We are open Monday - Friday 08 - 20:00 (last patient accepted 19:15) and Saturday -Sunday 08:30 - 14:00 (last patient accepted 13:15). Writing original draft, Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical . Continue along Grafton Way and rejoin the A400. Volunteers do not receive disability awareness / equality training. 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. EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. View Article PubMed/NCBI . 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. The drop-off point is located to the right of the Level D entrance. Both telephone and email applications will be coordinated by the UCH main reception team. 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. Birmingham Clinical Trials Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom, Roles There is a/are Blue Badge parking bay(s) available. We use cookies on this site to enhance your user experience, Hospital Parking (Blue Badge Parking Only), Getting To (Clinic 3 - Early Pregnancy Unit), Consultation / Treatment Room (Ultrasound), Consultation / Treatment Room (Consultations), To view the web page described above click here (opens in new tab), To find your way around the University College Hospital sites please click here, Availability and Location of Standard Toilets, Elizabeth Garrett Anderson Wing link (new tab) - click here. Treatments available for miscarriage include natural management, medical management, daysurgical management under local anaesthetic (MVA) and surgical management treatment under general anaesthetic. There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). The sonography team will advise if you need to empty your bladder prior to the scan. MASS Ltd is a business consultancy specialising in analytics, data modelling, and workforce planning and configuration. The waiting room / area does not have background music playing. Standard toilet facilities are available. If an appointment is necessary you will be offered a time to attend the unit for an ultrasound scan or to be assessed by the doctor. 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]. Also required will be vehicle registration number, date of appointment and time of appointment. 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. Edna Keeney reports personal fees from Novartis Pharma, personal fees from Pfizer Inc., outside the submitted work. No, Is the Subject Area "Pregnancy complications" applicable to this article? To view other access guides that are related to this one please use the links below. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. No, Is the Subject Area "Cohort studies" applicable to this article? Click here for a guide to help you assess your bleeding. The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day service. The Blue Badge bay(s) is/are signposted but have no markings. 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 Outside of clinic opening hours, patients are triaged in A&E and can be offered gynaecological assessment and ultrasound if an urgent clinical need is identified. Department of Statistical Science, University College London, London, United Kingdom, Roles Women are often contacted on the same day, or the next working day if the referral is received after 3pm. Some women may also be advised to monitor their symptoms at home. When you attend an early pregnancy appointment you can bring one adult support partner with you however no children are currently able to attend with you. We found no significant association between senior clinician presence in EPAUs and the proportion of women admitted for suspected first trimester pregnancy complications. GPs wishing to make a referral should complete the Early Pregnancy Unit (EPAU) referral form below and send it to the correct email address. Assistance may be required because there is/are slopes/ramps. b) vaginal bleeding The lighting levels at the reception area/desk are medium. Visiting restrictions are in place. The contrast between the walls and floor is good. Detailed information, also The towel dispenser is placed higher than 100cm (3ft 3in). There was no apparent relationship between planned senior clinician presence and emergency admissions (Fig 2). VESPA included the services provided by MASS in the submittal for funding to NIHR. EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. There are 4 consultation/treatment rooms in this department/service. Planned and actual senior clinician presence, unit size, and weekend opening. Volunteers can be found on the ground floor of the main University College Hospital building. 