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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