Tag: nhs app usability

  • Why UX Design Failures in Everyday Apps Are Costing British Users Time, Money and Patience

    Why UX Design Failures in Everyday Apps Are Costing British Users Time, Money and Patience

    There is a moment every British person knows: you open an app to do something straightforward, and five minutes later you are still trying to find the right screen, half convinced you have done it wrong. Whether it is logging into your bank to check a balance, booking a GP appointment through an NHS portal, or renewing a government licence online, digital interface design in the UK has a problem. Not an obscure, technical problem. A daily, maddening one that costs people real time and, sometimes, real money.

    I have spent a fair amount of time thinking about this, partly because I seem to spend an unreasonable portion of my life fighting with apps that should be simple. And I am not alone. Research published by the Nielsen Norman Group consistently shows that poor usability leads users to abandon tasks, make errors, or simply give up entirely. When those tasks involve your finances or your healthcare, giving up is not a neutral outcome.

    Woman frustrated by poor digital interface design on a smartphone app
    Photo by Alex Green on Pexels

    Where British apps are letting users down most

    Banking apps are probably the most visible offender. UK fintech has a reputation for being ahead of the curve, Monzo and Starling both built their names partly on clean, intuitive design. But the high street banks have been slower. Anyone who has tried to set up a new payee through a legacy Barclays or HSBC web interface knows the peculiar frustration of being asked to confirm, then re-confirm, then call a number, then receive a code, then start again because the session timed out. The security rationale is valid. The implementation often is not.

    NHS digital services are where the stakes are highest, though. The NHS App has improved substantially since 2022, but GP surgery portals remain wildly inconsistent, each practice seems to run a different system, with different logic. Patients trying to request a repeat prescription or book an appointment can encounter dropdown menus with no obvious hierarchy, error messages that do not explain what went wrong, and confirmation screens that look identical to error screens. I spoke to a friend who works as a district nurse and she told me half her patients over sixty simply stop using the portal after one bad experience and call the surgery instead, adding to the phone queue both sides are trying to reduce. That is a systems failure dressed up as a user behaviour problem.

    Why bad digital interface design is never just a niche issue

    One of the more instructive places to study interface failure is in entertainment software, where the stakes are lower but the design problems are often clearer to see. The worst video game menus are frequently cited by UX professionals as case studies precisely because games have no obligation to keep you using them, if the menu is confusing, you simply stop playing. When people still catalogue specific interfaces as disasters years after release, it tells you something about how deep the problem runs. The same cognitive friction that makes a player abandon a title makes a patient abandon a healthcare portal or a customer abandon a checkout.

    The core principles at stake are the same regardless of context: discoverability, feedback, consistency, and error prevention. A button that does not look like a button fails on discoverability. A process that completes without telling you it has succeeded fails on feedback. An app that works differently across its own screens fails on consistency. These are not exotic requirements. They are the basics, and yet they are violated constantly in UK public and commercial services alike.

    Close-up of a confusing digital interface design on a mobile banking app
    Photo by Julio Lopez on Pexels

    Government digital services: a mixed picture

    The Government Digital Service (GDS) deserves credit for the work done on GOV.UK. The main website is genuinely one of the better-designed government portals in Europe, built around a clear design system that prioritises plain language and logical flow. The problem is that the GDS standards do not automatically apply to every government-adjacent system. HMRC’s own interfaces sit in a different category entirely. Anyone who has tried to navigate a self-assessment return, check their tax code, or use the Business Tax Account knows that the experience can feel like it was designed in a different decade, because parts of it were. The recent HMRC PAYE tax code changes have made the need for clear, accessible digital communication more urgent; if users cannot easily check or challenge their code online, errors go unnoticed until they become expensive.

    DVLA services have improved, but inconsistently. Renewing a driving licence online is now fairly painless. Other transactions still route you through PDF forms that must be printed, filled in by hand, and posted, in 2026, for a digital-first agency. This is not a minor inconvenience. For people without a printer, or with limited mobility, or for whom English is a second language, it is a genuine barrier.

    The cost of poor UX beyond frustration

    Frustration is real, but the financial cost is underappreciated. When a banking app’s clunky design causes a user to miss a payment deadline because they could not find the right screen in time, there is a direct penalty. When an insurance renewal portal makes it near-impossible to cancel before auto-renewal, that is money leaving someone’s account that they did not intend to spend. The Consumer Duty rules introduced by the FCA in 2023 placed a legal obligation on financial firms to ensure their products deliver good outcomes for consumers, which should include the quality of the interface through which those products are accessed. I would argue most firms are still catching up to what that means in practice.

    There is also a cost-of-living dimension here. As UK workers lean more heavily on digital tools to manage money and time, the quality of those tools matters more. A household already stretched financially cannot afford to lose hours to a broken interface, or to miss a benefit entitlement because the DWP’s online claims system confused them at step three.

    What better design actually looks like

    The good news is that strong examples exist within the UK. Monzo’s in-app notifications are a frequently praised model: they tell you exactly what happened, when, and what (if anything) you need to do. The DVLA’s vehicle tax renewal service, despite the gaps I mentioned above, is genuinely fast once you are in the right place. And the NHS App, for all its inconsistencies, now handles repeat prescriptions with a clarity that would have been unthinkable five years ago.

    The pattern in every success story is the same: the design team spoke to actual users before, during, and after building the product. Not once. Repeatedly. They tested with people who are less digitally confident, not just the twenty-eight-year-old developer writing the code. And they treated a confusing user journey as a bug to be fixed rather than a training issue for the user to resolve. That shift in responsibility, from user to designer, is the whole game.

    British users in 2026 are interacting with digital services more than ever before. The expectation of basic competence is reasonable. Every app that forces a workaround, every portal that times out mid-task, and every error message that explains nothing is a small failure of public and commercial trust. Fixing digital interface design is not glamorous work. But it is important work, and the gap between what currently exists and what is genuinely achievable has never been smaller, which makes the current state of affairs harder to excuse.