Together Magazine 2025

2025/26 issue 20

WHAT’S THEIR SPECIAL BOND?

Chai – meeting the needs of a new generation

Chai Cancer Care

A welcome message Who would have thought that the cover of a magazine dedicated to cancer support could feature so many young, smiling faces? Undeniably, what brings people to Chai is the physical pain of cancer, the emotional impact and, sadly, sometimes, the loss of a loved one.

encouragement they need to rebuild, reframe and move forward. The expertise of our Medical Advisory Panel plays an integral part in informing us of the latest research and developments in the cancer field, highlighted in our medical features and Cancer Latest news page.

But alongside, something else shines through – what we call ‘the Chai effect’.

It’s the warmth, strength, resilience, and even the laughter that emerges from professional, compassionate support and shared experiences. Everyone on the cover is in our Loss of a Parent Bereavement group. Each has faced that heartbreak, and together, they have travelled through grief, finding comfort in their common understanding, discovering the healing power of connection, and even in the darkest times, moments of lightness.

In February we were delighted to welcome our new CEO, Victoria Portnoi, who is already making a tangible impact with her fresh perspectives and strategic skills. Making sure we continue to deliver the best support to our clients who carry increasingly long-term and complex needs, translates into a challenging intray for everyone, whether in the client services or fundraising team.

That’s the message that runs throughout these pages. In More Than Skin Deep, our Image Service experts help clients rediscover the joy that clothes, make-up, a good haircut and manicured nails can bring – restoring not just appearance, but identity and self-confidence in the wake of cancer. We hear, too, how clients benefit from mindfulness and art classes, achieve new sporting goals, and even fall in love.

Chai is all about giving everyone who turns to us the tools, environment and

Founder Presidents Susan Shipman-Zuckerbrod Frances Winegarten z’l Chairman Louise Hager MBE Chief Executive Victoria Portnoi Honorary Patrons Dame Maureen Lipman DBE Chief Rabbi Sir Ephraim Mirvis KBE

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Trustees Louise Hager MBE Philip Hertz Alexandra Maurice Rafi Saville Richard Segal Leon Shelley Susan Shipman-Zuckerbrod Dr Adrian Tookman

Medical Patrons Dr Rachel Craig Dr Niki Davies Prof Michael Douek Prof Andrew Eder Dr Ian Ellis Mr Daren Francis Miss Joanna Franks Prof Daniel Hochhauser Prof Gordon Jayson Mrs Michal Korman

So, our heartfelt thanks go to you, our beloved friends and supporters who make everything we do possible.

Through charitable foundations, campaigns and community events, bake sales, marathons and skydives, every act of kindness and courage, every donation small or large, sustains and empowers us to continue to be here. Meet some of those generous individuals in these pages. I’m sure their stories will inspire you as much as they do all of us at Chai.

Louise Hager, MBE Chairman

Dr Daniel Krell Dr Jonathan Krell Mrs Guida Kurzer Prof Jonathan Ledermann Dr Gillian Marks Dr Jane Neerkin Dr Nicola Rosenfelder Dr Jonathan Sive Dr Adrian Tookman Dr Laura Tookman

Advisory Board Brian Brick Jo Coleman Alan Fell Jonathan Freedman Michael Glass Diane Kenwood Alexandra Maurice Robert Prevezer Marc Samuels Dr Adrian Tookman

Together Magazine 2025/26

CONTE NT S 4

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10 ways Chai changes lives, every day Chai’s new CEO Victoria Portnoi, explores the breadth and depth of Chai’s support

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Recently honoured, Louise Hager MBE had a special conversation with HRH The Prince of Wales

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ON THE COVER Service spotlight: Loss of a parent bereavement group Tears, wisdom and even laughter – group strength helps clients through parental loss

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From Chai to Windsor: a shared message of hope

More than skin deep

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How our image experts spark joy and restore confidence

Cancer, menopause & HRT Improved management of early menopause after cancer is on the way, says Dr Shibani Nicum

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Knowledge is power Sign up for the NHS Jewish BRCA testing programme – it could be a life saver

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I never thought I’d find…

The remarkable silver linings clients have discovered through Chai

Lynch syndrome: finding the missing 95% The genetic condition that carries a risk of bowel cancer.

By Dr Kevin Monahan

7 amazing days Our FoCus matchedfunding Campaign brought the whole community out in support

Say cheese(cake)!

Who can resist the lure of this luscious cookbook being sold in aid of Chai?

Regional services spotlight: Mindfulness in Manchester; Creative arts in Glasgow

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Service spotlight: Cookery classes

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Balancing act: treating pituitary tumours

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Cancer latest

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Service spotlight: Advocacy support

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Essential skills to improve your health and feed the family

Though rarely cancerous, an oncologist is always on board

What’s hot off the scientific press?

Accessing benefits can be a minefield – help is at hand

The year at Chai The events that brought the community together

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You’re amazing!

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Ways to give

We salute your fundraising adventures

Inspired to donate? Here’s how

New groups around the country

2025/26 issue 20

CHAI CANCER CARE Requests the pleasure of your company online

The 2025 Natalie Shipman Memorial Lecture

PREDICTING, PREVENTING AND TREATING GASTROINTESTINAL CANCERS Date: 27 October 2025 Lecture begins: 8pm Keynote speaker: Dr Kai-Keen Shiu PhD Medical oncology consultant Associate Professor at the UCL Cancer Institute There will be a virtual Q&A session following the lecture To register your interest, please email jamieherz@chaicancercare.org

emmes

WHAT’S THEIR SPECIAL BOND?

F O U N D AT I O N

Chai – meeting the needs of a new generation

Chai Together Magazine 2025 v19.indd 1

01/09/2025 10:22

Cover photography: Mike Stone This edition of together is generously sponsored

by The Emmes Foundation Editor: Deborah Wald Design: Creative & Commercial Printing: Kellmatt © Chai Cancer Care 2025

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Chai Cancer Care

10 ways Chai changes lives,

every day ‘Working here surprises and moves me daily’, says Chai’s new CEO, Victoria Portnoi. ‘The difference it makes to people's lives in major and more subtle ways, is exceptional. Here’s what I know so far…’

1.

Chai supports everyone around the patient

Since I started at Chai in February, one thing has become strikingly obvious. For every person diagnosed with cancer, there is a mini world around them that is knocked for six. Parents, siblings, children, friends and colleagues – the impact of one cancer diagnosis ripples out, affecting many people. This is reflected in the multiple generations who are our clients, aged three to 100.

Since Chai’s inception, it has recognised and answered the broadest need. And I see this every day. A four-year-old spends time with a play or art therapist to express feelings they can’t yet put into words. A partner receives a massage or counselling – lifelines for the stress they carry as the carer for the person they love. A recently launched service supports bereaved young adults coping with the loss of a parent. The list goes on, and it is this that makes me hugely proud of this organisation. Chai is here for everyone affected by cancer.

No question. It’s as simple as that.

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2.

If you need us, we will come to you

I am moved daily by the energy and care from everyone at Chai to ensure clients are looked after even if they can’t get into a Chai centre. We understand that when cancer arrives, life becomes chaotic.

Hospital appointments dominate the diary and routines collapse, plus some people are simply too unwell to leave their home.

And yet our Chai teams across the country won’t allow anything to get in the way of providing support. Volunteer drivers bring people to a Chai centre for appointments.

Complementary therapists and counsellors visit clients at home or hold sessions online when feasible.

Our Chai in Schools programme ensures that in-school emotional support is provided to primary and secondary pupils affected by cancer, by experienced child and adolescent counsellors.

This service now operates in 32 Jewish and non-Jewish schools nationwide, also equipping teachers with tools to handle classroom conversations around cancer diagnoses and bereavement.

I am in awe of the coordinating skills of our brilliant Chai staff and the army of people who make sure that, if you can’t get to Chai, we will be there on your doorstep.

3.

This time – and every time – it’s personal

I’ve come to understand the remarkable bespoke nature of our service. Every client who comes to Chai receives care that’s completely tailored to them.

There’s no one-size-fits-all approach. I am continually inspired by the professionalism and compassion of our Client Services Managers, counsellors and therapists who work together with such diligence and sensitivity to create nuanced support that responds to every twist and turn in a client’s journey. That could mean a gym programme for someone before as well as after surgery to optimise their recovery, or a personalised nutrition plan to support wellbeing during treatment. From the very first contact, the individual is at the heart of everything we do. In a fast-paced and impersonal world, this personalised care makes Chai so effective for its clients.

4.

What goes on at Chai, stays at Chai

I’ve witnessed firsthand the high levels of confidentiality within Chai’s walls. Privacy is a cornerstone of our organisation. For many – especially people in close-knit and smaller communities – the risk of being exposed is a very real worry. I truly hope

Together Magazine 2025/26

5.

Peer support is a potent healer

Education is an essential tool for Chai and what we learn, we share, through together magazine, our annual Natalie Shipman Memorial Lecture, community talks and social media posts. With highprofile figures including Sir Chris Hoy, the Princess of Wales, and Dame Deborah James also raising awareness about symptoms and screening programmes, Chai continues to lead the charge for more information. On that note, our BRCA screening test programme is coming to an end, so please order your kit before the end of October. Visit jewishbrca.org.

7.

I’ve had my eyes opened to the power of group support at Chai. Groups are one of There’s no our super-strengths, empowering clients at ‘C-word’ here a time when they can feel at their weakest.

Chai reclaims that letter in no uncertain An alchemy occurs when people come terms. In our world, C stands for ‘care’ together who have a shared and that’s our focus. New clients experience. With lightmay imagine, before arriving touch guidance from “In a fastat Chai, a clinical or sombre an expert facilitator, environment, but quite the clients feel able to paced and opposite is true. Walking into remove the mask impersonal world, work each day in Hendon, they wear for the personalised care I enter a light-filled space, outside world. They makes Chai so where plants, art, a tank of can speak openly exotic fish and the occasional and honestly about effective for its visiting therapy dog, calm raw feelings, search clients” and soothe. Everyone is together for solutions welcoming; the therapy rooms and are inspired by each are modern and inviting, the gardens, other’s successes. The positive serene and reflective. The same is true feedback from participants in our newest of our Manchester centre, where the bereavement group, for those aged 18-45, atmosphere is equally reassuring and shows the transformational power of this restorative. There is a dedicated room approach. It can create friendships for life. for the creative arts, a gym and social Leading an organisation that can create space, all promoting a sense of comfort such meaningful support when people are and belonging so that when clients walk most in need is a true privilege. back into the outside world, they feel uplifted and able to carry on.

6.

Medical insights helps us plan ahead

Every day seems to bring a new medical advance in cancer. Keeping us focused on the most relevant developments is the role of our Medical Advisory Panel.

Led by Dr Adrian Tookman, a palliative care expert, the panel includes cancer surgeons, researchers and a clinical nurse specialist. Regular knowledge exchanges with the panel help us anticipate the type of services we’ll need in the years ahead.

8.

Cancer patients are getting younger

The more I study the cancer landscape, the more concerning are the figures. Every 90 seconds, someone in the UK is diagnosed with cancer* and more and more of them are young adults. Cancer Research UK says cases in 25- to 49-yearolds rose by 22% between the early 1990s

and 2018 – the steepest rise of any age group. Quite why this is, is still a matter of research, but for us, it means gearing more services toward supporting this age group and their dependents: young people with their whole lives ahead of them, who have had their existence derailed by a cancer diagnosis.

9.

Creativity restores identity

A joyful discovery for me at Chai has been our range of creative outlets, which contribute so much towards helping clients live well. Through art, jewellerymaking, music, cooking, and movement, we offer numerous ways for clients to reconnect with who they are beyond cancer. In Hendon, Manchester and Glasgow, these groups foster conversation and an opportunity for meaningful escape. Our social programmes bring people together. And in these moments, cancer is the last topic of conversation as a common purpose to enjoy the moment takes over.

10.

Biscuits are mandatory!

Finally, a little peek behind the scenes.

As for clients, so for staff – biscuits and a cuppa find their way into every meeting.

There’s a reason we call it the Chai family. Yes, the work we do is hard, but the camaraderie and support among the team is awe-inspiring. Chai was born from the personal experience of cancer of its founders, Frances Winegarten z”l and Susan Shipman-Zuckerbrod. They, along with our Chair Louise, encouraged an atmosphere of love and kindness.

It’s my belief, and from what I have witnessed, that this starts with the people who work here and then radiates out to become the place our founders envisioned – one where anyone affected by cancer would feel instantly understood. That vision remains our guiding light.

*Macmillan Cancer Support

that people who need the support of Chai don’t miss out on our much-needed services because of this fear. Every staff member and volunteer receives training in boundaries and confidentiality. So, whether a client crosses paths with their therapist at a simcha or in a supermarket, trust is never compromised. I can’t state this strongly enough – guarding people’s privacy is at the heart of everything we do.

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Chai Cancer Care

Loss of a parent bereavement group It’s the group no one wanted to join, but everyone is glad they did. How Chai is helping ease the journey through grief for those who lose a parent too soon

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his kind of loss can shake your sense of self, and make you question your identity,’ says Chai’s Clinical Lead, Zippora Galpert, who facilitates Chai’s Loss of a Parent Bereavement Group at the Hendon centre in North London.

Aimed at clients aged 18 -45, Zippora acknowledges that even people at the upper end of this age bracket are shocked by the dissonance of loss at what feels like the ‘wrong’ time. ‘Suddenly, they are different to their peers; the future feels scar y;

“To anyone facing the loss of a parent to cancer, the first thing I’d tell you to do is to phone Chai – 100%.”

Deborah Hartog, 45

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they are without that parent to witness their mar riage, the ar rival of children or work promotions and successes. And there are questions and dilemmas about looking out for the remaining parent.’

“We can discuss things here which we may find hard to say to family and friends” Natalie Silver, 36 Running fortnightly after working hours, the group has between 11 and 15 participants and is then ‘closed’: that is, the same members attend throughout. In this way, says Zippora, the group progress with each other through the stages of grief, developing a bond

of trust. Almost universally, though, people are unsure about joining.

Carmel Shayle, 28, who lost her father Richard in December 2023, says, ‘I was nervous, I thought no one could possibly relate to my deep loss. But, after the first session, it was clear that while each of our stories is unique, there was tremendous understanding and empathy.’ Sophie Helman, 28, who lost her mother aged 64, in October 2023, goes further: ‘I was adamant I wouldn’t join a group, but it’s changed my life.’

