About
I'm a senior service designer and user researcher with over 20 years' experience helping organisations make sense of complex services, mostly across the NHS, public sector and charities.
Most of my work sits at the early stages: understanding messy problems, bringing people together, and shaping a clear direction teams can act on. I help a team see if they're solving the wrong problem, then reframe it into the right one.
I'm drawn to services that work across boundaries: different organisations, different roles, different pressures. That's where things break down, and also where the biggest improvements are possible. I run workshops, map services, test ideas, and help teams make decisions with confidence. I focus on practical outputs people can actually use, not just reports.
I care about prevention, behaviour change and supporting people earlier, before things escalate. Equity sits at the centre of that. A lot of my recent work is about designing for the people mainstream and digital services usually overlook: older people, those with low digital confidence or literacy, and communities that are underserved or seldom heard. To reach them, I've run research in food banks, volunteer-run groups and GP waiting rooms, not just with the people who put themselves forward.
Much of my recent research involves AI and data products: a clinical decision platform built on natural language processing at South London and Maudsley, and a live pilot of an AI decision-support tool for NatureScot's planning casework, now in public beta. Systems like these don't produce a fixed set of screens, so I research them live, sometimes with live patient data, where no two sessions look the same. I use generative AI in my own practice too, to challenge my thinking and quality-check my analysis, never to replace the research itself.
Selected projects
NHS Home Test: National home testing service via the NHS App, discovery to alpha (2025–2026). Passed its alpha assessment with green ratings against every point of the Service Standard. The reusable service model now underpins ten further home tests.
Public Health Wales: National digital diabetes self-management discovery. Findings now taken forward by the Tackling Diabetes Together programme. (2025)
Breast Cancer Now: Healthcare professional engagement discovery (2025)
South London and Maudsley NHS Trust: LUCI clinical informatics tool. I established the team's user-centred ways of working; LUCI is in daily clinical use, and the Trust's published case studies record medication reviews cut from days to hours. (2024)
Sport Wales: National website transformation (2024–2025)
NHS Mid and South Essex: Shoebury integrated health and wellbeing centre (2023)
National Audit Office: digital-first reports discovery. Direction adopted by senior leadership. (2024)
NatureScot: InformedDECISION, AI decision-support pilot for planning casework affecting protected environments (2023). Now in public beta.
National Cyber Security Centre: Research and prototyping for a zero trust security tool, embedded with a deeply technical team (2022).
Nationwide Building Society: Service design and UX transformation. Contributing around £2m in annual savings. (2016–2021)
Earlier and commercial work includes the NHS App patient-ID QR pilot, the NHS data standards directory, Riverford, Yuup and LK Bennett.
What people say
“I wouldn’t hesitate to recommend [Andrew]… It was an absolute pleasure … [His] approach, energy and ability to bring stakeholders with [him] made a real difference.”
DTX Head of Operations, NHS England
"I think what you and the team have produced is some of the best work I've come across in the end: strategic, inspiring, and practical in equal measure. You should feel very proud of what you produced."
Head of Product, NHS England
"Delivered a superb alpha phase of our elective care educational project that has helped us devise strategies around the long-term future of educational video content in the NHS."
Digital Innovation Manager, NHS Transformation Directorate
"Andrew has the unique ability to bring complex ideas to life and make them meaningful (even to the non tech-savvy!), with a smile on his face to boot. An incredibly genuine and intelligent guy, and I'd consider myself lucky to work with him again."
Donor Relationship Marketing Manager, NHS Blood and Transplant
Articles & Talks
Service Design 101, a free monthly introduction for public sector and charity teams
45 ways to get into the ‘discovery’ groove (SD in Gov) – Sept 2023
Designing interaction manners (IA Conf) – May 2020
Designing for Interaction Modes (A List Apart) – December 2018
Meta-moments: Thoughtfulness by Design (A List Apart) – May 2015