In-depth case studies
Each case follows the same structure. Bracketed letters refer to the numbered sources at the end of each case. The cases describe practice; they are not evidence of health effects.
Cleveland, Ohio, United States
Cleveland Clinic
A curated contemporary collection run by an in-house art programme
Institutional purpose
Cleveland Clinic formed an Aesthetics Committee in 1983 and established its Art Program, part of the Arts & Medicine Institute, in 2006 [C1]. The programme’s stated mission is to enrich, inspire and enliven patients, visitors, employees and the community and to reflect the institution’s core values [C1]. The clinic now describes its collection as creating an environment of hope, comfort and healing, with each work selected by a team of art-expert caregivers [C2].
Commissioning and selection
Selection is curatorial. In 2011 the programme had an executive director, two curators, a coordinator, a preparator and a registrar; it selected acquisitions, advised on donations and handled installation, inventory and upkeep across facilities [C1]. The collection focuses on recent contemporary art and is deliberately varied; paintings are acquired less often because they are fragile in hospital settings [C1]. For new buildings, the team could begin planning up to two years before construction, discussing lighting and patient flow with architects and administrators [C1]. Cleveland Soul by Jaume Plensa was commissioned for the main entrance of the Miller Family Pavilion; the curator explained that the institution wanted an entrance work that spoke to the diversity of patients from more than 80 countries, and the figure’s face is left blank to stand for every visitor [C1]. The collection numbered nearly 4,500 works in 2011 [C1] and more than 7,000 in 2024, including more than 45 site-specific works [C3].
Placement and architecture
Yayoi Kusama’s Pumpkin stands in a heavily used part of the Miller Family Pavilion lobby and is among the first works visitors see; staff describe it as a common meeting point [C3]. The 2011 account lists wayfinding among the collection’s functions, alongside distraction and relief from stress [C1]. More than 90% of the collection is reported to be on view [C3].
User involvement
Selection is led by curators rather than by patient panels [C1, C2]. One documented exception is Dawn (2021), an outdoor video and sculpture made with community members at the edge of the Fairfax neighbourhood [C3]. Formal patient or staff consultation on the entrance commissions: Not reported in the sources reviewed.
Funding and maintenance
Donors play a direct role. Pumpkin was a gift from Robert M. Kaye, a former chair of the Arts & Medicine Leadership Board [C2, C3]; another major commission and the collection audio tour were funded by donations [C1]. The team uses a collection database to track locations and approved credit lines [C3]. Programme budgets and maintenance costs: Not reported in the sources reviewed.
Evaluation
A collection-level patient survey was published in 2014 (PAH-024); it was self-selected and had no control condition. The clinic also reports a 2024 survey of more than 1,000 people in which nearly three-quarters said the art improved their mood and lowered stress [C2]; its methods are not published in the sources reviewed. The 2011 article itself noted that no study of visual art at the clinic matched the rigour of its music research [C1]. Evaluation of Cleveland Soul or Pumpkin specifically: Not reported in the sources reviewed.
Transferable considerations
- Plan art with the architects early, before layouts are fixed.
- A permanent collection needs staff for installation, inventory, credit lines and care, not only acquisition.
- A donation route governed by the art programme lets gifts fit a curatorial plan.
- An entrance work can become a meeting point; placement in a busy lobby is part of that function.
- Institutional satisfaction surveys are useful for management but are not controlled evidence.
Sources
- [C1] Finkel J. Contemporary art in medicine: the Cleveland Clinic art collection. Cardiovascular Diagnosis and Therapy. 2011;1(1).
- [C2] Cleveland Clinic, Our Art Collection (institutional page).
- [C3] Artwork Archive, Collection Spotlight: Fine Art is Good Medicine at Cleveland Clinic (July 2024).
London, United Kingdom
Chelsea and Westminster Hospital
An arts programme built into a new hospital from the start
Institutional purpose
Chelsea and Westminster Hospital opened in 1993. Its charity, CW+, states that an arts programme was established from the start, with Allen Jones’s sculpture The Acrobat built into the foundations of the atrium [W1]. The charity presents the hospital’s original design as a deliberate departure from impersonal hospital buildings [W1]. CW+ describes its current aim as enhancing the hospitals and the experience of patients, families and staff through art and design [W4].
