Meet Debbie, Spread a Smile Visit Manager
https://spreadasmile.org/wp-content/uploads/2023/08/Debbie-Visit-Manager-Website-News-Story.jpg 780 400 Susie Susie https://secure.gravatar.com/avatar/df35034d6e0dc0a34b96e2cbd5d9df5b1604bbb302409c0dcb03b9fd2cadd967?s=96&d=mm&r=gSpread a Smile Visit Managers play a vital role facilitating the delivery of our services across our hospital and hospice partners. Acting as the point of contact between our partners and the entertainment team, they ensure the smooth running of our visits.
Meet Debbie Tropp who has been a Spread a Smile Visit Manager for seven years and read on to find out more about her work.
Tell us about your role with Spread a Smile and what it involves…
“I started working for Spread a Smile nine years ago, providing monthly art and craft sessions at the Royal London Hospital in their huge playroom. Straight away I loved it. I love working with the amazing children and families, the fabulous medical staff, Spread a Smile’s talented team of entertainers and the incredible team in the office.
“Since the pandemic, I am mainly based at Great Ormond Street Hospital (GOSH), organising the regular weekly visits into the intensive care areas. This involves teaming up with one of our talented singers and visiting all of the babies, children and teenagers in the Paediatric Intensive Care Unit (PICU) and Cardiac Intensive Care Unity (CICU) and also the older babies in the Neonatal Intensive Care Unit (NICU). The singers will sing beautiful songs from nursery rhymes to Disney, show tunes and pop songs. We mostly sing to the patients but also take parent requests too. Anything goes really.
“I also help deliver the Spread a Smile weekly entertainer visits on a Thursday morning to GOSH, where we try and visit as many wards and hospital areas as we can, delivering a whole range of entertainment from music, to magic, to therapy dog and fairy visits.”
What does a day in the life of a Visit Manager look like?
“I meet up with the entertainer(s) before going into the hospital and we walk to the ward, always following infection control procedures. We normally see the nurse in charge or Play Specialist for a quick hand over and then proceed to walk around the ward, being mindful of what is going on for each individual patient.
“We absolutely love it when a staff member specifically tells us that they have someone they want us to see. It’s amazing how beneficial our interactions and singing are for the patient, parent and all medical and non-medical staff. Often, I observe staff singing along, tapping away or doing a fully shimmy as our entertainer sings to the child and family. A few times the medical staff have noticed positive changes in a child’s heart recording. Many times, I have seen children really relax and even fall asleep.
“We receive so many positive comments saying that our visits have helped reduce anxiety and brought out smiles in children who haven’t smiled for a while. I remember Tash, one of our singers once singing to three babies, one after the other, all in a row, sending them all to sleep. The atmosphere completely changed and staff and parents were all talking about the wonderful therapeutic value of soft singing.”
Tell us about your specialist work in the intensive care areas at GOSH
“I feel honoured to be allowed to visit the intensive care areas and help provide some therapeutic input in a very clinical situation. We started regular visits just before the pandemic lockdown and then worked closely with medical staff and Matrons to continue to deliver these sessions. Even during the pandemic, I would have an iPad and use that to deliver the entertainment, with our singers singing virtually. This is something we have continued with some of the most vulnerable children under infection control. It’s important work, providing much needed and wanted distraction, stimulation and entertainment to the patient and everyone in the room with them. Being able to visit these patients in PICU and CICU from outside the room means we can help create some very special moments and memories during a very intense time for the families.”
“We had a baby in PICU recently, who hadn’t slept properly all day and was lying in her Mother’s arm. I approached the Mum, quietly inquiring if they would like us to sing. At first she was a bit hesitant as her child was so exhausted, really struggling to sleep. Mum also said that her baby usually loved to hear singing especially Disney and nursery rhymes as she had an older child. I reassured Mum that we could stop at any time. Our lovely talented fairy Tamara sang very softly, nursery and Disney songs and you could just see the Mother and child relax and connect as Tamara sang. Around us the doctors were listening, the nurses were swaying and the parents in the next bed where smiling as they watched their child sleeping. The whole atmosphere was soothed by the singing. The Mum was so happy that we had visited that we ended up going back again to sing to her older child who came to visit a while later.”
What is the best thing about your role?
“Seeing the huge difference we make to children and families in the intensive care units is very special. It is also amazing to connect with the lovely caring staff in hospital who work so hard to support their patients.
“When a parent sees and shares the benefit of our visit with us, it’s amazing as we know that what we’re doing is worthwhile and making such a difference. We often support families who have been on the wards for a long time, and we feel part of their journey. When they get to go home, it is a very emotional time and it’s wonderful when they then access our Spread a Smile virtual entertainment, family parties and events. We are on their journey with them for as long as they need us.”
Can you share any poignant experiences with us?
“During lockdown, when infection control procedures allowed, I set up a music group with singing and instruments for a small group of children waiting for a heart and/or lung transplant in a high dependency unit at GOSH. I am a qualified Play Specialist and was allowed to come in once a week to spend time with a wonderful group of children. Only one parent was allowed to visit, so we would Zoom in other family members to join in with the session. It felt so important to be helping to connect families during one of the most difficult times of their lives, when the pandemic and serious illness were keeping them apart.
