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NHS, texmo & internal projects

10-months

As a Snr Researcher I was a consultant on a 5 month NHS public sector project, part of a 2-person team on a private 12-day contract and worked on internal projects within the UCD team.

design process

NHS

Main Problem: More understanding was required on how the healthcare system in England responds to reports about harmful side effects from medicines and medical devices and to consider how to respond to them more quickly and effectively in the future. As part of the data registries squad, I was responsible for learning more around why and where it was happening and what problems existed for all users of the registry end-to-end.
Project Problems: Lack of access to users, red-tape, lack of ux maturity, poor retention rates, set deadlines, lack of UCD awareness, solutionising and development heavy decisions not in tandem with UCD, assumptions around problem definition, limited resources, 30 individual research plans, innifiecint processess to track and connect research existing research data cross multiple organisations, assumption-based hypotheses created from limited knowledge, NHS pressures.

I was hired as the sole researcher for the six registries and five associated service levels within each. To give an idea of the scale, this required 30 individual research plans that had to meet certain requirements based on existing tools and NHS internal ways of working. The data was complex and there were many departments to deal with, including those outside of NHSD, like the devolved nations and existing registries.

As a team, we were tasked with understanding existing registries from a UCD perspective and preparing new registries while trying to manage risks around uncertainty. Throughout the project I had to ensure that NHS and GDS design principles were adhered to, something I had to learn quickly and keep in mind when planning research, in order to meet GDS assessments for alpha and beyond.

After crafting a flexible, scalable set of living research plans that were built to connect data, I ran a series of workshops and sessions with SME's and other stakeholders to collaborate on the research aims, objectives, high-level research questions, hypotheses *if applicable, discussion guide formulation, affinity diagramming sessions, reviews and sense-checks. I take this approach based on my own limitations and the success of gaining buy-in from others, including PWDR (people who do research). I marked in the plans exactly where I would be responsible and conduct solo activities and where it would be opened up as a teamsport.

In this case study, I will use the example of BCIR (Breast and cosmetic implant registry), an existing registry (one of six) where users colelcted data manually and input the data into a CAP form *see image below

NHS BCIR paper form example

Planning stage

Data collection stage

After crafting a flexible, scalable set of living research plans that were built to connect data

Analysis stage

After crafting a flexible, scalable set of living research plans that were built to connect data

Actions:

NHS BCIR paper form example

Measures:

After planning, data collection and analysis of findings, a final report was provided, which exceeded expectations based on the quality of the content and the rigour of which activities were conducted to inform teams for alpha.

Presentation stage

All bespoke repositories and research plans were in place and the data had gone through multiple rounds of analysis and sense making. The report was created and shared with the MDIS team (Medical device information system).

Impact strategy:

To maximise impact, I made sure future playback sessions and open-research sessions were made available and booked out. Alongside this I set out a process to capture stakeholder engagement, uptake and buy-in. I like to mark recommendations with a traffic light system + reminders, which has been effective in promoting accountability. Furthermore, I created an expense calculator which produced a guestimate of next step activities to increase the ux for product managers and increase the chances of research being impactful.

Within the scalable and customised research plans, I made sure that the right people were notified when the data needed to be reviewed in the future. Generative research gathered in this study tends to last longer than other types of specific research (convergent).

It is all good and well hoping that research insights will be adopted, what I like to do is use analytical data where possible to provide answers around where and when research insights are being picked up. I used confluence to provide basic analytical data here. More so, I like to keep a record of meeting invites and see where these increase/decrease along the way. This was something I planned for, as another indicator that insights were proving to be valuable.

Lastly, I created a 1-2 minute repeatable survey to collect attitudinal data after the BCIR discovery meeting, to A) find out how people consumed research insights and B) to raise awareness levels of how research can be consumed by listing options.

Impact on NHS

* All impacts stated here can be directly related back to the work I did as a solo researcher.

Texmo Industries

Problem: Texmo industries were developing a bespoke project management solution and had the Nimble Approach development team working on the product for almost two years. There was no previous UCD/UX considerations and it was decided to bring in myself in FT and a Lead service designer in PT.

Actions:

We managed to achieve this based on proactive strategic planning alongside pre-existing templates that were adapted. I managed to reduce the risks associated with limited access to users, by showing how research can impact on future user experiences by conducting pilot studies on representative users. Interviews were carried out between the UK and India, where interviewees were based. I like to build rapport before engaging in these types of sessions, where I conducted some research around the language used in that region of India, testing this out before and during the call to maximum effect. Furthermore, evluations were carried out using known heuristics and accessibility tools.

Measurements and outcomes:

Areas of impact

* All impacts stated here can be directly related back to the work I did as a solo researcher.

Internal projects

UX maturity assessment

Problem:

Actions

Main user groups

Before and after the UCD team were established

Screenshot of get help page and how it works section, annotated to show design focusScreenshot showing get help page before design changes with annotations

Shape: Spear pointing right diamond (right diagram)

The design studio teams chart like this seemed to have support, but it was concerning that 80% of the team were on FT projects, and user research wasn't being done. It's possible there is not true support, or support is coming from people with little influence to help bolster success. There was no design studio representative at the CLT (main stakeholder section of decision-makers within Nimble).

The business needed to allow PWDR to be able to do research activities, create schedules that include research, and evangelise and train in research at scale.

ResearchOps work in evangelising, hiring researchers & training PWDR would help. The team Identified who had influence and focused our research efforts on aligning with their goals.

Actions

Screenshot of get help page and how it works section, annotated to show design focusScreenshot showing get help page before design changes with annotations

Measurements and outcomes:

Impact of ux maturity benchmarking research on Nimble

* All impacts stated here can be directly related back to the work I did as a solo researcher.

Internal projects

Playbook

Problems

Low ux maturity levels and understanding of UCD best practices, meant there was limited information available for a range of tasks and no solutions to track behaviours. Alongside this, clients had no access to any UCD information to influence decision-making. I proposed a playbook be considered to address some outlined issues we faced as a team and business.

Actions

Measurements and outcomes

Impact of the playbook on Nimble

* All impacts stated here can be directly related back to the work I did as a solo researcher.

Internal projects

ReOps

Additional roles:

Problems: (Problems that were surfaced and reframed)

Research was not democratised within Nimble. Awareness levels of UCD were low. The UCD arm of Nimble did not exist.

Large scale changes were sought, and getting the business to change required a brand new way of thinking and a big shift with a large and detailed strategy.

Actions: (actions I was responsible for or created)

Measurements and outcomes: (Measurements, metrics and analytics defined and collected. Deliverables, outputs, outcomes of work carried out. )

Impact ReOps work had on Nimble

* All impacts stated here can be directly related back to the work I did as a solo researcher.

UX persuasive framework

Problems: (Nimble's measurement mindset/culture was not being fully utilised)

Actions: (actions I was responsible for or created)

Areas of impact

* All impacts stated here can be directly related back to the work I did as a solo researcher.

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