Health matters Early Pregnancy Clinic Inside

Essential Healthcare news and information
Early Pregnancy Clinic
The early stages of pregnancy should be
an exciting time for you and your partner.
However, it can also be a cause of anxiety,
with little information being readily available
during your first trimester.
St. Anthony’s is now offering a specialised early pregnancy clinic.
This consultant led service aims to provide advice and reassurance
for women in the first 12-13 weeks of their pregnancy.
The clinic is appropriate for anyone experiencing symptoms
such as bleeding or abdominal pain and for those who
have had previous unfortunate pregnancy outcomes.
Summer 2013 Issue No.19
Case study
Keyhole procedure to
relieve chronic heartburn
Rashmi Singh discusses symptoms
& treatments for what can be a
troublesome condition
The service will be provided at St. Anthony’s
on Saturday mornings and the tests included will be:
• An Ultrasound scan by a Consultant
• Consultation with a Gynaecologist
• Pregnancy test
• Blood pressure test
• Pregnancy hormone test
(extra; if clinically appropriate)
Sanjeev Patel explains why gout
should not be taken lightly
The consultation will also provide the opportunity
for you to discuss any problems you may be
experiencing in a confidential and welcoming
environment. Advice can also be provided
regarding diet and medication which is allowed,
or best avoiding during pregnancy.
A detailed report of the scan findings and the
consultation outcome will be given to you at the
end of your appointment and results can also be
sent to your GP at your discretion.
Occasionally a follow up appointment may be required.
This will be indicated and can be arranged at your convenience.
For further information or appointments please telephone
our Outpatient Department on 020 8335 4678/79.
Looking to the future
page 2
Health Matters is published
by the Marketing department of
St. Anthony’s Hospital. If you have
any suggestions, requests or need
follow-up information, please email
[email protected]
or telephone 020 8335 4557.
22386_Healthmatter_summer_v2.indd 2
20/06/2013 11:39
Looking to the future
You may be aware that changes are afoot at
St. Anthony’s. As previously announced by Sister
Veronica, Provincial of the English Province of the
Daughters of the Cross, the Charity which owns the
hospital, the Sisters, who are Trustees, feel they can
no longer shoulder this responsibility and are
looking for new owners to take the hospital forward.
Preparations are already underway for this momentous
step in our 109 year history, several significant parties
have already expressed interest in taking up the baton
and a formal tendering process is likely to take place
later this year.
It is the expressed hope of the Sisters and of the
management and staff of the hospital that a new owner
will be found that is willing and able to preserve the
unique ethos and culture of St. Anthony’s with its focus
firmly on the needs and interests of the patient. In the
meantime, it is business as usual. Rest assured that
St. Anthony’s will still be setting the standard for
hospital care for many years to come.
The League of friends
of St Anthony’s Hospital Shop
Sells greeting cards, sweets and toiletries and is in need of more
volunteer helpers. If you can spare 2-3 hours occasionally, please
contact the LOF chairman Derek Poulter on 020 8330 5795
New consultants at St Anthony’s
Dr Pauline Swift
Mr Paul Hamilton
Mr Peter Barry
Dr Jonathan Clague
Consultant Physician &
Nephrologist, St. George’s
University Hospital.
Consultant Orthopaedic
Surgeon, Epsom & St. Helier
University Hospitals.
Consultant Breast Surgeon,
Royal Marsden Hospital.
Clinics: Alternate Thursday
Adult foot and ankle surgery,
trauma surgery. Sports
injuries, forefoot surgery
including bunions, arthroscopy,
reconstruction and arthroplasty
Consultant Cardiologist,
Royal Brompton & Harefield
NHS trust. Interventional
Cardiology, Electrophysiology
and Cardiac Devices.
Dr Emanuela Campalani
Consultant Dermatologist,
Epsom & St. Helier University
Clinics: Alternate Thursday
Mr Pandelis Athanasias
Consultant Gynaecologist,
Epsom & St. Helier University
Hospitals. Minimal access
surgery, Menorrhagia
Clinics: Alternate Monday
Evenings & Saturday
Dr Anton Bungay
Consultant Gastroenterologist,
Kingston Hospital
Clinics: Alternate Monday
Clinics: Ad Hoc
Mr Tahir Ali
Consultant Vascular Surgeon,
St. Peter’s Hospital. Vascular
& Endovascular Surgery
Clinics: Ad Hoc
Clinics: By Arrangement
Dr Ansuman Saha
Consultant Cardiologist,
East Surrey Hospital.
