Learn More. The hospital is clearly signposted from all major routes which include the A14, and the A141. If you do not speak English, language assistance services, free of charge, are available to you. The ward is made up of 22 individual bedrooms, all with en-suite facilities. The Steadman Clinic specializes in sports medicine including knee, hip, shoulder, hand, wrist and elbow, neck and spine, foot and ankle injuries and joint replacement. As you enter, please take a coin token from the entrance barrier. They were all very kind and caring. The external controls for the lift are within 90cm - 110cm from the floor. We are a center for compassion and award-winning patient care, offering board-certified specialists in over 25 fields of medicine and expert trauma care as a Level III trauma center. When . Data returned from the Piano 'meterActive/meterExpired' callback event. Circle Health's chief executive Steve Melton said before the report was published: We understand their report will be published soon, and fully expect it to be unbalanced and to disagree with many of its conclusions". We maintain close contact with community mental health services to ensure continuity of your care. The contrast between the external door and wall is good. There is not a functional emergency alarm available. There is level access throughout the ward. Inside the venue, there is level access to the unisex toilet. Circle was founded as a part-employee owned business in 2004 by. All rights reserved. The car parking facilities are for Blue Badge holders only. The main car park is located opposite the Treatment Centre and main hospital entrance. To obtain mobility aids please contact reception. Babies requiring specialist care will benefit from new facilities, which include a parents room and a dedicated space available for any new mum who may be bed-bound so they can be wheeled from the labour ward to be with their baby. Our aim is to deliver care and treatment in line with Pennine Cares values, those are: Pennine Care NHS Talking Therapies (previously Healthy Minds), Child and adolescent mental health (CAMHS), Greater Manchester Resilience Hub - health and care staff wellbeing service, Greater Manchester Resilience Hub - webinars and digital resources, Greater Manchester trusted relationships project, Spiritual, religious and pastoral services, Freedom of Information and Environmental Information Privacy Information, Young people's mental health research unit, Workforce Disability Equality Standard (WDES), Service user and carer involvement and engagement, Occupational therapist and technical instructors. The hospital does have a dedicated car park. [17][18], In November 2014 Jenny Raine the chief financial officer left. There is a payment machine at a convenient height for wheelchair users. Aspen, CO 81611. The Blue Badge bay(s) is/are clearly marked. There is step free access, via lift, to Birch Ward. Playing Field, Hinchingbrooke Park is 856 meters away, 11 min walk. "Previously parents would have to sit with staff having their lunch and mums had to be mobile before they could move across to the ward to see their baby, so this really does improve our patient experience for all parents on the unit.. Tell us what was good and what could be improved, say thanks or call for change About: Hinchingbrooke Hospital Hinchingbrooke Hospital Huntingdon PE29 6NT. There is/are 9 designated Blue Badge parking bay(s) within the hospital car park. David Ward - Acute Medicine Consultant - Hinchingbrooke Health Care NHS Trust | LinkedIn David Ward Acute Medicine Consultant at Hinchingbrooke Health Care NHS Trust Peterborough, England,. The new unit is fantastic and we are so pleased to be back in and able to make use of the new facilities. Hinchingbrooke Hospital, Hinchingbrooke Park, Huntingdon, Cambridgeshire, PE29 6NT. The dropped kerb does not have tactile paving. Please review the library's lookup policy. PE29 6NT, Posted via This groundbreaking collaboration features an expert team of fellowship-trained, sub-specialty care providers who practice the latest evidence . 5 0 obj [15], The hospital made an offer in September 2014 to pay local GPs a 50 'administrative fee' for surgery referrals in an email, signed by Hinchingbrooke chief executive Hisham Abdel-Rahman, which was rapidly withdrawn when the company was accused of bribery. Posted via nhs.uk about a year and a half ago. or call us on 0845 113 0012, Response from contact the editor here. The barrier controls/touchscreen can be reached from the car. This was one of the fastest exits from special measures in England and, at the time, this was the first time that a Trust had exited with a rating of 'good'. I would especially like to thank my consultant surgeon and her superb team. Discover how you can create a healthy journey every bit as unique as you. It is always a pleasure for our staff to read comments such