“I will be forever grateful to Chai for providing this support to me at the lowest point of my life” Laura van Geens, 37

Together Magazine 2025/26

SERVIC

“The idea of a grief group can sound scary and intimidating but actually it’s a relief” Carmel Shayle, 28 Debbie Segal, 42, describes her late father as ‘my best friend, my rock and my soulmate. I wasn't sure how I'd live without him.’ That sense of estrangement from all that was familiar can be over whelming. In the group, no issue or worry is off limits, as it might be with family members. It’s totally nonjudgemental. Debbie adds, ‘The trust and respect were established early on.

We could say things to each other we wouldn't to other people. Equally, there was also no pressure to talk.’

“We've learnt so much about each other, but also so much about ourselves” Debbie Segal, 42 Zippora acts as a guide through the sessions picking up on and expanding on themes raised by participants at the start of the session. ‘It’s a large group and emotions can run high,’ explains Daniel Zeff, 32, who lost his mother aged 58, in February 2024. ‘Zippora is calm and understanding; she recognises and reflects what people are feeling

and thinking – even when they can’t vocalise it. That’s a huge part of what makes the group so effective.’

“You wonder if you should be feeling something; then someone else says they’re feeling it too, and you know you’re OK” Gemma Cowen, 31 Alongside the sadness, anger and tears, there are perspectives and understanding about new roles and relationships. Says Zippora, ‘It’s a huge evolvement: intense friendships grow, grief takes on a different shape over time and through the experience there is comfort. Meaningful moments are treasured and witnessed together.’ For only-child Sophie, in among several sibling participants, the process was priceless. ‘I was taken under their wing and they called me their ‘honorary sibling’ which made me feel so included. Very early on, we laughed.

It was unexpected. How strange to be laughing during this dark period. Yet it made so much sense to laugh with people who completely understood.’

Though this group has officially ended, a WhatsApp group keeps everyone in

SP OT L I

E

GH T

touch and topped up with support and reassurance. At least two reunions have been planned. If any further endorsement were needed, Daniel has this: ‘Embrace it, even when it feels unnatural. The benefits might surprise you.’

“I found a group that 'got' me and that didn’t judge. We’ve supported each other through the good, the bad and the horrendous trauma of loss” Jodie Miles, 37 Chai's bereavement support extends to clients and their family members.

Loss of a Parent Bereavement Group is available in Hendon.

For more information email charlotteh@chaicancercare.org

Bonding through loss, members of the young adult bereavement group: Sam Clifford, Jake Levison, Gemma Cowen, Hannah Clifford, Jodie Miles, Deborah Hartog, Natalie Silver, Debbie Segal, Daniel Zeff, Carmel Shayle, Sophie Helman and Laura Van Geens.

*Names have been changed

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Chai Cancer Care

More than

skin deep

Chai’s Image Service goes beyond the physical and external. Our experts help transform what’s on the inside, too STYLE AND CONFIDENCE POWERED BY SUZANNE AND EMMA

Photography Rachel Green

‘There’s nothing frivolous about this work,’ says personal stylist, Emma Letzer, who has worked with survivors of terror attacks. ‘It’s powerful, emotional, and deeply human.

We just happen to use style to get there.’ Alongside celebrity stylist Suzanne Bernie, the pair lead Chai’s transformative Style and Confidence workshops, designed for clients whose bodies, appearances, and sense of self have changed through illness, surgery and treatment.

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‘Clients can feel raw and anxious, fearful of being judged – by others or by themselves,’ explains Suzanne. ‘Our aim is to create a calm, reassuring space, restore aspects of themselves they feel they’ve lost, and have some fun along the way.’ Every detail is intentional. The atmosphere is warm and indulgent – soft music, berries, yogurt, granola and croissants – a rare and welcome contrast to all the medical aspects of the cancer journey. Weeks before the session, Emma and Suzanne connect with each participant to understand their personal style, mobility needs and body changes. They introduce the idea that clothing can be a tool for rebuilding identity and confidence.

L to R: Stylist Emma Letzer; Clients Natalie Shaw, Daphne Shoolman, Elayne Myers, Jennifer Ward, Daphna Plaschkes; stylist Suzanne Bernie

Together Magazine 2025/26

Then comes the most powerful stage – trying on clothes, with screens to maintain privacy. The carefully curated pieces help shift self-perception and offer ways to extend the versatility of each item. ‘We give people the tools to look in the mirror and see, not just what they’ve lost, but who they still are,’ says Suzanne.

Both women are deeply committed to Chai. ‘There’s a shared cultural understanding here,’ says Suzanne. ‘And we’re always learning from our clients who shape every session that follows.’

LESLEY'S HEALING HANDS FOR NAILS Manicurist Lesley Morris

Before she ever offered her skills to Chai, Lesley Morris worked in a hair salon, where she also trained with Revlon as a manicurist. After marriage, children and a career in medical research, it's that early training she brings to clients.

The connection began as a volunteer. ‘My husband was diagnosed with throat cancer in 2004,’ she explains. He lives with the long-term impact of treatment, and it’s this personal experience of cancer that gives her the empathy clients so appreciate. ‘I see a client sitting in front of me looking at their nails and I know there’s a backstory.

“I always had gel nails, which had to stop during treatment for my nonHodgkin’s lymphoma. Every time I have my nails done at Chai, it always makes me feel more confident” Workshops begin with a colour analysis exercise: swatches reveal tones that brighten the face, scarves are used to lift the appearance, and even lip colours are reassessed. For some, navy replaces black as a softer, more flattering neutral.

The group’s encouraging contributions build the mood of the day.

“Since the workshop, I’ve got the confidence to wear jeans again – after 10 years” Natalie Shaw

Elayne Myers ‘Clients often arrive with hands they feel embarrassed to show – chemotherapy can damage nails and nail beds.

Sometimes they’re painful, ridged, or even fall off. I work very gently and adjust the manicure depending on where a client is in their treatment. I don’t cut cuticles, because their immune system is low – you must avoid infection.’

Consultants must give the green light for a manicure to go ahead.

From Leslie’s perspective, manicures are not about vanity.

‘It’s about feeling normal – like you again, even for a little 9

Chai Cancer Care

while.’ One woman said to me, “I can’t bear going out, I hate my nails.”’ Over time, she saw this client regain her confidence. ‘I did her nails even when she went into a hospice,’ says Leslie. ‘Her daughter sent me flowers after she passed and said, “You made my mother the happiest person."

A 45-minute treatment can bring moments of trust and connection. ‘I feel uplifted when a client leaves smiling, showing off their nails. That’s when I know I’ve done something good.’

KATE’S KIT ADDS THE GLOW Make-up artist Kate Silver knows how to restore confidence when illness changes so much. With years of experience enhancing faces for weddings and bar mitzvahs, her giveback to Chai blends technical skill with empathy. ‘Many of the women I see no longer recognise themselves,’ she says.

‘They may have lost brows, lashes, or their skin texture has changed. I aim to remind them of the beauty that’s still there.’ Kate works with great sensitivity suggesting easy takeaway tips such as how to redraw brows with soft powder for a natural look, use highlighter creams to bring radiance to dry, sensitive skin, and choose SPF protection that works for them.

“Kate used foundation on me, which I don’t normally use. Suddenly my face was illuminated – it gave me such a boost” Jennifer Ward Tuned in to the emotional side of cancer, she tailors her approach to each person’s comfort level. Researching and testing products is important so Kate can recommend safe, trusted options – she recommends the free Yuka app to check cosmetic ingredients. ‘And when someone can’t face walking into a shop, which can be intimidating, I can show them what to order online.’

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Make-up artist Kate Silver

Together Magazine 2025/26

The moments that matter are when clients leave the makeup chair beaming – like one who had stopped wearing make-up entirely but left a session eager to try every product Kate recommended. ‘Clients have taught me empathy and acceptance. A situation may be sad but, within that, you can bring happiness.’

which she received an MBE. She also worked in a hospital wig and prosthetics department. ‘Patients were told they’d lose their hair and handed a box of wigs with no support.

That’s not right. I may not be a therapist, but I’ve spent years listening. I use my both hands and my ears to help people. That is a privilege.’

SHEILA BRINGS BACK THE SHINE For many women, the hardest part of cancer treatment isn’t the hospital visits – it’s not recognising themselves because of hair loss. With over 50 years of hairdressing experience, Chai volunteer Sheila Abrahams helps women reclaim a sense of identity – starting with their hair.

One of her specialties is personalising wigs. ‘Sometimes they look unnatural,’ she explains. ‘But if they’re shaped in the right way, they move so much better. It makes a huge difference. It must look like it belongs to them.’

Hairdresser Sheila Abrahams MBE

A haircut at Chai is often emotional. Sheila recalls one client who was feeling quite lost. ‘She’d always taken pride in her hair. I suggested something new – blow-drying her curls straight. She hadn’t done that since her hair grew back. It sounds counterintuitive but the transformation made her beam: “You are a magician!” she exclaimed.

“In the workshop, two of us joked about our lack of hair. You don’t have the opportunity to laugh like that in hospital” Daphna Plaschkes Another client arrived in a hat, saying her hair made her look masculine. After a trim and blow-dry, she left without it. ‘Seeing her walk out without the hat – incredible!’ Sheila says. ‘What’s simple for me to do, can be so significant for someone else.’

Sheila began working in a salon as a schoolgirl, later training formally, running her own salon for nearly a decade, then freelancing while raising a family. She founded a professional organisation for freelance hairdressers for 11

Chai Cancer Care

CANCER, MENOPAUSE & HRT For many, the first stop for managing menopausal symptoms is Hormone Replacement Therapy. But that’s not always advised for cancer patients or those with a genetic risk of cancer. Consultant Medical Oncologist, Dr Shibani Nicum, explores the other options

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he menopause is a natural phase of a woman’s life, generally occurring around the age of 51.

Periods gradually cease due to the decreased functioning of the ovaries and this heralds a range of symptoms: hot flushes and night sweats, brain fog, fatigue, low mood, joint pains and genital and urinary (bladder) symptoms. These begin during the perimenopause (prior to menopause) when a woman still has periods, often more erratically. This stage may last as long as 10 years, and it’s estimated that 13 million women are perimenopausal in the UK. The cornerstone of menopause symptom treatment is hormone replacement therapy (HRT) which includes oestrogen, progesterone and for some, testosterone.

It not only reduces symptoms but provides longer-term support of bone and heart health. If you can’t take, or you want to avoid HRT, the good news is there are other options. It goes without saying, managing symptoms can be helped by boosting general health through diet and

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exercise, reducing stress, drinking less and stopping smoking.

When cancer leads to menopause An estimated 60,000 women in the UK develop early menopause following treatment for cancer, either because the ovaries are removed, or because drugs, such as letrozole, anastrozole or tamoxifen are used to manage breast or other cancers. This type of early menopause is often more severe and difficult to manage, and patients suffer a further upset when they cannot be offered HRT due to a raised risk of cancer recurrence. Understandably, coping with a cancer diagnosis, treatment side-effects and the menopause can make some patients feel overwhelmed. Some may feel excluded from the ‘HRT revolution’, led by influencers such as Davina McCall, which has been credited with opening discussions and improving menopause care in the UK. Patients say they also sometimes encounter conflicting advice regarding the safety of HRT from different medical specialists.

Doctors’ limited training on the issue of menopause after cancer may hinder good patient management, or concerns about HRT, cancer regrowth and limited awareness of non-HRT options. Months of waiting to see a menopause specialist on the NHS does not help, either.

There are now effective non-HRT drugs as well as entirely non-drug approach Bringing experts and patients together It’s vital we focus on women with complex health situations, such as cancer, where HRT may not be advised, or there is a genetic risk of cancer through the BRCA mutation, for example. On the plus side, cancer specialists are increasingly skilled in managing menopause-related symptoms due to ongoing cancer treatments.

Together Magazine 2025/26

A NEW DIGITAL ADVISER

At UCLH, we hold a monthly multidisciplinary meeting with our specialist menopause doctors to discuss complex patient needs and care. Many hospitals now run specialist cancer menopause clinics, although the waiting lists can be long. Ideally, we want to address menopause issues in a timely way to help reduce anxiety but, more critically, to ensure patients don’t stop their cancer treatment early because of side effects.

An estimated 60,000 women in the UK develop early menopause following treatment for cancer The goal is a rapid upgrade in training the medical workforce to deliver highquality cancer-related menopause care to everyone who needs it. Patient groups and cancer charities, doctors and nurse specialists need to share their expertise, and women themselves must be part of the decision-making around their health.

The non-HRT options There are now effective non-HRT drugs as well as entirely non-drug approaches such as cognitive behavioural therapy (CBT) which, combined with an optimal diet and exercise regime, can improve longer-term health. A new class of drugs called neurokinin (NK) inhibitors have been developed specifically to manage menopause-related hot flushes and night sweats and we hope that they will be available on the NHS soon. The first of these to be licensed is fezolinetant. A second, elinzanetant has recently become available (July 2025). The latter has been shown to be effective and safe to use alongside breast cancer treatments such as tamoxifen and aromatase inhibitors – an important breakthrough. Many patients are prescribed antidepressants (e.g venlafaxine) or anti-epileptics as they can be helpful in managing symptoms but they do carry side effects. With rates of cancer continuing to rise, it couldn’t be more urgent to get the message out about better ways to manage treatment related to menopause. *Clinicians can sign up to MENO.pause: meno.pause-app.com

One new way more personalised menopause treatment is being developed is via the MENO.pause* App. Developed by my team at UCL, together with a national team of specialists, this digital decision aid helps healthcare professionals apply national guidelines e.g. from NICE and the British Menopause Society, to provide personalised menopause care and advice on the safety of HRT, including after cancer or if you have a genetic cancer risk. The app is free for NHS clinicians. I believe MENO.pause allows us to improve access to high-quality care at scale. It is hosted on a secure platform and future developments being considered include an app for patients.

Shibani Nicum is Associate Professor of Oncology and Consultant Medical Oncologist at University College, London. Her special interests are in cancer-related menopause, the treatment of women with gynaecological cancers, and BRCA mutated cancers and the development of novel therapies. She is Chair of the Gynaecological Trials Group UK (formally the National Cancer Research Institute Gynaecological Group) and Lead for Gynaecological Trials at the Cancer Research UK and UCL Cancer Trials Centre.

