This guide sets out to show how teams of NHS staff can plan and deliver their own medium-sized design projects in hospitals by making better use of existing resources. It is aimed at a wide audience, including the frontline employees, such as nursing and estates or facilities staff, who may participate in project teams, senior managers and members of trust boards, who will support teams, and anyone else interested in the subject of design in hospitals. Part 1 sets out to answer the question "Why is good design so important to hospital patients and staff?"; Part 2 illustrates how Enhancing the Healing Environment projects have been undertaken in a variety of NHS settings; Part 3 shows how to plan and deliver a medium-sized design project and Part 4 incorporates a directory of projects, references and further reading, along with contact details. The accompanying CD contains: a presentation illustrated with images of health care premises in the UK and abroad; video footage of a project in the A&E department of Hillingdon Hospital; a compilation video of completed projects in London and an expanded project directory.