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Recreating the NHS service manual design system using auto layout, variants, interactive components and commonly used patterns. Use the service manual to build consistent, usable services that put people first. Learn from the research and experience of other NHS teams. Help and encourage people to use your service: accessibility, assisted digital, user support. Agile delivery. How to work in an agile way: principles, tools andUse the service manual to build consistent, usable services that put people first.​ Learn from the research and experience of other NHS teams. service-manual. This is a place for digital teams in the NHS to work together and develop the NHS digital service manual.