But does it work?

CHELSEA & WESTMINSTER HOSPITAL RESEARCH PROJECT

For a full-on, unashamed testimony of faith in the power of arts activity to heal, take a visit to the foyer of Chelsea and Westminster Hospital. Such an invitation is not what most people would expect, but there again, neither is the hospital's large central atrium. For one claim to its fame is that it houses the world's largest indoor sculpture, in the steel form of "The Acrobat" by Allen Jones, soaring more than 18 metres high. And although monumental, this is only one of a thousand works of art that have been acquired through the funding of charities, businesses and individuals since the award-winning hospital opened in 1993. That works out at an average of nearly two every week for ten years. The framing bill alone was £25,000 in one year. On top of that, two or three performances are held every week, ranging from traditional jazz, folk and world music to opera, chamber music, poetry-readings and dance.

Although Susan Loppert, the Director of Chelsea and Westminster Hospital Arts, looks for uplifting and optimistic work, she has put on La Boheme and La Traviata, both dealing with terminal illness, without any adverse comment. In the ten years since it started, not a penny of NHS money has gone into the project. And with works by prominent artists such as Patrick Heron, Sian Tucker and a series of ten sunrises by Maggie Hambling, the collection is the only hospital asset which is likely to increase in value over the years.

In 1995, the City of London Sinfonia embarked on a four-year residency. Each month an informal concert was followed by a workshop for patients. Other residencies have included the Medici String Quartet on the theme of The Seven Ages of Man, and South Asian Dance ensemble, Akademi. Since 1996, Hospital Arts has been staging an annual music festival, a series of seven free concerts for the whole community.

Such a volume and intensity of activity suggests that a prescription of arts as medicine has been eagerly swallowed. It certainly stems from a long lineage in Europe, back to the start of the 14th Century, and with Florence Nightingale writing in 1860 that brightly coloured flowers and paintings helped patients to recover more quickly. The Hopi and Navajo tribes of North America made pictures in the sand to heal their sick. However, in a climate where economists and politicians are ever watchful of the ever-rising costs of delivering a National Health Service, hard evidence is demanded.

So Dr Rosalia Staricoff was commissioned by the project to lead a study of the effects of the visual and performing arts in healthcare, with the bulk of the funding coming from Kings Fund, an independent British healthcare charity and think-tank. She worked on the research project with Susan Loppert and artist Jane Duncan. The aim was to provide a scientific, clinical evaluation to support the wealth of anecdotal evidence that abounds about the beneficial effects of art on healing.

Their preliminary findings were published in February this year, and confirmed the anecdotal evidence. For example, anxiety levels of patients in the Medical Day Unit were found to be 18% lower than in the control group, and depression levels 34% lower. Patients exposed to visual arts and live music during their post-op period needed fewer painkillers and left hospital one day earlier than others. One of the NHS' biggest problems is maintaining the morale of staff, and the high cost of absenteeism and recruitment. In the study, two thirds of healthcare respondents indicated that the environment created in the Chelsea and Westminster Hospital greatly influenced their decision, either to apply for a job, or to stay there. As Susan Loppert says "Our staff are as underpaid, overworked and under-resourced as anywhere else, but a feeling of pride has developed".

The research team is completing the full report over this summer, and the results are likely to add still more weight to the arguments for the value of arts intervention in health settings.

Contact
Dr Rosalia Lelchuk Staricoff Chelsea and Westminster Hospital Arts
369 Fulham Road, London SW10 9NH
Tel: 020 8846 6864
e-mail: research.project@chelwest.nhs.uk

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