Software Development
NHS Online service
Helping build NHS Online — a new national digital hospital launching in England by 2027, connecting patients to specialists via the NHS App and easing elective waiting times.
- Client
- Kainos (for NHS England)
- Role
- Software Developer
- Year
- 2026
- Duration
- Ongoing multi-year programme
In short
- Contributing to a flagship NHS programme that aims to reduce elective waiting times by routing suitable patients to specialists directly through the NHS App.
- Delivering to the GOV.UK Service Standard and NHS Digital's accessibility, security and performance bars from day one.
- Working as part of a Kainos-led multidisciplinary team — engineers, designers, user researchers and clinicians, in lockstep.
The brief
Elective waiting times in England have been at a fifteen-year high. NHS Online is the system's response: a new digital hospital that lets eligible patients access specialist care via the NHS App, without the traditional referral-to-appointment journey. Launching a service of this scope — under the privacy, safety, accessibility and reliability expectations the NHS has to meet — means the engineering has to be quietly excellent from day one.
My part is a front-line delivery role inside the Kainos team building the patient-facing service. Everything is user-researched, accessibility-assessed, security-reviewed, and held to NHS Digital's well-established playbook for high-stakes public services.
Approach
Working to the GOV.UK Service Standard through discovery, alpha, private beta and public beta — each phase ending with an independent assessment before the service can move on.
Building front-end journeys on the NHS Design System and established NHS.UK patterns, so anything we ship looks and behaves the way patients already expect their NHS digital services to.
Pair-programming and mobbing on the hardest journeys, keeping the review cycle tight and the knowledge spread across the team.
Running accessibility checks as part of every definition-of-done, with manual screen-reader and keyboard walkthroughs in addition to automated axe / Pa11y runs.
What I delivered
- Patient-facing front-end features on the core referral and booking journeys
- WCAG 2.2 AA accessibility evaluations and remediation
- Performance profiling against Core Web Vitals on representative devices and networks
- Component-level and journey-level tests, wired into the CI pipeline
- Contributions back to shared NHS patterns and internal documentation
Outcomes
- Shipping into an NHS service with a clear path to national launch by 2027
- Meeting NHS Digital's exacting accessibility, security and performance standards on every assessment
- Patterns and components that can be re-used across the wider NHS estate
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