
Astley Ainslie Hospital
Find out more about the Green Health projects and activities that are taking place on site
The Astley Ainslie Hospital provides rehabilitation services for adults with acquired brain injury, stroke, orthopaedic injuries, limb amputation, and progressive neurological disorders such as multiple sclerosis (MS) as well as outpatient/community based programmes for chronic pain, cardiac rehabilitation and angina management. As well as providing a range of services for its patients, it represents a considerable community asset and a significant place for nature.
Astley Ainslie Greenspace Management Plan
Find out more about how the plan aims to enhance the therapeutic environment at Astley Ainslie by improving the landscape that can be used by patients and nursing staff to aid recovery as well as how it will support NHS Lothian to meet its climate change and biodiversity commitments.

What’s on – activities

Get in touch: [email protected]
“Thank you to everyone who has supported all the activities so far and for making me feel welcome in my new role. I’m looking forward to doing more this year.”
Winter has been an important season for creating more habitats for wildlife across the Astley Ainslie estate.
Strengthening Meadow Habitats
Work has been continuing on the site’s meadows to help ensure healthy regrowth and increased biodiversity in spring. TCV volunteers also carried out aftermath scything and oversowing with additional wildflower species across the new meadows. This work improves soil health, supports pollinators and helps ensure a stronger, more diverse flowering display when the warmer months return.
Looking Through a New Lens
In partnership with our Tonic Arts colleagues, a photographic exhibition of original images created by patients and staff at the Astley Ainslie Hospital has gone on display in the SMART centre. These images explore and celebrate the rich and unique green spaces of the hospital grounds.
From June to September 2025, 17 participants took part in a series of three photography workshops, hosted at the NHS Lothian SMART Centre, and facilitated by photographer and educator Morwenna Kearsley, and photography graduate Haneen Hadiy. The workshops focussed on creative approaches to spending time outdoors, supporting participants to engage with the hospital green spaces to reduce stress and enhance their health and wellbeing.
Devised and delivered through a collaboration with our Green Health and Tonic Arts programmes, NHS Lothian SMART Centre and LEAP, its aim was to provide; the learning of photographic techniques and approaches, collective experiences through engagement with other participants, and co-creating an exhibition of new photography to be shared across the hospital, community.
“I really look forward to the sessions. Got me out in the grounds and appreciating the colours and gardens in the middle of the city. Made me see the world differently…gave me the freedom to do a hobby and enjoy it. Fantastic! No judgement. Feel a sense of pride in my ability to ground myself and clear my head.” LEAP Patient
“Never done anything like this before, it wasn’t what I expected. I got totally immersed in taking photos and appreciated the grounds in a way I never had before. Interesting to see how everyone sees the same surroundings so differently.” Staff Member

There was a great turnout at the scything festival from NHS Lothian staff and volunteers to learn more about traditional meadow management and have a go themselves. The REH Grounds and Gardens team got hands-on training from scything experts while volunteers from NHS Lothian and TCV tackled the wider areas.
Working with a scything expert from The Conservation Volunteers, we are now following this up with an “aftermath” scythe which helps restore balance in meadow plant communities. After the main summer hay cut studies have shown that the late summer/autumn aftermath management has the next biggest influence on the long-term structure and diversity of the sward.

What’s on
Find out what’s on and upcoming patient, staff and volunteer activities by visiting our events page.
From drop in wildlife wanders and bird ID activities to garden groups and orchard care, there’s something for everyone.

Scything will reduce the carbon footprint by reducing fuel and the need for large machinery which can damage the plants and insect, eggs and larvae etc.
Once the cuttings have dried, we will then use them to create insect teepees and dead hedges. This allows the insects in their various forms to survive harvesting and the winter so they can return to the WFM next year, therefore already increasing next years population.

During the summer, staff and patients were invited to explore the beauty around them! We can’t wait to share the impact of these sessions!

Aisling has been engaging with staff and patients on site to look at different ways to access the beautiful nature around the hospital for improved wellbeing. She has done some nature-based mindfulness activities on the wards and balconies and our walk and wheel events have been a great way to explore the site and understand more about the different ecosystems within it. One patient said he really appreciated the time spent outside to calm his mind.
If the weather has been against us, we’ve been able to bring our sessions indoors and talk more about local wildlife, flora and fauna. We had a particularly good session about fungi where participants were surprised to find out that fungi can be trained to break down cigarettes butts and used nappies. One of our patients was happy to be able to bring family along to join in too.

We’ve been working with volunteers to prepare for Spring by clearing some of the flower beds around the site and planting nearly 700 bulbs to bring some colour in the Spring.

What’s on – projects

The meadow areas will provide a tranquil retreat for patients, staff, and visitors, offering a moment of respite and connection with nature. Studies have shown the powerful impact of green spaces on mental and physical health, and we believe these meadows will be a valuable therapeutic resource.
Beyond its aesthetic and therapeutic value, the wildflower meadows are a vital step in enhancing biodiversity. By planting native species, we’re creating a habitat for local wildlife, and supporting a healthy ecosystem. We’re also reducing the need for intensive grounds maintenance, contributing to a more sustainable approach.
We invite you to witness the meadow’s transformation as it blossoms throughout the seasons. Take a stroll, breathe in the fresh air, and experience the calming influence of nature. This project is a testament to our commitment to creating spaces that nurture both people and the environment.
Thank you to everyone who has supported this project.



Landscape Designer, Krystina Barko, in consultation with staff and patient groups, has created a design featuring ‘rooms’, distinct areas which can be used individuals and small groups alike. The diversity of plants has been significantly improved, introducing species that stimulate the senses and attract pollinating insects, adding both beauty and ecological value to the courtyard. The newly regenerated space is now ready to be enjoyed by all. Learn more…

The planting of trees is an output outlined in the Green Space Management plan for the site which we will continue to implement, including the creation of the first wildflower meadows, which have been agreed with the gardening team but not yet implemented.

The planting of bulbs is an output outlined in the Green Space Management plan for the site which we will continue to implement, including the creation of the first wildflower meadows, which have been agreed with the gardening team but not yet implemented.
Discover walking routes from the hospital with the Go Jauntly
Find new walking tours based on your location. Simple photo guides help you navigate while nifty tips point out things of interest. Sign up to walking challenges or enjoy green routes from A to B or circular walking routes. Take pictures, add details that other people may find useful and share with the growing community.
