hospice brochure - St Raphael's Hospice

Hospice NewsHospice NewsDay centre extended and refurbishedThe Hospice Day Centre was recently refurbished and expanded.Pictured are staff with patients in the day centre, which isnow much lighter and brighter. It’s amazing how much extraspace and light has been created, giving day patients a greatlyimproved environment. In feedback, 80% of patients rated thechanges as “excellent”. Comments included:Bibi Shah, Sharima Jalloh, Vere Rogers, Liz Piechocki, Christine Boyle, Royston Lavender,Maria Kelly, Edgar Block, Margery HartleyImproved patientcommunicationand safetyAnew nurse call system has been put into all hospicerooms which is a much more modern, electronicsystem. It enables nurses to see where colleaguesare on the ward via a screen in the nurses room and anurse presence light outside each. Special additions to thesystem will enable staff to be alerted if frail or confusedpatients attempt to get out of bed and the system also logsa history of the calls made.These improvements were both made possible by a oneoffDepartment of Health grant.(left to right): Jack Sanday; May Dilley; ThelmaSmith; Sybil Corke; Tina Soysa (volunteer) andLeona Rawson (volunteer).“It’s much brighter and hascreated a lovely environment”“The centre seems so muchmore spacious, brightand airy”“It’s a pleasure to attendDaycare each week”“Comfortable and welcoming,and if fully occupiedwould still feel spacious”“It’s a lovely area to work in -lovely and bright”“Has made Daycare a moreusable space”“The increased area makes itsafer for patientsto move around”St Raphael’s Hospice@Home Service –Bringing Care HomeFor many years, St Raphael’s has run asuccessful Community Palliative CareTeam of nurses, who visit patients athome. But each of our highly trained specialistnurses has about 40 patients to visit at anytime. They liaise with our hospice doctors,hospitals, the patient’s own GP and DistrictNurses to ensure that each patient receives theservices they need. But what they do not havethe resources to do is spend time overnightwith patients, at the patients home to helpsupport the patient and their relatives.So we now also have a Hospice @ Homeservice at St Raphael’s.The service extends hospice care into thecommunity to support dying patients in theirown homes, if that is their wish.WARD SISTER:Pauline MorrisThis is our Ward Sister PaulineMorris. She is responsible for theresidential in-patient wardof 14 bedrooms.During each year over 350patients come to the hospice asan in-patient. Her role primarilyfocuses on the day to day runningof the Ward, ensuring that patientsreceive a high standard of nursingcare. In conjunction with the hospicePractice Development Facilitator,Pauline will continue the ongoingdevelopment of contemporary palliativecare nursing practice.Pauline is herself a shiningexample of how the hospicehelps to develop staff to theirfull potential. She returned to nursingin November 1999 after having fourchildren. She joined the hospice as aThe Hospice@Home staffemployed by St Raphael’s area team of specially trainedand motivated healthcareassistants, who will workclosely alongside existingcommunity services such asthe district nursing teams.The Hospice@Hometeam aims where possibleto provide care tailored tomeet the needs of individualpatients and their families.The team will be able toprovide important supportive care at home, aswell as helping with practical aspects such asassistance with personal care, making simplemeals and beverages, and enabling families andcare assistant and worked for a yearuntil she was able to do a ‘return tonursing course`. Following that, Paulineworked as a staff nurse on night dutyfor five years, following which sheworked days, and after several yearsexperience, became team leader, seniornurse and now junior ward sister.carers to have a rest.These improvements have been madepossible by extra support from the Suttonand Merton Primary care Trust (PCT).Over the years, there have beenmany changes in Palliative carebut the care and attention givento patients remains the same. Paulinesays “I work with some lovely people ina happy, friendly atmosphere and feelprivileged to be part of such a greatteam.”4 4 St Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.ukFind out how you can help St Raphael’s, Raphael’s. ring Ring 020 8335 4576 or visit www.straphaels.org.uk 5

The Services provided by St Raphael’s HospiceThe Hospice gives palliative (end of life) care to nearly 900patients every year. This is all provided entirely free of chargeto patients and families, and largely paid for by charitablefundraising, donations and legacies.We offer six core servicesDay CareSt Raphael’s patients who are living at home canbe referred to our Daycare centre which is openfour days a week. Volunteer transport and aMinibus is available for those without transport.It gives patients a chance to meet others withsimilar problems and to make new friends; toexperience complementary therapies, art andcrafts. Trained nurses are always present tohelp with any health issues and concerns. It is a‘day out’ for the patient and a day’s respite fromworry for family and friends.Bereavement andFamily SupportAs well as our bereavement service, which is inpro-active contact with over 300 relatives eachyear, there is a nurse counsellorwho advises families, a socialworker whose speciality iscounselling children who havebeen bereaved, and a PastoralCare Sister for spiritual support.There are no religiousrequirements for patientscoming into St Raphael’s; wehave patients of all faiths andnone. Our Pastoral Care Sisterhas a close working relationshipwith chaplains and priests fromall faiths, who regularly comeinto the hospice.•It costs a total of approx £4 milliona year to provide these services ona “24/7” basis. That’s nearly £11,000per day.•Of these costs the NHS throughSutton and Merton Primary CareTrust (PCT) provides a grant of£1 million or 25% of the total.•This leaves £3 million (75%) to beraised from charitable donations,fundraising and legacies.