The article reports on the first year of an independent evaluation ofthe National Singing Programme 'Sing Up' (2007-2011 in England. The aim of the Sing Up Programme is to provide all primary-aged children (up to the age of 11 years) with opportunities for singing under high quality vocal leadership both within their school curriculum and outside of school on a regular basis. As part of the evaluation, members of the research team msited 81 schools across England, and assessed the singing behamor and development of 3,762 individual children using the combination of two established rating scales. The focus was on providing an initial profile of children's singing prior to the launch of the National Programme and, subsequently later in the first year, to conduct a small number of additional visits to see if there was any evidence of early impact. The results confirm that children's singing is subject to developmental processes, with variations related to sex, age and ethnicity. There is also some evidence that, ru)twithstanding such variations, a programme of sustained singing education can have a positive benefit on children's singing behaviors and development.

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The article offers an explanation of the effects of music on children within a hospital setting and points up the multifaceted nature of this experience. The nature of the client group allows the musical experience to work on many different levels, such as modifying the child's perception of pain and reducing stress, whilst at the same time having an integral educational element that supports musical development. The evidence base is drawn from an extensive review of the music/medicine literature, interfaced with the first author's experience over many years as a participant musician in a paediatric oncology ward.

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