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Chai Cancer Care

KNOWLEDGE IS

power

Register for the BRCA gene test before 31 October 2025 at jewishbrca.org or scan the QR code

Finding out you are BRCA positive gives you the chance to reduce or eliminate your risk of certain cancers. Registration for the NHS Jewish BRCA testing programme closes on 31 October. If you haven’t signed up yet, this is what you need to know

B

RCA1 and BRCA2 gene mutations are six times more common in the Jewish community than the general population, elevating the chance of certain cancers. The NHS Jewish BRCA testing programme is open to men and women over 18 with at least one Jewish grandparent of Ashkenazi, Sephardi or Mizrahi heritage. BRCA gene faults occur in 1 in 40 Ashkenazi Jews and 1 in 140 Sephardi Jews.

Women with BRCA1 and BRCA2 gene faults have

Up to 72% risk of breast cancer

Men can be carriers of – and pass on – the BRCA gene fault so it’s important they test too. Children have a 50% chance of inheriting it from either parent. If you take the test and discover you are a carrier, you can take steps to reduce your own risk of prostate cancer through screening and give your children potentially life-saving information.

How the test process works

(vs. 1.5%)

Complete the online health questionnaire at jewishbrca.org. An at-home test kit will be posted to you with instructions and a prepaid return envelope. The saliva test is easy to do, and results take up to 16 weeks, subject to demand.

Men with a BRCA2 gene fault have

• Already have a kit but feel unsure about it? See opposite to find out more.

(vs. 11.5% general population)

Up to 44% risk of ovarian cancer

Up to 27% risk of prostate cancer (vs. 12.5%)

BRCA mutations also increase the risk of pancreatic cancer for men and women.

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Mythbuster

• Lost your kit?

Email jewishbrca.programme@nhs.net Confidentiality is paramount throughout.

Chai and Jnetics (the Jewish charity focused on genetic issues) were chosen as partners by NHS England to support the fulfilment of the three-year programme.

Both organisations are specialists in

dealing with clients' highly sensitive and personal information and you are assured of professionalism at every stage.

The programme is saving lives right now and is a world-first. Professor Peter Johnson, National Clinical Director for Cancer at NHS England, says: ‘Reaching more than 35,000 people is a major achievement. This test helps people take action to reduce their cancer risk or detect it early. It’s a pleasure working alongside Chai and Jnetics to bring this to the community.’

Discovering you carry the BRCA fault brings dilemmas – and options.

Public health expert, Professor Ranjit Manchanda has worked on this programme for 17 years: ‘People who are carriers receive post-test counselling and screening appointments via regional genetics services. Women on the highrisk breast cancer screening programme receive annual MRIs or mammograms.

Many carriers do eventually opt for risk-reducing surgery: around 50% of women have a mastectomy and up to 70% choose ovary removal. These are powerful, informed choices.’ For a male or female carrier planning to have children, embryo selection through a process known as Preimplantation Genetic Testing (PGT) ensures the BRCA fault is filtered out forever.

Together Magazine 2025/26

Things to consider before you test

-1-

Your personal attitude – are you a ‘must know’ or a ‘what will be, will be’ type?

You’re helping shape the future of healthcare. Prof Manchanda adds: ‘We’ve proven that home-based, large population testing is safe and acceptable.

More than 35,000 people have registered: it’s an absolute success. However, the UK Jewish population is nine to ten times that size – so we need to keep going. Later this year, the PROTECT-C programme launches, offering free testing to all UK women aged over 18, to identify those at risk of breast and ovarian cancer.

Prioritising prevention transforms lives.

-2-

Your age and stage of life – is your family complete or are you planning (more) children?

-3-

How might a positive result affect you emotionally?

-4-

There are no onesize-fits-all answers.

What matters is that you are fully aware of the implications of a positive test result.

It relieves pressure on the NHS. This is just the beginning.’

feels able to share and receive support at an overwhelming time of their life.

Chai is here for you, before, during and after you test. Speak to a Chai counsellor in confidence about your concerns before you test and if you are anxious about the result. Should you test positive, individual, couples and group support are here as you navigate the emotional, physical and practical impact of the news. It can help clients feel less isolated, and a camaraderie develops where everyone

Want to know more?

Call Chai: 0808 808 4567 Call an NHS genetics counsellor on 020 3437 6001 (Mon-Fri 9am-5pm; to 7pm Wed)

Inside the BRCA support group Jess’ story ‘I thought the test would give me peace of mind – I never expected a BRCA positive result,’ says Jess Selcott, 34, mum to a two-year old daughter.

‘Before my BRCA test, my husband, Callum and I were trying for another baby but everything paused after the letter arrived while we processed what this meant for us.

I’d signed up to test for BRCA out of curiosity after seeing an Instagram post. Maybe I was naïve but, with no family history of breast or ovarian cancer, I didn’t expect this.

‘When it came in January 2025, I was floored. All I could think was: “Am I going to get cancer? What about my daughter?” The idea I might have passed this on to her felt like a betrayal. Telling my husband was so hard. Suddenly, instead of planning our baby, we were discussing mastectomies and ovary removal.

‘At first, I didn’t think Chai was for me – after all, I didn’t have cancer. But a friend persuaded me to call and now I have counselling and have joined the BRCA support group. I broke down in the first session, but everyone understood, and it has been so important that we have been through the same thing. Everything is up for discussion – monitoring options, medical management, feelings associated with the gene, difficulties approaching the topic with friends and family, who are supportive but don't always know what to say. I’m being regularly screened for now, until I finish my family.’

Jay’s story ‘Nothing prepares you for this new reality,’ says Jay Duke, 33, mum of two children under three.

‘I took the BRCA test after my dad shared an article. Both my grandmothers died young from cancer, so it made sense. The test pack lay on the side for ages, however, before I did it and I didn’t think much about the result – I was busy being a mum. Just before Christmas 2024, I learned I was BRCA1 positive. I was the first in my family to test and I was totally blindsided.

‘My whole world crashed around me. My family was my priority but suddenly, everything was different. I’m very pragmatic and knew I had to deal with this head on. I’d already decided that, if I was a carrier, I would take the surgery route, and my husband and family supported this. Tom is my rock and held me up at a very chaotic time.

‘My NHS genetics counsellor mentioned Chai, and Mum urged me to get some support. You’re given new information about yourself and it’s like trying to learn a new language. In the group, we are all in the same position as we share our questions, feelings and concerns. I am still the only person in my friendship group who is a known BRCA carrier. I’ve now had a double mastectomy and will remove my ovaries in future. I did this so I can be here for my children.

‘Since my test, Mum has learned she also has the BRCA gene fault. We’re at different life stages but can support each other. If you’re unsure about testing, I’d say: do it. Knowledge gives you choices. And that can save your life.’

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Chai Cancer Care

From Chai to Windsor:

am esshsaaregde B of hope

Louise Hager received her MBE in recognition of Services to People with Cancer

ack in July, the Princess broke with royal convention when she shared openly with patients at a cancer wellbeing centre, her feelings about her own diagnosis – the ‘rollercoaster’ of treatment and the struggle of ‘finding a new normal’. Her words struck a deeply personal chord and took me back more than 40 years to my mother, Frances Winegarten z’l, and her own experience navigating both the emotional and physical toll of cancer.

When HRH The Princess of Wales spoke about the emotional aftermath of cancer, I was instantly taken back four decades to my mother’s words: that healing is as much about the soul as about the body

Cancer has been in my life for more than 45 years – as a daughter, friend, community member and, for the past 35 years, as a passionate advocate for Chai, the Jewish community’s leading cancer support organisation in the UK. While treatments have improved dramatically, one thing hasn’t: the profound emotional upheaval that lingers long after diagnosis, treatment and physical healing ends.

“The organisation that began from my mother’s bedroom has become a community cornerstone” A journey that changed everything My mother was diagnosed with a rare cancer in her late 50s and endured nearly three years of aggressive treatment. At its completion, I vividly recall her wonderful oncologist at The Royal Marsden hospital saying, ‘We’ve done our bit. Now go home and pick

16

Together Magazine 2025/26

HRH The Prince of Wales is given a whistlestop history of Chai by Louise as her family looks on up the pieces.’ She replied, ‘How do I do that? I’m not the same person.’ That moment, the no-man’s-land that so many patients find themselves in, when treatment has finished but so much has changed, has been movingly articulated by the Princess.

ethos of helping people live with the impact of a diagnosis, whatever the outcome. I accepted the award in memory of my dear, late mother and Susan, honouring their vision, ambition and legacy fufilled by the incredible dedication of everyone involved with Chai.

Despite a strong, supportive network of family and friends, my mother longed for a connection with others who truly understood. In those days, the word ‘cancer’ was barely whispered. She eventually found a support group – Cancerlink – but had to travel 15 miles across London for each session. It helped, but she yearned for something closer to home, both geographically and culturally.

As I described Chai’s work – trying to cram 35 years into a few minutes – Prince William listened closely. I told him how the Princess's words in her video last year, ‘Out of darkness, can come light,’ resonated for us and gave strength and encouragement to millions of people across the world. He smiled warmly and promised ‘to tell Catherine.’

Then in 1990, she met Susan Shipman, whose young daughter Natalie z'l tragically passed away from brain cancer just before her eighth birthday. United by a vision to create a resource of support and understanding for others like themselves, they co-founded Chai. The organisation that began from my mother’s bedroom has become a community cornerstone, providing emotional and practical care for tens of thousands, and acknowledged worldwide as a leader in the field of supportive cancer care.

That exchange felt like a full-circle moment: a personal tribute and a public acknowledgment of the role Chai has played for so many.

We provide far more than the sum total of our services – we offer understanding, hope, and a safe space where people feel truly seen and heard.

“Prince William was touched to hear how the Princess's words, 'Out of darkness, can come light,' gave strength and encouragement to millions across the world”

Full-circle recognition In March, I was honoured to receive an MBE at Windsor Castle from HRH The Prince of Wales for Services to People with Cancer. I explained to him that ‘chai’ is the Hebrew word for ‘life’ – a name chosen deliberately to reflect our

Chai’s message of hope I am inspired daily by the courage and resilience of our clients. It’s an enormous privilege to stand alongside them at their most vulnerable times.

Cancer may redraw the life they imagined, but we know, with the skill and devotion of our team, it can still hold dignity, meaning and quality.

When the Princess speaks about her cancer journey, she gives a voice to a reality we’ve worked to highlight since Chai’s beginning: the importance of information, openness and emotional support. Thanks to the unwavering generosity of our community, we move forward – together – with hope.

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Chai Cancer Care

r e v e “I n thought

… d n i I’d f From discovering a new love to forging a community through shared sorrow, and crossing a marathon finish line, Chai changes lives in so many ways. Three clients share their stories From L to R: Hilary Smith and new partner Stephen; Jake Levison, left, with his dad Warren celebrating Warren's 50th birthday; Zoe Sayliss notched up miles, smiles and pounds for Chai

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Together Magazine 2025/26

cyst was cancerous and it had spread to my reproductive organs. The following month I had a full hysterectomy which threw me into early menopause. This wasn’t what I thought my future would hold. Steven and I had been together less than a year; I was scared I wouldn’t be able to give him children. He was my rock from day one.

We briefly discussed with a consultant the possibility of harvesting eggs from my remaining ovary before the second surgery, but it wasn’t viable. Throughout everything, our mantra was, and remains, “I need to be alive to be a mum.”

o” “ ...my marathon moj

T

eacher, Zoe Sayliss, is 29 and lives in London with her boyfriend Steven.

In 2024, she was diagnosed with ovarian cancer and underwent a full hysterectomy. This year, she ran the London Marathon for Chai.

‘You don’t imagine you’re going to be diagnosed with cancer at 27. In October 2023, I noticed the symptoms – bloating, intermittent stomach pain and a constant need to go to the bathroom. I mentioned these to Steven who encouraged me to call the NHS for peace of mind.

The rollercoaster starts ‘When I spoke to NHS 111, they insisted I go to an urgent care centre within six hours. This was a shock. I was prioritised for a blood test and ultrasound and the results showed an ovarian cyst with my ovarian tumour marker marginally high. None of this seemed to alarm my GP, but I was referred for further investigation.

‘Everything happened so quickly. Within two weeks, I’d undergone multiple scans and tests. The cyst was the size of a grapefruit.

Still, I was reassured this was common and nothing to worry about. A date was set – January 2024 – for a routine operation. I had one final MRI so the surgeon knew what to expect. We were told our family holiday in December could go ahead.

‘Then came the call. The MRI had revealed solid matter in the cyst, and the ovary was no longer functioning. The holiday was cancelled and surgery brought forward. In early January, came the biopsy results: the

Finding my way with Chai

do, and what I had to do differently. I struggled with joint pain and fatigue and every twinge made me worry.

Fortunately, about two weeks before race day, something clicked. I reassessed my priorities and accepted my new reality.

I’d already asked so much of my body over the past year. Now I focused on enjoying the day and soaking in moments like running over Tower Bridge and finishing on The Mall.

‘My biggest achievement was making it to the start line; the finish time was irrelevant.

I could not have been more proud than to complete the course with Chai’s name on my vest – raising awareness of, and funds for, the organisation that did so much for me and my loved ones. Seeing family, friends, Steven and Chai’s volunteers, was joyous. I have never wanted cancer to define me, but if I could use the diagnosis to help others, it meant something.

The fundraising total was more than my wildest dreams.

“I want to challenge and change perceptions of what it means to be young and have cancer”

‘I’d driven past Chai a thousand times but never thought I’d need to use their services so young. I was hesitant to enter an environment where I expected to be surrounded by people who were sick and an embodiment of my future. The reality could not have been more different!

Coming to Chai was about regaining a degree of control over my diagnosis. I didn’t choose to have cancer, but I could seek the support that I needed. I requested counselling to help me process my feelings and experiences. My friends and family are wonderful, but they were navigating their own emotions, and I wanted us all to be able to live again, outside of the shadow of my diagnosis. I also made use of the scar tissue massage which helped promote the healing of my sizeable souvenirs from surgeries!

‘If even one person looks at me and thinks, "She had cancer and ran a marathon," that’s enough. I want to challenge and change perceptions of what it means to be young and have cancer.’

Top: Just getting to the starting line was an achievement for cancer patient, Zoe Below: With boyfriend Steven at a friend's wedding

The challenge I needed ‘I have always been sporty – swimming, playing lacrosse and applying unsuccessfully for a London Marathon place – and enjoyed pushing myself physically. My doctors told me menopause put me at increased risk of high blood pressure and osteoporosis. Staying healthy was vital and so the idea of running the London Marathon for Chai emerged.

