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title: Designing a pregnancy self-referral journey for RSV
date: 2024-12-10
tags:
- appointments
- RSV vaccine
---

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---
title: Making the appointment selection process clearer for users
date: 2025-02-18
tags:
- appointments
- user research
---

Our research with National Booking Service (NBS) users had shown that some of our users found the appointment selection process difficult.
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---
title: Improving the booking complete screen
date: 2025-04-24
tags:
- appointments
- continuous improvement
---

After the introduction of the panel component to the NHS design system, we took the opportunity to make improvements to our booking complete screens.
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title: Moving source-system event data through NSP and into FDP
description: Two data engineering experiments to move screening data from source systems into the Federated Data Platform
date: 2025-05-01
tags:
- data
---

## Context
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2 changes: 2 additions & 0 deletions app/breast-screening-reporting/2025/07/index.md
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title: Improving pathology BQA reporting
description: A concept for how we might improve data quality and reduce manual work in pathology reporting.
date: 2025-07-01
tags:
- breast screening
---

**Note: this work was completed by Team Analyse. It will be carried forward by the Breast Screening Pathway Team and/or Breast Screening Reporting.**
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title: When logins become dead ends, and how to avoid them
description:
date: 2025-12-19
tags:
- user research
---

Lost or difficult logins stop staff being able to use the data they need. How might we prevent this?
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title: Sharing screening results with GPs
description: How we kicked off the next round of discovery
date: 2025-01-07
tags:
- GP results
- screening
---

The Explore team has kicked off our next round of work on the theme of sharing screening results with GPs, focussing on the sharing of normal and abnormal results with GPs for Breast screening and Bowel screening programmes.
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title: What we learned about sharing breast and bowel results with GPs
description: Findings from the first burst of work
date: 2025-03-12
tags:
- GP results
- screening
- user research
---

In this update we focus on the learnings of our first burst of work (December 2024 - February 2025) and the first 2 outcomes:
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- breast screening
- GP results
- NBSS
- user research
---

In our [previous design history](/explore-team/2025/04/finding-the-right-solution-for-sharing-breast-results-with-GPs/) we described the problems an alpha team taking our discovery work forward would need to solve. At that point we still needed to synthesise findings from over 40 conversations and emails with breast screening office (BSO) staff, general practice (GP) staff and internal NHSE colleagues.
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title: Designing and testing a prototype
description: We have been working on a digital version of the lung health check. To understand whether users would want to complete the questionnaire digitally and how we might deliver it.
date: 2025-08-11
tags:
- prototype
- user research
---

We have been working on a digital version of the lung health check. This is a questionnaire that assesses someone’s risk of getting lung cancer in the next 5 years. The lung cancer programme would like to introduce a digital service alongside the current phone service. We wanted to understand whether users would want to complete the questionnaire digitally and how we might deliver it.
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- alpha
- prototype
- service design
- breast screening
---

## Problem space
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- alpha
- prototype
- initial screening
- breast screening
---

## Expanding our prototype
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title: Defining appointment status labels
description: Reviewing how to classify appointments so users can see and understand the status of each one.
date: 2025-02-03
tags:
- breast screening
- content
---

## Why status labels are needed
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title: The future of national breast screening service – record of communication
description: A record of communication issued on 5 June 2025
date: 2025-07-03
tags:
- breast screening
---

This is a record of communication that was issued on 5 June 2025.
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- Australian record – not up to date example
- NHS app – vaccinations showing in medicines
- NHS covid pass – COVID-19 vaccinations
tags:
- prototype
---

When we were [mapping service design ideas for a measles outbreak](https://app.mural.co/invitation/mural/nhsdigital8118/1665477929936?sender=u4f2227392499e7dce8f43480&key=6d3efeb2-b59f-4bd1-be39-88a01bbc0db8) in Mural, we identified a need for viewing a vaccination record.
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- No consent
- Medical answers yes
- Success
tags:
- prototype
- flu vaccine
---

Cinnamon is a digital [‘Immunisation e-Consent’ tool](https://www.cinnamondigitalapplications.co.uk/eConsent).
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- Enter password
- Check your mobile phone
- Signed in patient
tags:
- prototype
---

Screenshots showing the NHS Login journey on a new device.
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- Health questions
- Confirmation
- Email confirmation
tags:
- prototype
- flu vaccine
---
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items:
- text: Consent study
href: https://research-information.bris.ac.uk/en/publications/implementing-new-consent-procedures-for-the-schools-based-hpv-vac
tags:
- prototype
---

Consent needs to be inclusive, and must avoid digital exclusion.
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- Consent for MMR given
- Consent for 3-in-1 and MenACWY
- Asking for type of relationship to child
tags:
- prototype
- HPV vaccine
- MenACWY vaccine
---

There are three separate consent journeys for school-aged immunisations.
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- The letter attached to the email
- The FAQ attached to the email
- Another consent request letter from a school
tags:
- prototype
---

