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2021-03-31-accounts

k Epttrt31DnioDI ID bosiiit?Is SPREND ANNUAL REPORT 2020/21

CONTENTS

01 Welcome and Introduction

04 Achievements and Performance

17 Our Future Plans

18 Fundraising Summary

20 Thank you to our supporters

22 Financial Review

22 Statement of Trustees’ Responsibilities

26 Statement of Financial Activities

27 Balance Sheet

28 Statement of Cash Flows

29 Notes to the Financial Statements

Independent Auditors

Berg Kaprow Lewis LLP Chartered Accountants 35 Ballards Lane London N3 1XW

Bankers

HSBC 12 Hampstead High Street Hampstead London NW3 1PY

Registered Office

35 Ballards Lane London N3 1XW

Principal Office 51 Chalk Farm Road London NW1 8AN

Natwest 1 Abbey Road London NW10 7YQ

Registered Company Number 08443236 Registered Charity Number 1152205

Page 1

There are currently 86,000 children in England living with life-limiting or life-threatening conditions under the care of the NHS. Spread a Smile provides critically ill children with access to enhanced play and entertainment during some of the darkest times of their lives. Our teams of entertainers including fairies, magicians, singers, artists, face-painters and therapy dogs make regular bedside visits.

Hospital play and entertainment must be seen as essential for helping sick children to cope effectively with illness and hospitalisation. From the moment of diagnosis, Spread a Smile has a direct impact on the wellbeing of these children by delivering services that reduce anxiety, build confidence and self-esteem and provide a distraction from difficult treatments and painful procedures.

Spread a Smile is there to support families throughout all stages of illness and treatment, taking the pressure off parents and carers by bringing smiles and laughter during long hospital stays and helping to create positive memories and rare moments of joy. Our holistic family-first approach means that parents and siblings are not forgotten during these difficult times.

We partner with NHS hospitals to enhance their play provision and provide much needed support which would otherwise not be available.

Page 2

A YEAR LIKE NO OTHER

6 APRIL Delivery of hundreds of Easter eggs to children in hospital.

10 MARCH

2 APRIL

Spread a Smile stops all Launch of Virtual Visits – in-person hospital visits in one-to-one entertainer visits response to Covid-19 outbreak. via video conferencing enabling us to entertain children at their hospital bedsides or while 18 MARCH they were isolating at home Launch of Smile TV– a 24/7 between treatments.

12 APRIL

Delivery of thousands of boredom-busting art & craft packs to children in hospital.

Launch of Smile TV– a 24/7 secure platform featuring inspiring and engaging pre-recorded videos by our professional entertainers and artists allowing us to continue to entertain children as hospitals implemented lockdown measures.

3 APRIL

professional entertainers Hosted our first Smile Party and artists allowing us to via video conference enabling 30 APRIL continue to entertain children children isolating in hospital We host our first as hospitals implemented or at home to celebrate their group virtual visit – an lockdown measures. birthday with family and friends entertainer joins a with their choice of entertainer. group of children on the same hospital ward, 20 MARCH aimed at increasing Bespoke videos 6 MAY connectivity and peer – introduction of Team training delivered on support for children personalised recordings how to use video conferencing isolating in their beds. for children in need of effectively with patients. additional support through a difficult treatment, procedure or struggling 19 MAY 16 JUNE with the implications of Our artists returned to Our artist paints first mural long term hospitalisation. hospitals to restart painting at St Mary’s Hospital to radiotherapy masks for brighten paediatric wards children in treatment and waiting rooms. for head & neck cancers. MARCH APRIL MAY JUNE JULY AUGUST

2 MARCH The government holds a COBRA meeting to discuss its preparations and response to the Covid-19 virus.

16 MARCH UK government introduces official lockdown. Prime Minister Boris Johnson advises everyone in the 3 APRIL UK against “non-essential” travel and contact with others.

NHS Nightingale Hospital London, the first temporary hospital to treat COVID-19 patients, opens at the ExCel centre in East London.

26 MARCH Lockdown regulations come into effect, significantly extending the range of businesses that are required by law to close with immediate effect including all retail businesses not on an approved list. These regulations also include significant restrictions on freedom of movement.

5 APRIL

Prime Minister Boris Johnson is admitted to hospital after testing positive for Covid-19.

30 APRIL

The UK stages its first weekly round of applause for NHS staff and key workers.

Page 3

----- Start of picture text -----
KEY
1 JULY Entertainer Visits Family Art National
Children and young people take / Digital Services Events Initiatives milestone
part in card making competition in
partnership with thortful with winning
cards sold in aid of Spread a Smile.
6 JULY 1 DECEMBER 2 FEBRUARY
Update of safeguarding policy Exclusive screening of Launch of Virtual After
with a particular focus on digital. Peter Duncan’s online school Club – twice
pantomime. weekly live sessions
for young patients
20 AUGUST 5 DECEMBER and their siblings to participate in art, music
Introduction of Delivery of first Smile
Virtual Activity Days Hampers full of toys and and dance activities.
offering interactive activities to entertain young
entertainment and play patients in out-patient care. 15 FEBRUARY
activities for patients Distribution of
and siblings during the 7 DECEMBER iPads to our hospital
school holidays. Delivery of thousands partners as part of the
of Christmas gifts across charity’s commitment
our hospital partners for to digital inclusion.
29 OCTOBER distribution to children and
Virtual Half Term young people throughout
Activity Days. the festive period.
14 DECEMBER
1 NOVEMBER Launch of Spread a
1,000 colourful fleece Smile’s Virtual Santa’s
blankets delivered to Grotto visited by
children and young people hundreds of children in
in hospital to personalise the run up to Christmas.
their beds and spaces.
SEPTEMBER OCTOBER NOVEMBER DECEMBER JANUARY FEBRUARY
22 SEPTEMBER
PM announces new restrictions
in England, including a return to 6 JANUARY
working from home and 10pm England enters third
curfew for hospitality sector. national lockdown.
19 JUNE
----- End of picture text -----

19 JUNE The UK’s Covid-19 Alert Level is lowered from Level 4 (severe risk, high transmission) to Level 3 (substantial risk, general circulation).

2 NOVEMBER Second lockdown ends and England returns to a stricter three-tier system of restrictions.

23 JUNE PM says UK’s “national hibernation” coming to an end announces relaxing of restrictions and 2m social distancing rule.

19 NOVEMBER

PM announces tougher restrictions for London and South East England, with a new Tier 4: ‘Stay at Home’ alert level.

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2020[–] 21 IN NUMBERS

minutes 97,070 of contact time with children and their families.

young patients 3,297628 and siblings enjoyed virtual entertainer visits.

Partnered with leading NHS 12 hospitals and one children’s hospice.

193 children and families met Santa in our virtual Christmas Grotto.

Smile TV recevied views 8,541

children 1,450 received Christmas gifts

88 children

received hand painted radiotherapy masks.

12,845

children benefited from our treat drops.

6,495

hospitalised children received a boredombusting activity pack.

23,921 smiles spread across all our services.

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A MESSAGE FROM OUR CHIEF EXECUTIVE AND CHAIR OF TRUSTEES

The past year has been one that has been truly like no other. Our financial year began in April 2020, two weeks into the first national lockdown. We immediately knew that Spread a Smile’s services would be needed more than ever and that, despite being unable to visit hospitals in person, we absolutely had to continue to deliver smiles.

The impact of the Covid-19 pandemic on the families we support was devastating. The children, young people and families became more isolated than ever. Only one parent could be with their child on the wards, siblings and extended family could no longer visit and play services were stretched almost to breaking point.

