Bay
Bay fell suddenly and unexpectedly ill when she was two years old, with a blood test revealing worryingly elevated levels of potassium leading to a sudden deterioration in her health and the discovery that Bay’s kidneys were failing.
Things moved very quickly with Bay being transferred immediately by ambulance from her local hospital to Great Ormond Street Hospital (GOSH).
Mum, Jen said, “When ‘kidney failure’ was mentioned, my world collapsed. Bay was intubated as soon as we got to GOSH and I was told she wouldn’t survive the night. We had a fight on our hands from that minute, and Bay spent the next 2-3 weeks intubated whilst they stabilised her. It was a terrifying time as we didn’t know if Bay would survive, but after some complications and a month or so, she was moved out of intensive care to the renal ward at GOSH so we could start dialysis.
“Both myself and Bay’s Auntie learnt how to manage the dialysis so we could eventually go home and treat from there. After three months, we were back at home adjusting to our new life, with Bay on dialysis every night for between 12-18 hours every day. This lasted for three years.”
Spread a Smile first met Bay and her family early on in her journey when Bay was just two years old and an inpatient at GOSH.
“I’d taken Bay down to Coram’s Fields to play and we noticed that Spread a Smile had a party going on. Debbie from the team approached us and invited us to join in the fun and it was absolutely mesmerising. We were showered with love and support from the start and Debbie really took us under her wing, looking after us the whole time. She took our details after that and so our lovely relationship with Spread a Smile began.
“We would see the Spread a Smile entertainers as much as possible whenever we were in hospital and I couldn’t imagine life there without them there. Being in hospital can feel pretty bleak when you have a young child who isn’t allowed out of their room, let alone off the ward. You exhaust all the play options pretty quickly and it becomes harder to keep them entertained. But when Spread a Smile walk in, they inject happiness, optimism and fun straight away. The team got to know her and what she likes, distracting her from what’s going on medically and her spirits are lifted. They became like a reassuring blanket for Bay and even after 7 years, her face still lights up whenever she seems them.
“One year we went to the Spread a Smile Winter Party and Bay’s cousins came as well and we were all wonderfully spoilt. It’s so nice for Bay to do things with her family after all the trauma and to have the opportunity to have so much fun together.
“The last 7 years have been really challenging at times, but when I think back, I can think of Spread a Smile in amongst it all and it’s nothing short of wonderful. For me, they bring familiarity, friendship, love and the sense of normality from just being able to watch your child play. You forget you’re in hospital when Spread a Smile are around and I can have five minutes to breath as I trust them and know she is safe and entertained with them. When Bay is happy, Mummy is happy!”
In August 2021, Bay underwent a kidney transplant and although the operation went well, there were complications which meant Bay spent another four months back in hospital, starting in intensive care.
“That was a tough time and once we were home it took a while to rehabilitate Bay. She’d become frightened of something bad happening, but Spread a Smile were there the whole time, offering support and distraction. Bay took part in virtual sessions with their entertainers and also loved it when they visited her in hospital. She does art sessions online and got to know her friend Aditi. They love meeting online to talk about what they are going to do.”
In December 2024, Bay was diagnosed with post-transplant lymphoproliferative disorder (PTLD), a serious complication that can arise after organ transplantation. Bay started chemotherapy and immunotherapy straight away with initial concerns as to the prognosis due to her fragile cell count and kidney transplant.
“We went to a Spread a Smile LEGO event, and I found a shoulder to cry on in Ellie. I just poured my heart out to her as I couldn’t believe we were in that situation and having to go through even more heartache. And once again, Spread a Smile was there for us when we needed someone. Fortunately, the situation changed and Bay was able to switch onto blocks of aggressive chemotherapy.
“Bay has finished chemotherapy now and in November 2025, we found out that she is in complete metabolic remission and she rang the end of treatment bell at GOSH. We will still have lots of follow ups and checks, but we’ve come out the other side of the kidney transplant and she’s doing really well. And Spread a Smile are still there for us, with Bay doing 1-2-1 virtual art sessions which she loves, along with music and magic shows. Spread a Smile really are wonderful. A familiar, warm wonderful and I don’t know what we’d do without them.”
Just £30 will help fund an entertainer visit for a child in hospital.
Please help ensure we can continue to support children and young people like Bay and their families by donating today. Thank you.