Training gave me structure, but it was harder than I imagined, forcing me to confront what my body could no longer

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Chai Cancer Care

Jake, with mum Stacie and dad Warren shortly before Warren passed away in 2024

e ice in th o v y m “… f g rief” midst o

J

ake Levison, 28, is a Sky News reporter. His dad, Warren, passed away last year after being diagnosed in 2019 with cancer of the head and neck. Jake joined the loss of a parent bereavement group this year. He lives in Borehamwood with his fiancée, Shay.

‘Dad was diagnosed in 2019 and had both chemo- and radiotherapy, but neither treatment worked. During lockdown, it was a challenge even to see him in hospital, and that time is still a blur.

Eventually, Dad had to have part of his tongue removed, which was completely life-changing. He lost the ability to swallow and was left with a major speech impediment. Getting his words out took so much effort and focus but we could still understand him. Dad was quick-witted and loved a joke. That he could still make us laugh meant everything.

‘He had a feeding tube fitted, which he was told he would need for the rest of his life. He hated it and did everything he could to do without it. And he did! The consultants were blown away. He ate and drank, he went to the gym, he looked after himself, he loved – and lived – life. He was remarkable but it took so much out of him. Eating a pastry could take him an hour and watching him struggle was so difficult. In the five years between when he was first diagnosed and died, there was precious little relief to come by.

20

grief, longing to talk to Dad. I couldn’t quieten my mind. I was afraid of forgetting him – his voice, his expressions, all the little things. So, I began to write everything down. It helped me breathe, and that brought relief. I explored Jake in 2018 with Warren, denial, disbelief: “Why me? Why us?” before his dad's diagnosis Mum, Harlie and Travis read and found comfort in my words. We’ve all lost the same person, but in different ways. I A group for people like me decided to share what I wrote with Chai – and then post on social media. Being ‘Mum, who is a counsellor (not at Chai), vulnerable like that was alien to me and and Dad both had support from Chai, I wouldn’t have done it without Chai’s and I got in touch after Dad died. A group for people like me was starting up, support. But I saw how the group benefits everyone and posting my thoughts which I liked the sound of. I was so felt like a natural progression. pleased, too, that my older Writing has deepened my sister Harlie, and younger conversations, especially brother Travis wanted with my fiancée, Shay. to come. Being in

“Because of Chai I found the courage to say things I couldn’t have said anywhere else”

an environment specifically for grief is very different to having a conversation at home. You listen to others’ views, contribute your own but you don’t feel pressured to talk. I found the courage to say things I don’t think I could have said anywhere else and the facilitator, Zippora, helped us explore different themes, offering alternative perspectives and guiding us through difficult conversations.

‘Close friends and people I hadn’t spoken to in years reached out to me. Their responses were moving – and I felt grateful that I wasn’t carrying the loss all alone.

It's strange to say that through grief I have had such a sense of community at Chai. I feel understood and have begun to heal.

I hope it helps others.

Learning to trust ‘Grieving is a process, and the group lets it happen in a safe, contained way. But it can be painful and there was a time last year when I would wake, consumed by

From left, sister Harlie, Jake, brother Travis, Warren and mum Stacie in 2023

Together Magazine 2025/26

exhausting living with, and taking care of, someone so ill, watching them deteriorate.

While I looked after John, I joined the Chai support group for carers, which did so much to relieve the tension.

“...love again – and a new career”

H

ilary Smith, 68 and Stephen Miller, also 68, met at Chai’s bereavement group after both lost their partners.

‘John was the love of my life. We met when I was 30, both of us divorced, each with two children. We worked hard to blend our families, and after 34 years, we had six granddaughters. It broke my heart that he didn’t see two of them have their Bat Mitzvahs.

‘John always feared getting cancer; both his parents died from it (in fact, his mother was one of the first to have a mastectomy).

We’d just returned from celebrating our son Adam's 40th birthday in Disneyland Paris in 2019 when John became sluggish and jaundiced. When the diagnosis came, of cancer between his liver and pancreas, he said, "I knew you’d come and get me”. My grieving really began then. He didn’t want treatment, but I convinced him to fight as long as he could. We were in it together.

‘After John passed away in January 2021, my client services manager suggested I join the Chai bereavement group. Despite wondering if I was ready, I joined – and it changed my life. Meeting on Zoom at first didn’t stop us sharing our grief, crying, talking about life without our spouses: the changed family dynamics, loneliness, eating for one. Some people were too shy – or bereft – to contribute but we all gleaned coping strategies and solutions from each other. Over time, we became close, and I suggested we meet for monthly dinners in addition to our regular support group.

Unexpected connections ‘That’s when a friendship slowly developed into a deeper connection with Stephen. It was surreal, feeling excited about him, yet grieving for John, feeling guilty about being "unfaithful" to someone no longer here. Stephen didn’t want to officially date until after his wife, Diane’s, stone-setting. But we talked every day and when the time came to tell the group, we approached our facilitator who handled it with care and sensitivity. Everyone was incredibly supportive.

us to be sad and lonely. Stephen’s family welcomed me in, while my two sons were more reticent. I really knew Stephen; I’d seen him bare his soul during our group sessions, and I liked what I saw. I tried to explain that he was never going to replace John, as I was never going to replace Diane but that I found a likeminded person whose company I enjoyed. And what I wanted in a partner at 30 was completely different to what I wanted at 64. Eventually, they saw that Stephen was a kind, thoughtful man. We still face challenges – merging our homes and families and respecting each other’s pasts – but we’re making it work.

The journey continues ‘Four years on, our bereavement group still meets socially outside Chai. It’s lovely seeing how each of us has moved forward and the genuine care we have for one another. If I didn’t expect to find love, I also never expected a new purpose.

My experience at Chai inspired me to become a bereavement counsellor.

Though the training was difficult, it’s my way of giving back. Now I use my own journey to support others – and it’s an honour to do so.’

“It was surreal, feeling excited about Stephen yet grieving for John, feeling guilty about being ‘unfaithful’ to someone no longer here”

‘Surgery was followed by 15 months of chemotherapy. COVID meant I couldn’t be by his side and I waited outside the hospital for hours, just to be near him. It’s

In earlier days, with husband John

‘Stephen and I have a deep respect for how the other feels about their departed spouse while recognising that we must continue living. We believe our spouses wouldn’t want

21

Chai Cancer Care

Lynch syndrome: finding the

missing

95%

This genetic condition significantly increases a person’s risk of developing bowel and other cancers. Yet, few people even know they carry the gene. Dr Kevin Monahan, Consultant Gastroenterologist, is aiming to change that and improve people’s life chances

Q. What is Lynch syndrome?

A. It is a genetic condition which increases a person’s risk of developing bowel cancer by up to 80%. Around one in 30 cases in the UK are believed to be caused by this genetic fault, which affects many people, often under the age of 50. It also increases the risk of other cancers, including of the womb, ovaries and to a lesser extent, stomach, prostate and ureters, (but not breast). It was named after Dr Henry Lynch, who in the 1960s and 1970s identified families where there was a cancer trait affecting multiple members of the same family.

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Together Magazine 2025/26

Learn about Lynch Syndrome

1

The Lynch Syndrome and Family Cancer Service – St Mark’s, The National Bowel Hospital

2

About 175,000 people are known to have Lynch syndrome in England alone, it's estimated that we have only identified 5% of the affected population. An NHS nationwide programme, National Lynch Syndrome Transformation Programme, is aiming to ‘find the missing 95%’.

Q. How is Lynch syndrome passed on?

A. There’s a 50% chance of a parent passing the faulty gene on to one’s children but not everyone who inherits it will go on to develop cancer. For every new person diagnosed with Lynch syndrome, two to three family members will also have it.

This means they can all take cancer prevention steps.

Q. How do you find out if you have Lynch Syndrome?

A. The Lynch Syndrome Bowel Cancer Screening Service screening programme (see box above) identifies an inherited fault in one of five genes which are involved in repairing damage to DNA. These are called mismatch repair (MMR) genes (MLH1, MSH2, MSH6, PMS2 and EPCAM). When DNA cannot be repaired normally, it affects how cells can grow and multiply and may lead to cancers developing.

Diagnosis is usually made via a blood test in people where we suspect Lynch syndrome, such as those with a cancer showing signs of faulty MMR. We also test the relatives of people diagnosed with Lynch syndrome, or those with a family history of cancer in the bowel or womb.

Q. Once diagnosed with Lynch syndrome, what steps can be taken to avoid cancer?

A. Making a diagnosis provides many opportunities to reduce the risk of developing cancer over a lifetime. In the UK, people with Lynch syndrome are offered a colonoscopy every two years. Taking aspirin also reduces the risk of cancer by around 50% in the long term. NHS England’s Lynch syndrome testing programme is piggy-backing on the successful national bowel cancer screening programme (BCSP) mechanism. The LynchBCSP, launched in July 2023, is the first programme of its kind.

It ensures colonoscopy procedures happen on time and are delivered through a high-quality service. The programme includes a national registry of Lynch syndrome carriers to help ensure everyone eligible is invited for testing.

Q. How does having Lynch syndrome affect fertility?

A. People with Lynch syndrome currently in the UK who are planning to have children can undergo a form of embryo selection in a process called ‘preimplantation genetic testing’ (PGT is also used in BRCA gene management). Like IVF, it’s

lynch-syndrome-uk.org Peer support group: Their Lynch Choices app includes a decisionmaking tool

3

The Lynch syndrome Bowel Cancer Screening Service

important that people are fully aware of their options, which includes conception without embryo selection. PGT means parents can feel confident they are not passing on the genetic condition to their children.

Women may be offered preventative surgery to remove the womb and ovaries around the age of 40, to avoid later cancer diagnosis. We also advise a balanced diet, regular exercise and a healthy weight will help reduce cancer risk, as it does in people in the general population.

Q. If you’ve had cancer and you have Lynch syndrome, what is the likelihood of a recurrence?

"For every new person diagnosed with Lynch syndrome, two to three family members will also have it"

A. In the long-term, a diagnosis of cancer plus Lynch syndrome slightly increases the chances of recovery over other people.

This is because these tumours ‘activate’ the immune system to prevent their spread. Such people may benefit from a relatively new type of cancer treatment with ‘checkpoint inhibitor immunotherapy’. It can massively improve their chances of cure, sometimes even where the tumour has spread. We can also adapt our approach to surgery, removing more of the large bowel, and possibly the womb/ovaries, to prevent future cancer diagnoses.

Coming soon…

The next exciting goal is a vaccine for Lynch syndrome which prevents cancer. Now in development, it is based on our understanding of how the immune system becomes active when people with Lynch syndrome develop cancer.

Dr Kevin Monahan is Honorary Senior Clinical Lecturer at Imperial College London, Consultant Gastroenterologist and Endoscopist at the Lynch Syndrome and Family Cancer Clinic at St Mark’s Hospital, London and Co-director of the St Mark's Centre for Familial Intestinal Cancer. He has been instrumental in the development of the national bowel cancer screening programme for Lynch syndrome in England and was co-lead for an NHS England National Lynch Syndrome Transformation Programme.

23

Chai Cancer Care

Total ra is

£2.7M ed

25 5

G N I Z A M A S Y A D 8,80 0

tea m

h os t s

sked a mpaign a a C s u C red, s Fo inly delive Last year' a rt e c u , and yo .7 million lot of you lowing £2 b d in m raising a

individua donation l s

Y

ou couldn’t miss Chai’s purple/orange/ yellow rainbow announcing our FoCus Campaign on hoardings in London and on our Chai shoppers, which now come in large and small sizes –13,000 were distributed to kosher supermarkets, restaurants, and shops.…

17 Jewish primary schools joined in Mad Hair Day when pupils let their imagination run riot with hairdos. At school, they learn about cancer and treatment sideeffects (about hair in particular) in a fear-free way… The ‘Chai Kids Family Fun Day’ at Hendon

24

HQ welcomed 100 children, whose families we support, for a fun-filled afternoon of cookie and ice-cream decorating, hair-braiding, face-painting, jewellery making, and petting adorable therapy pooches Dudley and Ziggy… Off to Neon 194 in London’s Piccadilly where 180 supporters enjoyed a Chai Spirits Whisky Night with tastings from DS Tayman, Fruitful Spirits and Milroys of Soho, and an outstanding dinner

by Ben Tenenblat. Leading auctioneer Andrew Binstock stoked a bidding frenzy for Wimbledon debenture and Coldplay tickets and raffle prizes included a 33-year-old whisky and tailormade suit. Cheers to organisers Zack Berman, Danny Davila, Jamie Davila, Elli Morris and Naomi Nevies…

She baked for 24 hours solid last year.

This time Louise Harris challenged herself to produce 18 perfect bakes (cakes, biscuits, brownies, muffins) in one day.

Did she manage? Of course she did, but the cherry on the cake was raising a cracking £16,277.

Together Magazine 2025/26

Thank you!

‘We feel blessed by the community’s incredible response to our FoCus Campaign, particularly in uncertain times.

Chai plays a vital role across the entire community and our fundraising success is your recognition of this. Huge thanks to our dedicated team hosts – many of whom are clients themselves – our loyal supporters, and our generous matchers. Every donation ensures we can be a lifeline for those who turn to us.’

Love, Louise Young Chai’s Challah Bake showed how sociable breadmaking puts a smile on your face and loaves on the Shabbat table… Our l’chaim shot glasses, napkins and flyers raised awareness of Chai’s services in synagogues and universities … students hosted a Shabbat dinner in aid of Chai… while synagogues of all stripes made a L’Chaim for Chai. In Manchester, an all-women evening of Dance Around the World taught participants Israeli, line dancing, Scottish dancing and Bollywood moves, raising £1,600… Meanwhile Manchester’s men raised £1,500 at a poker evening organised by Chai physiotherapist, Lewis Harris and friend Aaron Lowe.

Chai Jude!

Volunteer superstars Andee Roback and Lynne Silver presented two sell-out performances of their tribute to The Beatles. The richly researched portrait of the Fab Four, explored John, Paul, George and Ringo’s childhoods, the band’s global success, and their careers after they split. Lots of stories, lots of music (including an audience singalong to All You Need Is Love) and lots of money raised – to the tune of £20,000.

Be part of the buzz – get involved in this year’s matched funding campaign Fundraise with an total event and your d le ub do will be

Make a bigger difference – be a team host and galvanise family, friends and colleagues to donate

h at Host a Chai Shabbat kiddus vide pro 'll we and e ogu ag syn your s! cup h the napkins and kiddus

Scan here

Follow us @chaicancercare for real time updates as we climb towards this year’s target How can we support your fundraising? Get in touch with rachaelmartin@chaicancercare.org

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Chai Cancer Care

Say Cheese(cake)!