Special interest in
Cardiac imaging
Mr Stephen Black
Dr Min Htut
Consultant Vascular Surgeon,
St. George’s & St. Helier
Hospitals. Aneurysms, Carotid
Disease, Venous Problems.
Consultant Neurophysiologist,
St. George’s Hospital
Clinics: Alternate Monday
Clinics: Alternate Thursday
Consultant in Pain
Management, St. George’s
Mr Ravindu Kamdar
Dr Zoe Astroulakis
Clinic: Ad Hoc
Consultant Cardiologist,
Croydon University Hospital.
Cardiac devices, Arrhythmia,
Heart failure.
Consultant Cardiologist,
St. George’s Hospital.
Interventional Cardiology,
Radial approach.
Clinics: By Arrangement
Clinics: Ad Hoc
Clinics: Ad Hoc
Dr Andrzej Krol
Clinics: Ad Hoc
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20/06/2013 11:39
Case study:
Keyhole procedure to
relieve chronic heartburn
Patient: Mike Head
Consultant: Mr Dhiren Nehra,
General and Laparoscopic Surgeon,
St Anthony’s Hospital
For Mike Head, 49, who lives in Banstead, a family meal
out was a nightmare. “I had to watch what I ate otherwise
I would pay for it later,” he said. He was suffering from acute
heartburn or acid reflux, which had started in his 20s
but worsened over the years, despite being prescribed
drugs to help the condition. He had to follow a bland diet
“which meant cutting out bread, dairy, fried food, curries and
alcohol. I even cut out lemonade and fruit juices because the
repercussions were too painful,” he said. He had to give up
playing rugby, one of his passions “as I thought it would be
difficult doing a rugby tackle with me doubled up with griping
stomach aches so I became a spectator,” he said.
A self employed electrician, Mike also works as a Flexkom franchisee
( helping to rejuvenate the high street
through mobile Apps. His wife, Michelle, works part-time as a
pre-school administrator. They have two daughters, aged 21 and
15 and a son, 16.
In January 2012, Mike was ill six times a month with dizzy spells
“like I was drunk which, of course, I wasn’t as I didn’t drink alcohol.
At night, lying down in bed was most uncomfortable. I couldn’t sleep
and was crawling to the bathroom in the middle of the night unable
to stand as the room was spinning and I was throwing up. My drugs
were being changed constantly. I had to keep working as I’m self
employed. By the next morning, I would be tired but I would be ok.
During the day, I managed to keep going with the bland diet and
drugs which kept the acid down.”
His wife told Mike he was cranky and miserable “and I was,” he
says. “If we went out for a family outing, I would have a dizzy spell
and have to go back in a taxi and go to bed, so life wasn’t much fun.
I looked at my Dad, who’s 86 and suffers from heart problems and
the cocktail of drugs he has to take and I thought I want one less
drug in me when I’m older.”
He was referred to Mr Dhiren Nehra, General Surgeon at
St Anthony’s. Mr Nehra says “Mike Head’s account of his reflux
symptoms is typical of patients that are referred to me for surgery.
His symptoms were severely affecting his quality of life. Whilst most
patients with mild to moderate symptoms can be controlled with
Proton Pump Inhibitors (PPI) medication such as omeprazole, when
one has a significant hiatus hernia such as in Mike’s case then the
reflux can be severe. Patients begin to experience regurgitation and
are unable to enjoy even normal foods or the occasional alcohol.
They are unable to carry out normal activities such as bending down
or sports and even sleep is affected. In his case I was able
to recommend that he undergo surgical treatment.
22386_Healthmatter_summer_v2.indd 4
“Prior to surgery I carried out an oesophageal manometry (pressure
study) and 24 hr pH (acid) test which involves insertion of small tube
through the nose. This confirmed that the pressure in the ‘valve’
at the bottom of his gullet was low and the pH test confirmed
increased acid in the gullet.”
Mike was told he suffered from a hiatus hernia (where part of the
stomach protrudes through the diaphragm and up into the chest) and
would require keyhole surgical treatment called a Laporoscopic Nissen
Fundoplication. Mr Nehra explains “The operation involves closing the
wide opening in the diaphragm with two or three stitches and the top
of his stomach was then wrapped around the lower end of the gullet
to give it some strength. The operation is done by three or four keyhole
cuts of less than 1cm and patients recover within two to three days.