•The Hospice relies on your continuedsupport. Without donations, wecould not provide the servicesthat make Hospice care special.Care for 900 patientsa yearCare for 339 in-patients(3,566 days)3,693 home visits1,198 day centreattendancesBereavement and familysupport for over 300familiesCommunity PalliativeCare TeamSt Raphael’s Hospice has a team of highlytrained specialist nurses, who visit patientsat home. They provide symptom controland advice to enable patients to remaincomfortable and functional at home. Theteam liaise with other services that providepractical assistance such as social servicesand the district nurses, to ensure patientshave co-ordinated care. The CommunityPalliative Care nurse is the first point ofcontact for newly referred patients. Theywill maintain contact with each patientfor as long as necessary. Referrals tothe hospice come from GP’s, hospitalconsultants and hospital based clinicalnurse specialists.In-patient careThe ward has 14 bedrooms, and peopleare often surprised that it is not more. Butover the course of a year, those 14 roomswill be utilised by over 300 patients. Themedical, nursing and housekeeping staff,run the hospice on a “24/7” basis. We areopen 365 days a year 24 hours a day. Manypatients are admitted to the ward for endof life care, but many are also admitted toenable their condition to be assessed by thedoctors, and pain relieving drugs prescribedfor the patient to then be able to returnhome for a further period of time, havinghad their pain brought under control.Education servicesThe Hospice is an acknowledged centreof excellence for palliative care, and offersregular training to other health careprofessionals such as GP’s, District nursesand staff from local care homes. We alsoreceive regular visits from trainee doctors atSt Georges Hospital Tooting and St Helier’sHospital Carshalton to see the work andenvironment of a hospice.Hospice at Home ServiceThe work of the Community Palliative CareTeam is augmented by a Hospice@Homeservice, offering patients care in their ownhomes, for the last four weeks of life.The St Raphael’s Family Support TeamSt Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.uk6 6 Find out how you can help St Raphael’s. Ring 020 8335 4576 or visit www.straphaels.org.uk 7

Caring for Patients and FamiliesWe treat a wide range of illnessesPatients are referred by GP’s, hospital consultants,or hospital clinical nurse specialists (CNS)Every year, St Raphael’s Hospiceprovides specialist care for some 900patients, suffering a wide range ofillnesses. While the vast majority of patientshave some form of advanced cancer,around 10 per cent are suffering fromother conditions. The hospice also providesadvice, support and care for patients withmotor neurone disease, multiple sclerosis,end-stage organ failure and HIV/AIDS.The hospice cares for patients from allbackgrounds and age groups [18 years andabove]. While most of the patients areolder, it is not unusual for St Raphael’s toprovide care for people in the 20s or 30s.To receive the care of the hospice, apatient is referred by a GP or hospitalconsultant or hospital CNS – and thereferral criteria are simple and few.According to Medical Director, Dr MarieJoseph, a hospice referral is suitablefor those patients with a progressivelyworsening, incurable illness with anestimated prognosis of several monthsrather than years.Once referred, the patients will bevisited initially by a clinical nurse specialistSome of the St Raphael’s Medical Team, led by Medical Director, Dr Marie Joseph.who will assess their needs and liaise withthe GP and district nurse to arrange thenecessary medical and nursing or practicalsupport.St Raphael’s Hospice takes amultidisciplinary approach to providingthe best treatment for those who comeunder its care. Dr Joseph is an experiencedconsultant in palliative medicine, and sheheads up a team of consultants, physicians,consultant psychiatrist, specialist withanaesthetic experience, specialist registrarsand senior house officers/medical trainees.A network of GPs and specialists to provideExpert Symptoms Control Is CrucialOne of the fundamental aims ofcare at St Raphael’s is to providecomfort and dignity to dyingpatients; and as such, pain control is amajor focus for the medical and nursingteams.Headed by Medical Director, Dr MarieJoseph, the medical team has a wealthof experience in pain and symptomcontrol. In particular, the team specialisesin managing complex pain, and has anumber of pharmacological agents andtherapies to help them in their work.Dr Joseph explains: “Pain is one of themost common reasons GPs refer patientsto us. We get patients with a variety ofcomplex symptoms, and more than a few‘Pain is oneof the mostcommonreasons GPsrefer patientsto us’on-call work has also been developed.Supporting this medical team are theexperienced palliative care nurses andclinical nurse specialists, Pastoral CareSister, health care assistants, a part-timephysiotherapist, a clinical pharmacist, anoccupational therapist, a nurse counsellor,social worker, discharge nurse coordinator,bereavement co-ordinator and wardclerk. The entire staff of over 100 arecomplemented by more than 180 hospicevolunteers, who are overseen by thevolunteer services coordinator.of them come to us with neuropathic pain –which is the worst pain imaginable. In thesesituations, I invite the patient to a painmanagement clinic where we go through theaetiology of the disease and the pain anddetermine the best course of action.Specifically, we can prescribe neuropathicpain relieving agents such as Ketamine andMethadone. These medications are bestinitiated under continual supervision, whichwe can provide at St Raphael’s”.Such expert symptom control and painmanagement is crucial, because if these arenot managed, patients can experience severeemotional distress and begin to devaluetheir lives,” stresses Dr Joseph.The Hospice needs to raise over £3 million a yearKeith Witham, Director of FundraisingThe Hospice is open 24 hours a day, 365days a