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Spring 2012<br />
Issue 138<br />
Inside this issue...<br />
Rachel’s Story<br />
Editors Report<br />
Letters<br />
Fate Special Foods<br />
NHS Screening<br />
Put Something in<br />
Your CV<br />
E.S.PKU 2012<br />
Conference<br />
Blood-taking –<br />
What a faff<br />
“PKU is part of who I am<br />
but it’s not who I am”<br />
www.nspku.org Helpline: 0208 364 3010
In Touch<br />
The Council of Management<br />
Telephone Helpline: 0208 364 3010<br />
Text Helpline number: 07983 688 664<br />
Recorded Information Line: 0207 099 7431<br />
Address: PO Box 26642, London N14 4ZF<br />
E-Mail: info@nspku.org<br />
Internet: www.nspku.org<br />
Dave Stening<br />
(Chair, MAP Chair &<br />
Webmaster)<br />
Merrywood, Green Road<br />
Wivelsfield Green<br />
West Sussex RH17 7QD<br />
Tel: 01444 471270<br />
Fax: 0845 004 8339<br />
chair@nspku.org<br />
Mike Bailey<br />
(ESPKU Representative<br />
and Merchandise Officer)<br />
2, Tarnacre View<br />
Garstang<br />
Preston<br />
Lancashire<br />
PR3 1QH<br />
Tel: 01995-238180<br />
Email: merchandise@nspku.org<br />
<strong>News</strong> and <strong>Views</strong> Editors<br />
Pete Bramley<br />
51B High Street<br />
Watton at Stone<br />
Hertfordshire<br />
SG14 3SX<br />
Email: editor@nspku.org<br />
Tel: 01920-830635<br />
and<br />
Caroline Bridges<br />
30 Haydn Avenue<br />
Purley<br />
Surrey<br />
CR8 4AE<br />
Tel: 020-8645-0395<br />
Email:<br />
osbornecaroline@hotmail.com<br />
Charlotte Tourgout<br />
(Maternal PKU Support)<br />
54 Goldcroft Avenue,<br />
Weymouth, Dorset,<br />
DT4 0ES<br />
Tel: 01305 770631<br />
charlottetourgout@<br />
gmail.com<br />
Mrs. Eleanor Weetch<br />
(Society Dietitian)<br />
Skiers Spring Lodge<br />
Broad Carr Road, Hoyland<br />
Nr. Barnsley S74 9BU<br />
Tel: 01226 742494<br />
Fax: 01226 742494<br />
dietitian@nspku.org<br />
Eric Lange<br />
27 Western Road<br />
Sutton, Surrey<br />
SM1 2TE<br />
Tel: 0208 643 1758<br />
secretary@nspku.org<br />
Chris Box<br />
(Spring Draw)<br />
13 Govett Avenue<br />
Shepperton<br />
Middlesex<br />
TW17 8AA<br />
Tel: 01932 230317<br />
springdraw@nspku.org<br />
Lucy Welch<br />
(<strong>NSPKU</strong> Administrator)<br />
PO Box 26642, London<br />
N14 4ZF<br />
Tel: 020 8364 3010<br />
Fax: 0845 004 8341<br />
info@nspku.org<br />
John Skidmore<br />
(Support Group<br />
Co-ordinator)<br />
4 Hall Croft<br />
off High Street<br />
Normanton<br />
West Yorkshire<br />
WF6 2DN<br />
Tel: 01924 890991<br />
supportgroups@nskpu.org<br />
Iain Williamson<br />
45 Cyprian Rust Way,<br />
Soham,<br />
Ely, Cambs.<br />
CB7 5ZE<br />
Tel: 01353 724912<br />
iain@PKUteens.co.uk<br />
Vicki King,<br />
Tarkwa,<br />
65 Cromwell Road,<br />
Ribbleton,<br />
Preston,<br />
PR2 6YD<br />
bookkeeper@nskpu.org<br />
Julie Wilson<br />
59 Coopers Green<br />
Bicester, Oxfordshire<br />
OX26 4XJ<br />
Tel: 07830 452322<br />
juliekaywilson<br />
@googlemail.com<br />
Local Contacts<br />
Bristol & Bath<br />
Katherine Senior,<br />
20 Eastfield Avenue,<br />
Weston, Bath<br />
BA1 4HQ<br />
Tel: 01225 469878<br />
kathsenior@talktalk.net<br />
East Anglia<br />
Jo Savage<br />
2 Snowdonia Way<br />
Huntingdon<br />
PE29 6XP<br />
Tel: 01480 413221<br />
London & Home<br />
Counties<br />
Chair - Caroline Greasby<br />
15 High Oaks Road<br />
Welwyn Garden City<br />
Herts. AL8 7BJ<br />
Email:<br />
pkusupport@tiscali.co.uk<br />
Newcastle<br />
Ken Dodsworth,<br />
7 Lingey Lane,<br />
Wardley, Gateshead,<br />
Tyne & Wear NE10 8BR.<br />
Tel: 0191-469 3424<br />
Portsmouth and District<br />
Nigel Martin,<br />
79 Strode Road,<br />
Stamshaw,<br />
Portsmouth,<br />
Hants. PO2 8PX<br />
Tel: 01705 644341<br />
Reading and District<br />
Nicola Cragg,<br />
13 Blomfield Dale,<br />
Binfield Bracknell,<br />
Berkshire,<br />
RG42 1FY<br />
Tel: 01344 305312<br />
Sheffield<br />
Gillian Race,<br />
Liaison Nursing Officer,<br />
(Health Visiting),<br />
Neonatal<br />
Screening Laboratory,<br />
The Childrens Hospital,<br />
Sheffield S10 2TH<br />
Tel: 0114 271 7415<br />
South Wales<br />
Ifona Rogers,<br />
9 Pant Glas<br />
Pentyrch,<br />
Cardiff CF4 8TB<br />
Tel: 029 20 890065<br />
Helpline<br />
number:<br />
0208<br />
364<br />
3010<br />
Sussex<br />
Sue Greenhalgh,<br />
48 Pinehurst, Burgess Hill,<br />
West Sussex RH15 0DQ<br />
Tel: 01444 242788<br />
sue.greenhalgh<br />
@airservicesuk.com<br />
Yorkshire<br />
John Skidmore<br />
(Support Group<br />
Co-ordinator)<br />
4 Hall Croft<br />
off High Street<br />
Normanton<br />
West Yorkshire<br />
WF6 2DN<br />
Tel: 01924 890991<br />
supportgroups@nskpu.org
Contents<br />
1 Editors Report<br />
2 Letters<br />
5 Fate Special Foods<br />
6 Edale Activity Weekend<br />
7 Dietician's Article<br />
9 Put Something on<br />
Your CV<br />
12 NHS Screening<br />
Programmes<br />
14 E.S.PKU 2012 Conference<br />
16 Rachel's Story<br />
17 Blood-Taking – what a faff<br />
19 Thank Goodness for<br />
Screening!<br />
Donations (inside back cover)<br />
Editors Report...<br />
Hello and welcome to issue 138 of <strong>News</strong> and <strong>Views</strong>. For the first time in its illustrious literary history<br />
the magazine has TWO Editors. Yes, count them, TWO. Sadly I am on the re-bound as this is my<br />
second round of editing this mighty tome. My co-editor is Caroline Bridges, a lady with impeccable<br />
breeding and a taste for the high-life. Whereas I am a scouser with impossible breeding and a taste for<br />
West Life.<br />
I have a now 18-year-old daughter who has PKU. She has her eyes fixed firmly on the goal of sailing<br />
through her A-Levels and swanning off to Leeds University dragging sackfuls of our hard-earned cash<br />
with her. It’s such a difficult age for them. She’ll be off inter-railing around Europe this Summer so<br />
she’ll have to dust off her pen when she gets back and relay her frightful tale of travelling mayhem to<br />
you when she gets back. When I was her age I got 1 O-Level, straight up the chimney (no remission),<br />
got bail and for our holidays ,got to sit at the bottom of our garden with a melted ice-pop. How times<br />
change.<br />
Now she’s 18 she has full ownership of her diet – can’t wait to hear how that goes on as she<br />
hoofs it around Europe but I’ll let her tell you that one in a later edition. Caroline, over to you,<br />