Initially some difficulty in swallowing solids is to be expected due to
swelling of tissues but this settles down after a few weeks.”
Mike says, “Mr Nehra put my mind at ease. He explained the
operation in detail in layman’s terms so I had a reasonable
appreciation of what was going to happen. St Anthony’s was
relaxing, the nurses were caring and attentive and nothing was
too much trouble,” says Mike. “After the operation I was put on a
liquid diet and any solids were cut up small as I couldn’t swallow. I
remained in hospital for two days after the procedure.”
At home, Mike convalesced for a week eating mainly soup, yogurt,
porridge and liquid-based foods. “I couldn’t go back to my usual diet
until the valve had learnt to work properly,” he said. “I started to do light
work, looking at prospective jobs rather than doing them. I couldn’t
crawl around in lofts or do heavy lifting for a couple of weeks.”
Mike describes the operation as “a life changing moment” as he can now
eat anything. “It’s wonderful to be able to eat an ice cream and know
it won’t hurt me later on. I enjoy having an occasional whisky. Once I
started eating normally again, my confidence came back as a person.
It’s made so much difference to my daily life – I can sleep at night and not
wake my wife. Our family meals out are now a real pleasure.”
Mr. Nehra has also been appointed to participate in a trial by
manufacturers of a new device designed to reduce heartburn in
severe cases where the Nissen Fundoplication procedure is not
appropriate. Known as the LINX system, the device consists of a
series of titanium beads linked together, each with a magnetic core.
This acts as a sphincter around the oesophagus with the magnetic
force keeping it in a closed position. However, during swallowing, the
device expands to permit food and liquid to pass through. Implanted
by keyhole surgery, the procedure is less complex than Nissen
Fundoplication but has the drawback that it is not compatible with
having a Magnetic Resonance Image (MRI) scan.
20/06/2013 11:39
Most episodes
of cystitis are short
lived and last just a few
days. General measures
include maintaining a
high intake of fluid and
taking painkillers such
as paracetamol or
Cystitis literally means “inflammation of
the bladder” but the term is commonly
used to describe a urinary infection involving
the bladder. It can be a very painful and
unpleasant condition for many patients.
Who Gets Cystitis?
It is very common in women, with most women experiencing at least
one episode of cystitis in their lifetime. Some women can be prone
to recurrent cystitis. Men can also get cystitis but this is unusual and
may be associated with an underlying urinary tract problem e.g.
prostate enlargement. Although cystitis can occur at any age, it is
particularly common in pregnant women, women who have been
through the menopause and in sexually active women.
What Causes Cystitis?
A bacterial infection of the urine is the commonest cause of cystitis
although it can be due to other causes such as radiotherapy or other
inflammatory conditions of the bladder.
The presence of fevers, shivers, vomiting or pain in the lower back
region may suggest a more severe infection involving the kidneys.
How Is The Diagnosis Made?
The diagnosis is usually made on the basis of the symptoms. Your
GP may ask you to provide a fresh urine sample which can be tested
with chemical strips known as “dipsticks” which can further help
with confirming the diagnosis. The urine sample can also be sent for
formal analysis to a laboratory. This gives more detailed information
regarding the type of bacteria responsible for the infection and the
antibiotic that can be used to treat it.
How Is Cystitis Treated?
Cystitis occurs when normal bacteria from the gut enter the bladder
via the urethra (the passage through which urine flows out from the
bladder) and this infects the urine. Compared to males, the female
urethra is shorter and is closer to the anus hence the increased
incidence of cystitis in females.
Most episodes of cystitis are short lived and last just a few days.
General measures include maintaining a high intake of fluid and
taking painkillers such as paracetamol or ibuprofen. “Cystitis relief”
sachets that can be bought over the counter in pharmacies can also
ease the symptoms. Avoiding sexual activity until the infection has
settled is advisable.
Some people may be more susceptible to cystitis if they have an
underlying illness e.g. Diabetes or a urinary tract condition which
impairs the normal emptying of the bladder or have a permanent
catheter (artificial tube for bladder drainage).
The above measures alone may be adequate to settle cases of
mild cystitis. For moderate or severe symptoms, antibiotics will be
necessary. Your GP will usually prescribe a short course of 3-5 days,
rarely longer.