year. Our services cost over £4million a year – of which three-quarters– over £3 million annually depends on charityfundraising, donations and legacies. On thispage, I have summarised all the various waysin which we raise that money each year.We are grateful to everyone who supportsSt Raphael’s in so many different ways.Without your support, the charity simplywould not be able to do what it does.We particularly depend on gifts thatfriends and supporters leave in theirWills. If this is something that youare able to consider, it would be very muchappreciated. We have a scheme (details at theback of this magazine) whereby a number oflocal solicitors will create or update a Willat any time of year, and donate 10% of theirfee to the hospice. If you would like to takeadvantage of this, the participating solicitorsare listed on page 23.Keith Witham, Director of FundraisingDONATIONS: The most straight forward way to support the work of the hospice is to make a donation. Cheques payable to “St Raphael’sHospice” may be sent to Fundraising Office, St Raphael’s Hospice, London Road, North Cheam, Sutton SM3 3DX. All donations areacknowledged. Donations can also be made by credit card or debit card, either by post or by telephone (020 8335 4576).CHARITY SHOPS: We have nine shops, which rely on volunteers and donated goods. If you could spare some time each week to help inyour local shop – or you have goods that can be donated, please contact on 020 8330 4501. See page 12 – and please gift aid them.HOSPICE LOTTERY: This is a weekly draw, which costs £1 per entry, per week. It’s payable in advance for up to a year at a time. The FirstPrize each week is £1,000 drawn each Friday, and there is also a “rollover” prize which can accumulate up to £10,000. All the profitsgo to the hospice. There is also a facility whereby if you want to support by having any winnings go back to the hospice as a donation,that can also be arranged. All membership enquiries: 020 8335 4576. Any lottery admin enquiries (direct debits etc): 0870 241 4506.EVENTS: We run a series of fun events during each year. There are sponsored walks such as along the River Thames in London, aLadies Only “Midnight Walk” held at the Hospice in September, and a fun Santa Dash when everyone taking part is dressed as FatherChristmas! We have an annual “Light up a Life” Appeal in the autumn, up to Christmas in conjunction with a Carol Service held atthe Hospice usually on the first Sunday of December, when the Hospice Christmas Tree lights are turned on. There is a Summer Fete, aChristmas Bazaar – lots of events, all raising money for the Hospice.COMMUNITY FUNDRAISING: We rely a great deal on many local groups and voluntary organizations such as Rotary Clubs, Schools,Churches, Masonic Lodges, youth groups such as the brownies, pubs and clubs, and many more as well as individuals, who raise fundsand then donate the money to St Raphael’s. There are other community events, mainly sponsored activities, such as the LondonMarathon each year. We also have ten local volunteer supporter groups covering local areas of the hospice, whose role is to raisefunds and increase local awareness of the hospice. They are always looking for extra help! All these activities are co-ordinated by ourCommunity Fundraiser and her Team.IN MEMORY DONATIONS: We are fortunate that many supporters of the hospice give donations in memory of a loved one. On manyoccasions, the first financial support we receive is when a family member has died, the family ask not to have flowers at the funeralexcept for close family, but for donations to the Hospice instead. We have some specially made donations envelopes that are suitable forthis purpose, supplies are available on request from the Fundraising Office.TRIBUTE FUNDS: We have the facility of “Tribute Funds” which are named in memory of individuals. Donations are given to the hospicefrom any form of fundraising or personal donations, and are then recorded under the name of a loved one.TRUSTS AND FOUNDATIONS: A number of local grant giving charitable trusts support the hospice by giving donations either towards therunning costs of the hospice, or to special projects.LEGACIES: As mentioned earlier, this is a vitally important source of income and support for St Raphael’s. In any year, between 25%and 33% of the hospices charitable income can be from gifts that friends & supporters leave in their will. There is information lateron in this brochure about how to leave a legacy gift, that will benefit St Raphael’s in the future. We have a “Lifelong Friends” scheme,whereby anyone who tells us that they have remembered the hospice in their will (not in detail as we recognize that is a very privatematter) but that the hospice has been included, can be recognized as a “Lifelong Friend” of St Raphael’s, as a token of our appreciation.CORPORATE AND EMPLOYEE FUNDRAISING: People raise money through their work, and sometimes companies also match what theiremployees have raised. There are sponsorship opportunities and an Honorary Patrons Group. Our Corporate Fundraiser co-ordinates these.APPEALS: We have appeals during the year, ranging from our Spring Sunflower Memories Appeal, through the summer when there areSunflower collections at local venues, and our annual Light up a Life Appeal. Information about current appeals are shown on our website.St Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.uk8 8 Find out how you can help St Raphael’s. Ring 020 8335 4576 or visit www.straphaels.org.uk 9

