Dear Jane Ferguson, Firstly, thank you for taking the time to read through this...ahem...relatively long thread, and for your detailed reply. I am pleased to say that your reply has reassured me somewhat. However, an enduring concern of mine is that a minority of patients might feel "obliged" to donate when perhaps they are not in a position to do so (or simply don't wish to). Worse, a few might be deterred from seeking assistance under KCH. You state "the letter is not an appeal for donations: it offers patients the opportunity to choose to receive information about the work of the charity", and whilst I agree that it was not a direct request for funds - ultimately, I perceived (albeit incorrectly) the letter as an appeal. Perhaps it might be an idea to change the wording/style of the letter in order that the Hospital's position and aims may be rendered less ambiguous. As stated in my opening post, I have received nothing but excellent care under Kings and I remain grateful for this. I wish you all the best with your endeavours. Yours sincerely, M.