GP EPAU referral form [docx] 99KB (click to download). Non-urgent referrals seen on the same or next day. 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. Forfurther advice aboutemergency gynaecology at Barnet Hospital, call020 8216 5233. The closest station is Southampton Central which is approximately 2.3 miles from the Hospital. 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. The height of the toilet roll holder is 118cm (3ft 10in). We carefully assessed the burden and timings of the study participation and questionnaires on patients. Electronic consent for treatment or a procedure at our hospitals, Nominate a nurse, midwife or clinical support worker for a DAISY Award, New QEII Hospital Community Diagnostic Centre, Patient-initiated follow-up appointments (PIFU), Personalised care follow-ups for cancer patients, To provide high quality, compassionate care. Patients who are experiencing a loss are given contact numbers and information on how to obtain support from the Miscarriage Association. There is a/are Blue Badge parking bay(s) available. Visualization, The specific roles of these authors are articulated in the author contributions section. There is level access throughout the department/service. Clinical follow-up was not standardised but was based on local management protocols and womens medical needs. The EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. The lighting levels at the reception area/desk are medium. The Unit is open at all times. The reception point is located ahead of the Early Pregnancy Unit and Gynae Assessment Unit entrance. The entrance door(s) does not/do not contrast visually with its immediate surroundings. 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. 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. Fitting hierarchical logistic regression models for Emergency admission from EPAU, there was little evidence of an association between the admission rate and planned senior clinician presence or unit volume controlled for final diagnosis and maternal age, as shown in Table 5. View on a map. For more information about what these symbols mean, view our Accessibility Symbols Guide. The height of the wash basin is 86cm (2ft 10in). There is/are 10 designated Blue Badge parking bay(s) within the hospital car park. Supervision, Data curation, Contact. The soap dispenser can be reached from seated on the toilet. Miscarriage Association, 2023 Northern Ireland Maternity and Parenting. we'll add the event details to your CPD section automatically. Conceptualization, 2018 37:1533-1538. pmid:29119588 . EPAU is a specialist unit that manages early pregnancy problems such as vaginal bleeding and abdominal pain. The car park does have a height restriction barrier. Treatments available for ectopic pregnancies includelaparoscopic surgery, medical treatment with methotrexate, or expectant management. Once you have been discharged from our care you can still contact us if you have any questions or problems. 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. We recommend upgrading your browser to continue. 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. 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. J Ultrasound Med. The soap dispenser cannot be reached from seated on the toilet. Site by daysix. The car park is located on Level B of the hospital. There is a dropped kerb from the drop-off point. There is a clear unobstructed route to the reception point. During working hours, women needing EPAGU services who attend A&E will be sent directly to the unit. The role of the commercial company MASS Ltd, as an elite researcher in workforce modelling, was advisory with regards to data collection and analysis. 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. 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. Opening times Weekdays: 07:30 - 15:00 Weekends and Bank Holidays: 09:00 - 13:00 Contact us Patients already under the care of the EPAU may contact the unit on 01274 364325 and Ward 20 on 01274 364414. There is a small lip on the threshold of the entrance, with a height of 1.5cm or below. Please check the latest information before planning your journey. 33 days (IQR 2447) was the median time for units to complete recruitment. As you face the toilet the wall-mounted grab rail(s) is/are on both sides. COVID-19 information from Public Health Wales, Cardiff and Vale Local Public Health Team, Gynaecology Oncology - The Woman's Cancer Centre for Wales. 020 3688 1881 or email 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. Your local early pregnancy unit will be able to advise you as to whether your symptoms warrant an urgent or emergency appointment. The door does not have a horizontal grab rail. To determine whether the participation of consultant gynaecologists in delivering early pregnancy care results in a lower rate of acute hospital admissions. Validation, Investigation, Warren Street (Northern / Victoria Lines) and Euston Square (Circle / Hammersmith & City / Metropolitan Lines) are the closest tube stations to University College Hospital (UCH). There is level access to the consultation / treatment room. Find Early Pregnancy Assessment Unit in Worksop, S81. When you attend an event booked through the North Central London GP Website, The Early Pregnancy Assessment Unit (EPAU) is a nurse-led service which provides specialist care for women who have, or who have hadthe following: Whilethis is NOT a standardmaternity triage form, if neededyou can self-refer to the EPAU by filling out our EPAU self-referral form. 