What’s not to love about a cheesecake? The Ultimate Cheesecake Cookbook takes us on a global tour of recipes from the likes of Honey & Co, Michel Roux and Mary Berry – and it’s raising money for Chai, too.

With a foreword by Giles Coren, it’s a mouth-watering prospect

C

heesecake has a special place in the Jewish canon of cookery – you’ll find the flavours of Eastern Europe, Spain and New York here – plus some savoury options and even a purple-coloured ‘ube’ cheesecake from the Philippines, which captivated the book’s editor and publisher, long-time Chai supporter Michael Leventhal.

Michael’s first cookbook featuring chocolate recipes from around the world, raised £20,000 for Chai. ‘I had no intention of doing another book, but then I got seduced by a Basque cheesecake,’ he laughs. The book is dedicated to his late mother Elizabeth who, as well as Michael, was supported by Chai.

Restaurant critic Giles Coren, who provides the foreword, has this to say, in his inimitable style: ‘If you had to bake a foreword for a book about cheesecake to raise money for a Jewish cancer charity, you would need, I think, three ingredients. First and foremost, around 75 kilos of restaurant critic with more than 25 years in the business, who could bang out 500 cheesy dessert-related words because he loved looking at photos of cheesecake. You would need a spoonful of Jew. Check. I have nothing but pure Ashkenazi blood in my veins.

And you would need some cancer. Check again. Prostate, since you ask. No symptoms at this stage, no treatment required, just active monitoring. I didn’t know I had cancer when Michael asked me to write this foreword. I got my diagnosis soon after. But at least I got a free copy of the cheesecake book. And what a book! They got Yotam, Nigel, Michel Roux, Tom and Ken Hom. ‘I do not have a sweet tooth, which is why cheesecake is my passion. The cheesier the better for me, to stand up to whatever sweet, sharp fruity drizzle you’re firing across it. Read the book, do some baking, and devour every cheesecake like it was your last!’

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"Cheesecake is my passion. The cheesier the better for me" Giles Coren

This easy cheesecake sta rs a zesty topping and you can pair it w ith extra citrus in th e form of blood orange s to serve

ANGELA HARTNETT'S

Lemon Cheesecake

combined, then press the mixture into the bottom of the cake tin.

Place in the fridge to firm up while you make the filling.

3. Cream together the cream cheese, mascarpone and icing sugar, then beat in the lemon zest and juice, mixing well to combine.

4. Take the base out of the fridge (it should be firmer by now) and top with the cheesecake mixture, smoothing the surface to ensure a nice, even top. Place back in the fridge for at least two hours to set.

SERVES 6–8

5. Serve with blood orange slices or segments, or poached rhubarb.

INGREDIENTS Cheesecake PPC cover_Layout 1 30/04/2025 11:31 Page 1

For the filling 100g (3½oz) full-fat cream cheese 250g (1 cup) mascarpone 80g (½ cup) icing sugar zest of 1 lemon juice of 2 lemons ‘Read the book, do some baking, and devour every cheesecake like it was your last!’ — GILES COREN

‘A glorious gallery of cheesecake recipes from a who’s who of cooking: from Yotam Ottolenghi to Nigel Slater to Mary Berry. For anyone who loves cheesecake (which should be everyone) this is the perfect book.’

— CHARLOTTE IVERS, restaurant critic for The Sunday Times

‘A celebration of a timeless classic; this rich and sumptuous collection of sweet and savoury recipes is a cheesecake lover’s dream.’ — ALAN ROSENTHAL

To serve Blood orange slices or segments, or poached rhubarb METHOD

2. To make the base, melt the butter in a saucepan over a low heat.

Crush the digestive biscuits under baking parchment or in a mixing bowl, using the end of a rolling pin, until you have a powdery rubble. Stir in the ground almonds and melted butter until fully £25.00 $34.95

WWW.GREENBEANBOOKS.COM

The Ultimate

CHEESECAKE Cookbook

Compiled by Michael Leventhal

1. Line the base and sides of a 20cm (8in) loose-bottomed cake tin with baking parchment.

CHEESECAKE Cookbook

More than sixty cookery writers and chefs from around the world have donated recipes to this diverse collection. From Mary Berry’s chocolate truffle cheesecake and José Pizarro’s baked cheesecakes with blueberries to Claudia Roden’s Spanish cheese pudding and Callan Wenner’s ube cheesecake, this is the only collection of cheesecake recipes you will ever need.

The Ultimate

For the base 75g (5 tbsp) butter 175g (6oz) digestive biscuits or graham crackers 50g (½ cup) ground almonds

Recipes from Around the World Foreword by Giles Coren

The Ultimate Cheesecake Cookbook, Scan here Recipes from around the world, compiled by Michael Leventhal, £25 (plus P&P) is sold in aid of Chai Cancer Care. Available from Chai centres, Jewish booksellers and on Amazon.

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MINDFULNESS

and expressive art groups Togetherness enhances creative and calming activities for clients around the country

Mindfulness in the Northwest

Mindfulness in action:

Expressive art group in Glasgow

Since June, Chai in the Northwest has run weekly ‘Mindfulness Wednesdays’, offering clients a space for gentle breath work to promote relaxation. Led by practitioner Hayley Leigh, the sessions help people ‘switch off from the medical world and find moments of peace,’ she explains.

Howard Chakosfky, 70 ‘Since being diagnosed with liver cancer three years ago, mindfulness has been a lifeline. The breathing and thought techniques helped me cope through 18 months waiting for a transplant, and afterwards, cleared my head and reminded me how lucky I am. I wanted my healing to be as natural as possible.

Mindfulness calms my blood pressure and keeps me grounded. Even two minutes can relax and clear my mind. It’s natural, not prescribed, and it’s helped me immensely.’

Since it began in May, the group has provided a creative outlet for clients – whether affected by cancer themselves, through a loved one, or because of bereavement. It’s two hours of gentle, open-ended artmaking and conversation with a tea break and biscuits, of course! Volunteer facilitator Vicky Manson’s counselling background and her passion for art make her ideally placed to support clients. ‘This group is about companionship, care and shared experiences,’ she explains. ‘You don’t need to be artistic – it’s about taking time to express yourself in any way that feels right.’

The group is inclusive, designed for both patients and loved ones. ‘They are equally valuable for both,’ says Hayley. Each hour-long class begins with simple breath techniques. ‘Focused breathing calms the central nervous system, and you can’t get that wrong,’ reassures Hayley.

She encourages noticing the breath, letting it naturally ease tension. A guided head-to-toe relaxation and visualisation follows – perhaps imagining a ‘favourite place filled with protective light and restorative energy’. These techniques calm clients in the moment and are tools to use independently for disrupted sleep, anxiety, and scan or surgery stress.

An ongoing benefit is unexpected friendships. ‘People connect from different walks of life who would never normally meet, and they can relate,’ reflects Hayley. ‘Mindfulness is about living between everything that’s happening and finding what you can give back to yourself.’

Expressive art in action: Annette Cohen, 83 ‘I have experienced great loss – my mother, my husband of 58 years, my daughter, and many dear relatives and friends. I joined the art group to explore and express how my outlook has changed. The mix of people has become a source of comfort. We all react to sadness differently, but here we bond through shared experience. The group lifts me and, with my family, friends, and this lovely circle, I can still find moments of joy.’

Up to ten participants attend, using a variety of media including paints, clay, beads, and collage papers. Each session has a theme chosen by the group, but it’s flexible. ‘Sometimes simply having the materials in front of you can spark something,’ says Vicky who herself joined an art-for-pleasure class in 2023.

‘It gave me a way to unwind, relax, and meet new people. I realised how beneficial art is in switching off from dayto-day stresses.’ Her NHS therapy career reflects her commitment to emotional wellbeing. ‘The feedback has been overwhelmingly positive,’ she reports.

‘People leave more relaxed – and are often surprised at what they’ve created.’

Find out more: Manchester’s Mindfulness group: 0161 772 4760; Glasgow’s Expressive art group: 0141 638 2483.

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Mealtimes can become fraught as cancer impacts a family’s home life. For Chai clients seeking kitchen inspiration (some, for the first time!), professional chef and cookery writer Denise Phillips serves up some satisfying solutions

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“These simple swaps go a long way Delicious Desserts focused on healthier to lifting the versions of favourite puds. ‘Simple swaps go a long way to lifting the spirits!”

hat have knife skills got to do with chemo treatments?

And batch cooking with hospital appointments? A cancer diagnosis has a habit of throwing household routines into disarray and for a dad who's never had to make seven days of dinners for the kids (never mind breakfasts and packed lunches), that can translate into a mini nightmare.

feel empowered and in control so it’s easier to whip up dishes brimming with nutritional benefits.’

Whether it's not your usual role or you’re adapting favourite recipes to tick the health boxes, Cookery Classes from long-time Chai supporter, Denise Phillips provide clients with delicious ideas ready to put on the table, along with lots of kitchen hacks to make life a bit simpler.

spirits!’ attests Denise. Figgy Fudge Roulade and Pecan Nut Chocolate Mousse, made with silken tofu (a source of protein) were chosen because they can be made, individually portioned and then frozen.

Classes target clients' needs and are held in small groups so they get the maximum out of the one-and-a-half-hour session. Start Cooking for Kids was tailored for men who have recently taken over kitchen duties: one because of bereavement, catering for teenage boys; another with young children, stepping up while his wife goes through treatment. ‘We cooked vegetable bolognaise and mushroom risotto, and discussed store cupborad essentials, menu planning and using up leftovers,’ says Denise. Clients also learned knife skills and tips for cooking rice perfectly (not always easy!).

In the Healthy Eating class, women going through cancer treatment made dishes focused on gut health (especially important when on medication). Denise advised clients how to ramp up the protein content of a meal and ensure they are well-balanced. On the menu were antioxidant-packed Blueberry Bulghur Wheat salad and Vegetable Frittata. Denise showed how forward planning means there are always healthy choices on stand-by. ‘Cancer treatment is tiring – I want people to

The atmosphere in the Chai kitchen is upbeat with lots of laughs, 'especially when the men were learning how to use a peeler,’ Denise jokes, ‘but there was little mention of cancer, just a meaningful connection because of common circumstances. It was rewarding, too, that some clients exchanged phone numbers at the end of the session.’ Jewishcookery.com

NUTRITION IN THE NORTH Chai registered nutritionist Susan Fruhman, author of healthy eating ‘bible’, How Can I Help You? is running a series of talks and cookery demonstrations for clients at the Chai kitchen in the North Manchester centre.

Recently, The Principles of Healthy Eating covered what the ‘healthy plate’ should contain, balancing proteins, fats and carbs, and food portioning. As well as sampling the dishes Susan made, clients took home recipe sheets. September’s theme is Understanding Sugars – how to eat sweet things without feeling guilty. The talks are free for clients based in Leeds, Manchester, Liverpool and Birmingham. Please email amanda.newdall@chaicancercare.org for details of future talks. Susanfruhman.com

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Balancing act: treating pituitary tumours T

role It’s only the size of a pea but the s of this organ in keeping our bodie ael functioning well, is huge. Dr Mich s of Kosmin explains the complexitie our managing this common brain tum he tiny pituitary gland, measuring around 1cm in diameter, sits at the base of the brain and plays a critical role in helping our bodies function through the production of several hormones. These hormones are vital for growth, metabolism, our response to stress or trauma, reproduction, lactation, and the balance of water and salt. Think of the pituitary gland as a thermostat, working to keep us in an optimal state, monitoring the chemical and hormone concentrations in the blood. It also links with the thyroid and adrenal glands and the ovaries/testes to maintain the hormonal balance of the body.

The tumour explained Despite the name, pituitary tumours are largely non-cancerous and can occur at any age, though are more common as people get older. They grow slowly within the pituitary gland and do not spread around the body.

Accounting for approximately 15% of all tumours within the skull, some release excess hormones and are called functioning tumours. Depending on the type of hormone secreted, these include prolactinoma (prolactin is the hormone that signals a woman’s breasts to produce milk during pregnancy and breastfeeding), acromegaly (excess growth hormone, sometimes causing gigantism in children or adolescents), and Cushing’s syndrome (when an excess of the stress hormone cortisol in produced). An over-production of hormones can cause significant medical issues,

“The team managing a pituitary tumour will include an oncologist”

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including poorly controlled diabetes and high blood pressure, osteoporosis, increased bowel cancer risk, and increased risk of heart disease and stroke.

The other main group of pituitary tumours are called nonfunctioning tumours. These do not release excess hormones but can still cause problems. They are also slow growing and can eventually put pressure on nearby structures, often the nerves to do with vision, causing changes to eyesight, and headaches. In fact, a pituitary tumour is often discovered when an MRI scan is investigating a symptom seemingly non-related.

The goal of treatment is to balance hormone levels that are either too high or too low, and to reduce the tumour size if needed. The good news is that, while pituitary tumours are quite common, many of them have little or no clinical significance.

Approximately half of the ones that are, need surgery while just one per 1000 of those show malignant changes. Thankfully, this makes a cancerous pituitary tumour very rare. Worldwide studies show that 60-70% of pituitary tumours needing treatment, affect women. Prolactinomas, the most common type, can often be managed with tablets and monitoring alone.

The team managing a pituitary tumour will, nevertheless, include an oncologist as well as endocrinologists, radiologists, surgeons, pathologists, and other allied health professionals. There are several specialist pituitary tumour treatment centres around the UK, which also provide expert psychological support alongside medical skills.

Where the tumour is causing a build-up of pressure, for example, leading to visual loss, surgery is the swiftest treatment. The sensitive position of the pituitary gland beneath the brain means we aim to use minimally invasive surgery. It is usually done through the nose and sinuses to avoid the brain tissue as much as possible.

Flexible, endoscopic micro-instruments and tiny video cameras are part of the kit. Sometimes the surgeons are limited by how the tumour has grown into and around nearby structures such as the carotid artery and critical nerves.

“60 to 70% of pituitary tumours needing treatment, affect women”

In patients with functioning pituitary tumours, the excess hormone levels are monitored closely after surgery to see whether they return to normal or remain abnormally high.

The latter indicates some of the tumour is still present and further surgery and/or medical treatment is necessary.

In patients with non-functioning tumours, follow-up is largely focused on monitoring through MRI scans to check for any new growth or regrowth.

Radiotherapy plays a very effective role in managing and stopping the growth of pituitary tumours, particularly where surgery is not possible. The only drawback here is that normalising excess hormone levels in patients with functioning tumours may

Small but mighty: the pituitar y gland controls several hormone glands in the body, including the thyroid, adrenal glands, ovaries and testes

take at least two years. Radiotherapy can be delivered as a single high dose of treatment, called stereotactic radiosurgery and is a good option if the area being targeted is well-defined, small in volume, and not too close to critical structures such as the nerves of vision.