maybe you can actually tell the readership about you and something that actually pertains to the<br />
magazine……………………………………….Pete<br />
and Editors Report (CB’s section)<br />
Thanks Pete. Hmm, not sure about the breeding, but the high-life doesn't sound too bad! My PKU<br />
credentials are that my middle daughter, aged 12 years, has PKU. She manages her diet very well<br />
and her consultant gave her the nickname “Miss Perfect Pants”! Her passion is swimming and she's a<br />
member of a club in Croydon. She manages to train for at least six hours per week and competes in<br />
galas all over Surrey.<br />
Which brings me on to one of the new features we are introducing to <strong>News</strong> & <strong>Views</strong> – our<br />
“Celebration” section. I'm sure all our children and adult PKUs have achieved some incredible things<br />
in spite of the diet and we'd love to hear about them. Let us know about your superstars, whether<br />
they've just taken their first few steps or graduated with a first class honours degree in Viticulture and<br />
Oenology! We'd love to share their inspirational stories with our readers.<br />
Also in this issue look out for two important dates for your diary:- Edale in July and the E.S.PKU<br />
conference in October. Plus there’s light-hearted look at blood taking and read about Rachel’s positive<br />
approach to life with PKU – and lots more. Enjoy.<br />
Caroline x<br />
Please address all correspondence to the<br />
Editor, “<strong>News</strong> & <strong>Views</strong>”,<br />
51B High Street, Watton at Stone,<br />
Hertfordshire SG14 3SX<br />
Email: editor@nspku.org<br />
Tel: 01920-830635<br />
While every care is taken in the<br />
preparation of “<strong>News</strong> & <strong>Views</strong>”, the<br />
Society cannot be held responsible for<br />
any information given or views<br />
expressed.<br />
All articles in “<strong>News</strong> & <strong>Views</strong>” are<br />
copyright of the Society, and must not<br />
be used without the Council of<br />
Management’s authority.<br />
The National Society for<br />
Phenylketonuria<br />
(United Kingdom) Limited,<br />
PO Box 26642,<br />
London N14 4ZF<br />
Company No. 1256124.<br />
Charity No 273670.<br />
Helpline: 0208 364 3010<br />
Email: info@nspku.org<br />
Web Site: www.nspku.org<br />
Registered address:<br />
‘Merrywood’ Green Road<br />
Wivelsfield Green<br />
West Sussex<br />
RH17 7QD<br />
Layout by Prizmatic Solutions Ltd<br />
http://www.prizmatic.co.uk/<br />
Tel: 01444 236035<br />
Printed by action<br />
Tel: 01444 236204<br />
<strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012 1
Letters &<br />
Special<br />
Thanks<br />
<strong>News</strong> & <strong>Views</strong>, 51B High Street, Watton at Stone<br />
Hertfordshire SG14 3SX<br />
Email: editor@nspku.org<br />
The treatment of<br />
phenylketonuria<br />
varies for each<br />
individual patient.<br />
No patient should<br />
alter their own<br />
treatment as a<br />
result of reading<br />
how another patient<br />
manages their<br />
diet without first<br />
consulting their<br />
doctor or dietitian.<br />
Dear <strong>News</strong> and <strong>Views</strong><br />
Further to my previous e-mail I can<br />
confirm that the combined donations on<br />
the two just giving sites has now reached<br />
£2821.25 including gift aid.<br />
Further to this our youngest Daughter<br />
Bethan was Baptised on 20 November.<br />
We requested <strong>NSPKU</strong> donations rather<br />
than gifts and I am delighted to announce a<br />
further £520 collected from generous family<br />
and friends. These cheques have been posted<br />
to Vicki King.<br />
I've attached a photo from the happy day of<br />
mum, dad (me), Bethan and her god parents.<br />
Keep up the good work.<br />
Andy Muncer<br />
Dear <strong>News</strong> and <strong>Views</strong>,<br />
My name is Ceri Wilkins and I am writing to<br />
inform you about a recent event we did for your<br />
charity. My friend Lisa Brough and I set up an 'Evil<br />
Christmas Party' in aid of<br />
<strong>NSPKU</strong> mainly to raise<br />
awareness and help her son<br />
Joshua Henderson who is<br />
diagnosed with PKU.<br />
Ceri<br />
We applied for an<br />
information pack a<br />
few months ago and<br />
the event was held<br />
on a Saturday night<br />
in Harrogate at the<br />
Regency bar.<br />
I enclose a cheque<br />
for £218.01. We hope this<br />
can help you!<br />
Dear <strong>News</strong> and <strong>Views</strong>,<br />
Please find attached a cheque for £100.00 which is<br />
a donation from our company Tuck Shop profits.<br />
My nephew James Huard and niece Charlotte<br />
Leeson have PKU and this is in recognition of all<br />
the support your Society has provided and does<br />
provide in helping the families of those with<br />
phenylketonuria.<br />
Patricia Hak<br />
Credit Controller,<br />
SGS United Kingdom Ltd.<br />
2 <strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012
‘Make Each Meal<br />
An Opportunity’<br />
low protein<br />
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patients following a Low Protein diet.<br />
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Get the lowdown on our Low Protein recipes!<br />
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www.lowproteinfood.co.uk<br />
Juvela, 19 De Havilland Drive, Liverpool, L24 8RN<br />
www.lowproteinfood.co.uk
Eileen Green © ~ Fate Special Foods 2009
Manufacturers HINTS & TIPS<br />
Fate Special Foods recipes<br />
Hello<br />
In this recipe I use a small packet of Walkers cheese flavour Quavers to give the scones a<br />
lovely cheesy taste. The small pack Quavers are counted as 1/2 exchange, (check the label<br />
or ask your dietitian if unsure) This recipe makes 10 small scones, so they do not have to be<br />
counted, (unless you eat them all in one go!) They are lovely as a snack, or served in place of<br />
bread with low protein soup or stew.<br />
The sundried tomatoes that I use are the ones sold in a jar with oil. Just shake off the oil as<br />
you take them from the jar, then snip into strips with scissors.<br />
Method<br />
Pre heat the oven Gas 7, 220°C 425°F<br />
Place the Fate Low Protein All Purpose<br />
Mix into a mixing bowl, and rub in the<br />
margarine until the mixture resembles<br />
fine breadcrumbs.<br />
Fate Cheez 'n<br />