We adapted with incredible speed, launching Smile TV in March 2020 and virtual visits in April. We transformed the way we worked, setting up our team with equipment so that they could film themselves at home as well as training our team to use Zoom and rapidly upgrading our digital safeguarding procedures.

What we thought would be a short-term solution has enabled us to deepen the support we provide. We are now able to deliver our entertainment to the children who are most isolated in hospital, who

we previously couldn’t reach; we can see children who might not have been in hospital on the set days we’d visit; and, we entertain children and young people whilst they are at home.

We will return to a full schedule of inperson hospital visits as soon as we are able to, but digital has transformed the charity and it is here to stay. Digital means we can spread smiles further afield and work with hospitals around the country. We have ambitious plans that will see us continue to grow to deliver our muchneeded services to every major children’s hospital throughout the country by 2024. We are proud to have strengthened our relationships with the play teams within our NHS hospital partners and work closely with them, enabling them to provide an enhanced service to their patients.

Our fundraising strategy was significantly affected by Covid-19. Our fundraising team worked incredibly hard to find new ways to raise money and the results you can see in this report speak for themselves. The funds we raised this year will put us on track to achieve our ambitious growth plans to spread smiles to seriously ill children across the country.

All of this is only possible thanks to our incredible donors. This year you rallied round to find new and innovative ways to support us during such a tough time and we have never been more proud or grateful. Thank you to all our partners, volunteers, our professional office team, our talented entertainers and our dedicated trustees, who guide us to advance our services.

Thank you.

Lucy Jackson Paul Godfrey Chief Executive Chair of Trustees

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LILY’S STORY

In December 2020 Lily was diagnosed with a rare form of cancer. Lily, who is now 10, went through long periods in hospital and due to Covid-19 restrictions, wasn’t allowed any visitors.

Following her diagnosis, Lily spent time at Southampton Children’s Hospital, UCLH for radiotherapy and The Royal National Orthopaedic Hospital for surgery on her leg. Only her mum could be with her in hospital so this has meant huge amounts of time away from her dad, brother and sister and lots of time spent in different hospitals far away from home. Quite early on in her treatment, the play specialist at Southampton Children’s Hospital arranged for Lily to have regular entertainment sessions with Spread a Smile. Lily said, “Spread a Smile took my mind off being in hospital or feeling sick. One session was art and the artist, Laura and me drew owls. Now I’m drawing loads of cartoon superheroes – Wonder Woman,

Batman and Spiderman.” Lily’s brother and sister would often join her Spread a Smile sessions from home, or join in when Lily was at home in between treatment. Lily said, “They even managed to get Daddy dancing!”. Lily also joined in lots of sessions when she was staying in London for six weeks for radiotherapy at UCLH. From there, Lily joined in with a half term festival make up session, Horrible Histories and so much more.

Spread a Smile took my mind off being in hospital or feeling sick.”

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A MESSAGE FROM OUR CO-FOUNDERS

The past year has seen so much change for Spread a Smile. As always, we are continuously inspired by the strength of the families we support who demonstrated so much resilience and determination during what was the toughest of years. Families were faced not only with devastating diagnoses and ongoing treatment, but also the challenges of the Covid-19 pandemic which meant they were more isolated than ever before. Long hospital stays meant being cut off from the rest of their family and fear of the unknown or how the pandemic would affect them.

We knew from the start of lockdown that our services were needed more than ever before and we are particularly proud of our team who innovated and pulled together to ensure that we could continue to spread the smiles we’ve been spreading since 2013.

Spread a Smile is there to support families throughout all stages of illness and treatment, taking the pressure of parents and carers by bringing smiles and laughter during long hospital stays and helping to create positive memories and rare moments of joy. Our holistic, family-first approach means that parents and siblings are not forgotten during these difficult times. During the Covid-19 pandemic, it became clear that our support for siblings was needed more than ever. Siblings of children in hospital could feel ignored or side-lined whilst one of their parents was living in the hospital and they were unable to visit their other children. Our virtual visits meant that siblings at home could join in with our entertainment sessions. We also ensured they were included in our Christmas gift delivery and treat drops.

Throughout the year and in response to the needs of the families we support, we have increased the range of entertainment on offer to include music lessons, art sessions, a twiceweekly after school club, wellbeing sessions for parents and lots more. We are always talking with and listening to parents and their children about what they want and what will make a difference to them. We know one size never fits all. Every child is different and we continue to pride ourselves on the personal approach we take.

We would like to take this opportunity to thank all of you who support our work. We are always blown away by the innovative fundraising that you do to help us continue to spread smiles – particularly during the pandemic. From virtual bike rides and runs to tea parties and toy sales, each contribution is so appreciated. Thank you also to our dedicated trustees, office team, volunteers and our entertainers. Together you make each smile a reality and we couldn’t be more grateful for your contribution.

Josephine Segal Co-founder and Trustee

Vanessa Crocker Co-founder and Trustee

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OUR AIM

Spread a Smile’s aim is to support the wellbeing of seriously ill and hospitalised children through the provision of enhanced play and entertainment that distracts from pain and treatment, alleviates the monotony of long and repeated hospital stays and creates positive experiences at the most challenging of times.

To meet our aim we provide three core services

  1. Entertainer Visits – scheduled inperson and virtual visits to children and young people under the care of all our NHS hospital partners from our team of professional entertainers including artists, magicians, musicians, fairies, poets and more. Also includes therapy dog visits.

  2. Family Events – an extended programme of family-focused theatre trips and in-person and virtual family, sibling and teenage events plus regular treat drops across all our hospital partners.

  3. Art Initiatives – Creating colourful murals on hospital wards and windows to make the hospital environment a more welcoming place for young patients and their families. Our hand-painted, bespoke masks and moulds support young patients undergoing radiotherapy treatment.

Prolonged and repeated hospitalisation raises the chances of patients experiencing increased anxiety and upset, loss of self-confidence and feelings of isolation and sadly, most children and young people will experience some degree of emotional distress during long and repeated hospital stays. We believe play and interactive entertainment are essential in helping them cope effectively with their illness and hospitalisation and in maintaining a sense of normality in an abnormal environment. The benefits of a more positive experience can reduce anxiety, build self-confidence, lead to greater cooperation with medical staff and procedures, as well as improving recovery time and reducing time spent in hospital.

Every year we support the wellbeing of thousands of seriously ill young patients during their hospital stays, periods of recuperation and respite at home. Our services are available free of charge to all children and teenagers up to and including the age of 18 and under the care of our growing network of NHS partners.

We have been in/out of hospital for the last five years. During this time there have been highs and lows. During some of the lows your entertainers took time to stay with our son and interact with him when he has been so ill that he has lost all interest in play, but they managed to re-engage the magic. Without you it would have been a negative spiral and we could have ended up in a scary place.”

Parent

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DAYA AND JASMINE’S STORY

Twins Daya and Jasmine were born prematurely at 32 weeks and started life in intensive care.

Jasmine was born profoundly deaf and disabled with multiple complex issues.

Daya was diagnosed with stage 4 metastatic neuroblastoma, a very rare and aggressive type of cancer, at the age of 11 months. She has had nine rounds of chemotherapy, major surgery in New York which lasted 12 and a half hours, six months of painful immunotherapy and three weeks of daily radiation. She has had multiple infections, scans, procedures and five different central lines during this time. In all she has had over 60 general anaesthetics and has spent the vast majority of her life living in isolation be it in hospital or at home.

