I would like to be referred to a Tommy's clinic

Find out how you can be seen at one of our clinics. Often to get a referral, the first step is to visit your GP, midwife or consultant.

Tommy’s funds 5 pioneering research centres across the country. As part of our innovative research model, each research centre is associated with a number of NHS antenatal clinics and recurrent miscarriage clinics. At these clinics, members of our research team translate medical research into clinical practice in real time. This means that patients can access cutting-edge clinical care, as well as have the opportunity to participate in medical trials.

The clinics associated with our centres are part of NHS provision and therefore operate according to the regulations and processes of individual hospital trusts. If you would like to be referred to a Tommy’s clinic, you should speak to your GP, midwife, or consultant in the first instance. If you fit the referral criteria, they will be able to refer you digitally, usually via the NHS ‘choose and book’ system. For more information about contact information and referral criteria, please see below.

As our clinics are part of NHS provision, Tommy’s does not have access to patient data. This includes access to referrals, appointments, test results and clinic waiting lists. Our midwives and social media team cannot answer specific questions about your NHS care. If you have any queries, please reach out directly to the clinic you are attending.

COVID-19 update

During the pandemic, clinics have been operating but with limited capacity in line with individual hospital trust guidelines. Due to government social distancing advice, some appointments have been taking place over the phone or teleconference.

We know that many NHS resources are stretched at the moment, so we kindly ask you to be patient if you are waiting to hear back from a clinic. If you have any queries, please contact the clinics directly using the information below. If you have any concerns, please reach out to the patient advice and liaison service (PALS) associated with the appropriate hospital trust. 

Getting referred to our London clinics

The preterm surveillance clinic

The clinic is held on Wednesdays in the Fetal Medicine Unit, 8th Floor, North Wing, St Thomas' Hospital London.

Women can be referred here by their GP or consultant if they have a higher risk of giving birth too early. This can be for a number of reasons, such as: 

  • 2 or more spontaneous preterm births or late miscarriages or one with a failed cerclage
  • any previous full dilatation caesarean sections
  • previous trachelectomy for cervical cancer
  • history of cervical insufficiency
  • previous spontaneous preterm birth less than 34 weeks
  • previous premature ruptured membranes less than 34 weeks
  • previous spontaneous late miscarriage (>14 weeks)
  • history of cervical surgery
  • short cervix this pregnancy (less than 25mm) before 24 weeks.
  • an unusually shaped womb (uterus)
  • you are expecting more than one baby

If you fit the above criteria, please speak to your GP or consultant. 

What will happen at the clinic?

  • you will usually speak with a midwife who will ask about your history and discuss your personalised plan of care
  • you may be offered a transvaginal ultrasound scan of your cervix, where an ultrasound probe is placed into the vagina. Your bladder should be empty for this scan
  • if you are over 18 weeks pregnant, you may also be offered a vaginal swab test (fetal fibronectin) to help predict your risk of an early birth. This is done with a speculum and then a swab (like a cotton bud) is placed in the vagina for a few seconds. Your swab result is usually ready between 10 - 25 minutes

There are some things which make the swab test less reliable. We recommend that you avoid the following for two days before you attend the clinic:

  • sexual intercourse
  • vaginal douching (this involved flushing the vagina with water for cleaning purposes)

When to seek advice

Sometimes there are signs that you may be going into labour. Often the signs will not lead to preterm labour, but it is important to let your midwife know so you can get advice. These signs may include:

  • period-like pains or cramps which come and go
  • fluid leaking from the vagina
  • bleeding from the vagina

If you think you may be in labour, do not wait for your next appointment - call the Antenatal Day Unit/Hospital Birth Centre immediately on 020 7188 1723 or 020 7188 1722.

If you have any questions or concerns about your referral, please contact the Research Midwives on 0207 188 3634  Monday to Friday, 9am to 5pm.

The hypertension in pregnancy clinic

Based at St Thomas’ Hospital, the hypertension in pregnancy (HiP) clinic provides specialist obstetric and midwifery care to pregnant women with high blood pressure (hypertension) and women who are at high risk of having high blood pressure in pregnancy.

