This document describes the achievements of 23 projects in the King's Fund Enhancing the Healing Environment Programme. It includes case studies of nine of the projects and a summary of an evaluation that was commissioned to assess the improvements to the environment, the benefits to patients and staff, and value for money. This evaluation applied a recognised methodology to the case studies, and substantial environmental improvements have been measured in all of the schemes studied. There is already evidence of high user satisfaction, as well as a reduction in stress, increased use of the project areas, changes in working practices, and the therapeutic benefit that can be derived from environments that are designed by patients and staff to be fit for a purpose.