Early pregnancy/emergency gynaecology unit - Clinic 24

Clinics

We are an emergency clinic providing care for women with early pregnancy and gynaecology concerns.

Urgent advice: Reinstatement of visiting for ultrasound scans in Clinic 24 from Monday 14th December 2020.

Phased reinstatement of partners for women attending for early pregnancy scanning in Clinic 24 in wake of Covid-19 pandemic

Clinic 24 is a small, but busy, unit based on Level 1 in the Rosie. We care for women with acute early pregnancy problems and acute gynaecology issues. 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). We are closed in Bank holidays.

Due to the size of the unit and the need to maintain safe social distancing, in line with Government/Cambridge University Hospitals guidelines, for women and their partners we have not been able to accommodate partners attending the Unit with women attending for any consultation.

We apologise for this and wish to reassure you that we have been endeavouring to change this and have built new waiting areas within the hospital to facilitate this.

We recognise your visit can be a very distressing life event and we acknowledge that you would prefer to have the physical support of a partner at this time.

From Monday, 14th December 2020 we are in the position to allow limited access for partners in Clinic 24, only for those attending for an urgent early pregnancy ultra sound scan.

Staff in Clinic 24 will continue to telephone all attendees to the clinic the day before the expected appointment to assess for symptoms of COVID-19.

Once you have entered The Rosie, the waiting area for Clinic 24 is now outside the clinic. Please check-in to Clinic 24 alone, your partner can wait in this designated waiting area where you will wait together following your initial assessment.

Following your ultra sound scan, staff will either show you back to the waiting area or to another area in the clinic for further review. Your partner can wait with you.

Should any further appointments for ultra sound scan assessment in Clinic 24 be necessary, your partner can attend with you. If, however, a further appointment is necessary, (but not an ultrasound scan), as part of your on-going treatment we would request that you usually attend alone.

Clinic 24 team picture

Early pregnancy care is provided up to 12+6 weeks gestation for women who have concerns with their pregnancy, such as pain and/or bleeding. We offer assessment for hyperemesis gravidarum up to 14 weeks gestation. We also provide early pregnancy care for women who have previously experienced ectopic pregnancy, recurrent pregnancy loss or gestational trophoblastic disease.

Gynaecological concerns can include pain, bleeding, infections and swelling/prolapse.

How to find us

Clinic 24 is on the ground floor of the Rosie hospital, next to the ultrasound department and opposite clinic 21; Rosie outpatients. Head straight through the Rosie reception area, past the Pavilion cafe and follow the signs to clinic 24, which is on the left.

Referrals

Clinic 24 operates a telephone triage and referral system. If you have an early pregnancy or gynaecology concern, please contact Clinic 24 by telephone. Your call will be taken by an appropriately trained member of staff. You may be asked to attend Clinic 24, the Emergency Department or your GP. You may be given advice and informed that attendance is not currently necessary.

Alternatively, you may be directly referred to Clinic 24 from your GP, The Emergency Department or your midwife.

When Clinic 24 is closed, an out-of-hours telephone triage service is delivered by the staff of Daphne Ward, the in-patient gynaecology ward. If your concern does not require emergency care, we advise that you contact Daphne Ward rather than directly attending the Emergency Department.

If you are asked to attend Clinic 24, you will not receive a letter, email or text. You should attend at the time and date given to you whilst you were on the phone or as advised by your GP/midwife. If you have MyChart, do not follow the appointment time displayed as this may not be accurate.

When you arrive

On arrival at Clinic 24, you need to check in at the reception desk. You will be seen by a nurse who will assess you and decide whether you require nurse-led care or referral to a doctor. If you are seen by a doctor, further history and an examination may be required. If an examination is required, you will have a chaperone.

If you are coming for a scan, the result and plan of your on-going care will be discussed with you before you leave the clinic.

Your appointment

When you attend Clinic 24, we aim to see you in a timely manner. Depending on how many patients there are to be seen, there may be a delay, and this will be communicated to you. As we are an emergency clinic, patients will be seen in order of clinical urgency.

Unfortunately, space in the clinic is limited, so we ask that you bring no more than one person to support you. Please note that the clinic is not a suitable environment for children.

Next steps

From your attendance at Clinic 24, your on-going care will take one of four pathways:

  • you may be discharged with no further follow up needed.
  • you may be discharged with a follow up plan. If follow up requires treatment or monitoring, you will be given a further appointment. If follow up can be delivered over the telephone, a date for a telephone call will be arranged.
  • you may be discharged back to the care of your GP or midwife.
  • you may be transferred to Daphne Ward within The Rosie Hospital for further care.