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Discovery research revealed widespread confusion between registration and sign-in, leading to failed journeys and duplicate accounts.
 

Using behavioural insight and iterative testing to help shape a wider redesign of the service.

Improving access to one of the UK’s most used digital health services

The challenge

NHS login supports millions of users accessing digital healthcare services, but discovery research identified widespread confusion between registration and sign-in journeys.

Many users entered the wrong flow, creating duplicate accounts instead of accessing existing ones.

Research findings

Registration confusion

Users unsure whether to sign in or register.

Duplicate accounts

Incorrect journeys created unnecessary accounts.

Recovery barriers

Password and recovery flows caused abandonment.

Support demand

Poor signposting increased avoidable contact.

Outcome

Using behavioural evidence, iterative testing and journey redesign, the work helped validate recommendations for a wider redesign of the NHS login experience.

Client

NHS login is one of the UK’s largest digital identity services, supporting secure access to healthcare systems and patient services across multiple NHS platforms.
 

The programme involved multiple delivery partners, stakeholder groups and governance teams responsible for the ongoing evolution of the service.

My role across the programme
  • Discovery research

  • Behaviour analysis

  • Journey mapping

  • UX strategy

  • Interaction design

  • Usability testing

  • Accessibility review

  • Stakeholder workshops

Behavioural evidence and iterative testing helped validate recommendations for redesigning critical areas of the NHS login journey.

Key contribution
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User journey mapping

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Empathy mapping

Persona mapping

Low-fidelity wireframing

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Low-fidelity research user feedback

Validated assumptions

All users tested indicated they now understand how to 
'Log in' and how to
'Create an  Account' 

All users demonstrated what they would do to view the password
as it was typed, ensuring
no typos or spelling errors

All users where able to locate 
self-serve links such as
'Forgot email' and
'Forgot password'

Once 'Passkey' was understood all users stated they would have preferred to have had the option to set up this feature during the registration process

Additional problems identified

All users requested to place all help links  to the relevant entry field/s anexts this is where they expected to find them

Help links on some of the pages were pushed below the fold resulting in them being missed

Participants requested the help title links use the same language as the problem they are experiencing

Half of the users did not know what a 'Passkey' was. 
Requesting additional context

All users where able to navigate to a location to receive additional help and support

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paul@whatusersneed.co.uk

+44 7921 800 870

York

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