
Health Service Executive
Starting with families and frontline workers to transform delivery of care
Starting with families and frontline workers to transform delivery of care
Starting with families and frontline workers to transform delivery of care
Our Focus
Design Research
Design Research
Service Design
Service Design
Content Strategy
Content Strategy


Reforming Access to Care for Ireland’s Youngest Patients.
Children’s services in Ireland were under pressure. Families waited months, sometimes years, for Autism diagnoses. Frontline teams were exhausted. Services worked in silos, and public trust was at a low. CHO8, one of Ireland’s nine community healthcare organisations, needed more than another report. They needed change - and fast. That’s where Big Motive came in.

From Resistance to Co-Design.
Initial engagement was met with understandable scepticism. But with strong leadership, champions for change, a design-led approach took shape, centred on prototyping real solutions with real people, delivering and using the service. Over a 10-week discovery phase, we mapped journeys across mental health, primary care, and disability services - uncovering six key opportunities for reform.


Prototyping for Impact.
In the 12-week implementation phase, we co-designed and tested three solutions: A central review team that cut referral times from 10 weeks to 10 days A parent handbook to build clarity and confidence An in-reach team to streamline autism and ADHD diagnosis
From Local Impact to National Reform.
Now being explored nationally, these solutions show what’s possible when design tackles complexity at scale - delivering faster access, stronger collaboration, and a more joined-up future for children’s healthcare.



Reforming Access to Care for Ireland’s Youngest Patients.
Children’s services in Ireland were under pressure. Families waited months, sometimes years, for Autism diagnoses. Frontline teams were exhausted. Services worked in silos, and public trust was at a low. CHO8, one of Ireland’s nine community healthcare organisations, needed more than another report. They needed change - and fast. That’s where Big Motive came in.

From Resistance to Co-Design.
Initial engagement was met with understandable scepticism. But with strong leadership, champions for change, a design-led approach took shape, centred on prototyping real solutions with real people, delivering and using the service. Over a 10-week discovery phase, we mapped journeys across mental health, primary care, and disability services - uncovering six key opportunities for reform.


Prototyping for Impact.
In the 12-week implementation phase, we co-designed and tested three solutions: A central review team that cut referral times from 10 weeks to 10 days A parent handbook to build clarity and confidence An in-reach team to streamline autism and ADHD diagnosis
From Local Impact to National Reform.
Now being explored nationally, these solutions show what’s possible when design tackles complexity at scale - delivering faster access, stronger collaboration, and a more joined-up future for children’s healthcare.



Reforming Access to Care for Ireland’s Youngest Patients.
Children’s services in Ireland were under pressure. Families waited months, sometimes years, for Autism diagnoses. Frontline teams were exhausted. Services worked in silos, and public trust was at a low. CHO8, one of Ireland’s nine community healthcare organisations, needed more than another report. They needed change - and fast. That’s where Big Motive came in.

From Resistance to Co-Design.
Initial engagement was met with understandable scepticism. But with strong leadership, champions for change, a design-led approach took shape, centred on prototyping real solutions with real people, delivering and using the service. Over a 10-week discovery phase, we mapped journeys across mental health, primary care, and disability services - uncovering six key opportunities for reform.


Prototyping for Impact.
In the 12-week implementation phase, we co-designed and tested three solutions: A central review team that cut referral times from 10 weeks to 10 days A parent handbook to build clarity and confidence An in-reach team to streamline autism and ADHD diagnosis
From Local Impact to National Reform.
Now being explored nationally, these solutions show what’s possible when design tackles complexity at scale - delivering faster access, stronger collaboration, and a more joined-up future for children’s healthcare.

