidents (ovarian cyst rupture or torsion), Significant heavy menstrual bleeding with anaemia requiring hospital admission, Expectant, medical and surgical management of miscarriage, Management of ectopic pregnancy: medical, surgical and close monitoring with expectant management, Inpatient and outpatient management of nausea and vomiting in pregnancy, Surgical management of molar pregnancy and liaison with the, Incision and drainage of Bartholins cysts and abscesses under local anaesthesia or general anaesthesia. We also run support groups for women and their partners who have experienced ectopic pregnancy or miscarriage. The car park does have a height restriction barrier. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option. The day room/lounge area is not always open. Language interpreters can be provided on request. Download the app Get a . Pinderfields Hospital People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Department of Statistical Science, University College London, London, United Kingdom, Roles Dementia friendly signage is not provided. The unit has excellent links with the fetal medicine service, also based at Queen Charlottes. 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. Gynaecology Outpatient Department,Ground floor, Green Zone, Lewisham High Road, SE13, Gynaecology Outpatients Department, Stadium Road, Greenwich, London SE18 4QH. Yes 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. Non-urgent referrals seen on the same or next day. You will be given a copy of your ultrasound report. Neither planned senior clinician presence (p = 0.874) nor unit volume (p = 0.247) were associated with lower admission rates from EPAU, whilst EPAU opening over the weekend resulted in lower admission rates (p = 0.027). Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. Supervision, Validation, The intercom is in a suitable position to allow wheelchair users to gain access. 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. Opening Times. To view other access guides that are related to this one please use the links below. 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. The toilet roll holder can be reached from seated on the toilet. Early pregnancy services. Pregnancy Sickness Support website, here. No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). Twenty-three units were open during weekends. There is step free access at this entrance. There is a shelf within the accessible toilet. By clicking any link on this page you are giving your consent for us to set cookies. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. You must telephone the unit before attending we do not run a walk-in clinic or service. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. 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. Opening Times. A key is not required for the accessible toilet. The waiting room / area does not have background music playing. The funder provided support in the form of salaries for authors MM, VG, GA, PB, EK, SS, ZA, JR, NK, JH, GB, JS, DJ; however, the funder and sponsors of the study did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The variable Emergency admission indicates whether a patient had an unplanned admission to hospital following any visit for investigations or treatment of first trimester pregnancy complications. The clinic is open from 08.30 to 11.00 Monday to Saturday. Both units accept referrals from GPs, the urgent care centre, the antenatal clinic and A&E. Conceptualization, Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. You will have a telephone assessment with a specialist EPAU nurse, and they will advise whether you need to attend a booked appointment for a face-to-face assessment and/orscan. Click here for a guide to help you assess your bleeding. You can find some more helpful advice regarding nausea and vomiting in pregnancy on the Pregnancy Sickness Support website, here. There is a/are Blue Badge parking bay(s) available. The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. Methodology, 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. The nearest National Rail station is Euston. The specific roles of these authors are articulated in the author contributions section. There is a/are door(s) into the consultation / treatment room. We listen to patient feedbackto deliver patient-centred care. f) Intrauterine Contraceptive Device in-situ. Nausea and vomiting in early pregnancy affects up to 80% of pregnant women. Formal analysis, Monday to Sunday 08:00 to 13:00. 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. 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. 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. Weekend opening, however, may be an effective way of reducing emergency admissions from ED. The car park surface is a shared surface. GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. There are volunteers available for help and assistance at the hospital. Please do not contact the Early Pregnancy Unit to arrange an appointment with the midwife. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). Also required will be vehicle registration number, date of appointment and time of appointment. 020 3688 1881 or email 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. Walk-in centres can be accessed by anyone and have more flexible opening hours. Royal Free London (RFL)offers a seven-dayper week specialist service for women who need emergency care for early pregnancy and gynaecological problems at Royal Freeand Barnet Hospitals. The contrast between the external door and wall is good. The Early Pregnancy Unit is an emergency referral service providing care for women experiencing pregnancy complications, primarily pain or vaginal bleeding, up to 15+6 weeks. Turn right onto Beaumont Place before reaching Warren Street tube station. Miscarriage is the most common type of pregnancy loss. Roles If you are based within a GP practice please contact the GPIT Helpdesk on This analysis was based on the 29 units (5,464 patients) that were able to provide us with reliable data regarding the attendances to Emergency Department and emergency admissions out of hours. This avoids the need for patients/carers to park illegally on the day while they come in to get their dispensation notice. Validation, This is based on 6397 women that had complete information on the outcome and key characteristics. t: 020 7794 0500 ext 38205 or 31468. Visualization, Report a problem or suggestion using this facility. However, there was little evidence of an association with unit volume (p = 0.647) or planned senior clinician time (p = 0.280). We chose to study the rate of emergency admissions which is a recognised quality outcome indicator for acute hospital units [19, 20]. There is a canopy or recess which provides weather protection at this entrance. The contrast between the internal door and wall is good. The car parking facilities are for Blue Badge holders only. In total, 1,445/5,464 (26.4%; 95%CI 25.3 to 27.6) patients had an emergency admission from the Emergency Department. That is, a one-hour increase in weekend opening hours was associated with a 3.0% (95% CI: 0.3% to 5.8%) increase in the odds of an emergency admission from EPAU. No, Is the Subject Area "Nurses" applicable to this article? This accessible toilet is approximately 17m (18yd 1ft) from the clinic entrance. Methodology, Referrals are accepted direct to the unit from GPs, Midwives and the Emergency Department. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. 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. 9.00am 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day), 10.00 to 12.00 Sunday and Bank Holiday except 25th December, Clinical assessment if you present with symptoms in early pregnancy, USS scan to assess pregnancy, pelvis, ovaries, Medical/surgical/conservative management for miscarriage orectopic pregnancy, Surgical management of miscarriage under Local anaesthesia (MVA), Outpatient Treatment for hyperemesis (vomiting in early pregnancy), Outpatient treatment for Bartholins abscess, Telephone advise and follow up regarding further investigations, assessment of symptoms and management plans. You can at any time read our cookie policy. Data curation, Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. The main car park for the Princess Anne Hospital is called the Yellow car park. Travel information is subject to change. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. Once your referral has been received, please await a telephone call from the EPAU. Detailed information, also Walk-in Centres
Early Pregnancy Unit (Day time): 0151 604 7450. . BSL interpreters can be provided on request. Data Availability: All relevant data are within the papers Supporting information files. Formal analysis, There is level access to the consultation / treatment room. . The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. The lighting levels at the reception area/desk are medium. Do you want to change or cancel an appointment? The height of the reception desk is high (110cm+). The lateral transfer space is 145cm (4ft 9in). The maximum period staff are allowed to issue a dispensation notice is for 31 calendar days, any requests for dispensation notices for more than 31 calendar days should be sent to the Operations Manager, Property and Transport Services at. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, Roles The hospital entrance is not clearly visible from the car park. . 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.