Tomato Scones<br />
Add the<br />
packet<br />
of Quavers and crush and<br />
break them with your fingers<br />
as you mix them in. They<br />
do not have to be very finely<br />
crushed, just make sure they<br />
don’t have too many chunky<br />
bits. Stir in the baking<br />
powder, salt and pepper. Add the strips of sundried tomato.<br />
Pour in the water and stir quickly with a metal spoon until<br />
blended well. It should be a smooth and creamy mixture.<br />
Leave to rest for 1 -2 mins.<br />
Dust the work surface with a little extra Fate Low Protein<br />
All Purpose Mix and scrape the scone mixture out of the<br />
bowl onto it. Dust your hands with a little All Purpose<br />
Mix and smooth and pat<br />
the mixture down to about<br />
3cms thick. Use a small<br />
round cutter (4.5cms<br />
diameter) and cut into<br />
circles. You should get 10<br />
out of this recipe.<br />
Place them onto a greased<br />
baking tray and bake for<br />
12-15mins until risen and golden brown.<br />
Remove to a wire rack to cool.<br />
Serve warm or cold. Can be stored in the freezer, and<br />
when needed defrost and warm through in the microwave.<br />
Ingredients<br />
200g Fate Low Protein All<br />
Purpose Mix<br />
50g block margarine<br />
1 small packet cheese flavour<br />
Quavers (1/2 exchange)<br />
½ tsp salt<br />
Generous grinding black pepper<br />
1 good tsp baking powder<br />
40g sundried tomatoes<br />
(drained of oil and snipped<br />
into strips)<br />
130mls water
EDALE NEWS ACTIVITY AND VIEWS WEEKEND... REPORTS...<br />
Edale Activity<br />
Weekend<br />
July 13th to 15th<br />
2012<br />
It’s that time of year again to be thinking about getting active. There is so much<br />
in the press these days about getting children off the computer and running<br />
around a bit more so what better way to get going than by doing some great<br />
activities in beautiful Derbyshire surrounded by sheep.<br />
The weekend is open to any child with PKU age 8 years to 11years and still in junior<br />
school. All the PKU diet is provided (except the protein substitute) and the food is<br />
great. The children are expected to weigh their exchanges but there will be professional<br />
help on hand. Activities start at 3pm on the Friday but we like you there by 1pm or<br />
thereabouts so that you can get your bed and room sorted out and have a<br />
look around.<br />
The cost is £85 which is half of the<br />
actual cost as the <strong>NSPKU</strong> helps to<br />
subsidise the weekend. Most children<br />
who go want to go again which tells how much fun<br />
they have. Unfortunately we have to give priority to<br />
children who have not been before but if you do have a<br />
child who wishes to attend again please contact me and<br />
I can explain costs etc.<br />
It’s a great way to make new friends, learn about the diet<br />
and become independent so why not give it a try?<br />
You can ring me (Eleanor Weetch) anytime for more details<br />
on 01226-742494.<br />
6 <strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012
FROM YOUR DIETITIAN...<br />
Dietitian’s Report<br />
ASPARTAME<br />
The parent of a child with PKU contacted me recently about<br />
Britvic’s J20 Apple and Mango Drink. This drink now has<br />
aspartame in it. Her daughter drinks J20 regularly and previously<br />
has been fine as it did not contain the sweetener. All other flavours<br />
in the J20 range are aspartame free.<br />
Britvic have told me that the aspartame will be removed sometime<br />
in 2012 when there is to be further development of this range but<br />
content of aspartame will always be indicated on the nutrition<br />
information on the bottles.<br />
Squashes and Dilutables contain between 45-60 mgs phenylalanine<br />
per 100ml undiluted.<br />
New Sweetener called Stevia<br />
It sounds like someone’s name but this new sweetener is made<br />
from a shrub-like plant from Paraguay. The leaves contain naturally<br />
sweet-tasting substances called steviosides. This sweetener has<br />
been used in Paraguayan cooking for centuries but it was only used<br />
outside South America from the early 1970s. It is now used in<br />
Australia, Japan, New Zealand, USA and at the end of last year<br />
Europe gave it the green light to be used.<br />
Stevia is phenylalanine free so is suitable in the PKU diet. It is<br />
heat stable so can be used in cooking. It is also reported to have<br />
a ‘natural feel’. It is in the shops now and I picked up several<br />
different presentations of it. It will also be used in fromage frais,<br />
custards, yoghurts and soft drinks.<br />
There are 4 companies using it as far as I can see.<br />
Pure Via<br />
However, this comes as a timely reminder to always check the<br />
labels of drinks, even well established ones that you have checked<br />
in the past and which have been OK, as changes are frequently<br />
made. One thing I have learnt as a parent is that children copy<br />
Is presented as little sachets for drinks, cubes like sugar cubes and a<br />
powder for sprinkling.<br />
Silver Spoon – marketed under the name truvia<br />
Presented as a sugar-type of grain in a tub and sachets for drinks.<br />
what you do, both good and the not so good, so if they see you<br />
checking they will learn to do that too. It’s a good habit to get into<br />
and only takes a moment.<br />
I am often asked how bad is it if a drink containing aspartame is<br />
drunk so here is a guide to levels:<br />
Carbonated ‘pop’ type drinks eg Diet Coke 33mgs Phenylalanine<br />
in 100mls<br />
So a regular can of 330mls of aspartame-sweetened diet drink<br />
would provide approximately 2 exchanges<br />
<strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012 7
FROM YOUR DIETITIAN...<br />
Tate and Lyle<br />
now,sadly, the protein is 1.7g per 100g. This means that it would be<br />
60g of buttons for 1 exchange.<br />
It’s just another reminder of the importance of checking labels for<br />
protein content, things do keep changing and it’s important to be<br />
vigilant.<br />
OCADO<br />
A parent has told us that Ocado products are labelled with the<br />
misleading information of ‘phenylalanine free’ on their products.<br />
This appears on foods which would not be classed as phenylalanine<br />
free (or low) such as potato-based foods. I believe that what the<br />