For larger regions or when the tumour is bordering nerves, a longer course of radiotherapy treatment is often recommended.

This may take five or six weeks delivering short daily treatments from Monday to Friday. This fractionated approach allows for the repair and recovery of healthy tissues and nerves. We can use standard X-ray radiotherapy machines or proton beam therapy (PBT), an advanced particle therapy that allows for better targeting of an area, with reduced radiation risk to the surrounding brain and healthy tissues. For this reason, PBT is recommended by the NHS for children, teenagers and young adults to limit radiation exposure to their developing brain.

While pituitary tumours require complex treatment, research continues towards understanding the best way to manage these tumours, reduce side-effects and achieve the best outcomes.

Clinical trials are looking to get even better control of excess hormone levels, and trials of PBT in adults will help establish whether this advanced radiotherapy treatment can provide benefit too.

Dr Michael Kosmin is a consultant clinical oncologist at University College London Hospital (UCLH). He specialises in the use of radiotherapy and chemotherapy for the management of tumours of the central nervous system and has a particular interest in advanced radiotherapy techniques including proton beam therapy. He is the Clinical Lead for Radiotherapy at UCLH and speaks regularly to expert and lay audiences on the management of brain tumours.

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CANCER LATEST AI advances, vaccines and DNA tests are seeing diagnosis and treatments change gear The AI is revolution is happening now

An end to endoscopies?

A ‘sponge on a string’ test could soon spare thousands being monitored for oesophageal cancer, from invasive endoscopies. Aimed at patients with Barrett’s oesophagus, a condition that can lead to cancer, the technology involves swallowing a small, dissolvable pill which releases a sponge that is gently pulled back through the oesophagus, collecting cells as it progresses. A pilot is under way in 30 hospitals, including in East and North Hertfordshire NHS Trust and in Lancashire.

Find out more: best4trial.secureserversites.net

#1 Cancer cells have a ‘3-D fingerprint’ that can predict drug effectiveness and slash their development time from years to months. Institute of Cancer Research scientists say their AI tool allows for a faster ‘best match’ between patients and drugs. #2 AI is identifying which men respond best to the life-extending drug abiraterone. High-risk, non-spreading prostate cancer patients are set to benefit thanks to work by UCL and the Institute of Cancer Research which showed how abiraterone nearly halves the risk of death for about 25% of men. #3 An NHS trial is using AI to detect breast cancer earlier by spotting changes in breast tissue. The groundbreaking project involves nearly 700,000 women and the technology could halve the specialists needed per scan, freeing them to see more patients and save more lives.

Immunotherapy jab speeds up treatment

Revolutionary blood test speeds cancer treatment Lung and breast cancer patients are set to benefit from an NHS roll-out of a groundbreaking ‘liquid biopsy’ blood test across England. Detecting tumour DNA in blood, it speeds up targeted lung cancer therapy by two weeks and cuts invasive biopsies and chemotherapy. Up to 15,000 lung and 5,000 breast cancer patients could benefit yearly. The test may soon expand to other cancers and save the NHS up to £11m a year in lung cancer care.

TO FIND OUT IF YOU ARE ELIGIBLE TO JOIN A TRIAL, ASK YOUR DOCTOR OR CANCER SPECIALIST WHO WILL BE ABLE TO ADVISE YOU

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Thousands of cancer patients in England will soon benefit from the latest generation immunotherapy jab, with the NHS the first in Europe to offer this treatment. Nivolumab treats 15 cancer types including skin, bladder, and oesophageal and will cut treatment time from up to an hour via IV every fortnight or month, to just 3-5 minutes each time.

DNA clue to bowel cancer in IBD patients A DNA test developed by the Institute of Cancer Research is predicting which inflammatory bowel disease (IBD) patients are at highest risk of bowel cancer. With a 90% accuracy rate according to Oxford University’s Nuffield Department of Medicine, it could spare many from distressing colonoscopy procedures or surgery by helping doctors better target prevention and patients manage their cancer risk.

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Advocacy

Support

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State benefits can be lifelines for critical times in our lives, but they are not always straightforward to access. Hear from Louise Crystal, Chai’s advocacy expert, who helps steer clients through the process

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hen we’re brought low by illness, the state system can be an invaluable resource, helping to relieve financial pressures or fund vital adaptations that ease everyday life in the home. The first challenge is getting through the application process, which can be both complex and lengthy, although some benefits are not means tested, which can shorten the time it takes.

As both Chai’s advocacy specialist and a client services manager, I see how people facing cancer are already anxious, without the added stress of form-filling or financial concerns. Resolving financial worries early in the cancer journey is important, not just because getting a benefit the first time of asking is much preferable to going through an appeals process, but also because doctors say money worries can negatively impact treatment and recovery.

We advise on a wide range of issues including applications for support with mortgage interest, disabled person’s bus passes, Employment Support Allowance (ESA) and housing. These are just four of the main areas we cover:

LAPTOP Employment If you have or have had cancer, the law protects you from unfair treatment at work. Clients sometimes experience discrimination, which might include being denied time off for treatment or appointments, being pushed to stop working, or being selected for redundancy due to cancer. These are tough situations to face while coping with illness.

The first step is to check your employment contract – it often holds the answers you seek.

If needed, we’ll explore further options and refer clients to ACAS (acas.org.uk), experts in employment law. We do recommend that clients maintain open communication with their line managers/employers, within what a client feels comfortable disclosing.

con is PIP (Personal Independence Payment) This benefit helps people maintain independence so it’s possible some claimants still work full-time, while others are housebound and rely on PIP for basic needs. A recent bill, aimed at reducing claimant numbers, passed through the House of Commons but preserved most PIP entitlements. PIP has two elements: care (e.g. preparing food, dressing) and mobility (e.g. planning journeys, walking). Each can be awarded at a standard or enhanced rate, depending on the need. But just getting through the 40-plus pages of the application form is one of the biggest hurdles, so our guidance is often invaluable.

H D O A M U -E S A G E Housing The UK’s housing crisis continues, especially in London. And while a cancer diagnosis earns medical points (awarded to applicants based on medical need and how their current housing affects their health), finding suitable council housing remains a challenge. Strong advocacy in this area is essential.

id-badge

Blue Badge

People believe it is easy to get a Blue Badge.

I know otherwise and, believe it or not, having

cancer is not relevant. What matters is whether you can walk or not and many questions in the application form relate to balance, posture and walking aids. A lot of supporting evidence is required, too. We are familiar with how to make a powerful case for clients.

HOW CHAI ADVOCATES Michael, 53, lives alone and was diagnosed with bowel cancer last year.

As a self-employed worker, reduced hours due to treatment took a financial toll, so we supported him in successfully applying for Employment and Support Allowance (ESA). As his condition worsened, we guided him through a Personal Independence Payment (PIP) application and assessment. He was awarded PIP, easing his financial pressures and allowing him to make adjustments to his home plus afford transport to treatment.

Cindy, 74, lives with her husband and was recently diagnosed with breast cancer.

Relying solely on their state pension, they were struggling financially. We helped them claim Pension Credit, giving them access to additional support like council tax reduction and the Warm Home Discount Scheme. We also applied for Attendance Allowance (awaiting a decision) and successfully secured a Blue Badge, making appointments and errands far more manageable.

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The year at Chai Your lively catch-up of the many events that kept Chai at the forefront of the community

Autumn 2024 Always sunny at the Gift Sale Despite torrential downpours, 900 supporters arrived at Chai’s flagship Hendon centre for our Rosh Hashanah Gift Sale, which raised an extraordinary £51,000. The eagerly awaited event was bigger and better than ever as 15 new stalls took up position among the 48 vendors, offering original jewellery and homeware, chic millinery, flowers and Judaica. Ben Tenenblat’s all-day brunch service and coffee and buns from Oh Brown Bear kept visitors happily fed and watered throughout.

Head of Community Engagement Caroline Tunkel thanked gift sale co-chairs Debra Zender and Julia Abrams for their ‘phenomenal commitment, which starts many months in advance and always ensures the day is a success – this year drawing a noticeably younger crowd.' Huge thanks also to generous sponsors Roundtree Real Estate and Grosvenor Rentals, to Tony Page for his donation of 300 honey cakes, and to all the stallholders and volunteers for their ‘extra mile’ efforts.

A toast with the old masters At London’s stunning Wallace Collection, surrounded by the works of Fragonard and Rubens among others, 170 patrons and supporters, including Chai’s medical advisors, gathered for a L’Chaim and to hear an update on Chai’s progress and plans. Chairman Louise Hager highlighted the randomness of cancer and how many more seemingly fit, healthy, relatively young people, such as the Princess of Wales, are being diagnosed.

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She further explained how Chai is meeting the needs of this specific cohort and recognised the groundbreaking success of the NHS England Jewish BRCA testing programme. Consultant medical oncologist at UCL Professor Daniel Hochhauser spoke about advances in the role of personalised cancer treatment, and he saluted Chai’s gold standard of tailoring support to each person. At her last public event before retirement, outgoing CEO Lisa Steele thanked everyone for making Chai a ‘home, a refuge, a family.’ Guests also enjoyed guided tours from the gallery’s experts.

Three Jews walk into a bar…

When you gather three iconic Jewish writers in one place – Howard Jacobson, Claudia Roden and David Baddiel – humour can’t be far behind. The trio appeared at JW3 for an evening titled My Family and Other Jewish Issues, chaired by journalist Stephen Pollard and sponsored by The Jewish Chronicle and Jewish BRCA to highlight the NHS testing programme. Hilarious and poignant anecdotes held the audience’s attention on topics spanning food, Ashkenazi and Sephardi mums and dads, love, sport, and the essence of feeling 'broigus'.

Zack’s men-only night A men’s awareness evening organised by committed supporter Zack Berman brought 25 of his friends to Chai to learn about its work. Chairman Louise Hager outlined how services, including those specifically for men, are a lifeline for

Together Magazine 2025/26

patients and loved ones. Indeed, a tour of the building, taking in the state-of-the-art gym, helped dispel the misconception that Chai is just for women and children.

The welcoming and uplifting environment is for everyone affected by a cancer diagnosis.

Forging links with The Christie Chai’s Northern Head of Community Engagement, Gerry Singer, visited The Christie Private Care in Manchester for an informative ‘lunch and learn’ session with nurses, physiotherapists, doctors and medical secretaries. She shared Chai’s 35-year journey to becoming the community’s leading cancer support charity and highlighted to healthcare professionals that they can confidently signpost patients to Chai.

Winning hands Over 100 keen bridge players gathered at Maccabi in Giffnock for the Joyce Benson z’l Classic Bridge Brunch, raising an impressive £4,926 for Chai’s Glasgow service.

Hosted by Joyce’s sons, Michael and Greg, the event celebrated their mother's passion for bridge. Guests enjoyed a lavish buffet and raffle and heard from Glasgowborn CEO Lisa Steele alongside testimonies of Chai clients, including Orli Schechter, who shared how the charity became her family’s lifeline during her father’s illness.

Susan’s boosting health, one launch at a time Chai supporters came to hear nutritional therapist Susan Fruhman speak in Manchester, Leeds, London and Hertfordshire to mark the launch of her healthy eating book How Can I Help You? sold in aid of Chai. She kicked off her tour at the Rosh Hashanah Gift Sale before heading to North Manchester, where Francine Elkinson hosted a further launch. In Leeds, Helen Bush did the honours as Susan shared her knowledge and healthy recipe tips, answered questions and treated guests to delicious tasters. In South Manchester, she joined top caterer Simone Pinkus for a discussion and buffet, which raised £1,600. And at Radlett United Synagogue the audience nibbled healthy bites as Susan and Jewish Chronicle Food Editor Victoria Prever discussed simple dietary changes that deliver a big health impact. Of her ‘UK tour’ Susan said, ‘The book was a labour of love over many years. It was great to get such positive feedback.’

How to empower the patient An online audience of 320 tuned in to Chai’s annual Natalie Shipman Memorial Lecture, Influencing Change: How Empowering Patients Can Transform Cancer Treatment and Care. Keynote speakers Judy Dewinter, President of Myeloma UK, and Dr Jonathan Sive, Consultant Haematologist at UCLH, shared their expertise on the patient/oncologist relationship. Named in memory of Natalie Shipman z’l, who inspired Chai’s founding, the lecture offered insights into advancing patient-focused cancer care. Scan the QR code to listen to the lecture.

Mitzvah Day CEO visit to Chai Chai welcomed Mitzvah Day CEO Stuart Diamond and Marc Levy, Jewish Leadership Council regional manager, to Chai’s Northern hub. Stuart was ‘hugely impressed’ by the comprehensive care Manchester’s Chai provides to cancer patients and their loved ones across the region.

MP ‘blown away’ by Chai Labour MP Sharon Hodgson had a first-hand look at Chai’s client support capability when she visited the organisation’s flagship centre in Hendon.

Discovering the cutting edge facilities, the Washington and Gateshead South MP recommended that all MPs come and see the scope of the 70 services available. She also spent time talking with the dedicated and ‘extraordinary’ Client Services team.

A warm welcome in Manchester To reach new audiences in the Northwest, long-term champions of Chai, Marsha and David Cohen, hosted a ‘L’Chaim’ for friends, neighbours and supporters. Opening their doors for a night of conversation, information and food, guests heard from clients about the positive impact of support and from chairman Louise Hager whose trademark warmth and passion captivated the room.

Building local support links Breast cancer patients at the Royal Free Hospital receive important post-treatment support through the ‘Keeping in Touch’ service, which offers emotional help and treatment advice. During Breast Cancer Awareness Month in October, Chai had a stand at the Royal Free, so visitors could learn about Chai’s services.

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Winter 2024 Knowledge in the North Chai was a major contributor to the second Annual Northern Jewish Professionals’ Conference in Manchester. Head of the Northern Service Amanda Newdall and Northern Head of Community Engagement Gerry Singer, shared Chai’s organisational expertise, strengthening partnerships and spreading the word about its services. Organised by the Jewish Leadership Council, the event offered valuable sessions on bid writing, risk management and networking.

