Dear Ladymuck (apologies for the salutation ? I don?t know your real name) As the Director of Fundraising for King's College Hospital, I hope you will allow me the opportunity to respond to your very thought-provoking commentary. All fundraisers target their marketing at people most likely to support their cause - for example someone who goes to a music concert would be a more likely support the arts, somebody who buys pet food is more likely to support animal welfare. Patients who have had a positive experience in hospital are more likely to be interested in how that hospital's charity has made a difference to their care, and possibly in supporting it financially. Let me put your mind absolutely at rest. We are a department within the hospital, but we will never have access to any patient data. Every hospital has a DPA Officer and Caldicott Guardian to ensure that patient data is not used inappropriately. (Some Charity supporters assume that we know their medical history, but we don't). Our Chief Executive has indeed written to you, and to all patients who have attended the hospital in the last 3 months. It was a generic letter, signed by him: at no point did he or anybody else access the content or detail of any individual patient records. The individuals mailed this week has nothing to do with anything other than the fact that recent patients may be more interested in hearing about the Charity than those who were treated longer ago. This mailing will hopefully be repeated quarterly, if the general response is good. I can also point out that the letter is not an appeal for donations: it offers patients the opportunity to choose to receive information about the work of the charity. If patients receiving the mailing are interested in hearing more about the charity, they can send the reply back to us, where they will be entered into our own, separate database (equally highly protected by DPA laws). I count myself as being a grateful patient of King's, after life saving care of my daughter, and my son was born here too. Many grateful patients are moved to support the charity, and this gives all patients the opportunity to choose to do that. In answer to a specific issue on your thread, I can confirm that our Chief Executive leads by example: he gives a not inconsiderable and regular donation to the Charity, as do I. The finances of the Charity are absolutely separate from the hospital - they are an independent organisation and answerable to the Charity Commission and not the Department of Health or Monitor. However, none of us are blind to the fact that the NHS has always been an infinite demand on a finite resource. We are the very first NHS Trust to use this innovative approach, which is why it has taken over twelve months of consultation with lawyers, and the Information Commissioners Office (home of the Data Protection Act) to ensure that this was permissible. The initial response to our first mailing has been astonishingly positive: I really hope that all hospital patients becoming aware of the great work of their charities can become the norm: really community-based pride. You may be interested to know that in some hospitals in the United States, fundraisers are informed with 24 hours notice of all elective patients coming into the hospital in order that they can assess who are likely donors. They then send a fundraiser to meet and greet those patients (free newspapers, flowers, bath robes etc). This is an approach that, while successful, I hope never reaches these shores! While I cannot respond to all the opinions expressed within this thread, I would like to pick up on one in particular: Spark67: you have suggested that we have neither given support for your fundraising, nor have acknowledged your gift, which worries me greatly. Given that we keep a close and personal dialogue with all our fundraisers, acknowledge all gifts received, and cannot find any records of your activities, I wonder where your request for help has been lost. Please contact me directly so we can resolve this for you. I hope that this addresses your concerns; if you would like to find out more, please visit our website www.givingtokings.org.uk or contact me at support@givingtokings.org.uk with appropriate enquiries: I cannot comment on NICE guidelines, individual patient records or examples of care, procurement or remuneration. Jane Ferguson Director of Fundraising King?s College Hospital