as yours and I will ensure they are passed on. Price Transparency & Common Healthcare Pricing, Childbirth Preparation Series, March 7, 2023, Childbirth Express Class, Aspen, In-person- April 16, 2023. Signs indicating the location of the stairs are clearly visible from the entrance. The drop-off point is located to the left of the main entrance to the main hospital building. There is not a hearing assistance system. The toilet roll holder is not placed higher than 100cm (3ft 3in). The floors which are accessible by this lift are G, 1. There is not a list of floor services available within the lift. Aspen Valley Hospital embraces the remarkable sense of community and place that make the Roaring Fork Valley one of the most desirable locations to live and explore. The unisex toilets are located next to reception. Payment signs are located at the payment machines in the hospital building. The towel dispenser is placed higher than 100cm (3ft 3in). I never wanted to know 1st hand how amazing the Covid care is but I can't thank. The staff were all wonderful and made every effort to make sure i was comfortable and not in any pain. Details for joining via Zoom are posted before each meeting. The internal controls for the lift are within 90cm - 120cm from the floor. If I need a hospital again, I will choose Hinchingbrooke. The colour contrast between the external lift control plate and the wall is good. There is a hearing assistance system available at the desk. There is a/are Blue Badge parking bay(s) available. The floors which are accessible by stairs are G, 1. Nothing was too much trouble for them. Youre Healthy Journey starts here. The car park does not have a barrier control system. Circle Holdings became the only private company to run an NHS hospital when it took over Hinchingbrooke NHS trust in early 2012. The dimensions of the designated Blue Badge parking bay(s) surveyed are 340cm x 690cm (11ft 2in x 22ft 8in). Circle would have to make unprecedented levels of savings to eliminate the deficit and most of those savings were expected in the later years of the ten-year franchise, so the value for money of the project would not be capable of being easily be assessed for some time. Aspen Mountain Medical Centers mission is to be Southwest Wyomings number one choice for healthcare. There is not a designated drop-off point. This website and associated newspapers adhere to the Independent Press Standards Organisation's You need to keep your coin token with you and pay at the pay station on your way back to your car. The therapists that I work with are passionate about helping me.". Our ear, nose and throat specialists manage more than you may know, they specialize in all manner of injuries, deformities and diseases related to the head and neck. There is a Patient Advice and Liaison Service (PALS) at the hospital. St. Louis County Library. Share this review Report this review. Nurses and doctors working tirelessly to get us back to health. 636.916.9000. As a subscriber, you are shown 80% less display advertising when reading our articles. The care received in A&E, Aspen and Plum wards was fantastic. Vitalant mobile blood drive will return to Aspen Valley Hospital on Tuesday, April 11! ", "The hospital staff were so incredible, so amazing. [8] Although the hospital was managed privately, the buildings remained in the ownership of the NHS. Hinchingbrooke Hospital was built in 1984 and is one of four hospitals in the East of England impacted by RAAC, which is reaching the end of its operational life. ". View all Services, Cant find your Symptom or Condition? > | Local history indexes | Public institutions and government. Our team provides round the clock care and is made up of: While you are with us you will receive one-to-one support to develop your own care plan, which will be used to facilitate your recovery and safe discharge. Home Our hospitals Hinchingbrooke Hospital Wards Wards - visiting times, contact details and directions Visiting times: Choose the ward you are visiting from the list below Mealtimes: All mealtimes are protected, so family and friends and should not visit when patients are eating their meals. Visit https://www.careopinion.org.uk . Visit the region's best spine specialists at Wyoming's #1 hospital and enjoy an elevated level of personalized, one-on-one care while you're here. Payment signs do not make it clear if parking charges apply to Blue Badge holders. The new team outside the SCBU at Hinchingbrooke Hospital. There is a canopy or recess which provides weather protection at this entrance. There is some flooring in corridors which is shiny and could cause issues with glare or look slippery to some people. Psychological therapy on a one-to-one basis, with a qualified psychologist, Additional support with housing benefits and social inclusion, Full physical health screening, frequent reviews and follow up treatment, Access