Vanessa Feltz headlines NHS Jewish BRCA testing in Manchester Emblematic works by LS Lowry and views across Manchester’s skyline made for a memorable setting as broadcaster Vanessa Feltz chaired a reception at the Manchester Art Gallery, to raise awareness of the NHS Jewish BRCA Testing Programme. Vanessa spoke movingly about the loss of her own mother to cancer, and said she and her family have all been tested. Hosted by Chai, Jnetics and NHS England, Jewish community figures and NHS leaders delivered the message that people can now save their own life and that of future generations.

Opening up about Chai Hendon MP David Pinto-Duschinsky toured Chai’s Hendon flagship, to see how Chai’s comprehensive services are delivered. He praised the ethos he encountered and later highlighted the community support Chai provides, during a Private Members Bill, in Parliament. ‘It’s clear Chai makes a real difference every single day,’ he said after his visit.

Dance for Gary Louise Clifford’s fundraising tribute to her late husband Gary, was a brave step – on to a dance floor – with an orange-themed disco. ‘It was his favourite colour, and it was my absolute pleasure to do this in recognition of everything Chai has done for my family.’

Louise and her three daughters have been supported by Chai's counselling service. The event raised a zingy £1,600.

Chai praise indeed The Jewish Volunteering Network Awards saluted the individual and group commitment of volunteers at Chai. Sorelle Kafton deservedly won ‘Volunteer of the Year’ for her 20-plus years of devotion transporting clients to and from our flagship centre. Our ‘Chai Volunteer Lunch Team’ Sharon Bearman, Elise Buckman, Susan Glyn, Linda Lovat, Carol Lubliner and Hilary Schuman were also recognised for the delicious lunches they prepare and serve to clients. And, if you weren’t aware, Chai’s chairman Louise Hager is now an MBE, For Services to People with Cancer. Read all about it on page 16.

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Spring 2025 Raising more than a laugh The Manchester Chai Girls Committee hosted a side-splitting night of stand-up comedy at Maccabi Manchester. The North Manchester Comedy Night had the 70 guests of all ages howling as comedian Dominic Woodward kept the audience in stitches with his northern wit. The evening raised £1,700. Committee chair, Lisa Cohen-Nissan reported how ‘guests said it was great to be in a room full of laughter. Dominic was a true star!’

Young and gifted Mishloach Manot Saul Dunitz and Jack Tunkel packed up delicious Mishloach Manot boxes to be delivered on Purim, to the children that Chai supports – yumminess all round!

Cups of joy JCoSS held a ‘Yom Tzedakah’ (day of charity) event where Chai, one of the school's chosen charities for the year, set up an artisan hot chocolate stand, selling delish drinks (with marshmallows!) and raising awareness about its Chai in Schools service which provides support to pupils affected by a cancer diagnosis and their teachers.

Together Magazine 2025/26

Showing their best moves

Bridge of support

Dancing with Louise has been delighting audiences and fundraising thousands for Chai since 2004. What began with rehearsals in Chai’s building grew into dazzling productions where tiny ballerinas up to talented teens perform ballet, tap, hip hop, musical theatre and gymnastics. ‘Chai feels like home to us,’ says dance school founder Louise Leach. Her shows have been presented at Finchley Arts Depot, Watford Palace, and even the Lyric on Shaftesbury Avenue (Former student Emma Kingston is starring as Elphaba in Wicked in the West End.) ‘It’s an honour and privilege to support Chai,’ says Louise, who this year raised £5,000. ‘The services for families are inspiring and through the joy of dance we have the chance to give back.’

After surviving cancer, and having had Chai's support throughout her treatment, Carol Ellman hosted an ‘End of Treatment’ lunch at Chai. That was in 2012, and the annual Bridge Lunch has been a fixture ever since. This year’s tournament included a delicious lunch, raffle prizes and trophies raising £7,480. ‘The highlight,’ Carol says, ‘is seeing visitors walk into Chai and be amazed. No words can truly describe what it does.’

Fran’s Leeds legacy The importance of testing for the BRCA gene fault was highlighted in a moving memorial to Leeds resident Fran Batty whose life might have been saved had she known she carried a BRCA mutation. Diagnosed with breast cancer in 2011, she was told she didn’t need a mastectomy. In 2016, genetic testing revealed her genetic inheritance and by 2017 the cancer had returned and she passed away in 2023. At the memorial at the Leeds United Hebrew Congregation, her sister Oterlie Casper De Ruiz read a letter from Fran urging others to get tested. The event was coordinated by Leeds Jewish Representative Council and supported by Chai, Jnetics and BRCA Journey.

Ball highlights cancer support Bringing Jewish students together, the Leeds JSOC Ball offered all the elements of a sparkling night: music, dancing, socialising, an open bar and a fine dinner. Chai was there too, with branded napkins, shot glasses, and leaflets to raise awareness that we’re here for anyone affected by a cancer diagnosis.

JFS students get career ready Over two days, at the JFS Careers Fair, students had the chance to discuss their career options with professionals, including past students, ranging from make-up artist to lawyer. Chai had a stand showcasing options within the charity sector. Caroline Tunkel, Head of Community Engagement, said 'It was a pleasure to meet with the students and give them our insights into Chai.'

The key to a shabbat shalom Chai hosted Schlissel Challah Bake events led by Rebbetzin Miriam Gefen in Manchester, and Sofie Hirschstein and Jenny Sherman in Leeds. Guests crafted key-shaped loaves (a post-Passover tradition symbolising livelihood), while hearing about Chai’s work. Generously sponsored

by Phil Goldberg of Em-B Solutions, everyone left with challahs and a recipe for a meaningful and memorable Shabbat celebration. Proceeds from both events went to the Chai in Schools service in the North.

Golfers swing big for Chai It was sunshine, birdies and big-hearted giving at Hartsbourne Country Club when over 100 golfers teed off for the ninth biennial Golf Fore Chai event. Hosted

by Jo Fogel and committee members Carolyn Joels, Suzanne Richmond and Serena Smaje, the tournament raised a remarkable £77,000 for services supporting people under 50. Fierce competition saw top honours go to the winning men’s and ladies’ teams. The day also marked 10 years since the passing of Jo’s father-in-law Gerald Fogel z’l, a staunch and much-beloved Chai benefactor who introduced Jo to the organisation. The legacy continues. Said Jo, pictured left, in black, ‘Every golf day, I’m astounded by the generosity of our supporters. Even in difficult economic times, we smashed our target. My thanks go to my mighty committee who help tremendously in organising this wonderful day which enables us to raise substantial funds.’

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Chai Cancer Care

Breaking down BRCA science An ‘Ask the Experts’ health awareness evening brought the South Manchester community together at Bowdon Shul.

Louise Hager chaired the event with Professor Gordon Jayson and Dr Ian Ellis who discussed BRCA gene mutations, and explained its prevalence in Ashkenazi Jews. They outlined the NHS Jewish BRCA Testing Programme, and a lively Q&A covered questions on symptoms, family risk, and early detection.

Summer 2025 Chai Young Professionals hit the ground running Fifty young professionals joined Chai’s first-ever 5km Run Club in Hendon, raising over £2,254. Organised by the new Chai Young Professionals Committee, the morning buzzed with energy as runners paced themselves.

Refreshments were enjoyed, then a raffle was drawn with prizes from Flowers by Miri, David Lloyd Finchley and Kosher Deli. Along with her fellow committee members Samuel Bray, Talia Gordon, Lara Kay, Dani Levi, and Avital Davila, Chair Natasha Seitler was ‘thrilled with the day, we can’t wait for our next event!’

CEO’s home ties Soon after arriving at her desk in London, Victoria Portnoi, Chai’s newly appointed CEO, headed to Chai centres in Manchester and Leeds to meet Head of the Northern Service Amanda Newdall and Northern Head of Community Engagement, Gerry Singer. Accompanied

by Chairman, Louise Hager, Victoria met with counsellors and therapists to learn more about how the organisation responds to local cancer support needs. Victoria, who herself hails from north Manchester said: ‘It’s great to be part of the Chai family in my home region and I look forward to further developing our services here.’

Magical Milly Day Some cried ‘fowl!’. Others spied goats on the lawn.

A petting zoo, including a donkey, rabbits, chicks and sheep (one named Lokshen), was just one of the delightful diversions during Milly Day. The much-anticipated day out for clients is held in a glorious Thamesside home: a blissful escape from the stresses of cancer. Sunshine, stunning gardens, singing from the amazing Jonny Mosesson, a superlative lunch in a marquee, boat rides, a pool for dipping into and convivial conversation all combined to ensure the day delivered very special memories.

Evergreen, ever loyal The much-loved Club 18 Golf Day notched up its 20th tournament for Chai. Held at Dyrham Park Country Club a record-breaking £52,000 was raised for counselling services, which are in demand more than ever.

Committee members John Blair, Michael Davis, Michael Lerner, Michael Lubliner and all the guests were deeply moved by 29-year-old Chai client Jordan Rinsler’s talk about his Stage 4 Hodgkin lymphoma diagnosis and Chai’s support. Sponsored by The Kirsh Foundation and Wilson Wright and with grateful thanks to Dyrham Park, the men’s and ladies’ teams were sun-kissed and content after a great day’s sport and successful fundraising. Chairman Louise paid a heartfelt tribute to Ronnie Gottlieb OBE z’l who passed away just two weeks

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before the event. She acknowledged his tremendous contribution as co-chair of the committee from the very start, which has raised a staggering £723,000.

Left: The men's winning team: Alex Beare, Hylton Treisman, Laura Rael-Brook, Hilton Lewis. Right: The women’s winning team: Angela Stern, Judy Lerner, Karen Warwick, Carole Reuben

Together Magazine 2025/26

Car-booty

Valuing the volunteers

A three-year-long fundraising initiative between FZY and Chai kicked off in style with a car boot sale in June during Cancer Awareness Month.

Clever use of Instagram by FZY drummed up donations at drop off points ensuring classy cast-offs went into the sale, which made a tidy £2,540 for Chai. Well done and keep going!

• Chai invited its big-hearted volunteers to a coffee morning at the Hendon flagship, to mark National Volunteers’ Week and to say, ‘thank you’. Drivers, lunch helpers, and reception and social events assistants, got to know how each had found their way to volunteering at Chai. Said Beverley Barnett, ‘Seeing the benefit of Chai’s services to clients makes us feel valued and that we belong.’

South Manchester’s ‘hello’ A hugely successful Parlour Evening was hosted by Rachel and Daniel Mesrie at their Hale home and – when showers allowed – verdant garden. The informal, relaxed setting allowed guests to gain insights into the value of the services Chai provides in the northwest. Client Sheva Neumann exemplified this, describing her own difficult cancer journey and the support she received.

Closing the knowledge gaps Two important community cohorts, Chesed, the United Synagogue care coordinators group, and Jewish Hospital Chaplaincy came to Chai for a day of seminars and presentations aimed at raising awareness and improving signposting for those needing support.

Chesed volunteers learned about Chai’s foundations and the many services it provides, with a tour by Caroline Tunkel, Head of Community Engagement. Later, Chai’s Clinical Lead Zippora Galpert and Jewish Care’s End of Life and Palliative Care Lead Paula Plaskow delivered seminars on issues including palliative care, client needs and sensitive conversations. Sharon Daniels, Head of Chesed and Volunteering for the United Synagogue said, ‘While people know about Chai, many are unaware of the huge range of services offered. Everyone felt empowered with new knowledge.’

The art of buying The Kinloss Art Fair has fast established itself as a go-to summer event for lovers of one-off ceramics, exquisite calligraphy, paintings and more. Once again Yvette Kamlish and her committee created a beautiful space in which to display the outstanding talent on show. Proceeds from this year’s fair raised £1,000 each for Chai and Ezra Umarpeh.

• Volunteers were treated to a special performance of My Name is Barbra, the fascinating portrait of Barbra Streisand created by the much-loved Lynne Silver and Andee Roback, who organize the Wednesday Afternoon social events.

One Wednesday in summer All Wednesday Afternoon social events are special, but party time raises the bar. Fifty clients sang and danced along with volunteers to the amazing singer Jonny Mosesson at the annual summer party. It was followed by a good old-fashioned bridge roll tea by which time the day had worked its magic. Says Lynne Silver, co-organiser, with Andee Roback, ‘Some people don't feel like partying at first, but within minutes everyone is up on their feet, laughing, feeling free, enjoying life! For Andee and I, that’s what it’s all about!’

When you know, you know Making sure the community is fully aware of Chai’s services through every channel, Board of Deputies president Phil Rosenberg, visited Hendon’s facilities.

He learned how the organisation supports clients aged from three to 100 and after meeting with chairman, Louise and CEO, Victoria, he said Chai was one of the charities that ‘powers Jewish life and is an inspiring model of positivity.’

A right turn for clients As our client numbers grow, we must ensure that everyone who needs to get to us for support, can do so. Driving may not be recommended for some clients, lifts from family aren’t always possible and sometimes we are short of volunteer drivers. Tony Lesser (pictured right) and David Kramer, trustees of the Ronald and Joan Johnston Charitable Trust have eased the worry of the literal ‘cancer journey’ by supporting Chai’s transport shortfall. ‘We wanted to make a meaningful difference, and this fills a clear need,’ said Tony.

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You’re amazing!

Chai Cancer Care

For all the energetic, thoughtful, committed, wild ways you raise money for Chai, we say thank you to our Chai heroes!

Kim’s space is a gift

‘We thought long and hard about a fitting and lasting tribute to honour our beloved Kim, whose journey with breast cancer touched many hearts,’ say Kim Kramer’s family. ‘We wanted to honour her life and legacy by helping others going through similar challenges.’

Supported by Chai after her diagnosis, Kim faced cancer with grace and courage until she sadly passed away in 2023 aged 47. To keep her memory alive, her parents Linda and Simeon Galpert, brother Joel, husband Richard and children Eva and Alex devoted their efforts to fundraising for a new counselling room in Kim’s name. Situated at Chai’s Hendon centre, the beautifully furnished and light-filled space offers comfort, warmth and vital emotional support.

Football’s finest results

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The kindness of strangers Nurse and midwife Louise Brandman became aware of Chai when driving past it on the school run. She witnessed the profound effects cancer has on families and saw Chai supporting friends facing cancer. It motivated her to hold a coffee morning in support of Chai. Friends and family gathered to enjoy the goodies and learn more about Chai. ‘Kudos to everyone for the difference you make to the lives of so many,’ Louise said. We say kudos to Louise for raising £300 with her exceptionally kind gesture.

Gales don’t fluster Emma When hurricane winds cancelled the Regent’s Park’s 5k run, Emma Jayne Coleman took an alternative route, heading for a treadmill in the gym! She was inspired by her mum’s cancer journey and the therapies that have helped her at Chai – from couples counselling to jewellery making. Emma Jayne's indoor solo run raised over £500.

