St Francis · Ingutsheni Central Hospital

A world
that answers.

BulawayoIn developmentFunding and delivery

A child’s difficulty communicating does not tell us the extent of what they feel.

At St Francis, a unit within Ingutsheni Central Hospital, PLAY proposes an outdoor music installation centred on children with severe or profound learning disabilities.

Music can make expression possible without requiring an explanation. A sound can be repeated, varied or answered by someone nearby. An exchange can develop through rhythm and shared attention, allowing something the child initiates to influence what happens between them and another person.

Xylophone concept: undulating rows of upright bars on a curved base, with three separated groups of bars and faint projection lines above.

The project conceives the setting itself as a shared instrument. The instruments, access, supported positions and places to listen would be developed around the children’s ways of engaging, in collaboration with those who support them. There must be room to initiate an exchange, but also to listen, pause or stop.

Make a sound.
Listen to it unfold.

Tap a bar to hear it. Drag across the bars to make a phrase.

Select a bar to begin.

Within a life that requires considerable support, there must also be room for the child to be the origin of an action. Their feelings deserve attention, and their intentions deserve consequence.

The difficulty of knowing what a child feels makes the responsibility to attend to that feeling greater. A musical encounter need not be completely intelligible to an observer for it to matter to the child.

Rights and commitments

The right to participate

“the opportunity to develop and utilize their creative, artistic and intellectual potential”

UN Convention on the Rights of Persons with Disabilities, Article 30

For St Francis, these commitments mean making creative participation, play and recreation practically accessible to each child.

Indicative project target

£23,000

What support would provide

An outdoor music setting, including instruments, access, supporting features, installation and staff orientation.

The project is in development. Final design, detailed costing, permissions and arrangements for continuing care still need to be confirmed.

Transparency and accountability

Funding and scope

Before accepting restricted donations, PLAY will confirm that the project falls within the charity’s legally effective objects. Donations will be restricted to the outdoor music installation and its disclosed direct delivery costs.

The indicative budget includes no general overhead allocation; founder time, leadership and fundraising will be contributed without remuneration. Necessary project expenses, including paid professional and specialist services, will be itemised and recorded against the approved budget.

The appeal and any gift agreement will explain, before donations are made, how insufficient funding, surplus funds, material changes or an inability to proceed would be handled.

Partnership and permissions

Before capital expenditure is committed, PLAY will verify the institutional partner’s authority and the right to construct, use and maintain the installation on the site. A written agreement will establish ownership, delivery responsibilities and continuing access, with any additional hospital or landowner approvals identified.

Partner checks and payment controls will be documented. Installation will begin only after the required permissions, professional appointments, appropriate insurance and arrangements for protecting everyday care have been confirmed.

Design around the children

Equipment will be selected through assessment of the children’s communication, movement, sensory and support requirements, informed by familiar staff and supported trials where appropriate.

Procurement will follow an approved specification and detailed cost plan. Appointments will expressly allocate responsibility for design, accessibility advice, technical requirements, installation and inspection.

Access, safety and everyday use

Before opening, the installation will undergo technical inspection and a practical review of how children can approach, use and leave it. Safety-critical defects must be resolved.

Staff orientation, operating guidance, maintenance responsibilities and the resources needed to support everyday use will be agreed with the unit. Remaining barriers will be documented, with responsibility assigned for addressing them.

Safeguarding arrangements will include an accessible route for concerns, including concerns involving the unit itself.

Reporting and stewardship

Donors will receive progress updates, a completion report and a financial account of the gift. Reviews at six and twelve months will examine availability, assistance, sensory comfort, equipment condition and opportunities for children to initiate, listen, pause or stop.

Reporting will distinguish observed engagement from interpretation and will not treat clinical benefit as an assumed outcome. Children’s privacy will be protected, and publicity will remain separate from access to the installation. Stewardship responsibilities will continue beyond these reviews.

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