St Raphael’s HospiceHistoryHistoryThe history of the hospice started long before its opening in 1987.The Hospice was built by “TheDaughters of the Cross”, aCongregation founded in Liège,Belgium in 1833. The Sisters who caredfor the sufferers of Cholera and typhoidepidemics in Liège, were brought togetherby the Foundress of the Daughters of theCross, Blessed Mère Marie-Therese (formerlyJeanne Haze), who was beatified by thePope in 1991.In 1863 a group of the Sisters wasestablished in England and in 1869 theSt Wilfrid’s Nursing Home in Chelsea wasopened, followed by the establishmentof St Philomena’s School at Carshalton in1893, the St Elizabeth’s Centre for epilepsyat Much Hadham, Herts in 1903, and StAnthony’s Hospital, North Cheam in 1904.For most of the last century, includingthe years that saw the formation anddevelopment of the National Health Service,St Anthony’s Hospital was the local generalhospital for the area of North Cheam, Suttonand the surrounding areas.But in the early 1970’s the NHS decidedthat no more NHS patients were to be sentto St Anthony’s. Reluctant to close, theSisters developedSt Anthony’s intoa modern privatehospital, whichopened in 1975.Today, St Anthony’sis one of the mostsuccessful privatehospitals in the southeast,with more than200 consultants.Disappointed thatthey could no longercare for all the localcommunity the Sistersbuilt St Raphael’s toprovide palliative carefor the terminally ill.This they achievedwithout any recourse topublic money but theylaunched an appeal tocover the running costsSister Mary Perpetua helpingto start turn the first turf ofthe hospice in 1986.The building work starts – 1986.which were then estimatedto be £1million a year.It is this appeal that hasbeen continued since StRaphael’s was opened toits first patient in April1987.During the remainderof 1987 the hospice caredfor 128 patients. Today, over 25 years on,St Raphael’s supports over 900 patients andtheir families each year.The need for public support is just asgreat as when St Raphael’s opened. It nowcosts over £4 million a year to run thehospice, of which approx 25% comes from anNHS grant, but the remaining 75% dependson public, donations, fundraising & legacies.The original St Anthony’sHospital, London Road,North Cheam 1904.TODAY:Father David Camilleri(Hospice Chaplain), withSister Clare Joseph andSister Frances AnneThe second St Anthony’sHospital 1914-1975.St Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.uk1010 Find out how you can help St Raphael’s. Ring 020 8335 4576 or visit www.straphaels.org.uk 11

St Raphael’s Charity ShopsNew “Gift Aid”schemesuccessfullylaunchedWe have recently launched a newscheme which enables the hospiceto re-claim “gift aid” on donatedgoods sold through our charity shops.The new scheme is in operation in all ourshops and in the past year raised an extra£72,000 for the hospice from gift aid.Already some 5,000 donors are signed up,It works by the donors ofdonated goods firstly signinga shops gift aid form and thendonating goods to us. Whenwe then sell those goods inour shops, which have beendonated by that individual,and therefore have createda money value, the hospicecan reclaim gift aid from thegovernment on that value.More potentialAlthough 5,000 supportersare now giving donatedgoods to us under gift aid,that represents just 3 outof every 10 donations ofgoods made to the hospice shops.If more of the other 8 out of 10 donorsof goods can also sign up to gift aid, thevalue for St Raphael’s would be even more.Our target is to raise an extra £100,000 forthe hospice.Can you sign up for gift aid?The only qualifications for taking part inthe gift aid scheme is that you pay UKincome tax (or Capital Gains Tax) and thatyou pay at least the amount of tax whichthe charity will claim in gift aid on yourcharitable donation. For people who are inemployment or self employed, that is notusually going to be a problem!Some supporters do not think they payincome tax, perhaps because they do nothave a paid job, but if you have a privatepension, or have savings in a buildingsociety which earn interest you almostcertainly do pay income tax. It may not bevery much, but it could be enough to covera “gift aid” donation.If you have not yet done so, and youdonate goods to our shops, PLEASE givethem via gift aid. Forms are available atall our shops, or on the website www.straphaels.org.uk under the SHOPS section.Top: Supporter June Whitfield at one of ourshops Below: Comedian Arthur Smith (GrumpyOld Man!) opens our most recent new shopST RAPHAEL’SCHARITY SHOPSRetail Manager:Jan CunninghamFor collections of donatedgoods please call020 8330 4501Banstead Shop90 High StreetBansteadSurrey SM7 2NNTel: 01737 370166Carshalton Beeches Shop81 Banstead RoadCarshalton SM5 3NPTel: 020 8770 3677Carshalton Shop46 High StreetCarshalton SM5 3APTel: 020 8669 5535Cheam Shop3 High StreetCheam Village SM3 8RQTel: 020 8643 9326Epsom Shop73 High StreetEpsom KT19 8DNTel 01372 722937Raynes Park Shop10 Lambton RoadRaynes Park SW20 0LRTel: 020 8739 0225Rosehill Shop18 The MarketWrythe LaneRosehill SM5 1AGTel: 020 8644 9673Stonecot Hill Shop2/4 Tudor DriveStonecot HillSutton SM4 4PETel: 020 8330 0086Worcester Park Shop98 Central RoadWorcester Park KT4 8HUTel: 020 8337 3578Worcester Park Furniture Store198-202 Cheam Common RoadWorcester Park KT4 8QJTel: 020 8330 4501Sutton Shop279 High StreetSutton SM1 1LDTel: 020 8722 0591How many ways are there to support St Raphael’s?Here are some other ways in which youcould help support the work of the hospice.IndividualsMake a personal donation“Gift Aid” your donation if you pay income tax or capital gains taxJoin one of our local volunteer supporter groupsDonate good quality unwanted goods to our charity shops(using our shops gift aid scheme)Visit our Charity shops and buy goodsDo an Overseas Sponsored TrekJoin the Hospice LotteryOrganise a fundraising eventBecome a “Regular Giver” via a Bank Sanding orderRecycle your old mobile phones via the hospiceHave a personal collecting box at homeRemember St Raphael’s through a gift in your WillMake a donation In Memory of a loved oneSet up a Tribute Fund in memory of a loved oneHelp with “flag day” collections at supermarkets etcBecome an advocate, willing to speak on behalf of St Raphael’sBecome a Volunteer in the hospiceBecome a Volunteer in one of our Charity ShopsBusinessesBecome a St Raphael’s Corporate ChampionAdopt St Raphael’s as your “Charity of the Year”Encourage your staff to fundraise for the hospiceOrganise a Hospice Lottery syndicate with your staffEnable your staff