"In NHS England, all our work is measured against the NHS service standard and we use the NHS design principles to help make decisions about how to align our work with our values. While both documents are useful, I've observed teams struggling with a lack of clarity about how to put them into practice. It doesn't help that we have many teams working autonomously, all trying to keep up in a fast paced environment."
"We have clinical safety standards that govern everything we do (like DCB0129 and DCB0160, which are named in the list above), but we wanted to go beyond a situation in which these are separate from our design principles. We wanted to bring design and clinical safety closer together so that we could reinforce ideas of clinical safety by design,"
NHS England measures work against the NHS service standard and uses NHS design principles to align work with organisational values. Multiple autonomous teams operate in a fast-paced environment and struggle with clarity about how to apply standards and principles in practice. Teams must balance trade-offs and decide when designs are sufficient to progress. A new definition of good user experience has been developed and tailored to healthcare, refining common design heuristics for the NHS context. Clinical safety has been integrated into guidelines beyond existing standards (DCB0129, DCB0160) so that safety is embedded throughout design rather than treated as an external gate. The criteria act as a declaration of intent toward desired practice.
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