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. Access to the building between 21:00 - 07:00 is via intercom. broad scope, and wide readership a perfect fit for your research every time. 1445/5464 (26.4%; 95%CI 25.3 to 27.6) women were admitted from ED. Early Pregnancy Unit and Gynae Assessment Unit is located on Level D of Princess Anne Hospital. The contrast between the wall-mounted grab rails to the left of the toilet and wall is poor. The height of the bell/buzzer is 134cm (4ft 5in). The floors which are accessible by stairs are B-LG-G-1-2. There is room for a wheelchair user to manoeuvre. All rights reserved. The towel dispenser is placed higher than 100cm (3ft 3in). Print this page The nearest designated Blue Badge parking bay is approximately 15m (16yd 1ft) from the Level C lift lobby. Therefore many women may prefer to monitor mild painless bleeding in early pregnancy (below 12 weeks and 6 days) and you may want to explore our information about bleeding and pain in pregnancy prior to contacting the unit, here. During working hours, women needing EPAGU services who attend A&E will be sent directly to the unit. Turn left as you pass through the doors and continue ahead. For more information about what these symbols mean, view our Accessibility Symbols Guide. We have links to excellent onsite gynaecological oncology and endometriosis services across sites. We are actively involved in studies developing diagnostic tests and in particular the use of ultrasound diagnostics. Formal analysis, Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. Yes If you have had a previous miscarriage, we would you advise to contact the Early Pregnancy Assessment Unit if you experience bleeding. Disposal facilities are available in the toilet. There is not a door release button when exiting. The VESPA study recruited from the EPAU population. Mobility aids are available to help patients move around and include; wheelchairs. There is clear signage on the department/service. Statistical models were adjusted for final diagnosis, maternal age at initial visit, deprivation score, and unit referral policy regarding gestational age, as these variables have a known effect on the rate of emergency admissions [1517]. Carole Johnston/ NickyHewitt, Clinical Nurse Specialists for early pregnancy. The contrast between the internal door and wall is good. The car park surface is a shared surface. The hospital does have a dedicated car park. Contact us. You will be given a copy of your ultrasound report. There is not an assistance dog toilet or toileting area on the hospital site. The entrance area/door is clearly signed with the name of the service/department. Elizabeth Garrett Anderson Institute for Womens Health, University College London, London, United Kingdom, The contrast between the wall-mounted grab rails to the right of the toilet and wall is fair. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain Your GP can be accessed for a range of non-urgent services. There is a space for a wheelchair user to wait within the seating area. People can self-refer to the unit by contacting 01924 541135 or through their GP, midwife, hospital doctor, Emergency Department staff if they have: Once you have been referred you will be contacted by a member of staff who will initially offer a triage assessment over the phone. Formal analysis, Funding acquisition, There is space for an assistance dog to rest within the seating area. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. 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. 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. Euston Square station has lift access from the platform to the street. The wash basin is not placed higher than 74cm (2ft 5in). Opening Times. There is room for a wheelchair user to manoeuvre. The hospital entrance is not clearly visible from the car park. There are several possible explanations for our findings. There is not a 120cm hatched zone around the Blue Badge parking bay(s). A user-led organization (Miscarriage Association), through its national director, acted as a co-applicant and collaborator. There is not a/are not Blue Badge parking bay(s) available. There is a space for a wheelchair user to manoeuvre. There is also a need to further explore the skill mix of a multidisciplinary team of nurses, midwives and sonographers, which could facilitate effective running of EPAUs in the absence of senior clinicians. There is flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. A mobile hoist is not available on the department/service. An implantation bleed, when the pregnancy is settling into the womb lining, can be common at around 4-6 weeks. 33 days (IQR 2447) was the median time for units to complete recruitment. We obtained similar results whether we analysed for senior clinician presence as a binary outcome or as a continuum. Data curation, The UCLH email address for Blue Badge parking enquiries is. The height of the reception counter is low (76cm or lower) . Accessible toilet facilities are available. After 18 weeks, the patient is seen in the Emergency Obstetric Unit or Delivery Suite. To keep our patients safe, we are currently offering a telphone advice, triage and referral service. Our research lead, Professor Tom Bourne, is a founding member of the International Ovarian Tumor Analysis (IOTA) group and sits in the steering committee of several large international trials. PLoS ONE 16(11): 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. For Pregnancy complications occurring beyond the first 16 weeks and up to six weeks post-partum or for Hyperemesis, contact: Maternity Day Assessment Unit. Standard manual wheelchairs are available for people to borrow at this entrance. The toilet roll holder is not placed higher than 100cm (3ft 3in). Copyright 2023 AccessAble. There is a vertical wall-mounted grab rail on the transfer side. Resources, d) previous tubal surgery There is an/are accessible toilet(s) within this venue designated for public use. 