No, Is the Subject Area "Obstetrics and gynecology" applicable to this article? The tube stations are located at opposite ends of the hospital main building. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. 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 We will keep you updated and we have refreshments available for your comfort. Your health professional will assess to see if you require a referral to the Early Pregnancy Unit. Specialist nurses also provide advice by telephone on 020 7472 6374during opening hours. In line with our Trusts policy a chaperone is available for all intimate examinations. We are a nurse-led service, supported by sonographers and the on-call gynaecology medical team, including a lead consultant . Please note: Dispensations are only issued to outpatients with Blue Badges who are attending hospital appointments. Always inform the staff in the department you are pregnant. Language interpreters can be provided on request. Forty units met this target, whilst four units recruited between 143 and 149 women. Elizabeth Garrett Anderson Wing (EGA) is not located within the congestion zone. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). The Blue Badge bay(s) is/are clearly marked. Women are seen in order of clinical priority, which means that you may be in the department for longer than anticipated. Senior clinicians were present only in 19 of the 44 EPAUs. The height of the soap dispenser is 100cm. They were also similar if we consider patients with normally-developing pregnancies (FD group 1) and abnormally-developing pregnancies (FD groups 25) (Table 6). To keep our patients safe, we are currently offering a telphone advice, triage and referral service. There are volunteers available for help and assistance at the hospital. This venue does not play background music. You're adding a service to your CPD log. As you face the toilet the wall-mounted grab rails are on both sides. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom, BSL interpreters can be provided on request. 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. The height of the wash basin is 86cm (2ft 10in). The distance between the floor and the highest table is 43cm (1ft 5in). There are parking charges for the hospital car park. Women may self-refer to the Royal Free EPAGU with early pregnancy problems. There is / are 10 consultation / treatment room(s) available. 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. Unplanned admissions to hospital following any visit for investigations or treatment for first trimester complications as a proportion of women attending EPAUs. The soap dispenser can be reached from seated on the toilet. Initially, we investigated the association between senior clinician presence, unit volume, and weekend opening hours on emergency admissions from EPAU. View photos. The dimensions of the designated Blue Badge parking bay(s) surveyed are 360cm x 420cm. Standard manual wheelchairs are available for people to borrow at this entrance. The car park does have a height restriction barrier. The toilet roll holder is placed higher than 100cm (3ft 3in). There is a/are door(s) into the consultation / treatment room. Conceptualization, View Accessibility Symbols. 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? 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. The door does not have a horizontal grab rail. We are closed in Bank holidays. d) previous tubal surgery 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 is / are 4 consultation / treatment room(s) available. A key is not required for the accessible toilet. The accessible toilet does not have an unobstructed minimum turning space of 150cm x 150cm. Detailed information, also 6606 pregnant women (16 years old) with suspected first trimester pregnancy complications attending the participating EPAUs or Emergency Departments (ED) from December 2016 to July 2017. 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. This accessible toilet is located along the department corridor. The car park does have a barrier control system. There is not a designated drop-off point. There are also several bus routes which stop at the Southampton General which is a short walk from the Princess Anne Hospital on Tremona Road. t: 020 7472 6374during opening hours (Mon-Fri 7.30am-8pm with scanning facilities from 9am-5pm), Call switchboard Patients and members of the public were involved at several stages of the study, including the design, management, and conduct of the study. Data curation, The email address for the Patient Advice and Liaison Service (PALS) is. Writing review & editing, Affiliation The telephone number for the Patient Advice and Liaison Service (PALS) is 020 3447 3042. This accessible toilet is approximately 16m (17yd 1ft) from the Early Pregnancy Unit and Gynae Assessment Unit entrance. Both provide consultant-led care for women who experience problems in early pregnancy. For some analyses, this variable was also dichotomised to indicate whether a unit was open at weekends (yes/no), whilst a three-level weekend opening variable was defined: None/Saturday only/Saturday and Sunday. We listen to patient feedbackto deliver patient-centred care. Inside the venue, there is level access to the female toilet(s). 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. The Early Pregnancy Unit (EPU) is a walk-in unit open and free of charge to any woman who is . 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 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. Data curation, Board Meetings (including Agenda and Papers), Corporate publications (Annual Reports and Accounts), COVID vaccine resources for minority ethnic communities, Accelerating care across Lancashire and South Cumbria, Patient Portal: mobile phone appointment letters, Test your equipment for Video Appointments / Calls, Academic Surgical and Perioperative Medicine Unit. As it is not necessary for UCH staff to see the Blue Badge at the time of issuing a dispensation notice, a notice can be issued in advance and posted or emailed to patients. Validation, We are now welcoming self referrals from women,however, we will still accept referrals from the existing pathway. The barrier controls/touchscreen can be reached from the car. The contrast between the internal door and wall is good. There are no chairs with armrests available. You might find it helpful to talk to your GP, midwife or early pregnancy staff if you are feeling anxious. However, at the time of your scan, you can be accompanied by your partner. There is level access to the consultation / treatment room. on the right to withdraw consent, can be found in the website's privacy policy. The senior clinicians were actually spending less time in the EPAUs than expected. . Methodology, Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. But in others an ultrasound scan shows that the baby has died or not developed but has not yet been miscarried. 