Most of the time Jasmine and Daya were in isolation due to infection risks so could not see their sister, Anaya.

Initially, Daya would watch the Spread a Smile entertainers from behind the door of her hospital room. She was weak and thin due to treatment and her suppressed immune system meant she needed to remain in isolation. Eventually she was well enough for her door to be opened. Since then Daya and her sisters have enjoyed playing with our fairies, laughing with our magicians, singing nursery rhymes and showtunes with our musicians, meeting characters such as Paw Patrol and Peppa Pig, visiting Santa’s Grotto and family trips to the theatre.

The pandemic brought an additional period of protracted isolation for the family. Daya’s immune system remains severely compromised and she continues to spend repeated and extended periods of time in hospital. Joining in virtual visits with our entertainers has enabled her to continue to sing, laugh and smile, supported her emotional wellbeing and provided invaluable shared experiences with her parents and sisters.

Pam explains, “Spread a Smile allows children to be children. You bring in the magic and wonder that enables families to make positive memories in what are, more often than not, life threatening situations for their children. I could only entertain my daughter as a mother who was carrying the heavy burden of responsibility, potential loss and relentless fatigue. Your entertainers continue to make us all smile, they distract us and bring joy. Everyone is uplifted after your visits.”

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OUR SERVICES

ENTERTAINER VISITS

When children are first diagnosed with a life-threatening illness, the focus is primarily on treatment and keeping them safe and alive. Hospitals, operations and treatments can be very frightening. Sadly, long-term hospitalisation can have an overwhelmingly negative impact on their emotional wellbeing and they can become anxious, scared, isolated and lonely.

Entertainer visits are at the very heart of our services. Our professional entertainers including magicians, musicians, fairies and artists are there throughout a child’s hospital stays to offer much-needed distraction, to help them reclaim their childhoods and to provide an opportunity to smile, laugh and have fun, even on the most difficult of days. In March 2020, we were delivering 34 monthly in-person visits, making hundreds of bedside visits.

We work in close partnership with NHS hospital play teams to provide direct support to young patients and their families. We also support play team projects and initiatives that enhance their practice and assist in the development of new and essential services for young patients and which help children and young people manage and make sense of their illness and healthcare journey.

The national lockdown in March 2020 meant the immediate suspension of our programme of in-person visits to children in hospital. Knowing the adverse effect the new hospital restrictions would have on young patients, we immediately invested in new infrastructure to allow us to continue to support critically vulnerable children who now found themselves more isolated than ever before. The solution was Spread a Smile Digital, a blend of live and pre-recorded entertainment which incorporated:

3,925 virtual entertainer visits – one-to-one visits and group visits for all the children on a hospital ward with an entertainer and providing young patients the opportunity to socialise and interact with their families, friends and peers

8,541 views of Smile TV - a secure platform, delivered by Kaltura, available 24/7 featuring pre-recorded entertainment created by our entertainers and including magic shows, sing-a-longs, storytelling, art & craft tutorials, messages of support and interviews from celebrities

116 attended our Virtual Activity Days – a full day’s entertainment with multiple activity sessions during the school holidays

118 children attended Virtual After School Club – regular sessions offering a host of online activities and interactive play for children from different hospitals and at home to come together

13 children and 117 of their friends had a Virtual Smile Party – the opportunity to celebrate their birthday from home or their hospital bed, joined by friends and family and entertained by us

91 children and young people received bespoke pre-recorded videos and messages – to support those struggling with treatment, anxiety and issues of separation

During lockdown Spread a Smile has been a godsend. With no visitors allowed, hospital days were dragging but your sessions made the day more structured. The sheer smile and delight when a session was in progress was priceless.”

Parent

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What had initially been considered a shortterm solution has become an integral part of the charity’s service. Spread a Smile Digital has proved an invaluable resource in supporting young patients and its flexibility allows children and teenagers to choose the

time and place. It is also spearheading our national ambitions, enabling us to form new partnerships with NHS trusts outside of London and will complement our face-to-face visits as and when it is safe for us to return to hospitals.

97 %

of parents/carers believe our services had a positive impact on their child’s emotional wellbeing

90%

of parents/carers believe our services provided their child with a distraction from treatment

69%

of parents/carers believe our services improved their child’s compliance with medical procedures Spread a Smile Survey September 2021

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OUR SERVICES

FAMILY EVENTS

Having a seriously ill child in the family has incredibly far-reaching implications. In many cases a family member may have to leave their job or make other major changes to their lives to care for their child. The impact of long-term treatment and hospitalisation can lead to additional pressures on family life, including strained sibling relationships, marital stress and financial difficulties.

That is why Spread a Smile hosts regular family events such as theatre trips and parties, which allow children and their families the opportunity to spend precious time together outside of the hospital environment and away from the day-today pressures serious illness can bring. These events were not possible during the pandemic and over various lockdowns, so we found new and innovative ways to offer shared experiences, peer support and rare moments of joy to create lasting memories to sustain families through incredibly difficult times. We continued to provide activities that could be enjoyed by all the family, relieved the pressure on parents to entertain their children and with a particular focus on sibling inclusion. This resulted in:

12,845 children and their siblings received boredom-busting activity packs, ice creams on National Ice Cream Day, trick & treat buckets at Halloween and regular treat drops such as popcorn, jellies and magazines

1,450 children and their siblings received age-appropriate gifts over the Christmas period

193 patients and their families visited our virtual Santa’s Grotto over Christmas to meet Father Christmas and his elves, our magicians and singers

141 patients and their siblings participated in activity days, held during school holidays and enjoyed a range of sessions including art, baking, dancing, animal fun and more. Feedback from children led to our most popular sessions including Wild Science (with animals) and Festival Make-Up

28 patients and their siblings participated in cake decorating workshops

19 children met virtually on a regular basis as part of the Spread a Smile Choir

I am very grateful for all the support that you have given to my daughter, each activity is a motivation for her that helps her to forget a little about the difficult situation she is living with her illness. Thank you very much for the impressive work of bringing a smile or just a gesture of joy to these young people who need it so much. With all my heart… thank you”

Parent

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90% of parents/careers believe our services engaged their child to socialise and connect with others

80% of parents/carers believe our services reduced their child’s pain and anxiety

90% of parents/carers believe our services boosted their child’s confidence and self esteem

Spread a Smile Survey September 2021

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OUR SERVICES

ART INITIATIVES

Art is an important part of every child’s development. It encourages them to express their creativity, develop motor skills and heightens their ability to communicate and problem solve. For children in hospital, art related projects and activities provide a welcome distraction from treatment, alleviate the monotony of the hospital environment and make the hospital a more welcoming place.

Radiotherapy Masks

For most types of radiotherapy for brain, head or neck cancers, patients must wear a mask during each treatment. The purpose of the mask is to hold the head and neck in exactly the right position for the accurate delivery of the radiation beam.

Radiotherapy can be incredibly frightening and traumatic for young patients. Hand-painting radiotherapy masks in a design of their choice helps to alleviate some of their fears, reduce anxieties and help children and teenagers feel more in control of their treatment.

In March 2020, following the national lockdown, we had to temporarily pause our mask design programme. This was reinstated on 19 May 2021. During the year we supported 88 children and teenagers with their masks. We also painted 14 mini masks for children’s teddy bears which are used by medical professionals to demonstrate what will happen during a child’s treatment.

