
Toms attended the South African Christian Leadership Assembly (SACLA) in Pretoria during which he was instructed to set up a clinic in Crossroads, a squatter settlement 15 km outside Cape Town. At the time, the people of Crossroads had no access to health facilities. Together with the Rev David Russell, Toms set up the Empilisweni SACLA Clinic Committee with residents of Crossroads and Rev John Freeth of the St John's Parish, Wynberg, Cape Town. He was the only doctor caring for 60 000 squatters.
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