Current requests for consent from schools can be really bad. They can be waffly with no call to action, meaning they are not effective in gathering consent from parents.
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- "Health question: Aspirin"
- Check your answers
- Consent confirmation
tags:
- prototype
- flu vaccine
---

Based on an analysis of existing consent tools we determined parents and guardians would need to:
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- Data extract from a GP practice system (EMIS)
- GP practice vaccinations record in the NHS app
- A snippet from the consolidated record
tags:
- user research
---

## How vaccinations are recorded
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- Child details after vaccination
- Child details after vaccination refused
- Updated flu campaign page
tags:
- prototype
- flu vaccine
---

We started with a flu point of care (POC) journey because we:
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- Given vaccine
- Check and confirm
- Student details after vaccination
tags:
- prototype
- HPV vaccine
---

The journey for recording an HPV vaccination is very similar to the [flu journey](/manage-vaccinations-in-schools/2022/11/poc-flu-campaign/).
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- Which batches?
- Check and confirm
- Flu campaign
tags:
- prototype
---

We want to simplify the data users enter at the point of vaccination. Repeating their own name, location, vaccine used and vaccination site is laborious. They do this hundreds of times.
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- Preview consent message
- Preview reminder message
- Existing consent message
tags:
- prototype
---

Following the [parental consent journey](/manage-vaccinations-in-schools/2022/11/give-or-refuse-flu-vaccination-strawperson/), we:
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- Asthma steroids
- Egg allergy
- Anything else?
tags:
- prototype
- flu vaccine
---

Following research with 4 SAIS team leads, we iterated our initial flu consent journey for parents to incorporate our findings.
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- Was MenACWY given?
- Check and confirm details
- Record vaccinations showing vaccination
tags:
- prototype
- MenACWY vaccine
---

The 3-in-1 teenage booster and MenACWY vaccinations are given at the same time. We capture consent for both in the same parent journey.
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items:
- text: Mural board
href: https://app.mural.co/t/nhsdigital8118/m/nhsdigital8118/1671013853603/30e4ce7245629846f6fee298642fa3f40f666992?sender=ue0cc45098e9e9674a3fa9366
tags:
- user research
---

We have mapped the journey that SAIS teams follow over the course of the academic year when delivering each of their vaccination campaigns based on our research interviews with 6 SAIS teams, previous research done by NHS Digital and our own desk research.
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- Give reason vaccine not given
- Check and confirm details – no vaccines given
- Check and confirm details – single consent
tags:
- prototype
- MenACWY vaccine
---

The 3-in-1 teenage booster and MenACWY vaccinations are the most complex of those offered by SAIS teams. Two different vaccines are usually administered in the same session. Consent can be for either, both or none.
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- Sync errored
- text: Sync errored – try again later
caption: When the website is unavailable
tags:
- prototype
---

Following our investigation into [automatic and manual offline syncing](/manage-vaccinations-in-schools/2023/03/manual-offline-syncing/), we’ve designed the user journey for users to sync their changes manually.
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- Anything else?
- Check answers and confirm
- Confirmation page
tags:
- prototype
- HPV vaccine
---

Based on user research, we iterated [our initial consent journey for parents](/manage-vaccinations-in-schools/2023/03/consent-for-an-hpv-vaccine/).
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- Can we contact you about a catch-up?
- Check answers and confirm
- Confirmation page
tags:
- prototype
- HPV vaccine
---

An overview of the journey for parents who are giving consent for their child to receive the HPV vaccine. These are the designs as we built them before our first round of research with parents.
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---
title: A first pass at triage
date: 2023-03-02
tags:
- prototype
---

We know that before nurses record vaccinations, they triage consent responses. This is important for:
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---
title: Iterating our offline designs after research
date: 2023-03-02
tags:
- prototype
---

We knew we needed to iterate our offline designs after testing them with just three SAIS nurses because they were fundamentally confused about the syncing process.
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---
title: Automatic and manual offline syncing
date: 2023-03-16
tags:
- prototype
---

Automatic syncing hasn’t tested well with users. It also introduces some technical issues of its own.
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- Check and confirm vaccination details
- Success after consent and vaccination
- Updated child page
tags:
- prototype
---

Several of the SAIS teams we spoke to early on in our research told us they regularly get consent to vaccinate on the day of the session itself.
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---
title: Refining what SAIS nurses see
date: 2023-03-02
tags:
- prototype
- user research
---

We’ve made a number of changes to the service following feedback from SAIS nurses. Some are minor tweaks; others are significant redesigns and additions.
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- src: printed.jpg
text: When printed in black and white
caption: On a low toner printer
tags:
- HPV vaccine
---

We know some parents and SAIS teams have a need to deal with consent requests offline.
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---
title: Assessing Gillick competence
date: 2023-05-11
tags:
- user research
---

Gillick competence is the principle nurses use to judge young people’s capacity to consent to vaccinations.
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---
title: Updating the consent journey for flu
date: 2023-08-24
tags:
- flu vaccine
---

Having decided to pilot our service with Cumbria’s SAIS team in the autumn, we needed to update our designs for the flu journey (Cumbria’s team give flu vaccinations between October and December).
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