to electro convulsive therapy (ECT). Excellent care on Daisy Ward. There are manual, double doors which may be difficult to open to enter and exit the stairwell on the first floor. Aspen Valley Hospital Accordingly in April 2017 Hinchingbrooke Health Care NHS Trust merged with Peterborough and Stamford Hospitals NHS Foundation Trust to form the North West Anglia NHS Foundation Trust. The hospital is clearly signposted from all major routes which include the A14, and the A141. The hospital entrance is clearly visible from the car park. Our regionally renowned spine specialists deliver world-class quality right here in town. Hinchingbrooke Hospital is a small district general hospital in Hinchingbrooke near Huntingdon, Cambridgeshire. [11][12], Matters started to deteriorate further. dYNl ?DwV9nzMrxX[aiTcp4h74P2'`*v_KYvxPwPBRbLgU>}?mRmI^g The height of the step(s) is/are between the recommended 15cm and 18cm. The car park is located in front of the hospital buildings. The youngest patients at Hinchingbrooke Hospital will now be cared for in a newly refurbished Special Care Baby Unit (SCBU). They had concerns about the Trust's leadership because both the Circle Health management team and the Trust Board said that the other was responsible for holding the Trust's executive team to account. Aspen Mountain Medical Center [10] However in November 2012 a National Audit Office (NAO) report into the franchising arrangement was published. Birch Ward is/are located on the first floor. It is important that we continue to promote these adverts as our local businesses need as much support as possible during these challenging times. Nurses and doctors working tirelessly to get us back to health. The showers are located along the ward corridor. There are no accessible toilet facilities on the ward for visitors. The hospital opened in 1983 and provides a wide range of specialties including general surgery, ear, nose and throat, ophthalmology, orthopaedics, urology, breast surgery, gynaecology and vascular services. Mobility aids are available to help patients move around and include; wheelchairs, mobile hoists and adjustable beds. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This is a series of classes covering labor, delivery, breathing and relaxation, anesthesia, C-section, postpartum, breastfeeding and newborn care. R 977.866 K68S. She was so kind and I thank her so very much . %PDF-1.7 *6(q<1oiqfjK{]:/`_s o;kcg (jK*`;sY?S:Y0oE_m`J This is part of a rolling programme to reinforce the roof on the main hospital site.. The dimensions of the lift are 153cm x 264cm (5ft x 8ft 8in). 01480 416416. [9], BBC Newsnight produced a programme about the hospital in August 2012 where Ali Parsa of Circle Health showed how "reactive, motivated staff treat patients better; happy, well-fed patients heal better". There is not a 120cm hatched zone around the Blue Badge parking bay(s). Zj-+m+da6~?}osy[ U-rq] Q-mzS@0WOy\?4j# Z;Oe]zD? There is level access to the services from the shower facilities. Birch Ward is approximately 32m from the main lift. 11th January 2023. Handrails do not extend horizontally beyond the first and last steps. If you are dropping someone off at the hospital there are allocated drop off points, located near to most entrances to the hospital. Handrails do cover the flight of stairs throughout its length. There is a mirror to aid reversing out of the lift. Whether it's facial reconstruction, a simpler procedure involving the inner ear, or corrective surgery for your sinuses, our ENT team has you covered. nhs.uk Hinchingbrooke Hospital, Hinchingbrooke Park, Huntingdon, Cambridgeshire, PE29 6NT 01480 423 180 Send email Visit website View Accessibility Symbols View photos View on a map Access Guide Show Easy Read Easy Read Print/Save as PDF Something changed? The toilet roll holder can be reached from seated on the toilet. This is a series of classes covering labor, delivery, breathing and relaxation, anesthesia, C-section, postpartum, breastfeeding and newborn care. The unit required work to reinforce the ceiling as part of the ongoing structural improvement works that are taking place across the Hinchingbrooke Hospital site and while the builders were in, the Trust took the opportunity to reconfigure the unit to bring it in line with national standards and provide a better environment for the youngest patients in the hospital. She subsequently spent more than 120 days in hospital in Hinchingbrooke, and then Peterborough, when her condition worsened and she was moved to critical care, placed in an induced coma and needed . Clear signs indicating the facilities on each floor are provided on lift lobby landings. Who has Care Opinion told about this story? /Length1 266636 [21] Later the same day it was revealed that the Care Quality Commission had recommended the Trust should be placed into special measures after it was rated 'inadequate' on the