to donate to charity via Payroll givingDonate “end of line” goods to our charity shopsDonate “Gifts in Kind”Organise a fundraising eventMake a Company DonationRecycle any unwanted mobile phones via the hospiceHave a St Raphael’s Collecting box in your reception/on your counterThe 1st Cheam Park Farm GuidesThe 1st Cheam Park Farm Guides choseto support St Raphael’s Hospice aspart of the Girlguiding UK’s centenary‘Changing the World’ project.The Guides organised a series offundraising activities to support the work ofthe Hospice. They also decorated and planted15 plant pots, which were given to patientsas Easter gifts over the Easter bankholiday weekend.Rebecca, Sophie, Lindsey, Hayley, Jess &Molly from the 1st Cheam Park Farm GuidesON THE INTERNET:Attend Hospice Events - see our eventslisting on www.straphaels.org.ukWhen using a search engine, use:www.everyclick.com/uk/straphaelshospiceWhen “internet shopping”, use www.buy.at/straphaelsFor sponsored events use www.justgiving.com/straphaelsINTERNET SHOPPINGWhatever you are buying “on-line” please do sothrough www.buy.at/straphaelsand for every purchase made, the hospice willreceive a donation. It does not cost you anyextra, so please use this service.Thank youVoluntaryGroups andOrganisationsAdopt the Hospice as yourchosen charityAsk a speaker from the hospiceto one of your meetingsRun a fundraisingeventSt Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.uk1212 Find out how you can help St Raphael’s. Ring 020 8335 4576 or visit www.straphaels.org.uk 13

Some “Thank you” LettersSome “Thank you” LettersSt Raphael’s Hospice cares for 900 patients and families each year.Each individual is unique. Each family has its own special memories andstories. Here are just a few of the letters we have received. We thankeach of them for allowing us to print their words and photographs.Celia CadyThe relief which wefelt from the momentit was decided that shewould be able to stay atSt Raphael’s grew dayby day as we observedthe professional and so Celia with her husband Rogerpersonal care which shereceived. The Christianethos of the hospice and the consideration and concernwhich enveloped Celia, me and the whole family wasevident from the beginning to the end. I express ourdeep gratitude to your dedicated staff.Roger Cady (Husband), Carshalton.Marie StephensNo words can describeher loss to us,but what is extremelycomforting to us isthe knowledge of thecare provided to herby yourselves in everycapacity during herstay with you, and hercontinued care when shereturned home to us fora short period.David LuxfordThank you so muchfor the wonderful careand kindness you showedto David during the finaldays of his life and for allthe support you gave usas a family, it made a verysad time so much easier.Sandra Luxford (Wife),Norbury, SW16Kevin BoytonKevin with his model plane“Zero” which he flew withhis son at Epsom Downs.David LuxfordTo all theDoctors and Nurses atSt Raphael’s. My sonRichard and I wouldlike to thank you somuch for the kindnessand care that you gaveto Kevin in his last fewdays of life, after ayear of much pain. Wecould not have wishedfor a better place forKevin to spend his final days. A big thank you tothe staff who helped us through this sad time. Ourthoughts will always be with you.George LloydJennie with her mum, Joan.Joan BartlettTo All the wonderfulstaff. I am suremany people write andthank you, but it is soimportant to remind youall that the work youdo is amazing. Duringmy dear mum JoanBartlett’s short stay withyou at the end of herlife we were all treatedwith such care. Mum’slast words to me were“I’m very lucky” andthat is because she wascalm and secure andcossetted in St Raphael’s.Every person we cameinto contact with madeus feel special andimportant to them. Tobe able to pass from thislife with such dignityis wonderful. Pleasepass on our thanks toall the nurses, doctors,George was ill for 2 1 ⁄2 years. Hevisited St Raphael’s 3 timesand died in March 2008. Hisgrand-daughters, Ashleigh and Leahsent this card to St Raphael’s.housekeeping staff andvolunteers. Please alsopass on my gratitude tothe Convent Sister whoprayed with me as mymum passed away. I willalways remember hercompassion.Jennie Withers(Daughter), CarshaltonMichael with his mother.Michael Stephens (Son)Pamela Boyton (Wife), Morden.George with his grand-daughtersAshleigh and Leah.Janice WyethMy sincere thanks toall of you for the tendercare and dedicationgiven to my daughter,Janice Wyeth and tomy family duringJanice’s stay with you.We found it veryreassuring that shewas able to be at StRaphael’s, and that Iwas with her when she died so peacefully.The most important thing you all did was to winher trust. Janice wanted to fight and everyonebacked her up. Housekeepers, caterers, nursingand palliative staff all made a huge difference byrecognising Janice as a person and empathising withher. The way you supported Janice enabled her to copein her own way. We all thank you for it.PhilipHammond(Brother),New Malden.Rita JeanesA heartfelt thank you for allyour care and compassion whilstnursing my wife, Rita. It was ahideous time for me, but verycomforting indeed to know that shewas without doubt in the right place.I still find things very difficult withthe loss of my dear Rita, but I can’tthank the hospice and all the nursesand staff enough for the help thatthey gave us in those final days.Trevor DavisTrevor was inthe hospice for lessthan a day the lasttime, and I havenot forgotten yourkindness to us both.Helen Davis (Wife),London SW20Gwen Hammond (Mother), New Malden.Philip HammondandGwen HammondRita Jeanes, with husband Patand grandson Oliver.Pat Jeanes (Husband),Carshalton Beeches.Trevor DavisSt Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.uk1414 Find out how you can help St Raphael’s. Ring 020 8335 4576 or visit www.straphaels.org.uk 15