Commissioning and selection
The collection now holds more than 2,000 works, including bespoke commissions, and ranges from a sixteenth-century painting by Paolo Veronese in the chapel to contemporary digital work [W2]. Alongside permanent works, the charity’s RELAX Digital programme commissions moving imagery and installations for waiting and treatment areas [W2]. Commissions and acquisitions are made by the charity’s arts programme. The criteria and panel used for selecting permanent commissions: Not reported in the sources reviewed.
Placement and architecture
The atrium is the principal setting: The Acrobat spans the lower floors, and Sian Tucker’s Falling Leaves hangs in the ground-floor atrium [W2]. Placement is linked to wayfinding: CW+ describes a tiled work on the third floor as providing crucial wayfinding [W2]. Since 2016 the charity has used a Design Standards Guide, based on a report by Arup, whose principles include wayfinding, colour, and visual and participatory art alongside lighting, acoustics and air quality [W3]. CW+ sources and an archival record differ on the height and exact title of The Acrobat; see record W-01.
User involvement
CW+ provides spaces for temporary exhibitions by local partners and artists [W2] and is refreshing the art at its second hospital to reflect the West Middlesex community [W2]. Patient or staff involvement in the original 1993 commissions: Not reported in the sources reviewed.
Funding and maintenance
Art is funded through the charity. Eduardo Paolozzi’s sculpted collection box, The Healing Arts (commissioned 1997), stands in the main reception, and donations to it help fund the arts programme [W2]. Maintenance arrangements and costs for the large atrium works: Not reported in the sources reviewed.
Evaluation
CW+ runs a research and evaluation strand within its arts programme [W4], and its Design Standards Guide states that the charity shares its findings through evaluation [W3]. The charity quotes patients and parents who describe the art as a distraction from their worries and as familiar companions during treatment [W4]; these are testimonies, not measured outcomes. A three-year study of visual and performing arts at the hospital, published by Rosalia Staricoff in 2003, is summarised by Paintings in Hospitals as reporting lower anxiety and depression in some patient groups and positive staff views [P1]; that study is not yet a record in this library and its methods have not been assessed here. Evaluation of The Acrobat or Falling Leaves specifically: Not reported in the sources reviewed.
Transferable considerations
- An arts strategy set at the outset of a capital project allows structural provision for large works.
- A hospital charity can act as the long-term steward of a collection.
- Linking art to a design guide (wayfinding, colour, lighting) places it within the building’s function.
- Record titles and dimensions from the commissioning documents at installation, to avoid later discrepancies.
Sources
- [W1] CW+, Our charity (history and heritage).
- [W2] CW+, Hospital art collection.
- [W3] CW+, Design Standards Guide.
- [W4] CW+, Arts in Health programme.
- [P1] Staricoff, Duncan & Wright, A Study of the Effects of Visual and Performing Arts in Health Care (full report, PDF).
London, United Kingdom
Great Ormond Street Hospital
Site-responsive commissions within a decades-long redevelopment
Institutional purpose
Great Ormond Street Hospital (GOSH) describes itself as midway through a 40-year redevelopment begun in the early 1990s, with art central to the aim of creating world-class healthcare environments [G1]. The hospital says its collection is intended to make the hospital warm and welcoming, to distract, to ease anxiety and to provide moments of delight [G2].
Commissioning and selection
Art is delivered by a dedicated arts team, GOSH Arts, working with colleagues across the Trust [G1]. For the Zayed Centre for Research, the team worked with the architects, design team and clinical champions to commission a site-responsive programme [G1]. Random International’s Kinds of Life, a moving sculpture at the centre of the building, references the human genome and was informed by conversations with the researchers who work there [G1]. The collection holds more than 350 works, including sculptures and site-specific installations [G2]. At the same centre, Mark Titchner’s eight-metre wood relief takes its text from Helen Keller and refers to the building’s collaborative approach to research and care [G1]. The curator describes the arts programme for 2021 as dedicated to biophilia and states that the theme would inform the art strategy for the new Children’s Cancer Centre, which would transform the hospital’s frontage and entrance [G1].