What Are The Symptoms Of Cystitis?
Who Needs To See A Urologist?
Once bacteria infect the urine, the lining of the bladder and urethra
becomes irritated and inflamed. This results in the classical
symptoms of cystitis: a painful burning sensation in the urethra when
passing urine, an intense urge to frequently pass urine and pain in
the lower (pubic) area of the tummy. Other symptoms can include
visible blood in the urine, cloudy or offensive smelling urine. In more
elderly patients, the symptoms may be less typical and may simply
be confusion, weakness and falls.
In the vast majority of cases, cystitis is a self-limiting uncomplicated
condition that settles promptly with treatment. However, in some
patients recurrent cystitis (more than 3 episodes a year) can be a
problem. In such cases, further tests and assessment by a Urologist
may be recommended by your GP.
22386_Healthmatter_summer_v2.indd 5
Cystitis in males or complicated urine infections associated with
heavy bleeding or other concerning symptoms may also warrant a
specialist opinion.
20/06/2013 11:39
The Urologist will usually arrange an X-ray and ultrasound scan of
the urinary tract to look for any underlying predisposing cause e.g.
kidney stones or prostate enlargement and to assess how well the
bladder empties. In addition, a camera inspection of the inside of the
bladder (known as a cystoscopy) may need to be performed under
local anaesthetic.
How To Prevent Cystitis?
There are a number of self-help lifestyle measures that your GP
and Urologist can help you with e.g. maintaining a high fluid intake,
regular and complete bladder emptying every 2-3 hours, urinating
immediately after sexual intercourse, wiping from front to back after
going to the toilet and using just water or unfragranced soap to clean
the genital area. Avoid wearing tight, synthetic underwear. In some
patients certain foods or fluids can trigger cystitis e.g. spicy food,
coffee and alcohol. Taking cranberry juice or tablets has been shown
to help with prevention of recurrent cystitis.
Regular intake of cranberry juice
or tablets can prevent recurrent cystitis
E.coli - the commonest bacteria
that causes cystitis
Red, inflamed bladder lining
due to cystitis
Normal bladder lining
Troublesome recurrent cystitis can also be managed with either
standby self-start antibiotics that the patient keeps at home or a
prolonged period (3-6 months) of a low dose of antibiotic. In sexually
active women, taking an antibiotic immediately after intercourse can
be very effective prevention. Your Urologist will advise on the best
antibiotic regimen for you.
Miss Rashmi Singh is a Consultant Urological Surgeon who has
clinics at St Anthony’s on alternate Monday mornings. Her special
interests are urinary tract infections, kidney stone disease (including
keyhole and laser surgery), urinary and prostate disorders, bladder
pain and incontinence problems.
50+ Show –London
Olympia, 11-13 July
We exhibited for the first time last year and the excellent response and
feedback we received has encouraged us to return for a second visit!
St Anthony’s will be returning to exhibit at the 50+
show again this summer, which will be held at London
Olympia from Thursday 11th to Saturday 13th July.
The 50+ show is an increasingly popular exhibition with a wide range
of exhibitors. If you would like to attend, we have a limited supply of
free tickets (normal entry price £10). To apply, please send your name
and address to James Smith via [email protected]
Miss Rashmi Singh, Consultant Urological Surgeon
Come and visit us at our stall or visit the show’s Health Zone, at
which we will be providing a variety of basic health checks and tests!
Physiotherapy refurbishment
Our Physiotherapy department has recently undergone
a complete makeover. We have created 3 separate,
fully enclosed treatment rooms in order to provide
better privacy for our patients.
Laminate flooring provides an hygienic and user friendly surface
for exercise and rehabilitation. Our Physiotherapists can now offer
their specialised services in an environment which allows them to
maximise the benefits they can provide to patients.
Services offered by the department include a full range of
Physiotherapy services for sports injuries, neck and back pain,
soft tissue and joint problems, as well as rehabilitation following
Orthopaedic surgery.
We also offer specialist hand therapy, physiotherapy for vertigo,
sports massage, acupuncture, aquatic physiotherapy and podiatry
to allow for a well-rounded and comprehensive service.
The Physiotherapy department can respond quickly and services are
available from early morning through to evening.
Please contact the department on 020 8335 4589 for further
information or appointments.
22386_Healthmatter_summer_v2.indd 6
20/06/2013 11:39
For some reason we find gout to be humorous.