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. The hospital does have a dedicated car park. 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. There is a/are clearly marked/signposted Blue Badge parking bay(s) available. See below link for maternity web page if need more information needed regarding these concerns. Please be aware that some external resources may be restricted to NHS Secure Network connections only. All rights reserved. Please send a referral letter with all patients. Upon completion of data collection, we revisited the activity in all 44 units. There are not volunteers available for help and assistance at the hospital. 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 After yourscan, you will be reviewed by one of the specialist nurses who will then discuss with you the likely cause of your symptoms, whether you need to have any more investigations, and your treatment options. Funding acquisition, The email address for the Patient Advice and Liaison Service (PALS) is. Mirrors are not placed at a lower level or at an angle for ease of use. https://doi.org/10.1371/journal.pone.0260534.s001, https://doi.org/10.1371/journal.pone.0260534.s002. 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. The hospital does have a dedicated car park. Visit website. MASS (NK) was commissioned by and became a member of the VESPA co-applicants group to provide the required workforce modelling expertise and knowledge. The NICE guideline developing group, which includes a patient and public involvement panel, concluded that the configuration of services between different units varied considerably but, due to paucity of data, they were unable to make recommendations on the optimal structure of EPAUs that would balance clinical and service outcomes against cost-effectiveness. The primary outcome for the VESPA study was the number of emergency admissions as a proportion of women attending each participating EPAU. Access to the building between 21:00 - 07:00 is via intercom. Writing review & editing, Roles There is a level turning space (minimum 185cm x 210cm) in front of the payment machine(s). You can change the description, reflection or CPD Credit Hours at any time from within This accessible toilet is approximately 15m (16yd 1ft) from the clinic entrance. The emergency pull cord alarm is not fully functional. The height of the soap dispenser is 100cm. clinic appointment letter. There is sufficient space for a wheelchair user to use the waiting area. 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). EPAU opening times EPU is open to talk to or be seen by a nurse from 7.30am to 8pm. This technique was adopted to ensure that units of all configurations were equally represented in the final sample. Traffic light controlled pedestrian crossing points are located adjacent to each tube station. The nearest standard toilets are located on the ground floor of the Elizabeth Garrett Anderson Wing. There is level access into the waiting room / area. 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. There is sufficient space for a wheelchair user to manoeuvre within the imaging room. The car park is located on Level C of the hospital building. Index of Multiple Deprivation (IMD) was calculated based on the home address postcode of the patient at the time of patient recruitment. This venue does not play background music. Yes This relatively low level of senior clinicians involvement could explain the lack of an observed association between their presence and emergency admissions in this study. . 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. EPAU opening times. Investigation, https://doi.org/10.1371/journal.pone.0260534.t001. Referral criteria: women under 13 weeks with a positive pregnancy test and: a) abdominal pain On entering via the Level D entrance continue ahead and the entrance to the Early Pregnancy Unit and Gynae Assessment Unit department is on the right. The dimensions of the accessible toilet are 210cm x 220cm (6ft 11in x 7ft 3in). The barrier controls/touchscreen can be reached from the car. The height of the towel dispenser is 106cm (3ft 6in). View Accessibility Symbols. The email address for the Patient Advice and Liaison Service (PALS) is. Payment signs are located at the payment machines in the hospital building. 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. Early Pregnancy Unit and Gynae Assessment Unit is/are located on Level D of Princess Anne Hospital. Methodology, The results of our study indicate that the presence of senior clinicians in early pregnancy units may not lead to more effective care when this is measured by the proportion of women who are admitted as an emergency. There is not sufficient space to write or sign documents on the counter. We have placed cookies on your computer to help make this website better. 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. Urgent GP referrals are seen on the same day. The clinic reception is located to the left as you enter. Forty units met this target, whilst four units recruited between 143 and 149 women. Conceptualization, Validation, Accident and Emergency Department/999