company mean is that the food does not have added phenylalanine<br />
for example a yoghurt with aspartame added. Any food which you<br />
would normally count as exchanges but which has this message<br />
should be treated as you would usually do.<br />
White sugar and Stevia blend. Comes as a white sugar type of<br />
sweetener and brown also.<br />
Hermesetas<br />
Tiny tablets for sweetening drinks<br />
So if you are watching your weight and need a bit of help then<br />
you might like to try this new sweetener. My thanks to Dr Barbara<br />
Broadbent who alerted me to this useful new line.<br />
Tesco Snowies<br />
Although I have asked Ocado about this I have not yet heard back<br />
from them but felt that a warning to look out for this rather than<br />
wait for a response was more important. I am continuing to pursue<br />
the enquiry.<br />
Fruit – Allowed without counting<br />
There are some fruits in the current PINK booklet (2011/12)<br />
which have been left off the list of those which can be taken<br />
without counting in the diet. It is one whole row in the book which<br />
was missed in the proof reading and I am so sorry about this. On<br />
the other hand it’s good to see it has been noticed and queried.<br />
Thank you for spotting this.<br />
So the following should be included in the list of those you do not<br />
need to count as exchanges:<br />
Mangoes<br />
Mangosteens<br />
Melon (all types)<br />
Medlars<br />
Mulberries<br />
Nectarines<br />
These little white chocolate-flavour buttons used to contain only<br />
0.3g protein per 100g and so could be allowed without counting<br />
as exchanges in the diet. However, the recipe has changed and<br />
8 <strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012
PUT YOUR NAME IN LIGHTS...<br />
Put Something on Your<br />
CV and Help Too! –<br />
Get Your Name in Lights!!!<br />
Sometimes it’s hard to build up a CV these<br />
days. It’s impossible to put work experience on<br />
a CV that you don’t have. So why not submit an<br />
article to a Nationally published magazine and<br />
have your name on the bottom of the article?<br />
Imagine taking that to a prospective employer!<br />
You will be fully supported by the editorial and<br />
dietetic staff of the organisation – and we don’t<br />
bite we’re just like you!<br />
something or getting back on diet again?Tell us<br />
the hardest thing about the diet and how you’ve<br />
overcome it (or not) but persevered and the many<br />
more things that you will experience, which will<br />
be helpful to others. I always think if I’m struggling<br />
with something or don’t understand an issue there<br />
will be others out there too and that in itself makes<br />
me feel better!<br />
The new Editors and I are trying to pull together<br />
the next <strong>News</strong> and <strong>Views</strong> but we need you to write<br />
stuff. Although I write about new foods to try and<br />
things about the diet which I hope is of help what<br />
would be great is a range of articles about what<br />
you are all doing. It doesn’t have to be very long.<br />
Photos are really nice to attract the eye (make them<br />
sharp and not blurred). If you have difficulties in<br />
producing an article we will be there to help you<br />
out – just phone (see Editors contact details in the<br />
front inside cover of the magazine). We aren’t here<br />
to let you down we are here to help.<br />
So please don’t be shy. The magazine needs you<br />
to succeed – so get those pens out and tell us what<br />
you are up to – your experience and the way that<br />
you have dealt with issues will help other people.<br />
And it’s really nice to see your work in print too –<br />
show it off to your friends and family!!<br />
Pete Bramley and Eleanor Weetch<br />
As is often the case it’s the everyday things which<br />
are helpful and interesting to readers as well as<br />
reports of hurdles overcome, achievements (and not<br />
just academic) and what about the trials of making<br />
<strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012 9
<strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012 11
NHS SCREENING<br />
NHS<br />
Screening Programmes<br />
Celebrating 10 years<br />
of the UK Newborn<br />
Screening Programme<br />
Centre<br />
The UKNSPC<br />
The UK Newborn Screening Programme<br />
Centre (UKNSPC)turns 10years in April 2012,<br />
and we are celebrating by looking back at the<br />
Programme Centre’s achievements and thanking<br />
those that have helped us along the way.<br />
for parents. The pre-screening leaflet ‘Newborn<br />
blood spot screening for your newborn baby’<br />
was last updated in October 2010; this leaflet<br />
answers the what, why, who, when and how for<br />
all conditions screened. The ‘PKU is suspected’<br />
leaflet was also updated in 2010; this leaflet looks<br />
at PKU in more detail answering some of the more<br />
frequent questions asked by parents. Midwives have<br />
let us know that parents find the leaflets reassuring<br />
The UKNSPC is responsible for the newborn blood<br />
spot screening programme. Newborn screening<br />
was introduced in 1969 for PKU, and today<br />
newborn screening is one of the largest screening<br />
programmes in the UK. Each year over 800,000<br />
newborns are screened.Since the introduction<br />
of screening for PKU, screening has been<br />
implemented for four other conditions:congenital<br />
hypothyroidism (CHT), sickle cell disease (SCD),<br />
cystic fibrosis (CF) and medium-chain acyl-CoA<br />
dehydrogenase deficiency (MCADD).<br />
The historical success of the screening programme<br />
has depended upon the diligence and dedication<br />
of many health professionals. When PKU screening<br />
began, there was some national guidance, but the<br />
programme was predominantly sustained by local<br />
enthusiasts, particularly the staff of the screening<br />
laboratories.The introduction of the Programme<br />
Centre has enabled greater collaboration between<br />
screening professionals and has ensured delivery<br />
of an expanding programme to a high standard.<br />
Our 2010-11 annual report highlights some<br />
recent milestones, including mandating the NHS<br />
number on the blood spot card in England to<br />
improve tracking of samples and piloting a ‘failsafe’<br />
procedure that identifies babies that might have<br />
