Smiling child sitting with an adult, representing family-centred healthcare and wellbeing.

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

Printed educational materials for parents and caregivers created as part of the healthcare design project.
Informational poster outlining the Care Map developed to improve children’s healthcare pathways.

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.

Group of people standing at a wall, collaborating during a workshop using sticky notes.

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.

Collection of handwritten notes and design sketches created during the healthcare co-design process.
A section of the journey mapping process developed during the project.

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.

Young boy playing with puzzle pieces alongside an adult during a therapy or learning activity.
Printed educational materials for parents and caregivers created as part of the healthcare design project.
Informational poster outlining the Care Map developed to improve children’s healthcare pathways.

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.

Group of people standing at a wall, collaborating during a workshop using sticky notes.

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.

Collection of handwritten notes and design sketches created during the healthcare co-design process.
A section of the journey mapping process developed during the project.

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.

Young boy playing with puzzle pieces alongside an adult during a therapy or learning activity.
Printed educational materials for parents and caregivers created as part of the healthcare design project.
Informational poster outlining the Care Map developed to improve children’s healthcare pathways.

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.

Group of people standing at a wall, collaborating during a workshop using sticky notes.

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.

Collection of handwritten notes and design sketches created during the healthcare co-design process.
A section of the journey mapping process developed during the project.

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.

Young boy playing with puzzle pieces alongside an adult during a therapy or learning activity.

Make the future real.

Big or small, every idea starts with a conversation.