Enriching hospital spaces

As the pandemic hit, hospital playrooms and waiting areas were stripped of shared toys and activities which provided a distraction to children. These rooms suddenly looked scary and uninviting. We were approached by our NHS partners to help make hospitals more welcoming places to be. During the year, and in collaboration with young patients and hospital play teams, our talented artists painted five colourful and imaginative murals at St Mary’s Hospital, and created 294 pieces of window art for GOSH, UCLH, King’s College Hospital, St George’s Hospital, The Evelina and St Mary’s for the benefit of patients, families and staff.

Art & Craft Workshops

We provided 264 group and individual virtual art workshops to 404 children and young people during the year with special sessions running to celebrate different days including Mother’s Day, Christmas, Diwali, Chanukah, Valentine’s Day and more.

Your initiatives bring bright sparks at the most difficult times and completely dominate the memories of the treatment, ensuring they are not tragic or traumatic and making them a more bearable experience.”

Parent

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100% of parents/carers believe that our services created for their positive memories child in hospital

90% of parents/carers believe our services make the hospital less frightening for their children

95% of parents/carers believe our services improved their child’s hospital experience

Spread a Smile Survey September 2021

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LYDIA’S STORY

At the age of four, Lydia was diagnosed with Multiple Endocrine Neoplasia Type 1, an extremely rare disorder that causes tumours in glands and parts of the small intestine and stomach.

Eight years later, aged 12, Lydia was diagnosed with Metastatic Neuroendocrine Cancer, which had progressed at an unexpected rate. Lydia has had to endure multiple invasive surgeries to remove tumours, daily medication and ongoing hospital treatment to control the spread of the tumours in her liver. One of her most recent medical treatments involved a dose of radiation so intense that she had to remain in her hospital room alone behind lead lined doors, to prevent any radiation contamination.

Lydia’s diagnosis, treatment and long and repeated hospital stays have dominated her life. She’s missed so much of her young life and so much of what other young people take for granted. The need to isolate during the Covid-19 pandemic has further impacted her feelings of separation and isolation. However, meeting Spread a Smile has made a positive difference for Lydia and her family. Our in-person and virtual visits have provided much

needed interactions, activities and peer support that have helped transform her emotional wellbeing.

Her mother, Suzanne, said: “When your child doesn’t feel well and they are very vulnerable and you can’t hug them, it is the hardest thing. It goes completely against a mother’s natural instincts. This all changed the moment Spread a Smile visited. Magicians doing magic tricks, fairies singing and artists face painting with glitter and gems - it brightened up our day. They lifted Lydia’s mood and gave us something else to think and talk about.

“During her time in hospital, in isolation and when recovering at home, you have provided Lydia with many vital distractions. You have been a lifeline to both Lydia and her brother, Samuel, during such difficult times. When you have a child going through cancer treatment, your support means so much more.”

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OUR FUTURE PLANS

By 2024 Spread a Smile aims to support the wellbeing of thousands of children under the care of NHS Hospitals nationally and become a leading voice in hospital play and entertainment.

Our Strategy:

To become a leading voice in hospital play and entertainment by 2024 by engaging in the national debate regarding the importance of play and entertainment in hospital, championing the role of play teams and play specialists and influencing policy, provision and practice.

To foster partnerships with a minimum of 27 leading NHS paediatric hospitals in England by 2024 plus those medical and support services that provide community/ outpatient care and who support the most critically ill children and young people in the country.

To develop a patient-focused approach for all children and young people who access our services and one that maintains the bespoke methodology for which we are renowned.

To invest in our people. Our employees and entertainers are our most valuable asset and we are committed to investing in them to provide an inclusive, creative, diverse and supportive workplace.

To advance the monitoring and evaluation of our services to ensure they remain relevant to children, young people, their families and the individuals and organisations involved in their care and treatment.

To uphold all our policies to ensure the highest level of care, safeguarding and sustainability whilst reducing our impact on the environment.

To adopt a robust fundraising strategy that facilitates sustainable growth and invest in our systems and processes to ensure an ongoing high level of donor care.

To increase our collaboration with NHS play teams, enhance their practice and provide them with the additional resources required to support the emotional wellbeing of children and young people in their care.

You have been absolutely instrumental in helping us get back on our feet as we finish treatment and try and return to normal life. We cannot thank you enough for your support. You are absolute stars. May your charity shine bright and continue to help other poorly children.”

Parent

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FUNDRAISING SUMMARY

and imaginative ways to generate funds including school fundraisers, corporate virtual raffles, salary round up schemes, asking friends to donate in lieu of gifts on birthdays, anniversaries and bar/bat mitzvahs, cake and sticker sales and so much more.

Income

In the financial year 2020/2021 our income was £1,181,335 (2019/20 £989,512).

Recognising the impact the pandemic would have on our income, we moved swiftly to develop a new fundraising strategy to mitigate the loss of income anticipated from the cancellation of events and challenges. Our agile approach took advantage of emergency Covid-19 funding from companies, trusts and foundations and harnessed the support of our incredible patrons, regular donors and existing supporters. We also introduced the first major online fundraising appeal in the charity’s history, in December 2020, which exceeded all expectations. The generosity of so many individuals and organisations was truly heart-warming.

Despite the lockdowns, our enthusiastic supporters participated in numerous challenge events, including some incredible children and young people such as Chloe and Lottie who baked and sold biscuits, 10 year old Dolly-Rae, who cut 20cm off her hair, 13 year old Aran and friends were sponsored to go 48 hours without devices, a 7 year old who took on a cycling challenge post chemotherapy, and Ben who did the coast to coast challenge in 3 days.

We are especially thankful to the families and friends of children we have supported for their fundraising efforts.

Over the course of the year, our donors and partners implemented many new

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36 mile run visiting each of our London hospital partners.

While we cannot name everyone, we would like to make special mention this year of the Char family, the Hibberd family, the Hanson family and the Jarvis family.

We adapted our events calendar to bring supporters together both in-person and online. In May, 30 teams attended our inaugural virtual quiz night, hosted by Carl Peters. In September, by adopting a one-tee start and outdoor hospitality, we welcomed more than 100 golfers to our annual golf day at The Shire London. Fitness fans participated in a virtual Spinathon in partnership with North London spin studio, Override.

Many of you took part in your own challenge events or those linked to London Landmarks, Prudential Ride London, marathons and 10Ks, running, walking and cycling around your own neighbourhoods. Others, encouraged by windows of opportunity, took on wellknown challenges such as Land’s End to John O’Groats, the Coast to Coast Walk, The Chiltern 50 Challenge, the Spartan Race and the London to Brighton cycle ride. And those setting their own personal challenges achieved extraordinary goals including a 1,000-mile run by Jez Allinson dressed as a Stormtrooper and a 2,020 mile run by Jason Finch and Matt Newman which included an eight hour,

The focus on our provision of digital services led to multiple grants and donations to advance our virtual entertainer visits, art initiatives and Smile TV and included a generous donation from Bregal Milestone to purchase iPads to instigate a programme of digital inclusion for children and young people across our hospital partners.

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Luxury designer womenswear, Wyse London, created and sold an exclusive t-shirt in aid of Spread a Smile, initially selling out and prompting an immediate reprint. We were also the beneficiary of fundraising activities by eBloggers and fashion influencers, Hannah Strafford-Taylor, Laura Wills and Louise Roe, sales of Thank you Baked Potato, courtesy of actor and comedian, Matt Lucas and TV appearances by comedian, Suzi Ruffell.

The increase in Gifts in Kind throughout the year including books, blankets, magazines, toys, games, art & craft materials, sweet treats, ice creams and chocolates, enabled us to deliver an increased programme of virtual events and treat drops for hospitalised children and young people.