missed screening (www.newbornbloodspot.<br />
screening.nhs.uk/annualreports). Keep reading to<br />
find out about some of the recent achievements in<br />
the PKU programme.<br />
PKU screening<br />
In 2008 the UKNSPC brought together a group<br />
of experts to review areas of the PKU programme.<br />
In particular, they looked at the screening and<br />
diagnostic pathways for PKU and recommended<br />
guidelines for clinical referral of babies with<br />
suspected PKU.A report was produced in 2010 for<br />
the guidance to be implemented in April 2011.<br />
PKU and parent communication<br />
and have helped to answer their questions about<br />
screening.<br />
As well as producing parent information leaflets,<br />
the Programme Centre works closely with parents<br />
of children affected by the conditions. Below,<br />
Caroline – parent of Hannah (PKU, 12 years) –<br />
shares her thoughts on her PKU journey.<br />
“It’s only routine, it won’t affect you.”<br />
Those were the words our midwife used twelve years<br />
ago when she took those precious four drops of blood<br />
from our beautiful new baby girl. We weren’t given<br />
any information about PKU. It was a parent’s worst<br />
nightmare. Fortunately our experience is a thing of the<br />
past thanks to the work of the UKNSPC.<br />
I have been involved with the Programme Centre’s<br />
work from the start as a parent representative.<br />
Drawing on the knowledge and experience of parents,<br />
midwives, GPs, labs, health visitors and metabolic<br />
consultants who are living the screening process day<br />
in, day out, the standards it has set are both credible<br />
and achievable. I feel both proud and privileged to<br />
have been involved in its amazing work.<br />
Caroline – member of the MCADD-PKU<br />
Screening Advisory Board and the PKU Expert<br />
Group<br />
The UKNSPC has produced a range of resources<br />
12 <strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012
... NHS SCREENING<br />
A couple of recent<br />
achievements…<br />
In March 2011, the UKNSPC produced a<br />
handbook for laboratorieson how to implement the<br />
new PKU guidance ensuring a secure care pathway<br />
for the screening process from when the card<br />
reaches the laboratory to the safe clinical referral.<br />
The UKNSPC launched the ‘all screening results<br />
belong to parents too’ campaign in 2010, to stop<br />
theoutdated ‘no news is good news’ expectation<br />
and propose that the Child Health Records<br />
Departments in England send the results of the<br />
screening test back to the parents in the form of<br />
a letter. The main aim of the campaign was to<br />
improve the communication of normal newborn<br />
screening blood spot results to parents, for<br />
recording in the Personal Child Health Record.<br />
What next?<br />
Our key objectives for 2012-13 are to monitor the<br />
PKU care pathway to make sure babies are referred<br />
to clinicians who are familiar with PKU, and<br />
evaluate the PKU programme via data collection.<br />
The Programme Centre also plans to review the<br />
‘PKU is suspected’ leaflet and the clinical referral<br />
guidelines and standards.<br />
One of our most exciting<br />
projects is the development<br />
of a dedicated page on our<br />
website on which parents can<br />
share their experiences of<br />
screening. If you are interested<br />
in taking part, please feel free<br />
to get in touch.<br />
E-mail<br />
uknewbornscreen@gosh.nhs.uk and visit our<br />
website at<br />
www.newbornbloodspot.screening.nhs.uk<br />
<strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012 13
NEWS AND VIEWS CONFERENCE...<br />
E.S.PKU 2012 Conference<br />
Thursday 18th to Sunday 21st October 2012 – Britannia<br />
Adelphi Hotel, Liverpool<br />
Liverpool will provide the backdrop for this<br />
very exciting event. The very name conjures<br />
up images of a glorious maritime history,<br />
world-beating musical heritage, two of the<br />
Premiership’s biggest football teams and not<br />
one, but two majestically different Cathedrals.<br />
It is now bulging with fabulous new shops, buzzing<br />
new restaurants, trendy wine bars, as well as a<br />
world class cultural offering with more museums<br />
and galleries anywhere outside of London. Not<br />
forgetting its inhabitants, of course, who are<br />
famously friendly and will welcome you with pride.<br />
The mainline train station, Liverpool Lime Street, is<br />
ideally located in the heart of the city centre. Virgin<br />
Trains now offer a direct high-speed service from<br />
the centre of London in a little over two hours.<br />
Central Station is a few hundred yards in front<br />
of the hotel and has direct links to John Lennon<br />
(Liverpool) Airport.<br />
Liverpool is a fantastic city break destination and<br />
an ideal choice for this high profile event.<br />
The Edwardian style Adelphi hotel is perfectly<br />
situated on Ranelagh Place at the heart of<br />
Liverpool City Centre. It's excellent location makes<br />
it perfect for visitors to this thriving city and its<br />
high ceilinged rooms carry on the air of a bygone<br />
era when rich industrialists had the hotel built<br />
adjacent to the lucrative transportation train lines<br />
into London.<br />
The 3 star hotel opened in 1914 and has been<br />
a popular city centre destination ever since. It’s<br />
friendly team, who strive to provide excellent<br />
customer service, will greet our delegates upon<br />
arrival and are available at all times to offer tips and<br />
recommendations for your stay in Liverpool.<br />
There are 402 bedrooms at the Britannia Adelphi<br />
Hotel, each maintained to high standards and<br />
reflecting the original Edwardian style of the<br />
building. All rooms have en-suite facilities,<br />
television and complimentary newspapers among<br />
other amenities.<br />
Rooms accessible for delegates with mobility<br />
difficulties can be reserved and the majority of the<br />
hotel is accessible for any delegate with reduced<br />
mobility.<br />
14 <strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012
NEWS AND VIEWS CONFERENCE...<br />
The friendly surroundings of the bar are perfect for<br />
unwinding after a productive conference each day.<br />
As happy hour runs from 12 until 4 each afternoon<br />