Placement and architecture
Works are matched to routes and settings. Jason Bruges Studio’s Nature Trail places an animated woodland along the corridors children take to theatre, to calm and distract them [G1]. A tactile work for the courtyard garden came from an artist’s residency [G1]. An installation with birdsong and ambient sound marks the entrance to the canteen used by staff and families, offering respite from clinical spaces [G1]. The bronze Peter Pan and Tinker Bell was moved from the main entrance during construction of the Children’s Cancer Centre, with a stated plan to return it to the new entrance (see record W-07).
User involvement
GOSH says many works were developed in collaboration with its community [G2]. During a residency, artist Dana Al Mazrouei ran workshops on genetics with children, young people and families, which led to The Same and Different in the courtyard garden [G1]. A stated objective of the art strategy for the Children’s Cancer Centre is that children and young people take part in developing the artwork for the new building; during construction, artists worked with children from local schools and community centres on the hoarding around the site [G3]. How patient views were weighed in selecting Kinds of Life: Not reported in the sources reviewed.
Funding and maintenance
GOSH Arts is funded by Great Ormond Street Hospital Charity [G3]. The arts team includes a collection officer [G3]. Maintenance budgets and costs for the kinetic and digital works: Not reported in the sources reviewed.
Evaluation
Before commissioning for the Children’s Cancer Centre, GOSH Arts commissioned an independent evaluation of its collection by Dr Nicky Sim, covering 152 patient, family and staff perspectives and case studies of recent commissions [G3]. The annual review reports that patients and carers described the art as supporting their emotional wellbeing and prompting conversation [G3]; the full report and its methods are not public in the sources reviewed. Evaluation of Kinds of Life or Nature Trail specifically: Not reported in the sources reviewed. Reports on the hospital’s participatory arts activities concern art-making and performance, which are outside this library’s core scope.
Transferable considerations
- In a phased redevelopment, an art strategy can be written for each new building.
- Involving clinical champions and building users gives commissions a specific rationale.
- Kinetic and digital works need maintenance plans for moving parts and software.
- Construction phases may require temporary relocation; plan storage and reinstatement.
Sources
- [G1] Phillimore K. Enhancing visitor experience through art at Great Ormond Street Hospital. Art UK.
- [G2] Great Ormond Street Hospital, Art collection.
- [G3] GOSH Arts, Annual Review 2024/2025.
Al Rayyan, Doha, Qatar
Sidra Medicine
A monumental narrative sculpture and an interior collection at a women’s and children’s hospital
Institutional purpose
Qatar Museums presents Damien Hirst’s The Miraculous Journey as speaking of the human reproductive process that takes place every day at Sidra Medicine, a hospital dedicated to women and children [S1]. Qatar Foundation, which owns the hospital, stresses the role of art in humanising hospitals [S2].
Commissioning and selection
The work was commissioned through Qatar Museums for the Sidra Medicine campus (see record W-09). Qatar Foundation reports owning about 150 artworks, many purchased through a percent-for-art scheme [S3]; local artists account for 20% of that collection and artists from the region and the Arab world for 40% [S3]. The Sidra commission went to Damien Hirst, a British artist [S7]. Whether the Sidra interior works were acquired through the scheme: Not reported in the sources reviewed. The selection process for the interior collection: Not reported in the sources reviewed.
Placement and architecture
The fourteen bronzes chronicle gestation from conception to birth, ending in a 14-metre figure that Qatar Museums describes as an anatomically correct baby boy, and stand in front of the hospital [S1]. Qatar Foundation lists the work, unveiled in 2013, among the public artworks of Education City, where the hospital is sited [S3]. Inside, Sidra holds more than sixty works, including models, paintings and interactive pieces [S2]. The building, designed by Pelli Clarke Pelli, is organised around three large day-lit atriums, one of which contains a garden [S4]. The hospital has more than 50 outpatient clinics and 400 inpatient beds [S4]. How the hospital responds to the range of public reactions to the sculptures: Not reported in the sources reviewed.
User involvement
Qatar Museums anticipated that the sculptures would stimulate debate at home and abroad [S1]. The works were covered from public view shortly after their 2013 unveiling and re-revealed in November 2018 [S6]. Officials said the covering protected the works during continuing building work, but CNN, citing Agence France-Presse, reported that it followed criticism on social media [S6]. At the re-unveiling, a Qatar Foundation art specialist acknowledged that not everyone was expected to like or understand the sculptures [S6]. Qatar Museums provides interpretation of the work in Hindi and Urdu as well as English [S1]. Consultation with patients, staff or the public before installation: Not reported in the sources reviewed.