Please remember St Raphael’s Hospice through a gift in your willAdding toan existingWill...If you wish to add to or alter yourexisting Will in order to add a gift toSt Raphael’s Hospice, you can do this bymaking a “codicil” or amendment.To do this you will need to contact yoursolicitor or legal advisor. A codicil is alegal document enabling you to alter oradd to the original provisions in yourexisting will.Spending alittle timeand moneyon plans forthe futureis justcommonsense...Make a difference tolife at St Raphael’s...If you do not make awill, and have no next ofkin, everything you owncould go to the state…If you die without making a will, thelaw decides how your possessions will bedivided. This may not be in the way youwould have wished. Some people think,quite mistakenly, that everything goes totheir wife or husband if no will is made.In fact only a portion of the estate passesto the spouse. The rest must be sharedamongst children or other relations.How to leave a legacyto St Raphael’s Hospice...Most people consult a solicitor when theymake or change their will and St Raphael’sHospice strongly recommends this. Itusually costs a great deal less than youthink, ensures that your wishes are carriedout and helps to avoid misunderstandinglater on.Here is an example ofsuitable wording...For a residuary legacy, which means thatyou leave all or part of what is left fromyour estate once all other gifts have beendistributed. This is one of the best waysyou can help support St Raphael’s Hospice.I bequeath the residue (or a share of theresidue e.g. one quarter) of my estateto St Raphael’s Hospice, London Road,North Cheam, Sutton, Surrey SM3 9DX(Registered charity number 1068661) forthe general purposes of the Hospice anddeclare that the receipt of the Treasureror Secretary or other proper officer forthe time being of the Hospice shall be asufficient discharge to my executor(s).For a pecuniary legacy, which is a gift ofa fixed sum of money. This can be indexlinked to maintain its value over time.I give to St Raphael’s Hospice, LondonRoad, Cheam, Sutton, Surrey SM3 9DX(registered charity number 1068661)the sum of £................................. forthe general purposes of the Hospice anddeclare that the receipt of the Treasureror Secretary or other proper officer forthe time being of the Hospice shall be asufficient discharge to my executor(s).Even if you have already madea will, it is vital that it is keptup-to-date...You may want to amend your will whena new grandchild arrives, or you maywish to remember special friends orcharities you have supported.Three out of four people never make a will.The result is that distressed relatives areoften left to sort things out at a time whenthey are under great emotional strain. Ifthere are no relatives, it can take monthsto trace any next of kin, and it can be veryexpensive. Many people imagine that theyhave nothing worth leaving. But if you addup the value you may be surprised. You canrest easy in the knowledge that making a willis just another way of expressing your loveand concern for your family and friends, andensure that your wishes will be carried out.The Hospice opened in 1987 and sincethen has been offering high qualityhospice care to terminally ill patientsfrom the local community. Our patientslive mainly within the Boroughs ofMerton and Sutton. St Raphael’s Hospiceis one of the charitable works of theDaughters of the Cross, a religiousorder and registered charity, althoughpatients of all faiths and none arewelcome. Fundraising for the Hospicehas never been more vital. We simplycannot continue without the support ofour friends in the community, and ourpatients and families depend on theirgenerosity. If you have been touchedby St Raphael’s at any time we knowyou will understand that Hospice careis not just about a building – it isabout people, caring, understanding,supporting and encouraging each other.It is also about offering the reassuranceof skilled medical and nursing care,whilst still recognising everyone as anindividual and as a special person.To provide such a service is costly – £4million a year – 75% of which relies onpublic support through charitable donations,fundraising and legacies.St Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.uk1616 Find out how you can help St Raphael’s. Ring 020 8335 4576 or visit www.straphaels.org.uk 17

Lifelong FriendsTW LAWtaylor willcocks solicitors since 1899110 Years of Caring for Local Families and BusinessesThe Hospice has introduced a “Lifelong Friends” scheme for thosesupporters who let us know they have remembered St Raphael’s in theirWill. This enables us to say “Thank you” to supporters and to stay in touch.Elizabeth SandersExperts in wills, powers of attorney,trusts, inheritance tax savings andestate administrationTo discuss how we can help you and your family:CALL COLIN THORPE or JONATHAN JACOBS on 020 8642 8142EMAIL colin.thorpe@twlaw.co.uk or jonathan.jacobs@twlaw.co.ukVISIT our website www.twlaw.co.uk to find out more about us andour other legal services we can offer your family or businessOUR HOME 10 Upper Mulgrave Road, Cheam, Surrey, SM2 7BA“My husband, David, died aged 55 after an 18 month strugglewith a rare cancer. Coping with his illness and the knowledgethat he was going to die was devastatingly hard. We were putinto contact with St Raphael’s during his illness and, althoughhe never became an in-patient and in fact died at home, theHospice helped me in practical ways. The knowledge that theywere there for us was of tremendous comfort at a time when youfeel very frightened and alone.I believe passionately that the work of the Hospice must bekept going and we in the local community, who may need itfor ourselves or our loved ones one day, are best placed todo it. I try to do my bit by selling things for the Hospice, byhelping at fund-raising events, by making a monthly donationby standing order and leaving a legacy in my Will. I feelsomehow that in this way something can be salvaged fromthe sadness of David’s death.”Roger Thistle and Jill RosselliJill says: “I understand from personal experience whatwonderful work hospices do. My grandfather died in a hospice,my uncle received care, and only last December my motherdied