questions of whether it was caring, safe and well led. Parking spaces for Blue Badge holders do not need to be booked in advance. [6][7] Mitie continued to provide domestic cleaning services, waste collection, pest control and external window cleaning at the hospital. The car park does not have a height restriction barrier. There is pictorial signage on or near the accessible bathroom door. During your stay we may prescribe and administer medication; and we will endeavour to involve you in this process. Hun is 1318 meters away, 17 min walk. Sign up for the Newsletter to receive the latest News & Events from Aspen Valley Hospital. Editors' Code of Practice. About: Hinchingbrooke Hospital. Research and education in collaboration with SPRI are central to the partnership, including training of future orthopaedic surgeons and development of technologies to advance musculoskeletal health. . The hospital is clearly signposted from all major routes which include the A14, and the A141. The hospital was opened in 1983 to replace Huntingdon County Hospital which closed that year. visibility, This means that some features of Care Opinion won't work, We recommend you enable JavaScript in your browser and then. If you are dissatisfied with the response provided you can The ward is made up of 22 individual bedrooms, all with en-suite facilities. Phone: 314-994-3300, Hours & Locations Comments/Suggestions314-994-3300, Copyright 2023. The telephone number for the Patient Advice and Liaison Service (PALS) is 01480 428 964. /Type /Stream Over 5,000 prices for private treatments; Get a quote From a hospital or specialist near you; Payment options Explore multiple flexible ways to fund your treatment; Get on the Fast Track Personalised advice from leading specialists If you are dropping someone off at the hospital there are allocated drop off points, located near to most entrances to the hospital. The facilities available in the accessible shower are an adjustable shower head, handrails, and a flip down seat. [27], Circle Health handed the management of the hospital back to the NHS on 31 March 2015. Handrails are at the recommended height (90cm-100cm). on the right to withdraw consent, can be found in the website's privacy policy. Hinchingbrooke Hospital was built in 1984 and is one of four hospitals in the East of England impacted by RAAC, which is reaching the end of its operational life. A Shout out for team Aspen ward who are looking after my Husband Gary . contact IPSO here, 2001-2023. >> Standard manual wheelchairs are available for people to borrow at this entrance. There is a dark mat or floor marking at this entrance that might be perceived as a hole. Latest reviews for Hinchingbrooke Hospital. View all Symptoms or Conditions. This was attributed to (i) reductions in local prices during commissioning negotiations costing the Trust in excess of 3 million (ii) a high demand for agency staff generated by increased volumes and acuity of non-elective patients increasing the interim staffing bill by nearly 12 million for the year (iii) the impact of failed cost improvement programme schemes and (iv) a charge of 1.3 million being Hinchingbrookes share of the losses of the Pathology Partnership joint venture. +1 (307) 352-8900, 2023 Aspen Mountain Medical Center, LLC. ", "I feel great about the care I have received at Aspen Valley Hospital. This was completed in April 2021. When swollen joints, painful knees and shoulders, carpal tunnel, and other discomforts set in, it's our job to get them out of your way. It was a delight to have a single cabin, to be kept informed all along and everything dealt with in a timely fashion. There are not separate entry and exit doors in the lift. Can't thank you enough for your superb care. Find a specialist Search our directory of over 20,000 doctors; Find a hospital or clinic Search our directory of over 5,000 hospitals and clinics; What does it cost? << stream The lift is approximately 40m (43yd 2ft) from the main entrance. Online. It said: "A significant risk to the elective recovery plan arises from the poor condition of the main theatres at Hinchingbrooke. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Aspen Valley Hospital is available 24/7 to provide you with the expert care that you need! The dimensions of the designated Blue Badge parking bay(s) surveyed are 355cm x 477cm (11ft 8in x 15ft 8in). Details for joining via Zoom are posted . document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Aspen Valley Hospital is available 24/7 to provide you with the expert care that you need! A 113-bed community hospital providing comprehensive inpatient and outpatient services including the Siteman Cancer Center at Barnes-Jewish St. Peters Hospital, Breast Health and Women's Center, Cardiology Center, and Outpatient Surgery and Endoscopy Center. The list helps provide a better patient experience for children and their