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). For service contact details please visit the relevant service page. There is sufficient space for a wheelchair user to use the waiting area. Writing original draft, When you attend the Emergency Department, you will be assessed by a doctor to see whether you need to stay in hospital and receive care as an inpatient, or whether you can be discharged and referred to to the EPAU as an outpatient. The car parking facilities are for Blue Badge holders only. There is / are 1 Ultrasound Room(s) available. You can change the description, reflection or CPD Credit Hours at any time from within The shelf is not higher than 95cm (3ft 1in). There is a dark mat or floor marking at this entrance that might be perceived as a hole. Prior to unit recruitment, a national survey was distributed to all 212 EPAUs operating in UK NHS hospitals between 2015 and 2016. There is a/are door(s) leading into the department/service. This information is for the entrance located on Grafton Way. Ultrasound based assessment for suspected pelvic pathology. . The alarm was out of reach (higher than 10cm (4") from floor) when surveyed. J Ultrasound Med. The type of flooring in walkways and corridors is vinyl/laminate. 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. By clicking any link on this page you are giving your consent for us to set cookies. There are windows, glazed screens or mirrors behind the reception point which could adversely affect the ability of someone to lip read. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, Affiliations If required emergency surgery can be performed, or women may be monitored and appropriate follow up arrangements made. Both units contribute to large multicentre research projects. This venue does not play background music. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. The main car park for the Princess Anne Hospital is called the Yellow car park. The admission rates by patient characteristics is shown in Table 2. We provide a dedicated service to women under 16 weeks gestation. https://doi.org/10.1371/journal.pone.0260534.t001. 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. Travel information is subject to change. 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. The car park does not have a height restriction barrier. If a scan is required and where it cannot be performed on the same day we will do our best to ensure that any wait is as short as it can be and we will endeavour to keep you updated of any delays. Research that could potentially guide recommendations and policies on staffing and configurations of EPAUs has been scarce [69]. Detailed information, also A moderate level of clustering within units (Intraclass Correlation Coefficient, ICC = 0.04) was assumed. We are closed in Bank holidays. Pinderfields Hospital The department/service does play background music. The soap dispenser cannot be reached from seated on the toilet. Barnet Hospital also offers a walk-in service. e) three or more previous miscarriages You can also call020 7794 0500 ext 38205 or 31468. The female toilet(s) is/are approximately 20m (21yd 2ft) from the clinic entrance. There are parking charges for the hospital car park. 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. There is not a play area or toys/books for a child to play with. Discover a faster, simpler path to publishing in a high-quality journal. The lighting levels are moderate to good. It is likely that they will be unable to offer reassurance scans if you have experienced previous early pregnancy problems unless you have symptoms in this pregnancy but individual units availability may vary. We have a dedicated gynaecology team of doctors and nurse practitioners to care for you and to make a full assessment of your symptoms. No, Is the Subject Area "Hospitals" applicable to this article? Payment machines are located inside the hospital building. Investigation, The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. 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. There are not parking charges for the hospital car park. The reception area/desk is clearly visible from the entrance. The height of the towel dispenser is 125cm (4ft 1in). This car park runs around the hospital building from the entrance on Level D to the rear of the hospital. 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. 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 entrance area/door is not clearly signed. There is a canopy or recess which provides weather protection at this entrance. 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. 2023 North Central London GP Website This site is intended for healthcare professionals only. Clinic 3 - Early Pregnancy Unit is/are located on the lower ground floor. https://doi.org/10.1371/journal.pone.0260534.g002. Contact details will be put on all outpatient letters. There are standard toilet facilities within this department/service. Models were either unadjusted or adjusted for gestational age unit policy. There is step free access, via lift, to Clinic 3 - Early Pregnancy Unit. