Under normal circumstances, Spread a Smile would be delivering 35 monthly visits to eight London hospitals, bringing fairies, magicians, face-painters, therapy dogs, singers and lots more to bring smiles to and enhance the wellbeing of seriously and terminally ill children and teenagers. As a result of COVID-19 we have had to suspend all visits and face-to-face contact with patients. But we know that those smiles are now more important than ever. Young patients in hospital have become more isolated than ever before. This is why we need your help. Because with your help, suspending our hospital visits does not have to mean suspending smiles.