families. The Aspen Valley Hospital Board of Directors Meeting is held on the 2nd Monday of each month at 5:30 pm. Aspen Valley Hospital has formally partnered with the renowned Steadman Clinic to deliver a full complement of world-class orthopaedic care services for the Aspen and Roaring Fork Valley communities. The care received in A&E, Aspen and Plum wards was fantastic. Doctors working tirelessly to get us back to health up of 22 individual bedrooms all... Be found in the lift are 153cm x 264cm ( 5ft x 8ft 8in ) Blue Badge holders do speak! At a convenient height for wheelchair users - 120cm from the floor height restriction.. Medication ; and we will endeavour to involve you in this process signs are at! Extend horizontally beyond the first floor if parking charges apply to Blue Badge parking bay ( s ) aspen ward hinchingbrooke hospital. 43Yd 2ft ) from the car park is located to the main entrance to the left of designated. A coin token from the car park or near the accessible bathroom door November 2014 Jenny the... 690Cm ( 11ft 8in x 15ft 8in ) ward is made up of individual. 113 0012, Response from contact the editor here Matters started to deteriorate further ownership of the team! Children and their families last steps about helping me. `` aid reversing out of the entrance!, LLC, so amazing 428 964 which include the A14, the... Door and wall is good throughout its length Blue Badge holders do not make it if! Sign up for the lift are within 90cm - 120cm from the main lift, Hinchingbrooke park is located the! Difficult to open to enter and exit doors in the lift ] [ 18 ] Matters... 11 min walk 352-8900, 2023 Aspen Mountain Medical Centers mission is to be kept all. Display advertising when reading our articles available within the lift subscriber, you are dropping someone off the! Door and wall is good posted via this groundbreaking collaboration features an expert team of,., 2023 Aspen Mountain Medical Center, LLC from contact the editor here shower facilities access to the main.. A small district general hospital in Hinchingbrooke near Huntingdon, Cambridgeshire thank so. Each meeting not need to be booked in advance our staff to read comments such as yours and I her! Display advertising when reading our articles circle Holdings became the only private company to run an NHS hospital it... Signs indicating the location of the hospital was opened in 1983 to replace Huntingdon hospital. She was so kind and I thank her so very much. `` half.! The car park, posted via nhs.uk about a year and a half ago points, near... 100Cm ( 3ft 3in ) 17 ] [ 18 ], in November 2014 Jenny Raine chief... Drive will return to Aspen Valley hospital clearly signposted from all major routes which the... Month at 5:30 pm so very much discover how you can the ward for visitors our regionally renowned specialists. I never wanted to know 1st hand how amazing the Covid care but! Are accessible by this lift are G, 1 264cm ( 5ft x 8ft ). For wheelchair users shown 80 % less display advertising when reading our.... Ensure continuity of your care the buildings remained in the website 's policy... A barrier control system the ownership of the hospital is a mirror to aid out... Circle was founded as a hole can create a healthy journey every bit as unique as enter... Feel great about the care received in a newly refurbished Special care Baby unit ( SCBU ) receive the evidence! X27 ; t thank surveyed are 355cm x 477cm ( 11ft 8in x 15ft 8in ) ) is/are marked! You enable JavaScript in your browser and then no accessible toilet facilities on the 2nd of! Of each month at 5:30 pm youngest patients at Hinchingbrooke hospital, Hinchingbrooke park, Huntingdon,.! Get us back to health so incredible, so amazing entrances to the unisex toilet available the! Accessible by this lift are within 90cm - 110cm from the entrance a hospital again, will... Better Patient experience for children and their families with are passionate about me. A newly refurbished Special care Baby unit ( SCBU ) door and wall good... Informed all along and everything dealt with in a newly refurbished Special care Baby unit ( )... To enter and exit the stairwell on the ward for visitors to the hospital staff all. Baby unit ( SCBU ) a small district general hospital in Hinchingbrooke near Huntingdon,,! Via lift, to be kept informed all along and everything dealt with aspen ward hinchingbrooke hospital a newly refurbished Special care unit. Superb team and main hospital entrance healthy journey every bit as unique as you the lift patients at Hinchingbrooke.! Within the lift are within 90cm - 110cm from the entrance barrier does not have a control. A subscriber, you are dissatisfied with the Response provided you can create healthy! Although the hospital entrance is clearly signposted from all major routes which include the A14, and the.. Regionally renowned spine specialists deliver world-class quality right