“Before the Pandemic we visited PICU and CICU once or twice a week. From the end February 2021, all visits stopped, so we made art packs to send in for the children on the wards, along with presents to help cheer them up. I agreed with GOSH and Spread a Smile that I would volunteer at the GOSH, using my volunteer badge and experience as a qualified Hospital Play Specialist. I was given a yellow volunteer top to wear and it felt like such a proud moment.
“I helped out on Bear ward once a week on a Tuesday and it was so strange at first wearing a mask for the whole day. It was hard for the patients and their families as only one parent was allowed to stay with their child on the ward and it had to be the same parent each time, meaning families where separated. I remember some parents didn’t get to see their children on the wards, for four months during the first lockdown.
“Alongside the music group, I also worked with Spread a Smile to deliver entertainment via Zoom on iPads so that the children could enjoy even more of the Spread a Smile ‘magic’. As time went on, we expanded our offering to other wards and I increased the number of days I visited, also being allowed to visit children in PICU. It was a challenging, but special time knowing we were making a difference when it was needed most.
“I love my work and one of the best things is when staff stop us as we walk around the hospital telling us that we do exactly what it says on our t-shirts ‘Spread a Smile’.
What’s more, Pan-n-Ice have recently launched a brand new, exclusive ice cream flavour in support of Spread a Smile.
This year we were joined by Amelia, Ridha and Ahmed along with their seven siblings and parents for four days, where they participated in many activities, such as pony riding, canoeing, forest school and meeting rescue dogs. They also created beautiful pieces of art with our incredible artist Marina, played many games, and enjoyed nightly campfires with music and singing. Our lovely aromatherapist, Priya, also helped everyone to unwind and relax with massage and aromatherapy treatments.
“It was wonderful to have time away as a family to escape from treatments and hospital and it really gave us the time to breathe. The Spread a Smile team are beyond amazing. They are just so understanding, warm and gentle with the children. It was so lovely to see and also to get a chance to have a rest as an adult.”
Every month, the team from Little Learners help to create a very special learning experience for young children on the wards, exploring tuff trays full of wet and dry ingredients, mark making to help build strong core muscles and encourage first steps towards writing, plus fun activities such as drawing, sorting, building and much more.
Camp Beaumont run multi-activity day camps across the UK and their Big Blue Bash on Friday 4 August is an opportunity to make a splash and invite children and their parents to donate to wear something blue and join in with lots of competitions and games on the day.
“With a shared commitment to spreading happiness, The Happy Hoodie Company will donate £5 from the sale of their Peppermint and Pink Cowl Smile Hoodie to Spread a Smile. This hoodie symbolises the joy and positivity that Spread a Smile brings to the lives of children facing serious illnesses. We hope that our customers and supporters will show their solidarity by buying one of the hoodies and joining The Happy Hoodie Company in making a lasting impact on the lives of those in need.” 
We were joined by Wild Science who brought along some gorgeous animals to hold and learn more about, including guinea pigs, rabbits and snakes. Our friends from the LEGO Group were on hand with trays full of LEGO® for everyone to get creative building and playing games and sets the children could take home afterwards, plus Hasbro manned their own Hasbro Nerf Blast and creation station! Guests also enjoyed the Gaming Party Bus – a state of the art mobile video game wagon, plus a truly slimy slime making experience with Slime Planet.
We are extremely proud to be able to deliver days such as this for the families we support. The sun shone and it was a wonderful opportunity for our guests to put aside their illnesses and worries for an afternoon and enjoy being together.
“I’ve been a children’s entertainer for 20 years, and love everything about my work; the joy it brings people, the fun I share with everyone, and the wonderful teams and people I have the pleasure of working with. I feel incredibly lucky to earn a living from something that brings so much happiness.
“When I meet a patient, I invite them to ask for a balloon sculpture they would like. I have a ‘menu’ of ideas to inspire them such as spiderman, a mermaid, unicorn, dinosaur, princess, tiger etc, but I am open to trying anything and often suggest they challenge me with an idea! This usually builds the excitement as they begin to think of something they think would be impossible to make. I always take on the challenge, and there aren’t many things I haven’t had a go at making.
“I’ve had some brilliant requests on my hospital visits, with some of the most memorable including a hedgehog and an axolotl. I make a lot of favourite footballers, Mr Tumble and Elsa. I’ve made balloon versions of favourite toys or pets as a lot of children are missing their pets, so they show me a photo and I build them a balloon version of their cat, dog, rabbit or guinea pig, so that it matches perfectly. I’ve even been asked to make a sculpture of one of the nurses on a ward!”
“Absolutely no words to say how grateful we are for this afternoon – an incredible show! All thanks to you and your ever so fab team.” Parent
It was a pleasure to welcome 14 of the families we support on board the double-decker bus for a Paddington-themed afternoon tea featuring ‘the best marmalade sandwich ever’! Guests enjoyed entertainment from Spread a Smile’s Mr Magic and entertainer Ellie whilst driving around London and taking in some of its famous landmarks. One guest said,
Since October 2022, we’ve been running special cookery days at Underground Cookery School in partnership with Teens Unite Fighting Cancer. Together we welcome young people affected by serious illness to learn how to cook a delicious 2-course meal before sitting down together to enjoy the meal they have prepared.