Expenditure

In the financial year 2020/2021 our expenditure was £821,405 (2019/20 £896,021).

In March 2020, we immediately moved all our services online. Our investment in Spread a Smile Digital developed over the year as we worked out how to best meet the needs of seriously ill and hospitalised children and young people.

In 2020/2021, 86p in every pound spent went directly to funding our services and spreading smiles to seriously ill and hospitalised children and their families.

Expansion Fund

We have allocated £300,000 towards an expansion fund. As we work towards national status in 2024, the fund will ensure sustainable growth and meet the planned expansion of our NHS hospital partnerships while maintaining the quality and quantity of existing services over the next few years.

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THANK YOU

We would like to thank everyone who has so generously supported our work throughout the year. In the most challenging of times, we would not have been able to spread so many smiles without you. Your commitment has been truly incredible. Please know how much we value every donation and offer of support. Whilst it not possible to list every individual, business, trust or organisation that has fundraised, donated or volunteered their time or services, we would like to make special mention of the following individuals and organisations.

Anonymous Alligator Books Mr J Allinson Alphabet Pie Amaze Marketing AR & V Investments Ltd Mr & Mrs J Benton Mr & Mrs A Bloom Aurora World Ltd BBC Children in Need Blackrock Bregal Milestone Canary Wharf Contractors Character Options Ltd Cheatwell Games Craft Buddy Mrs E Crocker Mr & Mrs H Crocker Mr & Mrs P Crocker Ms L Da Costa Direct Line DPD Group Dyrham Golf Club Engage Financial Services Mr J Finch Mr & Mrs P Godfrey Mr & Mrs L Gould Gold Key Media Hama Beads Hans & Gretel Mr & Mrs G Hanson Mr & Mrs A Harris Hasbro Mr & Mrs S Hibberd Hunter Price ICAP ICBC Standard Bank

Irwin Mitchell

Mr & Mrs A Jacobs Kaltura Kettle Foods Ltd Mr & Mrs D Krok Ms S Krok Lantum Learning Resources Ltd Little Gold Collection Lola’s Cupcakes London Stock Exchange Group Loudmouth Music Ltd

Mr M Lucas Marine Ices Masthaven Bank Mattel

Mr & Mrs F J McGilloway Michael Watson Charitable Trust Moonpig Mr M Newman Meyer Oppenheim Trust OTL Brands Pan-n-Ice Pass the Parcel Dr and Dr S Patel Paul Lamond Games Postcode Neighbourhood Trust Mr & Mrs D Rubin Mr & Mrs R Segal SEGA Europe SFC Academy Sir Clive Bourne Family Trust Skinny Dip Spin Master

Staedtler

Mr & Mrs S Sterling Swizzels The Basil Samuel Charitable Trust The David Family Foundation The Entertainer The Heathside Charitable Trust The Inflexion Foundation The J Isaacs Charitable Trust The Lake House Charitable Trust The Leathersellers’ Company Charitable Fund The Langham, London The Paper Box The Tides Foundation The Toy Trust The Worshipful Company of Hackney Carriage Drivers TNL Community Fund Troika Talent Agency Unilever UK Wanstead Golf Club Mr G Wills Wyse London Yavneh College

Our Trustees

Paul Crocker Vanessa Crocker Paul Godfrey (Chair) Elizabeth Gould Louise Jacobs Josephine Segal Richard Segal

Our NHS hospital partners Great Ormond Street Hospital (GOSH) King’s College Hospital St Mary’s Hospital Royal National Orthopaedic Hospital The Evelina Children’s Hospital The Royal London Hospital The Royal Marsden Hospital University College Hospital (UCLH) The Royal Brompton Hospital St George’s Hospital Southampton Children’s Hospital Noah’s Ark Children’s Hospice

Page 22

TRUSTEES’ REPORT

For the year ended 31 March 2021

Statement of Trustees’ responsibilities

The Trustees (who are also the directors of the Company for the purposes of company law) are responsible for preparing the Trustees’ report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the Trustees to prepare financial statements for each financial year. Under company law, the Trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the Company and of its incoming resources and application of resources, including its income and expenditure, for that period. In preparing these financial statements, the Trustees are required to:

Disclosure of information to auditors

Each of the persons who are Trustees at the time when this Trustees’ report is approved has confirmed that:

Auditors

The auditors, Berg Kaprow Lewis LLP, have indicated their willingness to continue in office. The designated Trustees will propose a motion reappointing the auditors at a meeting of the Trustees.

Approved by order of the members of the board of Trustees and signed on their behalf by:

Paul Godfrey

Date: 25 January 2022

The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the Company’s transactions and disclose with reasonable accuracy at any time the financial position of the Company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Page 23

AUDITOR’S REPORT AND CHARITY ACCOUNTS

For the year ended 31 March 2021

Page 24

INDEPENDENT AUDITORS’ REPORT

Opinion

We have audited the financial statements of Spread a Smile (the ‘charitable company’) for the year ended 31 March 2021 which comprise the Statement of Financial Activities, the Balance sheet, the Statement of cash flows and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland’ (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditors’ responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the Trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to

events or conditions that, individually or collectively, may cast significant doubt on the charitable company’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the Annual report other than the financial statements and our Auditors’ report thereon. The Trustees are responsible for the other information contained within the Annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Matters on which we are required to report by exception We have nothing to report in respect of the following matters where the Charities (Accounts and Reports) Regulations 2008 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the Trustees’ responsibilities statement, the Trustees (who are

Page 25

also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the Trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

Auditors’ responsibilities for the audit of the financial statements

We have been appointed as auditor under section 145 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditors’ report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of noncompliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our Auditors’ report.

Other matters

The comparative figures shown in the financial statements were not audited.

Use of our report

This report is made solely to the charitable company’s members, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an Auditors’ report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and its members, as a body, for our audit work, for this report, or for the opinions we have formed.

Berg Kaprow Lewis LLP

Chartered Accountants & Statutory Auditor 35 Ballards Lane, London N3 1XW

Date: 25 January 2022

Berg Kaprow Lewis LLP are eligible to act as auditors in terms of section 1212 of the Companies Act 2006.

Page 26

STATEMENT OF FINANCIAL ACTIVITIES FINANCIAL ACTIVITIES FINANCIAL ACTIVITIES
(Incorporat ng income and expenditure account) for the year ended 31 March 2021
Restricted Unrestricted Total Total
funds funds funds funds
2021 2021 2021 2020
Note £ £ £ £
Income from
Donations and legacies 3 365,445 781,876 1,147,321 420,925
Fundraising activities 4 - 33,713 33,713 565,401
Investments 5 - 301 301 3,186
Total income 365,445 815,890 1,181,335 989,512
Expenditure on
Raising funds 6 5,721 106,973 112,694 273,861
Charitable activities 7 311,364 397,347 708,711 622,160
Total expenditure 317,085 504,320 821,405 896,021
Net movement in funds 48,360 311,570 359,930 93,491
Reconciliation of funds
Total funds brought forward - 599,699 599,699 506,208
Net movement in funds 48,360 311,570 359,930 93,491
Total funds carried forward 48,360 911,269 959,629 599,699
The Statement of Financial Activities includes all gains and losses recognised in the year.
The notes on pages 29 to 44 form part of these f nancial statements.

