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Making digital services accessible

How do you make sure that NHS digital services are accessible to all? Ian Roddis, Lead Product Manager for the NHS digital service manual, talks about the new guidelines his team has developed to help people working in digital delivery teams meet accessibility standards in time for September 2020’s deadline.


In the UK, almost 1 in 5 people have a disability of some kind. Many more have temporary or situational disabilities, like an illness or injury. Recent regulations mean that, from next year, every new public sector website and app will need to meet specific accessibility standards. Existing websites will have until September 2020 to comply, and apps until June 2021.

Picture of Ian Roddis presenting a digital service manual show and tell

A show and tell presentation for the digital service manual

We’ve just published guidance setting out accessibility standards for NHS digital services for the public. It grew out of work we've been doing to improve the accessibility of the NHS website, but we hope it'll be used by digital teams across the NHS and inspire the broader public sector.

When we launched our front end library and prototyping tools in February 2019, all of the code and patterns were tested for accessibility, and we developed some initial guidance around accessibility.

We’ve now updated that guidance to be more comprehensive, and more useful, to people working in digital delivery teams. It’s advice that we think everyone needs to know, whether you’re building a service, or commissioning one. It sets out what should be done and, importantly, how to do it on a practical level.

We also plan to publish more things that will help people embed accessibility thinking in their practice – for example, checklists and templates, particularly for testers. We’ll also be building an Accessibility Lab in our office in Leeds (based on GDS’s ‘Empathy’ Lab), and a ‘roaming suitcase’ of accessibility equipment for London and the other regions.

So, how have we assembled our accessibility pages in the service manual? Our core guidance opens with three topics for everyone:

The NHS digital service manual team is a multi-disciplinary team. Not all teams across the NHS will have specialist roles but people involved in projects may be involved in multiple types of activities. For example, an interaction designer may also be involved in conducting user research. We’ve therefore labelled the guidance by activity rather than roles.

Making room for improvement

Hopefully you’ve got a sense of how our advice and guidance can help you build accessible services.  All NHS bodies, from large NHS trusts to GP practice sites, need to be accessible and that will make a big difference for all the people with short- and long-term access needs who use NHS services.

We’ve been sharing the digital service manual with colleagues across the NHS in our show and tell sessions. You can watch our 18 July session which talks about community contributions for the digital service manual. The NHS Business Service Authority also shares how it has improved the NHS Jobs website and Gloucestershire Foundation NHS trust share how they have used the digital service manual tools.

Contact us

Please use our new guidelines and give us your feedback so that we can improve it. You can email us at service-manual@nhs.netjoin us on Slack and contribute via GitHub.

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Ian Roddis

Ian Roddis is the Lead Product Manager for the NHS digital service manual

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Last edited: 16 March 2021 3:36 pm