You may have been asked to see us because you have:

  • an existing medical condition that means you are more likely to get high blood pressure
  • high blood pressure diagnosed early in pregnancy
  • protein in your urine or other kidney problems in this pregnancy.

At your appointments we will:

  • ask you how you are feeling
  • check on your baby’s well-being
  • measure your blood pressure
  • measure the protein in your urine
  • take blood tests to check how your kidneys, liver and blood are working.

These tests help us to check that you and your baby are safe. We might recommend you have other tests or treatment.

At the HiP clinic we will get to know your individual needs. If your blood pressure is high, you will usually need to take tablets to treat it. We will work with you to plan your care and any treatment you need to keep you and your baby safe. The leaflets below give more information.

The HiP clinic runs on Wednesday afternoon between 2pm-5pm by appointment only.

Antenatal Clinic, 8th floor, North Wing, St Thomas’ Hospital
Appointment line: 020 7188 8001

The Antenatal Day Unit runs HiP appointment slots on Monday and Thursday mornings.

Antenatal Day Unit, 7th floor, North Wing, St Thomas’ Hospital. 
Call 020 7188 1722/1723 and ask for a high blood pressure appointment slot.

The diabetes clinic

Guy’s and St Thomas’ Joint Antenatal Clinic provides education and advice regarding diabetes and pregnancy to women with diabetes in Lambeth. The clinic is run by a multi-disciplinary team which includes specialists in diabetes and obstetrics. The service includes monitoring, medication review, acute risk assessment, and advice on planned delivery and postnatal care.

The service is provided from the Diabetes Unit at St Thomas’ Hospital, Third Floor, Lambeth Wing, and at the Antenatal Clinic, St Thomas’ Hospital, Eighth Floor, North Wing.

Clinics are held weekly on Wednesday afternoons.

Referrals to the service are accepted from primary and secondary healthcare workers and by patient self-referral for Guy’s and St Thomas’ Hospital patients.

Contact the Diabetes Secretary/Administrator on 020 7188 1981 or 020 7188 1993. Fax 020 7188 1991 (St Thomas' Hospital) or 020 7188 1926 (Guy's Hospital).

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Getting referred to our Manchester clinics

The Placenta Clinic

Women are managed through the second half of pregnancy by a small team of midwives and doctors who are based in the Clinical Research Area. Women usually have an ultrasound scan of their baby performed at every visit;the frequency of visits is flexible depending upon patient need.The clinic also takes part in research, with patients often being asked to donate their placentas or take part in other studies when they come for their clinic appointments.

This clinic is held in the Clinical Research Suite, 5th Floor, Saint Mary's Hospital on Wednesdays.

Patients receive combined midwifery and consultant obstetric care and ultrasound scans at each visit. Risk assessment and delivery planning based on this also take place.

Patients are referred by their midwife or consultant direct to Professor Ed Johnstone (0161 7017158) or Suzanne Thomas (0161 7016965).

The Rainbow Clinic

The Rainbow Clinic is a specialist service for women and their families in a subsequent pregnancy following a stillbirth or perinatal death. We care for families from the time of the postnatal appointment to discuss investigations at the time of stillbirth onwards and into a subsequent pregnancy. It is led by Professor Alex Heazell, the lead midwife is Louise Stephens. We will see families whose babies have died elsewhere to provide a plan before starting another pregnancy.

The clinic provides appropriate medication and additional scans to identify placental dysfunction and detect complications early in a subsequent pregnancy. We make use of the scanning methods pioneered in Manchester Placental Clinic to look at the placenta in more detail. In addition we provide continuity of care and additional psychological support.

Women are offered:

  • An ultrasound scan at 23 weeks and then at intervals throughout pregnancy
  • Consultant led care with midwifery support
  • Discussion regarding timing/mode of delivery

Women are referred through their midwife or consultant. 

The clinic is located at: 

5th Floor Tommy's Research Clinics

Saint Mary's Hospital

The clinic is held every Thursday

The secretary can be contacted on (0161) 701 0866, Monday - Friday, 8.30 am - 4.30 pm.

