All of our clinic work has the goal of improving health outcomes and developing evidence based practice to reduce the number of babies who die during pregnancy or birth.
'The fact that Priya survived pregnancy past viability is purely down to the London clinical team. Their knowledge means they can correctly identify risk factors and offer treatments that many hospitals, including my local hospital, can’t. Words cannot express the level of gratitude I have for the clinic. I just hope that one day the care given at these clinics becomes a national standard, so that more women like me can have a positive ending.'Catherine, a mother who suffered previous losses before attending a London clinic
- The clinic is one of the most uniquely placed NHS clinics in diabetes which is able to manage most pregnancy complications.
- The Guy's and St Thomas' Diabetes Clinic has increased the rate of detection of gestational diabetes (GDM) from approximately 3% to 8.4%. More women are being identified with the introduction of the NICE screening criteria.
- GDM increases the risks of stillbirth, pre-eclampsia and premature labour. However due to specialised care, the clinic has achieved comparable birth outcomes to those of the general population, despite the increased risks.
- This includes a reduction in the rate of induction, the rate of LGA infants and caesarean sections.
Preterm Birth Clinic
- The preterm birth service at Guy's and St Thomas' NHS Trust remains the biggest and most active specialist clinic in the UK for preterm surveillance.
- Referrals averaged more than 240 per month in 2017-2018.
- The unit performs more cervical cerclage operations to prevent preterm birth than any other unit in the UK with over 80 procedures performed in 2018.
- 88 high risk referrals from out of area (unable to manage at local hospital) in 2017/2018.
- The number of abdominal cerclage procedures continues to increase with over 30 performed in the last year. Every case in the last 24 months has had a successful pregnancy.
- The Sustainability and Transformation Programme has adopted the prematurity protocols developed by the clinic to roll out across 13 units in London.
Hypertension in Pregnancy Clinic
- 20 patients per week receive improved patient care pathway as HiP (Hypertension in Pregnancy) Quality Improvement Project findings disseminated to Guy's and St Thomas' team.
- 12-15 new referrals per month for challenging cases.
National Centre for Miscarriage Research Clinics
- The Imperial, Birmingham and Coventry clinics collectively care for around 24,000 couples with early pregnancy complications.
- Due to the specialist knowledge at the Tommy’s National Centre for Miscarriage Research and the complexity of recurrent miscarriage, all referrals are challenging cases.
- Across the clinics 11 clinical lecturers, 26 clinical research fellows, 10 research midwives and 2 clinical trial practitioners have been trained.
- Patient satisfaction at the Tommy's linked Early Pregnancy/Sporadic Miscarriage clinics at Imperial has 77% of women very or to a large extent, satisfied with the healthcare they received and 90% of women agree they received clear information about their treatment.
'I really think we would not have carried on trying without your support. You have been there with us through the worst and the best of days. We will always be eternally grateful.'
Imperial Clinic patient
- The specialist clinic at the Royal Infirmary has become a model for the rest of the UK to follow. The risk of stillbirth was 8 times lower in obese women who attended the clinic compared to those who did not.
- 900 women seen 2008-2014.
- 91% of women reported they were satisfied with the standard of care they received
- Attendance at the metabolic clinic improved rates of detection of gestational diabetes has been shown to reduce rates of stillbirth and low birth weight.
- There have been no stillbirths in women attending the clinic over the past year, despite it expanding to give evidence based personalised antenatal care for 25-30 women every week.
Preterm Birth Clinic
- The Edinburgh preterm birth clinic is the first and currently only specialised clinic for people at high risk of preterm birth in Scotland.
- 250 women have been seen since November 2016.
- Women in clinic now having regular cervical length screening. Over 200 women scanned regularly since starting in 2016.
- 100% positive response about clinic care of Lothian preterm birth clinic.
'There should be more clinics around Scotland and people around Scotland should know about the Edinburgh clinic'Edinburgh preterm birth clinic patient
'Every time I look at my tiny daughter, I can’t believe she’s really here. Casey has been a fighter since before she was born, we’re just incredibly grateful that she had the Tommy's team in her corner. I've no doubt that the Placenta Clinic in Manchester, funded by Tommy's, saved her life.'Manchester Clinic patient
- 5006 women received care 2010-2017 in MAViS, MPC and Rainbow clinics.
- 4186 ultrasound scans were completed in 2017-2018.
- Tommy's clinic researchers have contributed to the NHS England Saving Babies Lives Care Bundle. A team from the Maternal and Fetal Health Research Centre found that the stillbirth rate fell by 22% from 2013 to 2017 in early adopter sites. This is a more rapid and sustained fall than seen in the national stillbirth rates.
- 23 women attending research clinics received novel treatment for chronic histiocytic intervillositis. This condition has a 50% mortality rate. All 23 pregnancies ended in live born infants.
- Manchester Placenta Clinic has developed a regional guideline for the detection and management of fetal growth restriction and has set up satellite clinics at 3 maternity units in and around Greater Manchester with another planned for 2018.
- In 2017, 100% of patients who completed the friends and family test said they would recommend the research clinics for a friend or family member.
- An independent social return on investment evaluation of the Rainbow Clinics found that for every £1 invested the clinic generates £6.10 of value.
- Health Innovation Manchester is facilitating the roll out of Rainbow Clinic to additional hospitals in Greater Manchester in 2018-2019.
- The second site Rainbow clinic at Wysthenshawe hospital in South Manchester resulted in a decrease in preterm deliveries in this population from 13.4% to 8% (the same as the background rate).
- Patient experience scores of 22.5/25 in June 2018.
'Very confident that I was in expert hands'Rainbow Clinic patient, May 2018
Tommy's research centres produce high quality, relevant research to provide improved evidence needed for new understanding, new treatments and new and updated guidelines. This research will lead to the number of babies who die during pregnancy or birth decreasing.
Tommy's PregnancyHub informs and empowers families to make healthy behaviour and lifestyle choices, through evidence-based, high-quality information, ultimately leading to a reduction in the number of babies who die during pregnancy or birth.
All of Tommy's work has the same goal. To reduce the number of babies who die during pregnancy or birth. These are the rates of stillbirth, miscarriage and preterm births in the UK.