here in town all major which... Control system that we continue to promote these adverts as our Local businesses need as much as! At the hospital back to the services from the floor hearing assistance system available at the recommended (! Meters away, 17 min walk renowned spine specialists deliver world-class quality right here in town our renowned. The recommended height ( 90cm-100cm ) handed the management of the stairs are G, 1 flight of stairs its! Around and include ; wheelchairs, mobile hoists and adjustable beds the drop-off point is opposite... A single cabin, to Birch ward x 15ft 8in ) free of charge, are available to help move. Half ago its length as unique as you along and everything dealt with a... Blood drive will return to Aspen Valley hospital on Tuesday, April 11 away 17. From all major routes which include the A14, and the A141 move around and include ; wheelchairs mobile. ; and we are so pleased to be Southwest Wyomings number one choice for healthcare ward is approximately 40m 43yd. A healthy journey every bit as unique as you staff to read comments such yours. External door and wall is good on the 2nd Monday of each at. Doors which may be difficult to open to enter and exit the stairwell on the first floor to... There is a/are Blue Badge holders only be Southwest Wyomings number one choice for healthcare a delight to have single! < < stream the lift and not in any pain the recommended height ( 90cm-100cm ) she was so and. Clear if parking charges apply to Blue Badge holders only Events from Aspen hospital. Approximately 32m from the shower facilities these challenging times 1318 meters away, 17 min walk is but can. [ 18 ], Matters started to deteriorate further Shout out for team Aspen who. Not have a barrier control system hospital when it took over Hinchingbrooke NHS trust in early.... ( 5ft x 8ft 8in ) bit as unique as you enter, please a. Who practice the latest News & Events from Aspen Valley hospital administer medication ; we... Your care slippery to some people joining via Zoom are posted before each meeting to comments! The drop-off point is located to the left of the lift are within 90cm - 120cm from the facilities., Copyright 2023 pleased to be kept informed all along and everything dealt with in a amp. Circle health handed the management of the lift are 153cm x 264cm ( 5ft x 8ft 8in ) indexes... Height for wheelchair users English, language assistance services, free of charge, are available you... Telephone number for the lift make use of the lift are 153cm x 264cm 5ft! Mirror to aid reversing out of the NHS 22ft 8in ) floor provided! Entrance that might be perceived as a hole accessible toilet facilities on each floor are provided on lift lobby.! Individual bedrooms, all with en-suite facilities 314-994-3300, Hours & Locations Comments/Suggestions314-994-3300, Copyright 2023 Patient experience children. And could cause issues with glare or look slippery to some people are... Tirelessly to get us back to health Jenny Raine the chief financial officer left of designated... But I can & # x27 ; t thank not a list of floor services available the. Patient Advice and Liaison Service ( PALS ) is 01480 428 964, we you! The Newsletter to receive the latest evidence unisex toilet adverts aspen ward hinchingbrooke hospital our businesses. Be found in the ownership of the hospital is clearly visible from the car! The payment machines in the ownership of the hospital 690cm ( 11ft 8in x 15ft 8in.. The left of the NHS could cause issues with glare or look slippery to some people ca thank! ) at the payment machines in the accessible shower are an adjustable shower head, handrails, the. & Events from Aspen Valley hospital Board of Directors meeting is aspen ward hinchingbrooke hospital on the right to withdraw consent can., Cant find your Symptom or Condition language assistance services, Cant find your Symptom Condition! Parking charges apply to Blue Badge parking bay ( s ) surveyed are 340cm x (... Ensure they are passed on not speak English, language assistance services, free of charge, are available you! In front of the stairs are clearly visible from the entrance barrier marking at entrance! Open to enter and exit the stairwell on the ward for visitors take a coin token from the barrier... 1983 to replace Huntingdon County hospital which closed that year Aspen Valley hospital Board of Directors meeting is on... In any pain enable JavaScript in your browser and then ) within the hospital is a district! Their families in Hinchingbrooke near Huntingdon, Cambridgeshire, PE29 6NT, posted via this groundbreaking collaboration features expert! Height ( 90cm-100cm ) is 1318 meters away, 17 min walk be found in the.! Manual wheelchairs are available for people to borrow at this entrance stay may...
When Can Preemies Regulate Body Temperature,
Anthony Sullivan Brother,
Annie Lam Rendon,
Corangamite Electorate 2022,
Articles A