Rainbow Clinic Midwife (0161) 701 6965

The Lupus in Pregnancy (LIPs) Clinic

At Saint Mary's Hospital, we help run a specialist antenatal clinic for pregnant women with Lupus Spectrum disorders including Systemic Lupus Erythematous (SLE), incomplete Lupus Syndrome and the Anti-phospholipid syndrome (APS) as well as other connective tissue disorders. These disorders are associated with serious problems during pregnancy such as pregnancy loss, pre-eclampsia, premature birth and failure of the baby to grow.

The specialist team within the clinic provides pre-conception advice, routine antenatal care such as blood pressure and urine checks, routine antenatal advice, detailed ultrasound observations of the baby and placenta, monitoring of medication, monitoring of blood tests, monitoring and management of symptoms related to the specific disorder such as 'flare ups'. Surveillance of maternal and fetal health is tailored to individual requirements and a care plan is made for the antenatal period in addition to delivery.

All women attending the LIPs clinic are invited to take part in ongoing research on lupus in pregnancy and will be sent information with the appointment letter. Women should be reassured that their decision to help or not with the research project does not influence their clinical care.

Clinics are held on the 5th Floor, Maternal and Fetal Health Research Centre, Saint Mary's Hospital, every Tuesday afternoon.

The clinic offers

  • Pre-conception consultation
  • Antenatal care
  • Management of Lupus in pregnancy including additional pregnancy scans
  • Opportunity to be involved in research

Patients can be referred to the service via:

  • Their GP
  • Community midwife
  • Obstetrician
  • Reproductive Health Service
  • Rheumatology

Monday - Friday, 8.30 am - 4.30 pm.

The Manchester Antenatal and Vascular Service (MAViS)

The clinic is designed to provide additional monitoring, ultrasound scans and support for women with a history of high blood pressure and those at high risk of developing high blood pressure complications during pregnancy. Additional blood pressure measurements (including 24 hour ambulatory blood pressure monitoring) are offered to women attending the clinic to ensure that blood pressure medication is optimised. Surveillance of maternal and fetal health is tailored to individual requirements, for the majority of women appointments are offered 2-4 weekly.

Dr Myers, who runs the clinic, runs an active research programme within the Maternal & Fetal Health Research Centre and women attending the MAViS clinic are invited to take part in the research studies.

Patients can be referred from antenatal services by their GP. 

Clinics are held in the Clinical Research Suite, 5th Floor, Saint Mary's Hospital every Friday morning.

The clinic helps women with: 

  • Previous early onset pre-eclampsia
  • Chronic hypertension
  • Renal hypertension

Women attending the clinic are offered: 

  • Preconception care
  • Antenatal care
  • Additional ultrasound scans,12-14, 16-18, 22-24, 26-28, 30-34, 36-38 weeks

The secretary can be contacted on (0161) 276 6116, Monday - Friday, 8.30 am - 4.30 pm.

MAViS Clinic Midwife (0161) 7016980



The clinic provides multidisciplinary care for women who have type 1 or type 2 diabetes. The clinic is led by Dr Myers alongside a team of specialist midwives, diabetes specialist nurses and a diabetologist. The clinic provides additional monitoring and support for the management of diabetes (including glucose sensors) and additional ultrasound scans throughout the pregnancy.

Dr Myers, who runs the clinic, runs an active research programme within the Maternal & Fetal Health Research Centre and women attending the VELOCITY clinic are invited to take part in the research studies.

Patients can be referred from antenatal services or by their GP.

Clinics are held in the Clinical Research Suite, 5th Floor, Saint Mary's Hospital every Tuesday morning.
The clinic helps women with:

  • Type 1 or type 2 diabetes diagnosed before or during pregnancy
  • Pre-gestational diabetes with evidence of vascular complications (retinopathy, nephropathy)

Women attending the clinic are offered:

  • Preconception care
  • Antenatal care
  • Additional ultrasound scans,12-14, 16-18, 22-24, 26-28, 30-34, 36-38 weeks

The secretary can be contacted on (0161) 276 6116, Monday - Friday, 8.30 am - 4.30 pm.
VELOCITY Clinic Midwife (0161) 701 6980

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Getting referred to our Edinburgh clinics

The antenatal metabolic clinic

Women who are severely obese (have a BMI of over 40) can be referred to the metabolic clinic by their GP, midwife or obstetrician, referrals can only be accepted from the Lothian region. 