‘Fundraising football matches are our way of giving back,’ says Sussex Uni student Adam Oberlander. His Moulsecoomb team (from Brighton & Sussex JSOC) pitched up against B’nei Bloomsbury (from UCL JSOC) to raise £620 for Chai. A teammate explained, ‘Chai did so much for my mum during her treatment – we’ll always be grateful for that.’

Moulsecoomb vs Maccabi Marchmont added another £118.75. Team captain Sam Freedland's aunt was supported by Chai, as were several other players.

Doron Lass and James Jacobs ran the Royal Parks Half Marathon for Chai following the support Doron’s family received after her dad's cancer diagnosis this year. ‘Chai plays an important role in his recovery,’ says Doron. ‘My "thank you" is to enable others to benefit from its services.’ Doron could barely run 1km a few months ago – but it’s the £4,915 the pair raised that really makes her truly proud!

A bold move

(Sky)diving right in!

Running past the Reichstag and the Brandenburg Gate made Larry Berkowitz’s Berlin marathon route historic. He fundraised for ‘truly special’ Chai after it supported his wife’s family through her mother’s cancer. In his thoughts, too, was his father who passed away from cancer. ‘To stay focused I reminded myself of all my training and of the many supporters cheering me on.’

Larry's efforts raised £1,019.

Josh Nash knew about Chai, but only during his mum Hedy’s treatment for blood cancer, did he grasp its full value. ‘Thousands of people turn to Chai but it always feels like they are there just for you,' he says. For his 26th birthday, Josh aimed high – with a skydive for Chai. ‘It was terrifying,' he recalls. 'I was first out of the plane, too, but it was worth it. The adrenaline rush and views were thrilling!' Josh’s brave challenge raised £1,496.

Doing the double

Together Magazine 2025/26

Making their B'nei Mitzvah marks

We are so fortunate these Bnei Mitzvah fundraised for Chai Anya Portnoi and mum, Victoria (our new CEO) hosted a ‘mother and daughter’ movie breakfast at JW3, showing Are You There G-d? It’s Me, Margaret, based on Judy Blume’s novel. All ticket sales went to Chai.

‘It’s an amazing cause that helps thousands of people’ said Anya who wanted the £1,747 raised to support the Chai in Schools service.

Isabel Gross ran a bake sale over two days at King George Park, Bushey. Baker-in-chief Isabel raised £582 as visitors

Wheel meet again, Mitchell!

While some were going out for a Father’s Day lunch, on 15th June, Mitchell Stanton was cycling 60 miles from London to Brighton for Chai. ‘I'm over 60, the last time I did this was 10 years ago. I’ve had 3 joint replacements since then,’ said Mitchell who did the ride in memory of dad Jack, Nana Becky, Grandpa Manny, and Philip and David Belchak. He joined 14,000 other cyclists and completed the event in under five hours, raising £1,324.

Peak performance ‘Sadly, my mum passed away in Israel aged 50,’ says 42-year-old Li Arad Koerbel. ‘I saw how treatment and surgery make you lose a part of yourself. But when a friend was supported by Chai, I saw that kindness and understanding make a huge difference.’ Li tackled the gruelling Three Peaks Challenge, climbing Ben Nevis, Scafell Pike and Snowdon in just over 24 hours. ‘Up there at night, in awful weather, scrambling over boulders… not my most elegant moment!’ she laughs but ‘joining 13 other climbers, we became an incredible, funny, morale-boosting team.’ Li’s efforts raised £1,248.

A personal best for Sharon Sharon Maxwell Magnus got some speed on for the St Albans Half Marathon in June. ‘I’m lucky to have the health to get round the course, but I’ve known so many who have had cancer and have benefitted from Chai.’ A very proud Sharon achieved a personal best, completing the course in 2.43 hours, raising £1,303.

stopped by to purchase delicious homemade cakes and also donated online. Sweet!

Cousins Jake Glass and Theo Dawson donned walking boots for a 13-mile hike in the Chilterns with their dads, James and Adam. The father–son adventure raised an incredible £5,118. ‘The hike expressed our gratitude for the comfort our families received during our grandpa David’s cancer journey,’ said the boys.

Mia Konopinski climbed Mount Snowdon with sister Zoe and parents Amy and Ben, raising £2,896. Snowdon was chosen in memory of Mia’s late grandfather, Peter Kingsley, who climbed it with Amy when she was 12.

Mia said, ‘Climbing “grandpa’s mountain” and raising money for Chai made it very special.’

B’nei Mitzvah '25 Challenge raises £22,000 Young climbers scale Helvellyn and Blencathra, two of the Lake District’s most demanding peaks heart Not only did Yona Frankfurt tackle the peaks with mum Naomi, she also ran a challah bake with friends, raising £5,100 in total. heart Isaac Jacobs honoured the memory of his Grandpa Michael, who always encouraged his sporting ambitions. As well as climbing with dad Doug, Isaac also ran 100km over a month, raising £2,971. heart Sloane Sher, who climbed with mum Sherry, dedicated her challenge to her grandmother Heather, a Chai volunteer and breast cancer survivor, raising over £2,410. heart Ava Meyerstone hiked with dad Anthony to honour her late uncle Rich, her safta (grandma) and a close family friend, Jessica Dvir, raising £4,957. heart For Leah Osdin the challenge, with her dad Rick, was especially meaningful. When she was five, Chai supported her with play therapy during Rick’s blood cancer treatment. Together they raised £1,723. heart Loyal supporters Mason Ansell and dad Simon raised £984. ‘It felt right to raise funds for this charity that provides such vital, free support,’ Mason said. heart For Ariella Gleek, climbing well out of her comfort zone with mum Sarah, was a tribute to her aunt Pippa, supported by Chai after a breast cancer diagnosis. They brought in £1,640. heart Zac Fels and dad Marc felt deeply about the two-day adventure. 'I wanted to celebrate my Bar Mitzvah with something meaningful for a cause close to my heart,' Zac explained, raising £2,239.

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Chai Cancer Care

Awesome Emma's sporting year

Stride for Eleanor

Emma Levy began a sports-inspired year of fundraising to celebrate reaching 40 after breast cancer. The physio to Team GB, podcaster and author celebrated reaching 41 with a final family run at Priory Park in north London.

Emma’s extraordinary efforts have raised a stunning £89,000, divided between Chai and Future Dreams.

In August, family and friends of Glasgow-born Eleanor Livingston gathered to complete the Fife coastal walk she had begun just months before her cancer diagnosis last year. Eleanor, who loved walking, passed away in December 2024. Husband Harvey, children, relatives from Israel, the US and London, and friends joined in the tribute walk, raising over £7,000 for Chai. ‘Completing this walk and sharing memories of Mum was very meaningful,’ said her son Aaron.

Spalter trio’s triumph Last September, the Spalter family received the news that mum Karen had breast cancer. Chemotherapy followed surgery, and the family endured a very challenging time.

‘We are immensely grateful for Chai's support, which has brought comfort and hope to the whole family.’ Children Oscar, Jemima and Cecily ran the AJ Bell Bristol Half Marathon in May raising funds for Chai and Future Dreams. First to finish was Oscar, in 1.31.24, followed by Jemima, at 2.09.56 and a shade behind, Cecily at 2.09.59 – together they raised £4,585.

Back in the pink!

After her treatment for breast cancer, Rachel Gorodkin wanted to celebrate her recovery and support others on their own cancer journeys. She took part in the Chatsworth 10-mile Pink Ribbon Walk, raising £376 for Chai, Breast Cancer Now and Maggie’s. ‘Being able to walk 10 miles again felt amazing,’ she said afterwards.

Setting the junior pace When they won places on the TCS London Mini Marathon, brothers Jamie Lesser,10 and seven-year-old Toby wanted to fundraise in memory of their Grandpa Philip who passed away last year. ‘We miss him so much,’ said the brothers. Jamie completed his 2.6km course in 14 minutes while Toby, ran his mile in seven minutes. Cherished memories of time with grandpa motivated them. ‘We’re grateful to friends and family for helping us raise £1,606. It was a fun day out.’

18 is the magic number Diller Teen Fellows, run under the auspices of FZY, Cohort 9, has masterminded the ‘My 18 Challenge’. The numerical value of the letters that spell Chai in Hebrew, equate to 18. Team member, Jack Clapper explains: ‘Each of us takes on a challenge around the number 18: an 18-mile walk, 18 hours of community service, or something else unique. Our goal is to push beyond our limits to make a difference.’ So far £2,819 has been raised!

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The cutting crew Gabi Hart celebrated her 50th birthday by having her hair cut and raising £1,122 for Chai. It’s her second fundraising charity snip, the first was four years ago in honour of her brother Marc who passed away from cancer. She chose Chai, saying ‘the organisation supported my family when we needed it most.’

Shira Garber fulfilled a long-held promise to raise money for Chai with a sponsored haircut. ‘Hair is something every girl cherishes,’ said Shira. ‘It's a big change for me, but it will make a huge difference to others.’ Her thoughtful act raised £929.

Team Chai triumphs at the TCS London Marathon raising £46,419 Eight inspiring runners proudly represented Team Chai at this year’s TCS London Marathon. Each ran with a personal motivation, with passion and with purpose, to support Chai’s vital work. Among them was Zoe Sayliss, who, after her own cancer journey, raised an incredible £15,013.

‘Chai’s support has been a lifeline,’ she said. Jack Lewis honoured the memory of his late father-in-law, raising £7,548, while Adam Lisberg who raised £6,420, ran for his mother-in-law, and praised Chai’s ‘truly incredible’ services. Sebastian Pell battled injuries but finished strong, raising £6,071. Daryl Isaacs raised £3,928, Zack Cohen, £4,179, David Levine, £1,718 and Marcus Ardeman, £1,544.

Each pushed themselves to their limit for Chai. Caroline Tunkel, Chai’s Head of Community Engagement, said, ‘With every mile they ran, they helped ensure we can support families facing a cancer diagnosis. We are so proud of them all.’

Together Magazine 2025/26

Thinking outside the box Elisha Simonetti stepped into the ring for the Ultra White Collar Boxing Challenge after Chai supported a loved one during their breast cancer treatment. ‘We found comfort at Chai. I’m fighting so the next person can find it too,' said Elisha. To build his fitness and technique, Elisha completed a 12-week boxing camp.

‘I felt more excited than nervous on the morning of the fight… until 20 minutes before!’ Victorious after his bout, he said, ‘I feel hugely proud. You develop a profound respect for your opponent, regardless of the outcome.'

Cheered on by his mates, Elisha raised £745.

Running to remember For Anya Rose, running the Leeds Half Marathon in May was a very personal mission – to remember her auntie Jess Dvir z’l, and to raise money for Chai, which supported Jess and her family through her treatment for mesothelioma, a rare and aggressive cancer. Very sadly Jess passed away, aged 43 in early 2024. Says Anya, ‘Jess’s life was cruelly cut short, but throughout her illness, Chai was a lifeline to her husband Josh and their boys.’ Anya’s efforts raised £1,879.

WAYS TO GIVE Visit chaicancercare.org and follow our quick links to make donating easy MARK A SPECIAL OCCASION Nominate Chai to receive a donation in lieu of gifts.

Contact Jacki Stanton: jackistanton@chaicancercare.org or call on 020 8457 3231 FUNDRAISE FOR US We can support and advise you on how to make an event or challenge a roaring success.

Contact Caroline Tunkel at carolinetunkel@chaicancercare.org or call 020 8457 3233.

FOLLOW US ON FACEBOOK instagram

Sporty soap stars are a knockout Putting the fun in fundraising, Uptown Events held an ‘It’s a Knock Out’ style sports day in July to support Chai, in recognition of staff members affected by a cancer diganosis. Teams enjoyed a competition packed with running, jumping, inflatables, oversized costumes and plenty of slippery, soapy drama.

Notching up vital funds, Uptown directors, Adam Philips and Bert Habib doubled donations making a grand total of £2,348.

Families out in force for Maccabi Fun Run Smiles, cheers and a positive spirit at this year’s Maccabi Community Fun Run showed the strength of support for Chai. Thanks to grandparents, parents and children who joined in the joy and raised money for Chai's services.

Cha-cha-charity dancing Emily Aronson sparkled under the spotlight last November, at Manchester Maccabi’s Dancing Strictly show where amateur dancers fundraise for their chosen charity. After weeks of rehearsals with professional teachers, came the sequins, the lashes and the fake tan! Before an audience of 400 at Chetham’s School of Music’s Stoller Hall, Emily’s Charleston won the glitterball as she raised £1,562 for Chai.

DONATE ONLINE Swift, and secure, scan this QR code or click on the Make a Donation tab on our website and follow the instructions. chaicancercare.org/donate

BY PHONE Call Jacki Stanton on 020 8457 3231 or Dana Levene on 020 8457 3232

BY POST Send cheques or charity vouchers to: Chai Cancer Care 142 – 146 Great North Way London NW4 1EH LEAVE A LEGACY Visit Jewish Legacy Giving (jewishlegacy.org.uk) to find out more.

We would also be honoured to recognise your generosity during your lifetime.

Contact Emma Byre: emmabyre@chaicancercare.org or call 020 8202 2211

GIFT AID YOUR DONATION If you are a UK taxpayer, Gift Aid increases your donations by 25%. Download a Gift Aid Declaration form from our website.

FUNDRAISE FOR FREE Our new Charity Extra fundraising platform lets you raise money with no commission charges. It's so easy to set up your fundraising page, upload photos, see your donations, and update your supporters with news. See charityextra.com/cause/chai or scan the QR code.

GIFT ONLINE Hosting a Shabbat dinner, lunch or party?

Invite guests to skip the gift… and donate direct to Chai.

Visit giveitapp.org ECARDS Send a digital greeting with our new range of e-cards. Minimum donation, £1 per card. chaicancercare.org/ecards

MAKING A BANK TRANSFER? CHAI-LIFELINE CANCER CARE | SORT CODE: 20-65-89 | ACC: 70181153 | REF: TOGETHER

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Thanks to the generosity of the community, Chai Cancer Care provides specialised support to thousands of people across the UK who have been affected by a cancer diagnosis.

To find out more please call our Freephone Helpline on 0808 808 4567 or visit www.chaicancercare.org Services are available at: North West London South London | Essex Hackney | Southend Birmingham | Leeds Liverpool | South Manchester North Manchester Glasgow | Clients’ Homes

Chai Lifeline Cancer Care | Registered Charity No. 1078956

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