Page 27

BALANCE SHEET BALANCE SHEET
As at 31 March 2021
2021 2020
Note £ £
Fixed assets
Tangible assets 12 1,224 435
1,224 435
Current assets
Debtors 13 8,307 14,901
Cash at bank and in hand 1,008,991 624,872
1,017,298 639,773
Creditors: amounts falling
due within one year 14 (58,893) (40,509)
Net current assets 958,405 599,264
Total net assets 959,629 599,699
Charity funds
Restricted funds 15 48,360 -
Unrestricted funds 15 911,269 599,699
Total funds 959,629 599,699
The Trustees acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting
records and preparation of financial statements.
The members have not required the company to obtain an audit of its financial statements under the requirements of the
Companies Act 2006, for the year in question in accordance with section 476. However an audit has been performed in
accordance with the requirements of the Charities Act 2011.
The financial statements have been prepared in accordance with the provisions applicable to entities subject to the small
companies regime.
The financial statements were approved and authorised for issue by the Trustees on and signed on their behalf by:
Paul Godfrey
Date:25 January 2022
“The Statement of Cash Flows on page 28 and the notes on pages 29 to 44 form part of these financial statements.

Page 28

STATEMENT OF CASH FLOWS
For the year ended 31 March 2021
2021 2020
£ £
Cash flows from operating activities
Net cash used in operating activities 385,237 114,941
Cash flows from investing activities
Dividends, interests and rents from investments 301 3,186
Purchase of tangible fixed assets (1,419) -
Net cash (used in)/provided by investing activities (1,118) 3,186
Cash flows from financing activities
Net cash provided by financing activities - -
Change in cash and cash equivalents in the year 384,119 118,127
Cash and cash equivalents at the beginningof theyear 624,872 506,745
Cash and cash equivalents at the end of the year 1,008,991 624,872
The notes on pages 29 to 44 form part of these financial statements.

Page 29

NOTES TO THE FINANCIAL STATEMENTS

For the year ended 31 March 2021

1. GENERAL INFORMATION

shown in the relevant funds on the Balance sheet. Where income is received in advance of entitlement of receipt, its recognition is deferred and included in creditors as deferred income. Where entitlement occurs before income is received, the income is accrued.

Spread a Smile is a private company limited by guarantee incorporated in England and Wales a private company limited by guarantee incorporated in England and Wales and a Registered Charity. The members of the company are the Trustees named on page 21. In the event of the company being wound up, the liability in respect of the guarantee is limited to £1 per member of the company.

Gifts in kind donated for distribution are included at valuation and recognised as income when they are distributed to the projects. Gifts donated for resale are included as income when they are sold.

The registered office is 35 Ballards Lane, London, N3 1XW.

Donated facilities are included at the value to the company where this can be quantified and a third party is bearing the cost. No amounts are included in the financial statements for services donated by volunteers. Donated services or facilities related to the provision of entertainment (including tickets, toys, gifts and books etc.), are recognised when the company has control over the item, any conditions associated with the donated item have been met, the receipt of economic benefit from the use of the company of the item is probable and that economic benefit can be measured reliably. In accordance with the Charities SORP (FRS 102), the general volunteer time is not recognised; refer to the Trustees’ Report for more information about their contribution.

2. ACCOUNTING POLICIES

2.1 Basis of preparation of financial statements

The financial statements have been prepared in accordance with the Charities SORP (FRS 102) - Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

On receipt, donated professional services and facilities are recognised on the basis of the value of the gift to the Company which is the amount it would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt.

Spread a Smile meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy.

2.2 Going concern

Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the time of the donation.

At the year end the charity had net assets of £959,629, including a healthy cash balance of £1,008,991. The Trustees therefore consider that based on the circumstances existing at the date of signature, the company has adequate resources to continue its operations for the next 12 months, and the accounts have therefore been prepared on a going concern basis.

2.4 Expenditure

Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is classified by activity. Direct costs attributable to a single activity are allocated directly to that activity. Support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset’s use.

2.3 Income

All income is recognised once the Company has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.

Grants are included in the Statement of financial activities on a receivable basis. The balance of income received for specific purposes but not expended during the period is

Page 30

NOTES TO THE FINANCIAL STATEMENTS

For the year ended 31 March 2021

2.8 Cash at bank and in hand

Expenditure on raising funds includes all expenditure incurred by the Company to raise funds for its charitable purposes and includes costs of all fundraising activities events and non-charitable trading.

Cash at bank and in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

Expenditure on charitable activities is incurred on directly undertaking the activities which further the Company’s objectives, as well as any associated support costs.

2.9 Liabilities and provisions

Liabilities are recognised when there is an obligation at the Balance sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably.

All expenditure is inclusive of irrecoverable VAT.

2.5 Government grants

Government grants are credited to the Statement of financial activities as the related expenditure is incurred.

Liabilities are recognised at the amount that the Company anticipates it will pay to settle the debt or the amount it has received as advanced payments for the goods or services it must provide.

Furlough income is receivable as compensation for salary expenses already incurred and to give immediate financial support to the Company with no future related costs. This income is recognised in the Statement of Comprehensive Income in the same period as the related expenditure.

2.10 Financial instruments

2.6 Tangible fixed assets and depreciation

The Company only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

Tangible fixed assets are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably.

Tangible fixed assets are initially recognised at cost. After recognition, under the cost model, tangible fixed assets are measured at cost less accumulated depreciation and any accumulated impairment losses. All costs incurred to bring a tangible fixed asset into its intended working condition should be included in the measurement of cost.

2.11 Fund accounting

General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objectives of the Company and which have not been designated for other purposes.

Depreciation is charged so as to allocate the cost of tangible fixed assets less their residual value over their estimated useful lives, using the straight-line method.

Designated funds comprise unrestricted funds that have been set aside by the Trustees for particular purposes. The aim and use of each designated fund is set out in the notes to the financial statements.

Depreciation is provided on the following basis: Office equipment - 33%

2.7 Debtors

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Company for particular purposes. The costs of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the fi nancial statements.

Trade and other debtors are recognised at the settlement amount after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.

Investment income, gains and losses are allocated to the appropriate fund.

Page 31

NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
3. INCOME FROM DONATIONS
Restricted Unrestricted Total
funds funds funds
2021 2021 2021
£ £ £
Donations 287,459 720,772 1,008,231
Gifts and services in kind - 35,480 35,480
Grants
37,120 - 37,120
Governmentgrants
40,866 25,624 66,490
365,445 781,876 1,147,321
Restricted Unrestricted Total
funds funds funds
2020 2020 2020
£ £ £
Donations 165,217 182,954 348,171
Gifts and services in kind - 34,022 34,022
Grants
33,951 - 33,951
Governmentgrants
- 4,781 4,781
199,168 221,757 420,925
As outlined by SORP FRS 102, donated goods and services are to be included in the accounts valued at the amount
that the charity would have spent on similiar goods or services, should they not have been received as donations
Included in the above f gures are £Nil (2020: £18,866) of donated goods and services relating to the Winter
Party; £19,570 (2020: £13,156) of donated goods and services relating to the entertainment of children and toy
donations; £15,910 (2020: £Nil) of donated presents; and £Nil (2020: £2,000) of donated accounting services.
During the year, Spread a Smile launched an online fundraising campaign through Charity Extra. All the income
generated from the campaign has been included within ‘Income from Donations’. In the prior year there was a gala
dinner instead of an online campaign and the funds from this event were recorded as ‘Fundraising Income’ (See
Note 4). Therefore, compared to prior year, ‘Income from Donations’ was considerably higher and ‘Fundraising
Income’ materially lower.

