Bethlem Gallery & National Autism Unit

Commissioned by Bethlem Gallery, this socially engaged project was developed in collaboration with service users at the National Autism Unit (NAU), Bethlem Royal Hospital. Through a series of co-design workshops, participants played a central role in shaping every aspect of the final installation from the colour palette and materials to the scale, placement and visual language of a co-designed mural.


The commission formed part of a wider initiative exploring how participatory creativity can transform clinical environments into places that feel more welcoming, calming and engaging. Rather than arriving with a predetermined design, I developed the artwork through conversation, experimentation and shared decision-making, ensuring the final installation genuinely reflected the people who use the space.

“What's really worked well is having each session linked to the next step. One week we picked colours, next week these appeared in the design & we built upon these to think about the next design steps. It's really important because it shows the patients & staff that their thoughts & ideas have really been taken into consideration & informed the work, showing the patients that their opinions are valued & that it's a project for them to express themselves & have an artwork on the ward that they want”

The project began with three workshops designed to build trust, encourage creativity and create an accessible environment where participants could confidently contribute ideas. The first session focused on getting to know one another through collaborative drawing, playful mark-making and conversations around colour and texture. Together, participants selected a shared colour palette and explored a range of healthcare-approved fabrics before choosing a wipeable, fire-retardant leatherette because of its cooling texture and tactile qualities.


Staff observed that the workshop created "a calm and soothing atmosphere," with the combination of drawing, music, tactile materials and gentle facilitation encouraging sustained engagement. One participant repeatedly returned to the fabric samples, discussing the subtle differences in texture and choosing the leatherette for both its tactile and visual qualities.

The second workshop focused on painting with the selected colour palette while exploring how the artwork might inhabit the ward. Through discussion, visualisations and collaborative making, the participants chose not only the aesthetic direction of the work but also dramatically expanded the ambition of the commission. What began as a proposal for a single mural evolved into a co-designed artwork spanning two wings of the National Autism Unit, the central communal area, alongside a collection of sculptural cushions.

The final workshop became a space for experimentation and refinement. Participants explored painting, gesture and mark-making while also drawing the abstract shapes they wanted to become sculptural cushions. Rather than directly reproducing these drawings, I used them as the starting point for designing a series of bespoke soft sculptures that translated their ideas into tactile three-dimensional forms.


Alongside this, the paintings and drawings produced during the workshops became a growing archive of collaborative artwork. These were scanned and digitally printed onto the participants' chosen leatherette fabric so that every cushion retained the unique marks and gestures created throughout the sessions.

The workshops were consistently described by participants as "creative," "mindful," "therapeutic," "empowering" and "relaxing." One participant simply described the experience as "calming like the sea." Another reflected that being involved felt "creative, empowered, incredible good work."

Following the workshops, I spent three days on site painting the mural. Working directly from the participants' drawings and paintings, I translated their marks, shapes and colour choices from paper onto the walls of the unit. The finished mural is therefore a genuinely co-designed artwork, where the visual language emerged from the collective creativity of the workshops while being carefully composed across the walls to create rhythm, movement and moments of pause throughout the space.


Alongside the mural, I designed and fabricated a collection of sculptural cushions inspired by the abstract forms participants had drawn during the workshops. These tactile objects extended the mural into the everyday life of the ward, encouraging interaction while embedding the participants' creative voices into the furniture and shared spaces.


To encourage ongoing participation after the commission was completed, I also introduced an interactive whiteboard into the mural with the prompt "Today feels…" inviting service users, visitors and staff to respond through words or drawings. Rather than existing as a finished artwork, the installation continues to evolve through the daily contributions of the people who inhabit the space.


The project demonstrated how collaborative making can extend beyond participation as a process, becoming a genuine method of authorship where the people who use a space become active contributors to shaping it. Through shared decision-making, experimentation and making together, the final installation reflects not only a collective visual language but also a shared sense of ownership, belonging and care.

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Client - Socially-engaged project


Kate Watson - Creative Producer 


Working with Alice Burnhope on the National Autism Unit (NAU) Arts Strategy has been an absolute pleasure. Alice brought exceptional professionalism throughout the project, delivering to agreed timescales and budget while remaining responsive and adaptable as the project evolved.


Alice has a real strength in creating meaningful co-production. She brought a sensitive, calm and experienced approach to working with autistic patients and staff in a complex mental health clinical environment, adapting her workshops and creative process to ensure people could really engage in ways that felt comfortable and genuinely valued. Her ability to balance artistic ambition with the realities of the NAU hospital setting meant every challenge became an opportunity to strengthen the work.


Communication was excellent throughout. Alice worked collaboratively with me as Creative Producer, our Assistant Producer, NAU staff and the Bethlem Gallery and Hospital Estates teams, building positive relationships across the project.

It has been a joy to work with her and I wouldn't hesitate to recommend her as both an artist and collaborator."