What's new
Find out what's happening with the service manual.
Latest updates
August 2026
| Section | Update |
|---|---|
| Accessibility guidance | |
| Community and contribution |
Added new Coming soon page Updated Contribution criteria to reflect current practice Added Eleventy theme to Community resources page |
| Content guide |
Updated guidance on Writing NHS messages Added new entries to content guide for "data" and "third party" |
| Design system |
Added new features to the table component including a sortable table, compact, striped, scrolling and reverse (dark background) styles Added an "all" option to the checkboxes component Added a reference list of override classes Updated guidance on how care cards (the pattern to help users decide when and where to get care) work and how to write content for care cards Added frontend version number to design system examples and a guide to checking your frontend version Updated wording about terms of use on Start page pattern Updated character count component to mention new data-count-type Added JavaScript on-off toggle to components that use progressive enhancement Removed frontend version 10 banner and callouts Moved WCAG 2.2 callout content into normal page content |
| Standards and technology |
Updated page about Personal Demographics Service (PDS) Added details of updates made to NHS service standard pages since publication |
| Other |
Added hero image and restructured service manual home page |
See all updates or find out what's coming soon.
Latest blog posts
Posts by the service manual team and community.
One design system is better than 2
Published on: 21 April 2026
NHS England Design Matters blog
Frankie and Ananda explain why the NHS design system is not just for public-facing services, with an overview of recent changes to meet the needs of staff-facing services. There's also more change coming, and you can get involved too.
Making the NHS design system fit for the future
Published on: 31 October 2025
NHS England Design Matters blog
Tero Väänänen explains why the NHS design system exists and why it plays an important role in fulfilling the 10-year health plan. He also describes recent changes to the frontend code behind the design system, and why it is important for teams to adopt them now.