The present paper gives an overview of some of the modular day courses offered and, in some cases, developed by tutors at a former hospital school providing education to adults with severe learning disabilities. The aims of the courses were cognitive and personal development, as well as aesthetic and spiritual enrichment. Art history was offered as an activity within the Open University "Learning Disability--Working as Equal People" course, and the students' responses to paintings were deep and remarkable. In a play-writing course, tutors acted as "writing hands" and the resultant plays were given a rehearsed reading. Some poetry was also produced.