This Christmas we are working with our London hospital and hospice partners to spread joy and laughter and to give you and your family the smiles you truly deserve in the unique Spread a Smile way.  All of the festive initiatives featured below are free of charge and available to children up to the age of 18 in current treatment or under the care of: Great Ormond Street Hospital, University College Hospital, the Evelina Children’s Hospital, the Royal Marsden, the Royal London Hospital, St Mary’s Hospital, the Royal National Orthopaedic Hospital, the Royal Brompton, St George’s Hospital and Noah’s Ark Children’s Hospice.  We are also delighted to extend these initiatives to your child’s siblings to ensure all children in your family feel included.  Please click on each initiative to read more and find out how to apply.  If you have any questions about any of our Christmas initiatives please contact

Santa's Grotto

From 14 December the Spread a Smile entertainers will be joining Santa in his grotto at the North Pole and your child and their sibling/s can join them via video conferencing.  


Children in hospital – If your child is in hospital, please speak to a member of the hospital play team regarding availability.  Siblings and other family members can also join in the fun from home.

Children at home – for visits for children in out patient care and shielding at home and their siblings please contact to register your interest.  We will return with further details about how to apply for a grotto visit.

Please note Santa Grotto visits are only available to those children in the care of one of our hospital partners (as listed above).


Hospital Gifts

From mid December we will be delivering more than 1,200 toys, games and treats to children and teenagers in the care of our hospital/hospice partners.


At this time and while we are unable to visit the children in person, the gifts will be distributed to children and teenagers on the wards by the hospital play teams.  


Smile Hampers

A Smile Hamper is a complimentary gift box containing a selection of toys, games and treats for children at home who are receiving care from one of our hospital/hospice partners.


It is our gift to your child and their siblings with the aim of supporting them through their treatment over Christmas and the difficult realities of extended periods of isolation at home.

Please note the deadline for applying for a Smile Hamper has now passed.  Deliveries will be made to children’s homes on 5th & 6th December (lockdown restrictions allowing).

If you have any queries please contact  


Visits & Workshops

Throughout December we will be increasing the number of virtual bedside visits from our fairies, musicians, magicans, poets and singers to children in hospital or shielding at home. 


Every visit is organised using video conferencing meaning that siblings and other family members can join from their own homes.  If you would like to book a virtual entertainment session please complete our Accessing our Services form by CLICKING HERE

In addition, we will be working with all of our hospital partners to host more art & activity workshops for all the children on a ward to share and enjoy.

Details of any workshops organised on wards will be shared by the hospital play team.

We will also stream shows live on Facebook on Christmas Day and New Year’s Day via Spread a Smile’s Facebook page.  Timings tbc.


Decoration Packs

This year, with covid restrictions in place, hanging Christmas decorations in communal areas in hospitals is not allowed. Throughout December and to get into the festive spirit, we will be distributing


hundreds of decoration packs to children in hospital so they can decorate their hospital rooms and beds. Each Deck Your Space pack will contain a host of materials to encourage every child to brighten their personal space with decorations, paper chains and cards.  These will be distributed via your play teams in hospital. 



Our magicians, musicians, singers, fairies and poets will be uploading lots of additional entertainment to Smile TV this December including magic shows, sing-a-longs, art tuitions and lots of fun and silliness. 


In addition, they will stream shows live on Facebook on Christmas Day and New Year’s Day via Spread a Smile’s Facebook page.

To access Smile TV CLICK HERE

Timings of Facebook Live sessions to be announced.