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. When you attend an event booked through the North Central London GP Website, There is not a red flashing fire alarm beacon within the imaging room. Validation, (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. Access to Clinic 3 - Early Pregnancy Unit is via the Elizabeth Garrett Anderson Wing main entrance. In addition, we recorded the amount of time senior clinicians (consultant gynaecologists) spent working in EPAUs which is of critical importance when assessing the impact of their presence on various clinical outcomes. Writing review & editing, Affiliation They are organisational structures which operate in most acute hospitals in the UK and an increasing number of other countries worldwide [14]. Visualization, This showed substantial variations in the proportion of in-patient emergency admissions with 8.5% in units without, and 3.5% in those with, senior clinician presence. We see women in the first 18 weeks of pregnancy only. The drop off bays are on the side of the access road to the car park and there are no kerbs. The bollard(s) has/have a good colour contrast to prevent them being hazardous to visually impaired people. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. There is sufficient space next to the bed/couch for a mobile hoist to operate. Please check the latest information before planning your journey. The Early Pregnancy Unit (EPU) provides a wide range of services for women who are experiencing concerns in early pregnancy. There is level access to this accessible toilet. No car parking (other than for Blue Badge holders) is available at University College Hospital (UCH). Many of our studies are currently recruiting and women attending the EPAGU will be invited to participate. This technique was adopted to ensure that units of all configurations were equally represented in the final sample. The contrast between the walls and floor is good. 08.30am - 7.00pm Monday - Friday; 9.00am - 4.00pm Saturday, Sunday and Bank Holiday (except Christmas Day) Ultrasound services The towel dispenser cannot be reached from seated on the toilet. The unit characteristics were confirmed again immediately prior to commencing patient recruitment. Assistance may be required because there is/are uneven surfaces. The telephone number for the Patient Advice and Liaison Service (PALS) is 023 8120 6325. 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. Warren Street (Northern / Victoria Lines) and Euston Square (Circle / Hammersmith & City / Metropolitan Lines) are the closest tube stations to University College Hospital (UCH). Referral: patients are mainly referred to the Unit by their GP, but also from Gynaecology wards, by Midwives and other medical routes. The study ran from December 2016 to July 2017. If you have concerns with regards to this please speak to the nurse in charge. 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. 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. Getting To The Hospital Access to the hospital is either by following the pedestrian marked path around the hospital building or via a very narrow spiral staircase. Investigation, Wakefield The variable Gestational Age Policy (GAP) captures whether units either accepted referrals for women of any gestational age or only reviewed women of six weeks gestation or more. Get contact details, videos, photos, opening times and map directions. Opening Times. EPAU opening times. The reception counter is not placed in front of a background which is patterned. The main door(s) open(s) automatically (away from you). If you are based within a GP practice please contact the GPIT Helpdesk on There is not a hearing assistance system. Is the Subject Area "Pregnancy" applicable to this article? We would like to thank Ms Heidi Chandler; whose hard work and dedication was instrumental in securing the funding for this study. The door does not have a horizontal grab rail. The lift is approximately 24m (26yd 9in) from the Elizabeth Garrett Anderson Wing main entrance. Always inform the staff in the department you are pregnant. The unit has strong international links, in particular with KU Leuven in Belgium. Visualization, EPAU is located on Level 2, Area 7, Burnley General Teaching Hospital. 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. There was little evidence of an association with planned senior clinician time (p = 0.280) or unit volume (p = 0.647). The car park is located to the left of the main underground car parks. Data curation, Yes The height of the wash basin is 86cm (2ft 10in). The main door(s) open(s) towards you (pull). Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. . This maynot always possible depending on service demand and the type of investigation, monitoring or treatment you may need. You can find more information about these on the patient information page. The senior clinicians were actually spending less time in the EPAUs than expected. There is pictorial signage on or near the toilet door. Yes, however bleeding does not necessarily mean there is a problem. You can find some more helpful advice regarding nausea and vomiting in pregnancy on the Pregnancy Sickness Support website, here. Validation, The wash basin cannot be reached from seated on the toilet. There is dedicated team of trained sonographers and consultants who provide the ultrasound services. There is a dropdown rail on the transfer side.