Courtyards are a common architectural feature of healthcare sites in the UK. Whether designed principally as internal gardens, lightwells or to facilitate ventilation, enclosed spaces close to wards and clinics are likely to be the principal view of the outdoors from surrounding windows, and access to sheltered open-air areas for rest and recuperation may be greatly valued by patients and staff. Many will think trees in courtyards aren’t possible, but this isn’t the case.
In this blog, we will consider some of the practicalities for incorporating trees in courtyards and enclosed gardens. We will be using ‘courtyard’ to mean outdoor spaces at ground level that are open to the sky, but wholly or partly enclosed by buildings or walls. And our focus will also be trees planted directly into the ground, rather than in pots, raised beds or other form of container that restrict root spread.
Is the space suitable for a tree?
An obvious question to ask at the outset will be whether your site is appropriate for trees in courtyards. There are several factors that may limit or preclude planting in such spaces:






Trees in courtyards – which species are the most suitable?
Here are some of NHS Forest’s suggestions for species suited to an enclosed space. We have focused our recommendations on native trees, but you could also consider more exotic ornamental species.
![]() | Prunus species such as bird cherry (Prunus padus) and wild cherry (Prunus avium) will tolerate poor soils and produce colourful blossoms. |
![]() | Crab apple (Malus sylvestris) is a compact and seasonally interesting species, with sweetly scented blossom. A good choice for wildlife. |
![]() | Elder (Sambucus nigra) is a smaller tree with fragrant flowers, cultivated varieties may be selected for their colourful foliage and flowers. |
![]() | Hornbeam (Carpinus betulus) is a larger species that responds well to regular pruning and can be trained into interesting shapes. |
![]() | Rowan (Sorbus aucuparia) can grow well in thin soils but requires plenty of light. A good choice for wildlife, especially birds. Miniature cultivars may work better in small spaces. |
![]() | Dwarf fruit varieties including apples, cherries and figs can be a lovely – and edible – addition to a courtyard garden and can be selected to tolerate confined spaces. |
What are the alternatives to tree planting?
Not every courtyard space will be suited to tree planting. One possible alternative might be to incorporate smaller shrubbier plants or develop a “woodland carpet” of understory plants such as ferns, grasses, herbaceous perennials and wild flowers. The Royal Horticultural Society has a blog on creating a woodland feel even in small spaces.
Further reading
NHS Forest has a couple of other blogs focused on trees for small spaces that may be insightful:
Planting Trees in Small Spaces Part 1 considers tree size / spacing and has recommendations for smaller UK native species.
Planting Trees in Small Spaces Part 2 looks at care and maintenance with a view to restricting the ultimate size of planted trees.
All inline images: Canva. All rights reserved. Banner image: A courtyard garden greened up by Mount Vernon staff. Photo: Vicki Brown / Centre for Sustainable Healthcare 2021. Attribution 4.0 International (CC BY 4.0).