Funding and maintenance
Qatar Foundation endowed the construction of the hospital [S4]. Qatar Foundation offers guided Art Trail tours of the artworks at Education City [S3], and lists a guided Art Trail tour of Sidra Medicine’s own collection [S5]. Who is responsible for the care of the interior collection: Not reported in the sources reviewed. Maintenance arrangements for the outdoor bronzes: Not reported in the sources reviewed.
Evaluation
Evaluation of the sculptures or the interior collection: Not reported in the sources reviewed. See also the Gulf and Middle East overview.
Transferable considerations
- A narrative subject tied to a hospital’s service can be powerful and contested; anticipate public response.
- When the owner of the artwork differs from the hospital operator, agree responsibilities in advance.
- Outdoor monumental works need a conservation plan suited to the climate.
- Consider how different audiences, including families at difficult moments, will encounter the work.
Sources
- [S1] Qatar Museums, The Miraculous Journey by Damien Hirst.
- [S2] Qatar Foundation, How do Sidra’s art pieces improve healthcare? (13 June 2022).
- [S3] Qatar Foundation, Arts & Culture fact sheet (July 2022).
- [S4] Building Design+Construction, New hospital in Qatar reflects local culture in its design.
- [S5] Qatar Foundation, Sidra Medicine (entity page).
- [S7] designboom, From Richard Serra to KAWS, public artworks transform Qatar into an open-air art gallery (31 December 2024).
- [S6] CNN Style, Damien Hirst’s giant uterus sculptures re-emerge at Qatar hospital (19 November 2018).
Rochester, Minnesota, United States
Mayo Clinic
Governance, themes and stewardship over seven decades
Institutional purpose
Mayo Clinic’s alumni association traces the integration of art to the belief of the Mayo brothers that buildings should be beautiful inside and out for staff and patients [M1]. When the clinic expanded in the 1950s, there was concern that a functional modern building would feel sterile; an art programme was proposed to integrate art with the architecture [M1].
Commissioning and selection
The chair of the Board of Governors, Samuel F. Haines, was asked to establish an “Art and Ornamentation Program”, advised by artists and architects [M1]. A theme, “Mirror to Man”, was set, with sub-themes such as “Man and Home”, “Man’s Desire for Knowledge” and “Man and Companionship”; much of the work was carried out by the Minneapolis sculptor and art educator Warren T. Mosman, whose view was that art should be geared towards people [M1]. Selected artists were invited to Rochester, and their sketches were approved by the Building Committee and the Board of Governors [M1]. In the early 1970s a formal Mayo Foundation Art Program replaced the theme with a pluralistic approach, acquiring contemporary work and accepting donations [M1].
Placement and architecture
“Centres of interest” were built into the diagnostic building so that patients and visitors could study art while waiting and staff had a pleasant working environment [M1]. Ivan Meštrović’s Man and Freedom, a 28-foot bronze, hung on the north face of the Mayo Building for 44 years before it was moved in August 2000 into the atrium of the Gonda Building [M1]. A series of four sculptures, Man and Achievement, remains on the building’s east wall, and a further installation, Man and Recreation, was approved for the south wall when a nine-floor extension was agreed in 1966 [M1]. Earlier, the 1928 Plummer Building had used craftsmen for its carved sandstone, painted ceilings and bronze doors [M1].
User involvement
For the children’s hospital built in 1995, drawings by thousands of schoolchildren, hospitalised children and their siblings were collected, and more than 1,500 were transferred to tiles for new paediatric and intensive care units opened in 1996 [M1]. Patient involvement in the selection of the major sculptures: Not reported in the sources reviewed.
Funding and maintenance
The clinic displays donated works, such as thirteen Chihuly chandeliers in the Gonda Building, and uses funding to commission new works [M1]. Acquiring contemporary pieces was described as more budget-friendly [M1]. In the wider health system, Luther Hospital in Eau Claire acquired more than 300 works by regional artists in the 1990s [M1]. Volunteers give hour-long art tours on weekdays in Rochester, art booklets are available at welcome desks, and the artworks are accompanied by live music and related events for patients, visitors and staff [M1]. Costs of relocating Man and Freedom and routine maintenance: Not reported in the sources reviewed.
