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Software Development

Cohort Manager for cancer screening

Helping breast-screening staff identify, correct and verify the demographic details of eligible participants, so the right people are invited at the right time.

Client
NHS England
Role
Lead UI Developer
Year
2024
Duration
9 months

In short

  • An internal tool for NHS screening staff — the people who decide who gets invited to screening, and when.
  • Accuracy matters: an incorrect record can mean someone misses a screening that would have found a cancer early.
  • Built on the NHS Design System with accessibility, auditability and trust as first-class requirements.

The brief

National cancer screening programmes live or die by the quality of the demographic data underneath them. If the cohort is wrong, the wrong people get invited — and the right people don't. Breast-screening staff had been working around inconsistent records for years, using tools that weren't fit for the task.

The brief was to build the internal service those staff actually need: clear, fast, accurate, accessible, and auditable enough that each change could be traced back to a real person and a real reason.

Approach

User research with screening staff — observing the real tasks, not just the documented ones.

Designing flows around the decisions staff make, not the data model underneath.

Using the NHS Design System so the service felt familiar to anyone who'd used other NHS internal tools.

Accessibility testing alongside sighted and screen-reader users early, not as a final-phase gate.

What I delivered

  • Cohort verification and correction journeys
  • Audit trail for every demographic change
  • Role-based access controls mapped to real screening staff roles
  • Component-level and end-to-end tests
  • Accessibility audit and remediation

Outcomes

  • A faster, less error-prone day-to-day for screening staff
  • Fewer invitations going to the wrong addresses; fewer missed invitations overall
  • An auditable trail that satisfies clinical-safety and information-governance review