“Yusra’s experience as a sibling is one of the most beautiful aspects of Spread a Smile and how they include and support siblings. Yusra, being six years old, has grown up in an environment where much of the focus is on Nusrah ‘s medical needs. She adores her sister, but there are moments when the reality of having a sibling with complex needs can be tough for her. Spread a Smile has given Yusra something just for her—something that acknowledges her feelings, gives her joy, and allows her to be a child without the weight of responsibility. 
“We first met Spread a Smile on one of these visits to GOSH and it couldn’t have been at a better time. Brett often found treatment very distressing and we’d had a particularly difficult time, with him getting very upset and his sister Ella getting scared by what was happening. Then Spread a Smile knocked on our door and helped to distract them both from what was happening. They sang and did some magic and made little bracelets with the children. The mood lifted and it was such a relief.
some brilliant Spread a Smile family events such as an Everyman Cinema trip, a LEGO event and their winter Party. It’s been great for us to do something as a family and for Brett to meet and see other children life him who are having home treatment. At the last Winter Party he saw another child with a medication backpack saying, ‘Look Mummy, another child like me. 
Alexia loved taking part in the weekly art classes and really enjoyed the days when Buddy the therapy dog would visit. The visits from the therapy dog was one of the things that impacted Alexia the most. Many times, when she was admitted to hospital and was so weak that she could not move much, she would ask for the therapy dog to lie next to her on the bed and she would stroke him. His warmth and gentle nature provided Alexia with great comfort during times of distress and helped to give her the strength that she could get through it.
how happy she felt when she saw Spread a Smile’s entertainers and how they made her forget how difficult it was being in the hospital. For her 10th birthday she shared how much of a difference Spread a Smile made to her life at hospital and asked family and friends to donate money to her fundraiser for Spread a Smile instead of giving her a birthday present. She was really chuffed to raise even more than she thought she would have and managed to raise £750.




“We were in one Friday and met one of the lovely Spread a Smile artists who created a beautiful sign for him to go on his box for all his hospital playthings. Jacob loves Rubik’s cubes so the artist drew his name on it with a Rubik’s cube, which he loved. We also met a balloon modeller who made him a Rubik’s cube out of balloons. She said she’d never made one before, but she did a brilliant job and he thought it was fantastic. 
“Freddie went through 9 rounds of chemotherapy and 7 weeks of daily intensive radiotherapy at GOSH and UCLH due to the aggressive nature of the tumour. It was during this time that we met the Spread a Smile team. Freddie met therapy dogs, singers and artists and he particularly loved Abi, the graffiti artist. She would write his name and he would colour it in and she showed him how to do spray art and use acrylic art. He absolutely loved it and it helped to distract him from his treatment so much. He was in a trance with it and carried on with one-to-one sessions with Abi online to learn even more. Art is his therapy, and he loves doing an art club with Spread a Smile along with his siblings every week. 

“Spread a Smile shines a little light through all the worry and darkness, particularly at Christmas time. Folakemi and her sister Tempitope are so looking forward to receiving their Smile Hampers. The excitement and joy are wonderful and it brings a tear to my eye watching them laugh and unwrap their gifts. It means the world to all of us.”


“It was such a worrying time for us, with Teddy so unwell and being away from home. When Teddy first moved into his room on the transplant ward, his room was covered in mermaids and we wanted to try and make it feel more personal and a bit more like home. One of the hospital Play Specialists mentioned that there was a Spread a Smile artist, Marina, who could paint some murals especially for Teddy.
“We also met Laura from the charity who explained what Spread a Smile does and how they could support Hannah. Laura was so kind, asking Hannah what she was interested in and listening to her and what she had to say. We realised that Hannah really enjoyed art and so she started weekly art classes in hospital with Abi, one of the Spread a Smile artists. Hannah also loved meeting the magicians and therapy dogs – Buddy, Harry, Thomas and Chocco!
“During the Covid pandemic, Spread a Smile adapted very quickly to continue their support online. Isolation during the pandemic was even worse. I was in hospital with one or both of my children 14 times during this time and at times we weren’t even allowed out of our room to go to the kitchen because of the serious infection risk. The Spread a Smile online sessions meant we could connect with a friendly face. Taking part in the activities was an amazing creative intervention at a time when the kids were missing out on so much play.
“Spread a Smile plays a vital role for Luke and the sessions have become a regular feature of his week. As they are online, he can take part and connect wherever he is – in hospital or at home. He has built relationships and they have remained consistent which has been important when he has to deal with so many other professionals elsewhere.
“Even though JJ is in remission from his cancer, Spread a Smile hasn’t forgotten us and the support is still there. It makes a massive difference to me as his Dad, as I can see the joy and happiness JJ gets out of everything Spread a Smile does.”

“By this point, Ava had been off school for quite a while during and post Covid and she was feeling incredibly lonely and isolated. Then the Spread a Smile Fairy turned up on our doorstep, singing to us and providing an injection of pure joy and happiness. It was like liquid sunshine, brightening our day and Ava thought it was the best thing in the world.”
“As a Mum, it’s wonderful to see how much happiness both Ava and I find with Spread a Smile. The days are long as we have to spend a lot of time at home. I can feel very alone sometimes as I might not see other people, apart from Ava’s support carers, for days at a time. Spread a Smile welcomes us 
“Spread a Smile has really helped with Ciara’s recovery from illness. Their sessions have felt like therapy for both Ciara and myself as they are something special to join in with. It’s been a real treat for her and for me to see her actually enjoying herself. Although we have only met Spread a Smile once in person, the online Zoom sessions have been vital for Ciara as she finds it hard to leave the house and is anxious around other kids. Having regular Zoom sessions and getting to know a few of the Spread a Smile fairies and staff has been a God-send for our neurodivergent young person.