Evaluation
Evaluation of the collection or of individual sculptures: Not reported in the sources reviewed.
Transferable considerations
- Board-level ownership gave the programme continuity across building phases.
- A theme can guide early commissions but may later be broadened.
- Large works can outlive their original building; plan for relocation.
- Participatory elements, such as children’s tiles, can sit alongside commissioned works.
Sources
- [M1] Fields H. Art through the ages: a history of art at Mayo Clinic. Mayo Clinic Alumni Association (17 September 2024).
Sydney, New South Wales, Australia
Liverpool Hospital, Liverpool Health and Academic Precinct
A published arts-in-health strategy with First Nations and multicultural co-design
Institutional purpose
The redevelopment’s health and arts strategy aims to create a culturally safe and welcoming space for patients, staff and visitors [L3]. The redevelopment agency describes the co-designed artworks as bringing connection to Country, cultural safety and joy to people using the new building [L7]. The project director said the art was intended to welcome everyone from the entry to the clinical areas into a culturally safe environment [L1].
Commissioning and selection
City People describes three years of co-design with Aboriginal elders, clinical staff and local community groups. Venessa Possum was engaged as Aboriginal Creative Producer, with ZAKPAGE, Barahanos Byrne and Leanne Watson Redpath as artist facilitators; Sarah Wang is credited in the project team [L4].
Placement and architecture
A digital artwork and a suspended sculpture, together titled Burbangana, occupy the foyer of the new building at the main hospital entry [L2]; the agency describes them as a celebration of Country and a warm welcome, especially to First Nations families [L5]. The first series also included wall graphics across four floors of patient and public spaces [L3]. Works by local multicultural artists appear throughout the building, including the neonatal intensive care unit and birthing suites [L1]. Flowers of Gandangara by Bibi Barba, on the new car park, was developed with Aboriginal Elders, the local community and the project architects [L6].
User involvement
The First Nations creative team ZakPage co-designed Burbangana with local Aboriginal community members and traditional knowledge holders; the title is a Dharag word meaning “take hold of my hand and help me up” [L2]. The project team and clinicians took part in a Walk on Country with the Gandangara Local Aboriginal Land Council [L6]. Multicultural leaders set the themes of a community art project, and four local artists from migrant and refugee backgrounds created wall graphics and installations [L2].
Funding and maintenance
The art was delivered within the government-funded redevelopment [L1]. The art budget and maintenance arrangements: Not reported in the sources reviewed.
Evaluation
Evaluation of the artworks: Not reported in the sources reviewed. The 2024–2029 strategy covers the next phase [L3]. In July 2026 an artwork by Kevser Ugurlu, painted in watercolour and gouache and arranged around a large arch, was unveiled in the paediatric area of the redeveloped emergency department; the artist described it as a comforting distraction for children who may feel anxious in hospital [L8]. These are the artist’s aims, not measured effects.
Transferable considerations
- A strategy written before design, with local cultural partners, sets priorities for every phase.
- Co-design with Traditional Custodians needs time and relationships, such as a Walk on Country.
- Commissions at several scales — entrance, clinical areas and car park — can serve different purposes.
- Name the creative producer and curators so accountability is clear.
Sources
- [L1] NSW Health Infrastructure, Creative contributors see their art installed at new precinct (7 November 2024).
- [L2] NSW Health Infrastructure, Stunning new artworks unveiled (10 October 2024).
- [L3] NSW Government, Liverpool Health and Academic Precinct: about our arts program.
- [L4] City People, Liverpool Health & Academic Precinct (2021–2024).
- [L5] NSW Health Infrastructure, Stunning First Nations artworks installed.
- [L6] NSW Government, Liverpool cultural program: An inspiring Walk on Country.
- [L7] NSW Health Infrastructure, Construction completed on Liverpool Hospital’s new Integrated Services Building.
- [L8] NSW Health Infrastructure, Artwork brings comfort and wonder to children at the Liverpool Health and Academic Precinct (14 July 2026).