in one. So I have always known how important the workof St Raphael’s is. Sadly, I have no close family that wouldneed support, so leaving my estate to St Raphael’s seemsappropriate.”Roger says: “I first decided to leave money to St Raphael’s in2008 when, as a Sutton Councillor, I was shocked to discoverthat the NHS does not fund the full costs of hospice care.”Roger and Jill together say: “We would recommend thisas a really worthwhile cause, offering practical support tolocal people and their families in Sutton and Merton at adifficult time.”Elizabeth SandersJill Rosselli and Roger ThistleAs well as a special pin badge“St Raphael’s Hospice – LifelongFriends” as shown, we arepleased to offer a delightfulbroach to the ladies, and a tiepinto the gents as a “Thank you” andacknowledgement to all those whohave told us they have remembered St Raphael’sHospice through a gift in their will.The modest cost of these items has beensponsored by an anonymous donor.St Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.uk1818 Find out how you can help St Raphael’s. Ring 020 8335 4576 or visit www.straphaels.org.uk 19

Lifelong FriendsYour Legacy Pledge FormOur pledge of discretionDrafting your WillIf you have included St Raphael’s Hospice inyour Will, and if you feel it is appropriate, pleasecomplete and return this legacy pledge.I want to be part of supporting the future ofSt Raphael’s and I have left a bequest toSt Raphael’s Hospice in my Will.Your DetailsMr Mrs Miss Ms. OtherFirst Name:Surname:Address:Postcode:Tel No:Email:if YOu WISH, YOu CAN ALSO PROVIDETHE FOLLOWING uSEFul INFORMATION:My BEquEST TO St RAPHAEL’s HOSPICE ISA specific sum of money (a “pecuniary” bequest)A specific item (eg assets, shares)Securing the future ofSt Raphael’s HospiceSt Raphael’s Living Legators(Lifelong Friends) SchemeLetting us know that you have left a legacy is important andhelpful because:• It lets us say Thank You•It allows us to work with you in directing your legacy to theareas of our work that are most important to you• It allows us to plan for the futureLeaving a legacy –a deferred giftWe respect the fact that giving is a very personal and entirelyvoluntary decision. Please be assured that the information youchoose to provide will be treated with the utmost confidentiality.We remain equally grateful for the legacy support of those whochoose not to advise St Raphael’s of their gifts.Assessing your EstateBefore you draft your Will, you should:1. List everything that you own – your property, shares,investments, life insurance policies, bank balances, carand your valuables and possessions2. Make a rough calculation of the value of all these assets3. Decide who should benefit from your estate e.g. family,friends, charities etc4. Decide who to appoint as your executor(s) i.e. thepeople who will administer your estate.A word on Inheritance TaxAll bequests to charity (including St Raphael’s) are exemptfrom Inheritance Tax.Following the calculation of the value of all your assets, yourlegal advisor can advise on the best way for you to divideyour estate, taking into account factors such as the variousindividuals/charities you wish to benefit and any tax implicationsfor your estate.It is always best to ask a legal adviserto draft your Will. He or she will know the correct form ofwords and can avoid ambiguities and misunderstandings.Your Will should set out the arrangements for distributingall of your estate including the residue, after yourdebts and any specific or pecuniary gifts have beenpaid. It should appoint between one and four people asexecutors. There are specific rules for the execution ofWills. It is very easy to execute a Will incorrectly andtherefore you should take advice from your legal adviseron the correct way to execute your Will.Adding to anexisting WillIf you wish to add to or alter your existing Will you can dothis by making a ‘codicil’. In order to do this you will needto contact your legal adviser. A codicil is a legal documentenabling you to alter or add to the original provisions inyour Will.Updating your WillIt is advisable to review your Will every five to ten yearsor if your circumstances change, to ensure that it stillreflects your wishes.All, or part, of the residue of my estatePlease use the space below for any further specific detailsyou would like to add.For many people, one of the most effective ways of supportinga charity is by leaving a legacy. Sometimes individuals may nothave the resources available to make gifts during their lifetime;this means the legacy can be their greatest gift to supportSt Raphael’s future.Please remove this form along the dotted line and return it inan envelope to Legacies, St Raphael’s Hospice, TOBIT Office,London Road, North Cheam Sutton SM3 9DXSt Raphael’s Hospice thanks youfor your generosityThere are three types of legacy:•••Residuary Legacy: a gift of the remainder of your estate afterall other bequests and any debts have been paidPecuniary Legacy: a gift of a fixed sum of moneySpecific Legacy: a gift of a specific item, e.g. a property orjewellery .2020St Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.ukFind out how you can help St Raphael’s. Text STR to 67766 - ring 020 8335 4576 or visit www.straphaels.org.uk 21

