How does it work? - Hearts and Minds. Improving lives, one smile at a time.

How does it work?

Our Clowndoctors and Elderflowers are trained therapeutic clowns. This means they are professional performers who use clowning techniques such as improvisation, surprises, music, slapstick, celebrating mistakes, rhythm and naivety to create a unique,
tailor-made fun visit, just for you.

Person centered

Visits are made for and by the people we see. They're bespoke, live, unique and inclusive.

The Red Nose

The world's smallest mask. A universal symbol for play. We don't wear makeup or big shoes or curly wigs. We're open, responsive and sensitive.

Dr Maybe looks down at a toddler who is looking back up at her and reaching for her nose.

Creating connections

Therapeutic clowns connect with people by listening, playing, engaging and empowering.

You are the Champion

You are the champion, the expert, the hero, and we Clowns always need your help. We're always the sidekick to your ideas and responses. We help empower those with little power with our naivety and eagerness to please.

Humour, sensitivity and positivity

Our Clowndoctors and Elderflowers visit people who might be feeling sad, lonely, anxious, worried, or needing help and we aim to improve the experience of being in hospital or hospice care by using the performing arts and therapeutic clowning to encourage relaxation, resilience, stimulation, social interaction, and laughter.

The Clowndoctors also visit schools for children with complex needs as visits from the Clowndoctors can help with learning, encouraging engagement, communication, participation and improve mental health and wellbeing – as well as being lots of fun.

Every visit is ‘made to measure’ and improvised, focusing on the participant and their needs, and bringing humour, sensitivity, and positivity to their space.

First we...

When we, the Clowndoctors or Elderflowers, arrive somewhere, we first meet the staff and find out who we will be visiting that day. We like to know a little bit about everyone, for example, what they like or don’t like, and how they are feeling on this day. We find this out so we can create a unique visit for everyone we see. We do some planning and then we change into our Clowndoctor or Elderflower clothes, warm up our bodies and voices and then, with great excitement, head out to meet people.

Then we...

We head into the corridors, or rooms, or wherever the people we are visiting that day are. We use music and rhythm to signal our arrival, we say hello to everyone we meet, we spread positivity as we move around looking for our ‘friends’. For example, as Elderflowers, we are looking for a lady with dementia called Margaret. She doesn’t speak much but we know she likes Elvis. We sing a gentle Elvis song but can never quite get the words right – until Margaret helps. And then, we can never quite get the lip right, or the hips – all requiring Margaret's help as she laughs at our best efforts to be like Elvis. This makes Margaret smile, laugh and sing, and builds her confidence as an advice-giver.

And finally...

At the end of the day, we reflect on all the visits we have made, hopefully leaving laughter, a positive atmosphere, and sometimes chaos, in our trail. In one single day the Clowndoctors can be on the moon, deliver red noses, be magicians, throw imaginary fish around, get stuck in doors, have conversations with teddy bears and show off their best dancing skills – all with the help of a child or young person.  At the end of the day, we talk to staff about our visits, we write up what we have done so that we can use it for our next visit, we take off our costumes, and feel privileged to have met so many wonderful people.

We've seen our children engage in ways we just haven't seen before. The Clowndoctors are just amazing!

Feedback from Fairview School, Perth

Further reading and research about Therapeutic Clowning


The Clown and the Hospital
What do we know about hospital clowning?
Charlotte Langmeijer 2012

The CliniClowns approach
CliniClowns Netherlands
Gerard van Midden 2012

Hospital Clowning
A pediatrician's view
Lennard T. van Venrooij + Pieter C. Barnhoorn 2016

Help us to enrich people’s lives and improve well-being.Healthcare clowns are not just for LAUGHS!

There are lots of ways you can support Hearts&Minds. We are a Scottish charity that works in collaboration with paediatric healthcare units, respite centres, additional support needs (ASN) schools, and Dementia units. Our healthcare clowns offer authentic emotional connection accessible to all, whatever their circumstance.

Help us make a difference.

Fundraise

Choose whatever challenge or fundraiser you would like to do – just make it something fun that you’ll enjoy!

Fundraise for Hearts & Minds
In a classroom. Dr Beatz is kneeling opposite a young person with her hands on their shoulders. Their faces are close together and they are smiling

Adopt a Clowndoctor

Our Clowndoctors really need your support. Adopt a Clowndoctor today and help them make a difference and for children in hospital, hospice care and SEN schools.

Adopt a Clowndoctor
In hospital. A child with a nasogastric tube is held by a woman and is about to grab a sponge red nose from a Clowndoctors thumb

What Makes Us Different

Hearts & Minds help vulnerable people overcome feelings of powerlessness, anxiety and isolation through the art of therapeutic clowning.

What we do

Thanks to the organisations who support our work

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© 2025 Hearts & Minds. All Rights Reserved.

Hearts & Minds Limited | Registered Company in Scotland No.SC178916 | Registered Office: Lower Ground, 4 Castle Terrace, Edinburgh, EH1 2DP | Scottish Charity No. SC027040

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