The Children's Hospital at Westmead has been accused of an inadequate response by a woman who received an obscene and abusive letter after declining to make a donation to its charity.

The letter, which gave the incorrect impression it had been signed by the chairman of the Oncology Children's Foundation, Col Reynolds, OAM, was sent to Jillian Blake a month ago.

It was addressed to Mrs "J. F---face", a term which was repeated twice more in the letter.

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Dated April 13, 2004, it read: "Dear Mrs F---face. Ten years ago, specialists at The Children's Hospital at Westmead pleaded with me to help raise funds for medical research."

It went on to invite her to support the charity and "double your chances of winning one of our fabulous prizes".