Our mission is to bring joy and laughter to as many seriously ill children as possible.
We meet the majority of the families we support through our work in 39 NHS hospital partners, often becoming a source of ongoing support for them during their time in hospital. Of these 39 hospitals, 14 are specialist NHS children’s hospitals providing cancer care around the country. As a result of this widespread support, 54% of the children and young people we support are living with cancer. This is perhaps unsurprising, given that cancer is the most common serious illness affecting children in the UK.
We also support children receiving cancer treatment at both of the UK’s NHS Proton Beam Therapy Centres – The Christie
in Manchester and University College London Hospital (UCLH), helping to bring moments of joy and distraction during what can be an incredibly difficult time for children and their families.
High energy proton beam therapy is a specialised form of radiotherapy used to treat a wide range of cancers, targeting tumours precisely and minimising damage to surrounding healthy tissues. The process often involves weeks of treatment and our services, both in person and virtual, provide children and young people receiving the treatment with the chance to smile, have fun, connect and simply be a child again.
This could be through our in-person visits, whereby our entertainers, from musicians to magicians, therapy dogs, artists and poets, use their talents to help distract and engage with children receiving treatment in hospital. Or through our range of family events which include afternoon teas and trips to the theatre or cinema and welcome seriously ill children along with their whole family to enjoy a special, free day out together (where they are all thoroughly spoilt!)
Spread a Smile is also the provider of bespoke, hand-painted radiotherapy masks. As part of our art programme, we support hundreds of children and teenagers going through radiotherapy every year for head, brain or neck cancers by personalising their radiotherapy masks.
The masks (or moulds) are necessary so the treatment can be delivered as precisely as possible, requiring the child to be strapped to the table or to undergo general anaesthetic. It can be an incredibly frightening experience.
Our team of artists, led by our Head of Art, Marina, work closely with young patients to find out their interests and how they would like their masks decorated. Sometimes a patient draws their own sketch and then Marina will take the ideas and create a bespoke and individual decoration for the mask.
The process helps to make the mask less frightening, and experience shows that the patient often becomes very proud of their mask, as Freddie’s Mum Charmaine told us, “As a Mum it was traumatic watching Freddie have the mask put on as it is so big, and they have
to clip it into place around the bed. But seeing it looking so special and personalised made things a little easier.
“He didn’t mind wearing his mask once it was painted and enjoyed talking with other children about what they had on their masks. He was so proud to show it to people. We now have it home and it is a prized possession on his desk which he proudly shows to everyone who comes in. His mask was his protection, and he was proud of what he had been through.”
With the 2026 NHS National Cancer Plan for England acknowledging for the first time that children and young people living with cancer have unique needs that extend beyond just clinical care, our work is even more important than ever.
Alongside treatment and recovery, the Plan highlights the importance of emotional wellbeing, positive hospital experiences and holistic support for children and families. And that’s where Spread a Smile comes in. We are committed to being there for seriously ill children across the country with smiles, fun and laughter, during some of the most difficult times of their life.
To stay up to date with our work and how you can get involved, please sign up to our e-newsletter here.
Or why not make a donation to ensure we can continue to bring joy and laughter to seriously ill children when it’s needed most.