People find gout difficult to take seriously, perhaps
due to the perception that you must be having a rich
diet and excess alcohol to suffer from it. However all
the evidence now shows that the number of people
with gout is increasing, and that this stereotype no
longer applies and probably never did apply.
The reason for the increasing incidence is uncertain but may reflect
trends in diet, increasing obesity, alcohol intake and increasing
numbers of people with chronic kidney disease as they live longer.
The diagnosis can be difficult to get right and should not be
underestimated as patients can be inappropriately exposed to drugs
they may not need. Acute podagra (gout of the big toe joint) can
be confused with other causes of acute foot pain and skin infection
and whilst it has a high association with the probability of gout is not
diagnostic in all patients. The gold standard for diagnosis is finding
uric acid crystals in the fluid taken from an affected joint.
It is a mistake also to diagnose gout simply on the basis of a high
blood uric acid level as the majority of patients with this finding do
not have gout.
5th of February of this year with doctors from the Primary Care
Rheumatology Society also raising concerns as to why the condition
is poorly treated. There are no easy answers but being aware of
the possibility of the diagnosis and seeing a GP or a specialist who
understands the condition and its treatment is a good start as the
misery of attacks of gout can be stopped with simple medication.
Warburton L GP Education Nov 2012
Recent guidelines for GPs
Dr Sanjeev Patel, Consultant & Senior Lecturer in Rheumatology
The good news however is that seeing a rheumatologist (specialists
in the diagnosis and management of arthritis), should allow patients
to get a diagnosis and treatment. Acute attacks of gout can be
treated with steroids, colchicine and anti-inflammatory drugs. In
some patients, drugs to lower uric acid can be used although this is
usually life long. The standard drug for lowering uric acid is allopurinol
although in the last few years doctors also have another option called
febuxostat that is approved for use in the NHS by NICE.
Patients however still find treatment of gout unsatisfactory. The
people’s oracle of health, The Daily Mail published “Gout’s no
laughing matter - So why don’t GPs take it seriously?” on the
International Nurses Day
Nurses at St Anthony’s celebrated International Nurses
Day on Tuesday 14 May in honour of Florence Nightingale,
the founder of modern nursing, born on the 12 May 1820.
Sister Myriame Lawley ICU Sister and Training Facilitator, explains:
“Every year the nurses take over our conference centre for the day
and during their breaks they can enjoy having a ‘makeover’ by The
Body Shop, their nails done or a massage. There were stalls selling
various items, from jewellery to handmade greeting cards and a
free raffle, with prizes of cakes, wine and vouchers to thank the
nurses for all their hard work.” Every year a themed cake is made to
commemorate the special day. “This year there was a big ‘C’ on the
cake standing for Care and Compassion,” says Myriame.
The nurses were joined by students on placements, as every year
St Anthony’s takes on up to 12 student placements at a time and
22386_Healthmatter_summer_v2.indd 7
these can be anything from four to nine weeks. Quite a few of the
students, once qualified, return to the hospital in full-time roles.
Sian Daws, student nurse, was at St Anthony’s Hospital for a nine
week placement. She is studying a BSc Honours degree in nursing
at Kingston University and the placement is part of the course.
“I’ve been made to feel welcome and part of the team. I would
definitely consider coming back here to work,” she says. “As part
of the placement, I learnt about ECGs, how a heart works and post
operation care. I watched a pacemaker fitted in the cath lab and saw
open heart surgery, which was amazing.”
Myriame says “The students on placement are given a mentor when
they get to the ward and they learn with supervised practice.
While they’re here they have a wide range of experiences and plenty
of opportunities to learn and achieve the competencies set by the
University and the NMC (Nursing & Midwifery Council).”
20/06/2013 11:39
Email Newsletter
We would shortly like to commence sending
an email newsletter in addition to the current
printed and digital version, available on our
website. If this method of communication would
be appropriate or useful for you, please send
your email address to [email protected]. Please be sure to mention if you
would still like to receive a printed copy or
whether you are happy to be removed from our
Awareness Evenings
Our free public awareness evenings will recommence with
an autumn series. Please be sure to book your places as
soon as possible to avoid disappointment.
Autumn 2013
Thursday 12th September – Osteoporosis
Dr Nina Agarwal, Consultant Rheumatologist
Thursday 17th October – Breast Cancer Awareness
Mr Peter Barry - Consultant Breast & General Surgeon
Thursday 7th November – Diabetes: The Risk of
Peripheral Vascular Disease
printed mailing list.