The metabolic antenatal clinic is home to specialists in pregnancy care and diabetes, as well as midwives and a specialist dietician. Care offered to women includes frequent check-ups of mothers and babies, as well as personalised advice about health eating. The clinic uses specialist equipment such as Tanita scales, that allow clinicians to measure women's weight and body composition at each visit. We also use 'thigh' cuffs to accurately measure blood pressure, and have access to extra-large support stockings for thromboprophylaxis.

We have developed a special care pathway for helping obese women to have healthy pregnancies:

At the first clinic visit all women are reviewed by the dietician and given personalised healthy eating dietary advice and advice to maintain their weight during pregnancy. We explain to women that they have a high risk pregnancy and reassure them that they will be monitored closely during their pregnancy. We recommend that women attending have early screening for gestational diabetes following the Scottish Intercollegiate Guidelines Network (SIGN) guidelines with a fasting glucose test at less than 20 weeks' gestation, and a 75g oral glucose tolerance test at 28 weeks' gestation.

For uncomplicated pregnancies, women are usually reviewed at the clinic 4 times. At these visits, women will have fetal growth scans and meet with the interdisciplinary team. Women with extra risk factors such as gestational diabetes are seen as often as every one to two weeks.

Women attending the clinic will continue to see their community midwife to provide continuity of care during and after pregnancy.

Care timeline

Weeks into pregnancyCare
12-16Initial visit, personalised pregnancy plan, dietetic review, screen for diabetes
28Glucose tolerance test, growth scan, review risk
32Growth scan, anaesthetic review, delivery plan, review risk
Growth scan
Review delivery plan if indicated
Post-dates plan if required
Discuss postnatal weight management/contraception

The preterm birth clinic

At NHS Lothian and University of Edinburgh we provide a specialist antenatal clinic for women who have a higher risk of having a preterm birth or late miscarriage. This Clinic is the only specialist service of its type in Scotland and since its inception in 2016. The clinic follows NICE guidelines on the provision of care for women with risk factors for preterm birth.

Attendance at specialist preterm antenatal clinic is considered to be an important approach to improve maternity, pregnancy and neonatal outcomes. Once a week the clinic sees around 16 antenatal women who have appointments from around 16 weeks of pregnancy. In very high risk cases women are seen at the clinic within the first few weeks of pregnancy. There is a multidisciplinary approach to staffing and clinic staff coordinate referrals to other specialities if further support required.

The clinic cares for women in NHS Lothian who have one or more of the following risk factors for preterm birth


  • spontaneous preterm birth (<34 weeks gestation)
  • preterm prelabour rupture of membranes (<34 weeks gestation) in previous pregnancy
  • one or more spontaneous mid-trimester loss (16-34 weeks) in previous pregnancy
  • short cervix on routine ultrasound (<25mm)
  • previous cervical stitch/cerclage
  • pre-pregnancy stitch/cerclage


  • two or more LLETZ treatments
  • knife cone biopsy to cervix
  • trachelectomy for carcinoma of cervix
  • uterine abnormality 

Referral is made through your midwife, GP, obstetrician or neonatologist.

All women attending the clinic are offered cervical length scanning and infection screening and the women found to be at the highest risk are given treatments in an attempt to prolong their pregnancy. All care provided is within the same clinical setting thus minimising the need for multiple appointments. Women are also given the opportunity to take part in one or more research study which helps to further knowledge in the management of preterm birth. Data from women attending the clinic is also stored anonymously on the National Preterm Clinical Network Database and may be used for relevant research studies.

We actively train our obstetric and midwifery staff in management of women with risk factors for preterm birth and cascade our teachings throughout NHS Lothian.