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). The contrast between the dropdown rail(s) and wall is good. Possible symptoms include: Bleeding Validation, 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. 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. There is level access into the waiting room / area. You can do this by calling theCentral Booking Line on 01282 804512 (available 9am - 12pm, Monday - Friday). This section describes the Ultrasound Room(s), located to the left along the department corridor. There is a shelf within the accessible toilet. If the outcome of your consultation is that you require an ultrasound then our ultrasound scanning appointment times are from 9:30am 4.00pm on weekdays. 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. The wash basin is placed higher than 74cm (2ft 5in). There is not a 120cm hatched zone around the Blue Badge parking bay(s). There is a space for a wheelchair user to wait within the seating area. 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. Clinic 3 - Early Pregnancy Unit is/are located on the lower ground floor. on the right to withdraw consent, can be found in the website's privacy policy. The car park is located to the left of the main underground car parks. The service is then located on the right. The early pregnancy and acute gynaecology unit (EPAGU) is an emergency unit. Euston Road - no's 18, 27, 30, 88. There is a payment machine at a convenient height for wheelchair users. Conceptualization, Some women may also be advised to monitor their symptoms at home. The Early Pregnancy Assessment Unit (EPAU) in Ward C1 at the University Hospital of Wales is an integrated single unit, which takes referrals from all overCardiffand the Vale of Glamorgan. There is written text and pictorial signage on or near the toilet door. The Early Pregnancy Unit assesses women with complications such as pain, bleeding and excessive vomiting. This leaflet describes the different ways these kinds of miscarriages can be managed and what you might expect for each option. Funding acquisition, A summary of all units showing their characteristics in respect to the key factors of interest and outlining participants median age, parity, deprivation score, ethnicity and gestational age at presentation is provided in Table 1. Senior clinician (consultant gynaecologist) involvement in the delivery of acute clinical care has been of interest recently [11], as there is emerging evidence of their positive impact on Emergency Departments (EDs) and Acute Medical Units, contributing to reduced mortality, fewer emergency hospital admissions and accelerated discharge from hospital [1214]. Princess Anne Hospital is Located on Coxford Road to the north West of the city. There is a space for a wheelchair user to manoeuvre. Formal analysis, We also accept GP referrals for emergency gynaecology problems. (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. No, Is the Subject Area "Cohort studies" applicable to this article? The hospital entrance is not clearly visible from the car park. The Unit is open at all times. here. There is space for an assistance dog to rest within the seating area. https://doi.org/10.1371/journal.pone.0260534.t001. 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. Department of Women and Childrens Health, Kings College London, London, United Kingdom, Roles This is an external link. Conceptualization, The title of this entry will be Early Pregnancy Assessment & Gynaecology Unit: RFL. You will be given a copy of your ultrasound report. The Blue Badge bay(s) is/are signposted but have no markings. 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. Princess Anne Hospital, Coxford Road, Southampton, Hampshire, SO16 5YA. 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. 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. The floors which are accessible by this lift are B-LG-G-1-2. The door(s) open(s) away from you (push). The study ran from December 2016 to July 2017. 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. North Central London GP Website. GAU is a 24 hour service and can offer advice and . The soap dispenser cannot be reached from seated on the toilet. Your GP can be accessed for a range of non-urgent services. Urgent GP referrals are seen on the same day. 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 bollards do not restrict access to the entrance. 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. We value all people andstrive to beopen, honest and accountable for the care provided. Mirrors are placed at a lower level or at an angle for ease of use. The gynaecology emergency room (GER) at St Marys Hospital provides an acute seven-day 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. f) Intrauterine Contraceptive Device in-situ. GP EPAU referral form [docx] 99KB (click to download). The contrast between the walls and floor is good. Dementia friendly signage is not provided. Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. Planned and actual senior clinician presence, unit size, and weekend opening. If you are based within a GP practice please contact the GPIT Helpdesk on We found that, in general, the actual amount of time spent by the senior clinicians in the units was less than planned, and in only five units, they were present for more than 5% of the time (Fig 3). Gower Street - Southbound (University Street) - no's 10, 24, 29, 73, 134. Elizabeth Garrett Anderson Wing, University College Hospital, 25 Grafton Way, London, WC1E 6DB. On the UCH site, security staff, at the security desk in the UCH Atrium and at the Elizabeth Garrett Anderson Hospital EGAH reception are able to issue dispensation notices out of hours. Both telephone and email applications will be coordinated by the UCH main reception team. This information is for the entrance located on Level D of the hospital, opposite the entrance to the car parks. Investigation, You can catch the Bluestar 17 and City Red Three buses from the station - both continue to Southampton General Hospital and Princess Anne Hospital.