Page 32

NOTES TO THE FINANCIAL STATEMENTS STATEMENTS
For the year ended 31 March 2021
4. INCOME FROM FUNDRAISING ACTIVITIES
INCOME FROM FUNDRAISING EVENTS
Unrestricted Total
funds funds
2021 2021
£ £
Fundraising income 33,713 33,713
Unrestricted Total
funds funds
2020 2020
£ £
Fundraising income 565,401 565,401
5. INVESTMENT INCOME
Unrestricted Total
funds funds
2021 2021
£ £
Investment income 301 301
Unrestricted Total
funds funds
2020 2020
£ £
Investment income 3,186 3,186

Page 33

NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
6. EXPENDITURE ON RAISING FUNDS
EXPENDITURE ON RAISING FUNDS
Restricted Unrestricted Total
funds funds funds
2021 2021 2021
£ £ £
Expenditure on raising funds 5,721 106,973 112,694
Unrestricted Total
funds funds
2020 2020
£ £
Expenditure on raising funds 273,861 273,861
ANALYSIS OF EXPENDITURE OF RAISING FUNDS
2021 2020
£ £
Fundraising expenses 54,066 164,543
Marketing and database costs - 1,944
Wages and salaries 54,375 99,882
National insurance 4,253 7,492
112,694 273,861
Fundraising costs in 2020 were higher due to the cost of a biennial fundraising dinner.

Page 34

NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
7. ANALYSIS OF EXPENDITURE ON CHARITABLE ACTIVITIES
SUMMARY BY FUND TYPE
Restricted Unrestricted Total
funds funds funds
2021 2021 2021
£ £ £
Direct costs 310,138 307,363 617,501
Support costs 1,226 89,984 91,210
311,364 397,347 708,711
Restricted Unrestricted Total
funds funds funds
2020 2020 2020
£ £ £
Direct costs 200,369 306,644 507,013
Support costs - 115,147 115,147
200,369 421,791 622,160

Page 35

NOTES TO THE FINANCIAL STATEMENTS STATEMENTS
For the year ended 31 March 2021
8. ANALYSIS OF EXPENDITURE BY ACTIVITIES
Activities Support Total
undertaken costs funds
directly 2021 2021 2021
£ £ £
Direct costs 617,501 - 617,501
Support costs - 91,210 91,210
617,501 91,210 708,711
Activities Support Total
undertaken costs funds
directly 2020 2020 2020
£ £ £
Direct costs 507,013 - 507,013
Support costs - 115,147 115,147
507,013 115,147 622,160
ANALYSIS OF DIRECT COSTS
Support Total
costs funds
2021 2021
£ £
Staf costs 347,580 347,580
Online delivery of services to sick children 147,741 147,741
Hospital entertainment for sick children 122,180 122,180
617,501 617,501

Page 36

NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
8. ANALYSIS OF EXPENDITURE BY ACTIVITIES (CONTINUED)
ANALYSIS OF DIRECT COSTS (CONTINUED)
Support Total
costs funds
2020 2020
£ £
Staf costs 222,164 222,164
Hospital entertainment for sick children 25,759 25,759
Theatre visits for children & families 238,780 238,780
Parties for children & families 18,866 18,866
Database costs 1,444 1,444
507,013 507,013
ANALYSIS OF SUPPORT COSTS
Total
Activities funds
2021 2021
£ £
Staf costs 12,562 12,562
Depreciation 630 630
Rent 5,000 5,000
Of ce costs 11,344 11,344
Computer and phone costs 4,622 4,622
Insurance 848 848
Consultancy 10,578 10,578
Stationery 878 878
Bank charges 633 633
Professional fees 8,644 8,644
Accoutancy fees 13,824 13,824
Pension costs 8,744 8,744
Training costs 6,403 6,403
Audit fee 6,500 6,500
91,210 91,210
NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
8. ANALYSIS OF EXPENDITURE BY ACTIVITIES (CONTINUED)
ANALYSIS OF DIRECT COSTS (CONTINUED)
Support Total
costs funds
2020 2020
£ £
Staf costs 222,164 222,164
Hospital entertainment for sick children 25,759 25,759
Theatre visits for children & families 238,780 238,780
Parties for children & families 18,866 18,866
Database costs 1,444 1,444
507,013 507,013
ANALYSIS OF SUPPORT COSTS
Total
Activities funds
2021 2021
£ £
Staf costs 12,562 12,562
Depreciation 630 630
Rent 5,000 5,000
Of ce costs 11,344 11,344
Computer and phone costs 4,622 4,622
Insurance 848 848
Consultancy 10,578 10,578
Stationery 878 878
Bank charges 633 633
Professional fees 8,644 8,644
Accoutancy fees 13,824 13,824
Pension costs 8,744 8,744
Training costs 6,403 6,403
Audit fee 6,500 6,500
91,210 91,210

Page 37

NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
8. ANALYSIS OF EXPENDITURE BY ACTIVITIES (CONTINUED)
ANALYSIS OF SUPPORT COSTS (CONTINUED)
Total
Activities funds
2020 2020
£ £
Staf costs 40,728 40,728
Depreciation 478 478
Rent 5,000 5,000
Of ce costs 17,643 17,643
Computer and phone costs 11,091 11,091
Insurance 2,806 2,806
Consultancy 11,640 11,640
Stationery 747 747
Bank charges 141 141
Rates 1,849 1,849
Professional fees 9,121 9,121
Accountancy fees 7,766 7,766
Pension costs 6,137 6,137
115,147 115,147
9. AUDITORS’ REMUNERATION
2021 2020
£ £
Fees payable to the Company’s auditor for the audit of the Charity’s annual accounts 6,500 -
Fees payable for the Independent Examination of the Charity’s annual accounts - 2,000
The reason for the increased fee is due to this being the f rst year that Spread a Smile are required to undertake an audit.

Page 38

NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
10. STAFF COSTS
2021 2020
£ £
Wages and salaries 388,391 344,430
Social securitycosts 30,379 25,836
418,770 370,266
The average number of persons employed by
the Company during the year was as follows:
2021 2020
No. No.
Average number of employees 18 16
No employee received remuneration amounting to more than £60,000 in either year.
The aggregate renumeration of key management personnel, including Employer’s National Insurance
and Pension contributions, was £159,491.
11. TRUSTEES’ REMUNERATION AND EXPENSES
During the year, no Trustees received any remuneration or other benef ts (2020 - £NIL).
During the year ended 31 March 2021, no Trustee expenses have been incurred (2020 - £257).
This was fully reimbursed.