Local SolicitorsThank you to all those who rememberedSt Raphael’s Hospice is fortunate that many supporters are willing to remember the hospice in their will. One year nearly 1/3rd of theentire income of the hospice – over £1.1 million – came through legacy gifts that people gave to St Raphael’s. Without this support, thehospice could not survive to be here providing much needed care services for terminally ill patients , year after year.These are just a few of the legacies and gifts we have received. Our thanks to all the relatives who have allowed us to publish the detailsof their loved one.This is a list of local Solicitors who are willing to see clients at any time of year to prepare a new will, or updateyour existing Will. All the solicitors listed have agreed to donate 10% of whatever fee you pay to them toSt Raphael’s Hospice. This is in accordance with the Solicitors Code of Conduct 2007.IMPORTANT - PLEASE MENTION ST RAPHAEL’S HOSPICE WHENYOU RING – JUST CHOOSE THE SOLICITOR OF YOUR CHOICE.Miss Daisy Bird from Mitcham leftSt Raphael’s a residuary legacy (thebalance of her estate after othergifts) which amounted to £12,750.She was 95, and in her earlier lifehad worked for Surrey Motors andthen at the Church Commissioners inLondon, which is where she stayed untilretirement.Betty Siegel bequeathed a gift of£10,000 to St Raphael’s Hospice. Shewas born in Cheshire and moved toLondon before World War 2, duringwhich she served in the police,later marrying John Siegel, a winemerchant. They lived in Kingston untiltheir retirement when they moved toWimbledon. John died in 1985, andBetty lived until she was 99.A legacy of £1,000 was received from theestate of Margaret Hilbourne. We thankher son, Andrew, for the kind use of thisphoto of his mother.Mrs Gwendoline Prince left a Legacy of£28,740 to St Raphael’s Hospice. Originallyfrom Lower Morden, she remembered theoriginal St Anthony’s Hospital in the early1900’s.She married in 1938, and she and herhusband Jack who was an optician,thentravelled the world conducting medicalresearch of the human eye. Having livedin Australia, New Zealand, the USA andCanada, Gwen decided to come home whenshe retired to live in Sutton, where she wasa volunteer at the Royal Marsden Hospital.She died at the age of 98.Our grateful thanks to her niece, MarionBarclay, for the photo and informationabout Gwendoline’s lifeFrances Scott had a Charities Aid Foundation(CAF) account and after she died in 2008at the age of 95, her niece, Mrs JoannaNorth, kindly arranged for the balance ofthat account, £1,869.89 to be donated to StRaphael’s. Frances Scott was born in 1913 andtrained as a nurse , after which she joinedthe Overseas Nursing service, travelling toMalaya where she met her husband Douglasin 1940. They were both taken prisoner bythe Japanese, and saw each other in the samecamp, the men’s and women’s sections beingseparated by wire . On returning to the UKthey settled in Scotland. Frances was a foundermember of the Forres Hard of Hearing and LipReading Groups.Orina Rose, who was a patient at St Raphael’sHospice, very kindly left a legacy of £10,000.While she was an in-patient Mrs Rose metBishop Paul Hendricks during one of hisvisits to the hospice.Jeremy CuffCuff & Gough LLPLamborn Place26 High StreetBANSTEADSurrey SM7 2LJHome Visits available? YESTel: 01737 851827Email: info@cuffandgough.comWebsite: www.cuffandgough.comMr David HallMcMillanWilliams SolicitorsThe OrangeryThe SquareCARSHALTONSurrey SM5 3BNHome visits available? YESDisabled access? YESTel: 020 8432 2041Email: carshalton@mwsolicitors.co.ukWebsite: www.mcmillan-williams.co.ukColin Thorpe or Jonathan JacobsTaylor Willcocks10 Upper Mulgrave RoadCHEAM,SM2 7BAHome visits available? YESDisabled access? YESTel: 020 8642 8142Email: enquiries@twlaw.co.ukWebsite: www.twlaw.co.ukYvonne MillsAPS Legal & Associates,29 Woodgate Avenue,CHESSINGTON,Surrey KT9 2QJTel: 020 8286 9120/ or 07930 562 611Email: Yvonne.mills@aps-legal.co.ukWebsite: www.aps-legal.org.ukJulia StygalPreuveneers LLPElm House103-105 London RoadMITCHAMSurrey CR4 2JAHome visits available? YESDisabled access? YESTel: 020 8646 4885Email: julia@preuveneers.netWebsite: www.preuveneers.netStephen StoneStone and Stone16 Crown LaneMORDENSurrey SM4 5BPHome visits available? YESDisabled access? YESTel: 020 8540 2202Email: StoneandStone@btopenworld.comEmma BoughBrand & CoNonsuch HouseLondon RoadNORTH CHEAMSurrey SM3 9AADisabled Access? NOHome Visits available? YESTel: 020 8641 2771Email: emb@brandandco.comWebsite: www.brandandco.comGrace SerwangaMcMillan Williams,104 South EndCroydonSurreyCR0 1DQTel: 020 8253 7600Email: southcroydon@mwsolicitors.co.ukMargaret HughesWH Matthews & Co11-13 Grove RoadSUTTONSurrey SM1 1DSDisabled Access? YESTel: 020 8642 6677Email: MaggieHughes@whmatthews.comWebsite: www.whmatthews.com.David Greenfield, Joanne Orbell orAlison SteadmanCarpenter & CoSolicitors and Notary46 Woodcote RoadWALLINGTONSurrey SM6 0NWDisabled Access? YESHome Visits available? YESTel: 020 8669 5145Email: mail@carpenterssolicitors.co.ukWebsite: www.carpenterssolicitors.co.ukKim PeacockPeacock & Co Solicitors94 High StreetWIMBLEDON VILLAGELondon SW19 5EGHome Visits available? YESTel: 020 8944 5290Email: kim@peacock-law.co.ukWebsite: www.peacock-law.co.ukSophie HutchinsonPaton Walsh Laundy22-24 Worple RoadWIMBLEDON, SW19 4DDDisabled Access? YESHome Visits available? YESTel: 020 8946 2229Email: sophie@patonwalsh.co.ukAnnual ‘make your WILL fortnight’The Hospice also runs an annual promotion with local solicitors for two weeks in May each year when the solicitors takingpart in that scheme agree to waive their entire will writing charge, in return for a donation to St Raphael’s. A list of thesolicitors taking part, which varies from year to year, is advertised locally in April each year and will be on our websitewww.makeyourwill.org.uk/straphaels - but please remember that scheme only operates for two specific weeks each year– hence the list of solicitors above, who will make a donation to St Raphael’s all year round if you use them to prepareyour will. Last year, the “Make Your Will Fortnight” raised £30,000 for St Raphael’s Hospice. Our grateful thanks to all thesolicitors who participate in this annual scheme.www.makeyourwill.org.uk/straphaelsSt Raphael’s Hospice welcomes your support. Find out how you can help us, tel: 020 8335 4576 www.straphaels.org.uk2222 Find out how you can help St Raphael’s. Ring 020 8335 4576 or visit www.straphaels.org.uk 23

PLEASELEAVE A GIFTto St Raphael’s Hospice.Your giftwill help us toprovide vital careand support topatients and theirfamilies when theyneed it mostWE RELY ONVOLUNTARYDONATIONS,FROM PEOPLE LIKEYOU. YOUR SUPPORTIS MUCHAPPRECIATEDPlease support St Raphael’s Hospice by leaving a gift in your willYour invitation to become one of our “Lifelong Friends”