The clinic also cares for postnatal women who have suffered either the loss of their baby or the birth of a very preterm infant with the purpose of reducing risks in a subsequent pregnancy.

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Getting referred to our National Centre for Miscarriage Research

Tommy’s National Centre for Miscarriage Research has recurrent miscarriage clinics in three different sites in the UK:

All of the clinics will accept patients who have had 3 miscarriages and an appropriate General Practitioner (GP) referral from anywhere within the UK. Your GP will need to refer you via the NHS e-Referral service (often called the ‘choose & book’ system).This will provide you with the opportunity to be part of research towards finding the cause of repeated miscarriages. 

Tommy’s strong view is that all women should get referral after 2 miscarriages and our clinicians and centre directors are working towards this goal. However, until it is made normal NHS funded practice, we are unable to offer it as standard across the clinics. Most doctors realise that this can cause considerable distress to women and many hospitals will investigate after two miscarriages. Currently our clinic in Coventry and Birmingham have an arrangement that allows women with 2 miscarriages to be referred and then only from the local area (see more below).

Talk to your GP, explain how you are feeling and ask to be referred as soon as possible.

The clinics work hand in hand with the research centres by offering women the opportunity to have new tests and take part in new trials. Your referral can be made on the basis that the Tommy’s centre offers tests and treatments not offered by your local hospital. This can be the reason for your request for out-of-area referral.

Choice is enshrined in the NHS charter.

Please note, that the criteria outlined below for referrals to Tommy's clinics situated within the hospitals are stipulated and managed by the hospitals themselves. 

Our Birmingham clinic


  • 2 or more miscarriages in England or Scotland  
  • your GP will need to refer you via the NHS e-Referral service (often called the ‘choose & book’ system)

[email protected]

[email protected]


Birmingham Women's NHS Foundation Trust
Mindelsohn Way
B15 2TG

Our London clinic


  • 3 or more early miscarriages
  • 1 or more late miscarriage(s)
  • not currently accepting referrals from women who have two or more (living) children  
  • women referred should be <42 years old
  • women do not need to be from the local area
  • your GP will need to refer you via the NHS e-Referral service (often called the ‘choose & book’ system)


Professor Lesley Regan
Department of Obstetrics & Gynaecology
St Mary's Hospital
Recurrent Miscarriage Office
Ground Floor, Mint Wing
South Wharf Road
W2 1NY

Our Coventry clinic


  • 2 or more miscarriages if local to Coventry
  • 1 or more late miscarriage(s)
  • your GP will need to refer you via the NHS e-Referral service (often called the ‘choose & book’ system)


Professor Quenby
Department of Obstetrics and Gynaecology
University Hospitals Coventry and Warwickshire NHS Trust
Clifford Bridge Road

Tel: 02476967528

Fax: 02476967584

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Tests available at our National Centre for Miscarriage Research clinics






lupus anticoagulant test to test for anti-phospholipid antibodies (sticky blood conditions) Y Y Y
anti-cardiolipin antibody testto test for anti-phospholipid antibodies (sticky blood conditions)  Y Y Y
thromboelastogram analysis to test for global bleeding tendencies  Y 
detailed pelvic ultrasound scanning to look for abnormalities in the womb or ovaries Y  Y*
rubella test to ensure immunity to German measles or rubella Y  Y*
TSH, T3 and T4 tests to identify any problems with the thyroid gland Y*  Y
vitamin D test to identify vitamin D deficiency Y*  Y
coeliac disease screen - TTG antibody testto investigate autoimmune serology, whereby healthy cells inside the body may be attacked by abnormal cells    Y Y
HbA1C testto investigate for diabetes  Y*  Y
fetal karyotypingto identify any structural or genetic problems of the foetus  Y* Y* Y*
parental karyotypingperformed if the above test reveals any genetic issues, to identify any genetic abnormalities in either partner   Y* Y* Y*
test of lining of womb for inflammation (endometriosis)part of a double blind randomised controlled trial  Y*

*if indicated

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