Frequently asked questions

In this section we have tried to answer some questions that are often asked about the Elderflowers:

1.Who are the Elderflowers? Are they volunteers?
2.Clowning and red noses… is that appropriate for older adults?
3.How many Elderflowers are in the team?
4.What kind of activities do they do?
5.Who is Elderflowers suitable for?
6.What health care units do they visit and how often?
7.How many ladies and gentlemen do the Elderflowers visit per session?
8.How can I obtain a copy of the Elderflowers video?
9.Who pays for the Elderflowers programme?

1.Who are the Elderflowers? Are they volunteers?
The Elderflowers are professional performing artists who have been trained to work with elderly people with dementia in a health care setting. Hearts&Minds looks for the following skills and experience when recruiting new practitioners: at least five years experience in working as a professional artist; experience in using the arts with vulnerable people; professional clowning training; maturity; compassion. Hearts&Minds also runs the Clowndoctors programme for children in hospital and hospice care and practitioners must gain experience as a Clowndoctor before starting training to work as an Elderflower. The practitioners are not volunteers – they are contracted by Hearts&Minds and paid for each Elderflowers session. All Elderflowers must agree to the terms of Hearts&Minds’ Confidentiality Policy, as well as signing an Honorary Contract with each health-care unit they work in.

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2.Clowning and red noses… is that appropriate for older adults?
Respecting the dignity of the participants is a central aim of the Elderflowers programme. The Elderflowers wear red noses and old-fashioned, slightly eccentric clothes, but no makeup. The red nose is the smallest mask in the world and provides visual focus, an invitation to play and seems to trigger recognition in the participants. The Elderflowers tailor their approach to the individual participant, which could mean playful banter or a very gentle, non-verbal intervention.

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3.How many Elderflowers are in the team?
At present there are eight brothers and sisters in the Elderflower family – Tiny, Cookie, Honeybunch, Sweety-Pie, Petal, Toots and Skip. The ‘family’ theme allows the Elderflowers to introduce family-related themes and makes it easy to introduce new ‘siblings’.

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4.What kind of activities do they do?
The Elderflowers skills include clowning, improvisation, puppetry, music and movement. Sessions can involve groups or individuals. During their training, plus regular artistic sessions, the Elderflowers learn a bank of activities and themes which they can pull from. Examples of themes might include: a day out at the seaside, ballroom dancing, home improvements.

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5.Who is Elderflowers suitable for?
The Elderflowers programme has benefited elderly people in the advanced stages of dementia and other organic conditions including Alzheimer’s Disease, Vascular Dementia, Pick’s Disease and Huntington’s Disease.

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6.What health care units do they visit and how often?
Long-term, assessment and respite wards at the Royal Edinburgh Hospital (once a week) and Borders General Hospital (once a week). We now also provide regular visits to Herdmanflat Hospital, Haddington and Findlay House at the Eastern General Hospital, Edinburgh. The programme runs for forty weeks of the year, with breaks at Christmas, Easter and in July/August. We have received feedback from staff that the programme can provide a reassuring link between assessment and long-term care for some patients.

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7.How many ladies and gentlemen do the Elderflowers visit per session?
The Elderflowers aim to see seven to ten participants per ward per session.
How do the Elderflowers choose who participates? In fact they don’t! An important part of the programme is that health care staff refer ladies and gentlemen to the Elderflowers and give a reason for the referral plus basic information about the participants, interests and medical condition. Some long-term patients are referred to the Elderflowers on a regular basis during their stay, allowing the work to develop over time.


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8.How can I obtain a copy of the Elderflowers video?
The Dementia Services Development Centre (DSDC) at the University of Stirling has commissioned and produced an independent, educational video about the use of humour in the Elderflowers programme, called ‘Red Nose Coming!’. The video was filmed during Elderflowers sessions at Borders General Hospital and is for sale from the DSDC, tel 01786 467740. The Elderflowers onsite supervisors at Borders General Hospital also hold a copy of the video.

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9.Who pays for the Elderflowers programme?
Registered charity Hearts&Minds has an ongoing fundraising campaign to continue to provide the Elderflowers programme to participating units.   The launch funder for the Elderflowers programme was the Scottish Arts Council National Lottery. Additional funding has been provided by trusts and foundations, Lothian Health Board, Borders Health Board, the Scottish Arts Council, local authorities, businesses and individuals.

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More on donations, fundraising and corporate partnerships
If you or someone close to you is affected by dementia, this page provides links to support organisations
Elderflowers case studies
Meet the Elderflowers family
Read about the ‘Red Nose Coming!’ video