Page 39

NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
12. TANGIBLE FIXED ASSETS
Of ce
equipment
£
Cost or valuation
At 1 April 2020 12,574
Additions 1,419
At 31 March 2021 13,993
Depreciation
At 1 April 2020 12,139
Charge for theyear 630
At 31 March 2021 12,769
Net book value
At 31 March 2021 1,224
At 31 March 2020 435
13. DEBTORS
2021 2020
£ £
Due within one year
Prepayments and accrued income 3,125 5,376
Gift Aid recoverable 5,182 4,744
Grants receivable - 4,781
8,307 14,901

Page 40

NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
14. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
2021 2020
£ £
Trade creditors 39,693 8,429
Other taxation and social security 8,032 9,081
Other creditors 3,355 19,286
Accruals and deferred income 7,813 3,713
58,893 40,509
15. STATEMENT OF FUNDS
STATEMENT OF FUNDS - CURRENT YEAR
Transfers Balance at
Balance at Income Expenditure in/out 31 March 2021
1 April 2020 £ £ £ £
Unrestricted funds
Designated Funds
Expansion fund - - - 300,000 300,000
General funds
General Funds - all funds 599,699 815,890 (504,320) (300,000) 611,269
Total Unrestricted funds 599,699 815,890 (504,320) - 911,269
Restricted funds
Digitial fund - 195,863 (195,863) - -
Art fund - 15,340 (9,280) - 6,060
Halloween/Easter fund - 2,918 (2,918) - -
iPads fund - 16,873 (16,873) - -
Smile Hampers fund - 6,465 (6,465) - -
Coronavirus Job Retention Scheme fund - 40,866 (40,866) - -
BBC Children in Need fund - 37,120 (37,120) - -
Entertainment fund - 50,000 (7,700) - 42,300
- 365,445 (317,085) - 48,360
Total of funds 599,699 1,181,335 (821,405) - 959,629

Page 41

NOTES TO THE FINANCIAL STATEMENTS

For the year ended 31 March 2021

15. STATEMENT OF FUNDS (CONTINUED) STATEMENT OF FUNDS - PRIOR YEAR

Transfers Balance at
Balance at Income Expenditure in/out 31 March 2020
1 April 2019 £ £ £ £
Unrestricted funds
Designated Funds
Hospital Playroom fund 80,000 - - (80,000) -
General funds
General Funds - all funds 390,845 837,662 (708,808) 80,000 599,699
Total Unrestricted funds 470,845 837,662 (708,808) - 599,699
Restricted funds
Restricted Funds - all funds 35,363 151,850 (187,213) - -
Total of funds 506,208 989,512 (896,021) - 599,699

Expansion fund - Spread a Smile has ambitious growth plans which will see expenditure rising in the future. £300,000 has been set aside to allow the Charity to achieve that growth over the next few years.

iPads – Spread a Smile’s digital inclusion project that distributes centrally managed iPads to our NHS hospital partners for use by children in hospital who do not have access to their own devices thus increasing access to our services to all children under their care.

Digital – Spread a Smile’s digital services include all services delivered online - virtual entertainer visits, smile parties, activity days and after school clubs plus Facebook live sessions and pre recorded content for our entertainment platform, Smile TV.

Smile Hampers – personalised gift hampers distributed at Christmas to seriously ill children under the care of our NHS hospital partners.

Coronavirus Job Retention Scheme - furlough income is receivable as compensation for salary expenses already incurred and to give immediate fi nancial support to the Company with no future related costs. This income is recognised in the Statement of Comprehensive Income in the same period as the related expenditure.

Arts & Masks – Spread a Smile’s art initiatives including the Enriching Spaces Programme which sees the charity painting hospital wards, treatment rooms, playrooms and communal spaces with uplifting murals/ artworks; the personalisation of radiotherapy masks for children undergoing radiotherapy treatment; art & craft workshops and memory portraits to support families of children who have passed away.

BBC Children In Need – grant funding that covers the core costs of a Hospital Visit Manager, administration support and hospital visits.

Halloween and Easter activities – Spread a Smile activities focused around these specifi c calendar events and including the purchase and distribution of trick & treat buckets at Halloween and support of our treat drops, gift drive and Santa’s Grotto at Christmas.

Entertainment fund - provision of entertainment within the hospital environment including visits from professional entertainers and therapy dogs as well as the support needed to facilitate this.

Page 42

NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS
For the year ended 31 March 2021
16.SUMMARY OF FUNDS
SUMMARY OF FUNDS - CURRENT YEAR
Transfers Balance at
Balance at Income Expenditure in/out 31 March 2021
1 April 2020 £ £ £ £
Designated funds - - - 300,000 300,000
General funds 599,699 815,890 (504,320) (300,000) 611,269
Restricted funds - 365,445 (317,085) - 48,360
599,699 1,181,335 (821,405) - 959,629
SUMMARY OF FUNDS - PRIOR YEAR
Transfers Balance at
Balance at Income Expenditure in/out 31 March 2020
1 April 2019 £ £ £ £
Designated funds 80,000 - - (80,000) -
General Funds 390,845 837,662 (708,808) 80,000 599,699
Restricted Funds 35,363 151,850 (187,213) - -
506,208 989,512 (896,021) - 599,699
17. ANALYSIS OF NET ASSETS BETWEEN FUNDS
ANALYSIS OF NET ASSETS BETWEEN FUNDS - CURRENT YEAR
Restricted Unrestricted Total
funds funds funds
2021 2021 2021
£ £ £
Tangible fixed assets - 1,224 1,224
Current assets 48,360 968,938 1,017,298
Creditors due within oneyear - (58,893) (58,893)
Total 48,360 911,269 959,629

Page 43

NOTES TO THE FINANCIAL STATEMENTS

For the year ended 31 March 2021

17. ANALYSIS OF NET ASSETS BETWEEN FUNDS (CONTINUED) ANALYSIS OF NET ASSETS BETWEEN FUNDS - PRIOR YEAR

17. ANALYSIS OF NET ASSETS BETWEEN FUNDS (CONTINUED)
ANALYSIS OF NET ASSETS BETWEEN FUNDS - PRIOR YEAR
Unrestricted Total
funds funds
2020 2020
£ £
Tangible fixed assets 435 435
Current assets 639,773 639,773
Creditors due within oneyear (40,509) (40,509)
Total 599,699 599,699
18. RECONCILIATION OF NET MOVEMENT IN FUNDS
TO NET CASH FLOW FROM OPERATING ACTIVITIES
2021 2020
£ £
Net income for the year (as per Statement of Financial Activities) 359,930 93,491
Adjustments for
Depreciation charges 630 478
Dividends and interests from investments (301) (3,186)
Decrease/(increase) in debtors 6,594 20,582
Increase/(decrease)in creditors 18,384 3,576
Net cash provided by operating activities 385,237 114,941
19. ANALYSIS OF CASH AND CASH EQUIVALENTS
2021 2020
£ £
Cash in hand 1,008,991 624,872
Total cash and cash equivalents 1,008,991 624,872

Page 44

NOTES TO THE FINANCIAL STATEMENTS

For the year ended 31 March 2021

20. ANALYSIS OF CHANGES IN NET DEBT

At 1 April At 31 March
2020 Cash flows 2021
£ £ £
Cash at bank and in hand 624,872 384,119 1,008,991
624,872 384,119 1,008,991

21. PENSION COMMITMENTS

those of the company in an independently administered fund. The pension cost charge represents contributions paid by the company to the fund and amounted to £8,744 (2020: £6,137). Contributions totalling £1,568 (2020: £2,499) were payable to the fund at the balance sheet date and are included in creditors.

22. RELATED PARTY TRANSACTIONS

During the year the charity received donations of £16,000 from the Trustees of the charity (2020: £24,007).

During the year, the charity received donations of £30,000 (2020: £Nil) from a company with a common director.

Trustees of the charity.

During the year, the charity incurred rental fees of £5,000 (2020: £5,000) to Romandus Properties Limited, a company with a common director.

I am very grateful for all the support that you have given to my daughter, each activity is a motivation for her that helps her to forget a little about the difficult situation she is living with her illness. Thank you very much for the impressive work of bringing a smile or just a gesture of joy to these young people who need it so much. With all my heart.... thank you very much to all the Spread Smile team.”

Parent

020 7482 5191 51 Chalk Farm Road info@spreadasmile.org London spreadasmile.org NW1 8AN @spreadasmileuk

Registered Company Number 08443236 Registered Charity Number 1152205