Design and build NHS digital services for the public and staff
Use the service manual to build consistent, usable services that put people first. Learn from the research and experience of other NHS teams.
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Standards and technology
Check you're working to best practice from the start
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Design system
Build consistent, accessible user interfaces
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Content guide
How to create content for digital NHS services
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Accessibility
Make NHS services accessible for everyone
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Design principles
These principles guide all of our design
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Community and contribution
Help grow and improve the service manual
What's new November 2026
We've:
- updated the search input guidance and examples after user research
- added a hint text example to the file upload component with guidance on file types and sizes
- added hidden text to the warning button with guidance on not relying on users seeing the red colour
For all changes, see the What's new updates page.
Coming soon
We're always working with the community to improve the service manual. Find out what the team is working on now on our Coming soon page and how you can contribute.
Support
The manual is maintained by the service manual team at NHS England. If you've got a question or want to feed back, you can get in touch.