and the best sporting events are shown on the bar's<br />
big screen, the atmosphere is always lively and<br />
full of fun and the loyal local clientele are always<br />
willing to chat with you.<br />
Delegates preferring a more laid-back setting for<br />
an evening drink can settle into the lounge or the<br />
residents bar for a nightcap.<br />
Staying active while at Britannia Adelphi Hotel<br />
could not be easier! Spindles Health & Leisure<br />
Club provides delegates with premier fitness<br />
amenities including a heated indoor swimming<br />
pool, fully equipped fitness suite and therapeutic<br />
sauna. Entrance costs have been negotiated<br />
already and it will be FREE to all E.S.PKU<br />
conference delegates. Fleur Hair & Beauty offers<br />
pampering treatments and tempting spa packages<br />
to enhance your stay.<br />
The E.S.PKU 2012 conference programme it-self<br />
will be a balanced blend of both work and play.<br />
High profile world-wide speakers will be sharing<br />
the very latest news in research and developments<br />
within PKU supported by moving stories about<br />
personal PKU experiences and life journeys along<br />
with the ever popular cookery demonstrations.<br />
In addition, a full entertainment programme will<br />
be available both inside and outside the hotel<br />
including a wonderful cultural tour where you will<br />
be able to sample the City’s rich cultural heritage.<br />
For those who wish to<br />
do so there will be a bus<br />
service from the hotel<br />
on the Saturday that<br />
will transport you the<br />
Albert Dock. Several<br />
museums here are free<br />
entry and there are<br />
limited spaces for a city<br />
tour with an unusual<br />
twist! Organised<br />
children’s and young<br />
adult trips will also<br />
ensure that parents can<br />
focus on the speakers,<br />
in the safe knowledge that they will be very safe<br />
and well looked after. Fixtures permitting, Anfield<br />
Stadium, the home of Liverpool FC is among<br />
the likely children’s outings along with a trip to<br />
Spaceport, a futuristic glimpse into the future.<br />
Spaces will be limited and the trips are funded and<br />
free of charge for delegates.<br />
Hope this has whet your appetite and look out for<br />
details of both costs and the programme which will<br />
be featured in the next edition of <strong>News</strong> & <strong>Views</strong>.<br />
Make sure that you keep these dates free! It is<br />
going to be a great weekend.<br />
Pete Bramley and Mike Bailey<br />
E.S.PKU Conference Organisers 2012<br />
<strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012 15
NEWS AND VIEWS REPORTS...<br />
Rachel’s Story<br />
“Just a 25 year-old Woman who can’t eat Protein”<br />
When sharing with people that I have PKU and<br />
fully explaining what it all actually means, the<br />
response is usually one of utter amazement that<br />
I’ve managed to grow up, and survive with such<br />
difficulties. And while it’s very nice for people to<br />
sympathise, their understanding of PKU is quite off<br />
the mark.<br />
I think the best way to tackle PKU is by<br />
normalising the situation from the get go. My<br />
parents treated me no differently than my older<br />
sister, which is probably the best thing they could<br />
have done. My sister doesn’t have PKU just like<br />
everyone else in my family and nobody forced<br />
her to have the same diet as me and she wasn’t<br />
deprived either. From a very early age I understood<br />
about my condition, that I couldn’t eat what<br />
everyone else could because protein made me ill, it<br />
was that simple.<br />
Eating out, holidays, parties, family<br />
get-together’s were no different.<br />
We used to go on more camping<br />
and caravan self catered holidays,<br />
so my parents could have better<br />
control over my diet. Going abroad<br />
wasn’t really an option when I<br />
was little but I was never made to<br />
feel like I was any inconvenience<br />
nor did we as a family feel like<br />
we missed out. Dining out it was<br />
a bit more difficult because back<br />
then, vegetarian cuisine hadn’t<br />
really taken off, so if we couldn’t<br />
find anything on the menu then<br />
my parents would just suggest<br />
ordering a few side orders, and<br />
asking for them to be put on one plate. No fuss<br />
or awkwardness was ever presented it was all just,<br />
normal.<br />
Even though my family made everything as<br />
ordinary as possible for me, it didn’t stop kids<br />
noticing I was different, pointing out things about<br />
how my food looked or why I had to eat something<br />
completely different or just staring which I<br />
found hard to deal with. It’s part of growing and<br />
parents can’t hide that from you. I went through<br />
a period in junior school where I wouldn’t eat my<br />
sandwiches. This went on for a while, into high<br />
school. The bread would crumble and I’d have<br />
odd fillings in them which made me a target to be<br />
picked on. I felt so uncomfortable so I just didn’t<br />
bother with them; I’d eat them on the walk home<br />
instead.<br />
When I was in primary school and getting invited<br />
to birthday parties and sleep over’s, I would go but<br />
my mum would make party food that I could have<br />
and explain to the parents what it was about, while<br />
I went and had some fun. I was told I could take<br />
the party bag no problem, but I knew I couldn’t<br />
have the cake and would give to my sister or my<br />
dad, who was more than happy to help me out!<br />
When I reached my early teens I graduated to the<br />
adult PKU clinic. Suddenly I could attend clinics<br />
by myself, I was told that I could relax my diet; I<br />
was informed about what kind of alcohol I could<br />
drink. It was brilliant it was the first time I felt that<br />
I could have a say in what I could eat. I was given a<br />
lot more control in the way that I managed my diet<br />
without the permission of doctors, dieticians and<br />
my parents. Although, this brought up new hurdles,<br />
I felt constantly guilty during clinics that hadn’t<br />
been eating low protein prescribed foods, dieticians<br />
said my diet could be relaxed as grew older but<br />
they weren’t following suit, and I began to feel<br />
like I was a failure if I didn’t try the specialized<br />