Mr Stephen Black - Consultant Vascular Surgeon
There will be a period of time in which we will
All meetings start at 7pm (doors open at 6.30)
and last for about one hour.
collect email addresses before we produce the
first email newsletter and your patience during
this time would be most appreciated.
To book a place please visit our website or email
mark[email protected] (this helps us to send you
a reminder a few days before) or telephone 020 8335 4556.
Al fresco dining
at St. Anthony’s
Work on the courtyard has been completed just in time for the
long awaited summer and patients, staff and visitors have not
been slow to take advantage of the first rays of sunshine to enjoy
their meals outside. The floor of the courtyard has been raised
to the level of the Restaurant and the Reception area to make it
more easily accessible for people in wheelchairs.
Meet the consultant
Name: Mr Michael Jarrett
Position: Consultant Laparoscopic General
and Colorectal surgeon based at Kingston
He deals with various aspects of general
and colorectal surgery including hernia
repair (inguinal, femoral, umbilical,
incisional), gallbladder removal (laparoscopic
cholecystectomy), upper and lower GI
endoscopy (camera examination of the
gastro-intestinal tract), haemorrhoids, bowel
cancer, rectal prolapse and sacral nerve
stimulation for faecal incontinence.
22386_Healthmatter_summer_v2.indd 8
Mr Jarrett trained at both Oxford and
Cambridge Universities and received a DM
from Oxford and the Arris and Gale Lectureship
from the Royal College of Surgeons for his
research into sacral nerve stimulation for faecal
incontinence and constipation. Whilst training
he played first class county cricket for both
universities, which he continues to try to play for
pleasure, time allowing.
Mr Jarrett holds regular clinics at St. Anthony’s
on alternate Monday mornings and alternate
Thursday afternoons. For further information or
appointments please contact his private secretary
on 020 8543 9924.
20/06/2013 11:40
Raynes Park
Health Centre
We are pleased to announce that St. Anthony’s will shortly be opening
a satellite outpatient consulting suite in Raynes Park. The suite is
located in the newly built Lambton Road Medical Centre at Raynes
Park and will allow the hospital to increase significantly the number of
clinics it can offer while also being a highly convenient location for the
local community in Raynes Park and West Wimbledon. We anticipate
that clinics will commence at this new centre in the Autumn.
Top Marks in Patient Care!
The hospital recently received an unannounced visit from the Care
Quality Commission (CQC), which carried out a routine inspection
to ensure that essential levels of quality, safety and patient care are
adhered to at St. Anthony’s.
The results which we received back were glowing, with patients
informing inspectors that our staff were ‘very caring’, ‘excellent’
and even ‘fabulous’. A comment was also made to say that the nurses
‘can’t do enough for you, in a good way.’ In fact, on leaving, one
inspector reported to our Matron that there was no point in them staying
any longer as they would ‘only hear more of the same’ if they did!
Analysis of our patient questionnaires for the past year shows
that over 98% of you rated our overall nursing standards as either
‘excellent’ or ‘good’ and 99.3% of patients would recommend St.
Anthony’s to a friend or relative.
First and foremost we would like to thank those of you who took the
time to return your patient questionnaires to us. This is not just an
opportunity for the hospital to congratulate itself on a job well done.
We review every aspect from the questionnaires which indicates
that we could do better. The information you provide is
fundamental in helping ensure that all patients enjoy
as comfortable a stay as possible at St. Anthony’s.
On our patient questionnaires, we have recently noticed a number
of comments which specifically ask that the ethos of the Hospital be
continued into the future. This is a feeling shared by the Sisters and
staff, who realise that we must strive to preserve the environment
which makes St. Anthony’s so special.
The local community has played such a key role in the creation and
continued success of both St. Anthony’s and St. Raphael’s, and any
opinions you would like to express would be greatly appreciated.
Further information on the future of St. Anthony’s is available via the
News & Events page of our website, which also provides contact
information, should you wish to make your opinions known.
Should computer access be unavailable to you,
the address for our Trustees is:
The Congregation of the Daughters of the Cross of Liege
29 Tite Street, London SW3 4JX
St. Anthony’s Hospital, North Cheam, Surrey SM3 9DW. Tel: 020 8337 6691
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