low protein foods. The truth was that I’d spent my<br />
whole life using these dietary products that I didn’t<br />
particularly enjoy and made me feel different to<br />
everyone else. I think its important<br />
when you’re a teenager, growing up<br />
and finding your feet that you’re<br />
given room to experiment and try<br />
different foods. I knew that I didn’t<br />
want to completely come off my<br />
diet because it worked for me, it<br />
didn’t interfere with my lifestyle<br />
and I was completely healthy. What<br />
I wanted was to try and find a<br />
middle ground where I could have<br />
a low protein diet but not use the<br />
dietary products, this was especially<br />
important while going through<br />
university. I found that not being<br />
tied down to such a dependency<br />
on prescribed food worked really<br />
well for me in the real world, and I didn’t feel like I<br />
stuck out like a sore thumb.<br />
Now, I’m in at an age where I feel I want to try<br />
more of the dietary foods. I’m confident with who<br />
I am, my PKU and what I like and what I don’t.<br />
The low protein food has a lot more variety now,<br />
better tasting and more readily available. Previously<br />
I would have such battles with GP’s that I gave up<br />
trying but now with the new dietary order scheme<br />
it’s far easier. It’s like picking things from a menu!<br />
For me, PKU hasn’t been an ordeal and now as<br />
young woman I rarely even think of myself as<br />
having PKU. Yes It’s part of who I am but it is not<br />
who I am, which is sometimes hard for doctors and<br />
dieticians to understand, luckily I’ve grown up with<br />
a lot of support from family, friends, doctors and<br />
dieticians which have been a massive contributing<br />
factor for my attitude towards PKU. That doesn’t<br />
mean to say that I haven’t faced my fair share of<br />
challenges, but in my eyes I’m just a 25 year old<br />
woman who just can’t eat protein, it’s as simple as<br />
that.<br />
Rachel White<br />
16 <strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012
NEWS AND VIEWS REPORTS...<br />
This Issue: Blood-Taking – what a faff<br />
I always remember the first time I had to take<br />
blood from my new-born daughter. It’s indelibly<br />
etched on my mind. My thought processes went<br />
something like this…….”Right let’s do this (as a<br />
surgeon must do as he moves on from the pretend<br />
torso onto the real thing)”<br />
You must understand, this was nearly eighteen<br />
years ago and we didn’t have the lovely soft-touch<br />
pens we have now and I’m sure that there are still<br />
people who use old technology that we used then,<br />
but Mama – it looked like something from the<br />
French Revolution that Marie-Antoinette would<br />
wear as a necklace, especially if you are stabbing<br />
your new-born for the first time. You know that<br />
feeling that when you look back everything seems<br />
BIGGER!<br />
This innocuous looking little device looked as<br />
though it belonged in a babies nursery, until you<br />
took the cap off to reveal a 1 metre wide blade<br />
with the words “The Blood-taker” welded onto it by<br />
some ex-shipbuiding welder from the North East<br />
and I’m sure it was hot-riveted to the main body of<br />
the device.<br />
Coupled with the fact I wasn’t yet familiar with<br />
actually holding a baby this was a major, major<br />
pivotal point in all of our lives but it was me that<br />
got first go. Now I kinda knew that there would be<br />
more distress for my little girl if I held her by one<br />
ankle upside down in my left hand and stabbed<br />
her with my right (I am naturally right-handed<br />
you see). I also knew that if I stabbed her too hard<br />
I might shatter her tiny and fragile body. So I did<br />
this………..phoned a friend, No I didn’t do that.<br />
What I did was break into a sweat and started<br />
shaking while my little girl slept.<br />
for the greater good and will determine their future<br />
well-being and shape the course of their lives.<br />
Using this as justification you are now able to do<br />
blood-tests facing away from the child with a thrust<br />
under the left arm, over the shoulder and through<br />
the legs with pin-point accuracy and a beaming<br />
smile at your now newly acquired macabre skills.<br />
And joy of joys we moved on from heels to fingers<br />
and with our new sleek and gleaming “Soft-Touch<br />
Pen” (patent pending) we now have a device that<br />
looks like a scribe AND has no reference to blood<br />
or puncturing anything. The marvels of modern<br />
science – hats off.But we’ve moved on since those<br />
days. Blood tests are no longer demonised. They<br />
have become rarer as she migrates from difficulthood<br />
into expensive-hood but guess what – I’m<br />
still doing them. At 18 my daughter still has Daddy<br />
doing her blood-tests. If you are reading this (and<br />
you know who you are and I know where you<br />
live) you are now aware of the trauma that I went<br />
through having to hurt someone that I really love.<br />
And still, still you give me so much more trauma<br />
because I’ve just had the Barclaycard bill and<br />
you’ve put your Easyjet flights on my flipping<br />
Credit Card. Where’s that stabber.<br />
Disgruntled of Hertfordshire<br />
My wife held her in her arms, I gently took her<br />
little booties off to reveal her beautifully formed<br />
feet and lowered her left foot down onto the soft<br />
cloth my knees and I whispered “sorry” to her<br />
before pressing the device onto the soft wrinkled<br />
heel. And pressed the plunger…………….much like<br />
a navvy would dig a road up with a compressed-air<br />
jack-hammer. All the finesse of a bull-dog trying<br />
to win a darts match. And BOY, did she wake up.<br />
I’m so glad she didn’t utter her first words then,<br />
it would have been heart-rending if her first word<br />
began with an F.<br />
Like many things, the first time was the hardest<br />
both physically and emotionally. However once<br />
you’ve got the hang of it and you can deal with the<br />
sight of your own babies blood (which has got to<br />
be THE most unnatural thing in the world) you<br />
become accustomed to the pain that you inflict on<br />
your little mite as it is short-lived and very much<br />
<strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012 17
PROZERO<br />
a great tasting protein free<br />
milk replacement drink<br />
ZERO PROTEIN<br />
ZERO AMINO ACIDS<br />
=<br />
More freedom<br />
and choice<br />
PRO<br />
<br />
ZERO<br />
Available in two great options:<br />
‘ON THE GO’<br />
250ml carton with a straw.<br />
‘HOME’<br />
1 litre carton with a screw cap.<br />
Why not try try some delicious Prozero recipes.<br />
These recipes have kindly been developed and<br />
perfected by Eileen Green, Fate Special Foods.<br />
Prozero can be used to make the following recipes<br />
that are all allowed freely in a low protein diet:<br />
CREAMS 1<br />
Single Cream, Whipping Cream, Double Cream and<br />
Extra Thick Double Cream 1<br />
DESSERT AND CAKE IDEAS 3<br />
Vanilla Ice Cream 3<br />
Strawberry Crush Ice Cream 4<br />
Other Ice Creams 5<br />
Quick ’n’ easy Ice Cream Syrup 6<br />
Hot Chocolate Sauce 7<br />
Sweet Lemon Cream 8<br />
Fruit and Lemon Cream Sundae 9<br />
Pouring Custard and Thick Custard 10<br />
Blancmange 11<br />
Classic Cheesecake 12<br />
Fate Chocolate Brownies 14<br />
Fate Traditional Trifle 15<br />
Panna Cotta with crushed Strawberries and Mango 17<br />
SAVOURY SAUCES 18<br />
Savoury White Sauce and Parsley Sauce 18<br />
Curry Sauce 19<br />
Sour Cream & Chive Dip, Sour Cream & Garlic Dip 20<br />
Peppercorn Sauce 21<br />
Chesie Sauce 22<br />
DRINKS 23<br />
Coke Float 23<br />
Orange Float 23<br />
Frothy Milk 24<br />
Cappuccino 25<br />
Thick Milkshake and Quick ’n’ easy Milkshake 26<br />
Fresh Fruity Milkshakes 27<br />
Please ask your dietitian if you are unsure about using any<br />
ingredients in these recipes.<br />
Recipes developed by Eileen Green, Fate Special Foods.<br />
Don’t forget, there’s so<br />
much more you can do<br />
with PROZERO...<br />
• Simply as a drink on its own<br />
• Pour over permitted cereal<br />
• In tea or coffee<br />
• Flavour PROZERO with<br />
permitted flavourings<br />
www.vitafloweb.com
NEWS AND VIEWS REPORTS...<br />
Thank Goodness for<br />
Screening!<br />
From Birmingham Children’s Hospital<br />
Our annual Christmas party was held this year<br />
on the 8th of January. Please believe me Santa<br />
Claus is busier after Christmas than before. The<br />
party is now 24 years old but each year there<br />
are surprises and very sadly always one or two<br />
children (without PKU) who never make it to<br />
another Christmas party.<br />
Children also enjoyed dancing competitions, games<br />
and each received a mega gift bag stuffed full of<br />
Christmas presents.<br />
All our children have to endure arduous treatments<br />
and anything we can do to bring a little sparkle into<br />
their lives is so worthwhile.<br />
The party is held for 120 children with many<br />
different Inherited Metabolic conditions not just<br />
PKU. Like PKU, all are treated with some kind of<br />
special diet. Although all are born with metabolic<br />
conditions, unlike PKU, for many of the conditions<br />
there is no newborn screening programme, so<br />
many have to wait for symptoms to develop before<br />
treatment is started. All of the conditions are very<br />
serious affecting the brain or other important<br />
organs in the body. Some may be life limiting.<br />
Christmas is a time when food is luxurised/<br />
emphasised – the traditional Christmas dinner<br />
is picture perfect in the magazines and everyone<br />
is allowed a ‘treat’ and it is a time for small<br />
indulgencies. For many of our children the<br />
traditional Christmas meal is totally unsuitable.<br />
Therefore, the Christmas party is a ‘mega’ event. It<br />
is the only party that the children can eat anything<br />
on their allocated table. The food is magical,<br />
children with the same condition sit together<br />
making friends. Both families and children learn<br />
that there are other people with similar conditions.<br />
Of the 120 children who attend the party the most<br />
able and capable are the children who have been<br />
screened early in life to prevent the devastation<br />
of untreated metabolic disorders. In the 24 years<br />
the party has been going there have been gigantic<br />
improvements in the low protein substitutes and<br />
the low protein food is eaten by everybody and<br />
more is wanted.<br />
On reflection let’s be thankful for screening,<br />
thankful for the researchers who have improved<br />
the look, taste and appearance of low protein foods<br />
and protein substitutes. Year on year it gets better,<br />
just like the Christmas party.<br />
A huge thank you to all our sponsors and helpers.<br />
We could not manage without you.<br />
Turn over for a picture of Ben Wilby meets Daniel<br />
This year our theme was Glamour and Glitz, and<br />
we had a special guest appearance from Ben Wilby.<br />
Ben starred in the hit Christmas film Nativity with<br />
Martin Freeman and Marc Wootton when he was<br />
6 years old. Ben entertained the children by doing<br />
a series of dances with his dance partner Sophie<br />
Moseley. The children all loved the music and the<br />
dancing and wanted to join in. Other acts also<br />
followed on:<br />
X Factor Boot Camp finalist, Amy Morris, Body<br />
Beat Dance School and the winners of the 2010<br />
Metabolics Got Talent contest, Sara Ahern and<br />
Roisin McGrath, also all performed for the patients.<br />
<strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012 19
NEWS AND VIEWS REPORTS...<br />
Ben Wilby meets Daniel Booker age 7<br />
20 <strong>News</strong> & <strong>Views</strong> Issue 138 Spring 2012
DONATIOMS...<br />
<strong>NSPKU</strong><br />
Donations of over £30 for inclusion into <strong>News</strong> and <strong>Views</strong> Magazine<br />
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Mik Squire & Alister Fraser Joint 50th Barn Birthday Party 40.00<br />
Malcolm Thompson matched funding 250.00<br />
Bridget Flynn 30.00<br />
Anne Owens in memory of Derrick Nicolson 80.00<br />
Linda Spence in memory of Robert Spence 100.00<br />
Mrs Louise Tinley & family 322.22<br />
Andy Muncer and family - Bethan's baptism 520.00<br />
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Alison and Mark Sheridan - in memory of Alistair McQuarrie 220.00<br />
Yorkshire Building Society - Small Change, Big Difference 100.00<br />
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