
Design Systems FAQs: Your questions answered
Design Systems play a vital role in delivering seamless, scalable and brand-consistent HCP digital experiences across global healthcare and pharmaceutical ecosystems. Yet many teams still struggle to understand what a design system is, how to implement one effectively, and how to gain lasting value from it.
In this FAQ, we answer some of the most common questions that pharma teams ask when exploring a Design System project.

- Design Systems
- Digital Pharma
- CX
Design Systems help your team connect every part of your product or service, across all markets where you have a presence, allowing you to grow and maintain a global ecosystem of digital products with brand consistency.
They are a living library of reusable visual styles, principles, rules, constraints and components that are documented and released as code and design tools. They encapsulate business, customer and regulatory requirements, as well as accessibility and UX best practices. Importantly, they help bridge the gap between design and development, allowing for faster digital product releases.
Often, understanding of Design Systems and the value they offer for clients can be limited. Here we answer some of the most common questions that clients ask us when considering a Design System-based project.
What challenges do you help clients solve with a Design System?
We support clients at various stages of their Design System journey. That could mean:
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Helping to make the case for funding a new Design System
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Supporting user research and building repeatable models
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Creating clear governance and tooling processes
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Aligning stakeholders across brand, marketing, product, dev, and compliance
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Producing internal comms or training materials
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Helping with adoption through onboarding sessions and partner enablement
We’ve seen that Design Systems work best when they’re understood, shared, and supported across the whole organisation, not just the design team.
How do you measure the success of a Design System?
We always encourage our clients to focus on outcomes, not just deliverables.
We help define meaningful KPIs that measure:
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Speed to market
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Adoption rates
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Time/money saved
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Accessibility scores
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Reduction in dev bugs and inconsistencies
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Ease of feature rollout
Often, clients need help documenting the why behind their Design System. Once that’s clear, we align metrics to those goals and use them to guide decisions throughout the process, so you’re not endlessly tweaking things that don’t matter to users.
What skills and roles are needed to set up a Design System?
Setting up a robust Design System takes collaboration between a few key disciplines:
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User Research, UX and Design to create usable, accessible components
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Business Analysts and Product Managers to ensure it meets business needs
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Developers to create coded components and working prototypes
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DesignOps and QA to maintain quality, documentation and consistency
It’s vital to involve development early and keep design and dev closely aligned throughout. The team also needs to stay focused on outcomes — delivering a usable, flexible system without accruing unnecessary technical debt.
A mix of ‘net new’ feature work, refinement, and innovation is ideal. (For context, net new refers to completely new functionality — not iterations on existing components.)
Why do Design Systems sometimes fail or go unused?
In our experience, common pitfalls include:
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No alignment between teams (Design, Dev, Product all pulling in different directions)
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Governance is too light — or too heavy-handed
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Poor internal communication and lack of training
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Senior leadership changes or conflicting priorities
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A belief that certain markets or brands have “special” needs that can't be addressed
Most of these issues come down to miscommunication or lack of understanding. That’s why involving people early and often and showing progress regularly is so important.
How do you balance consistency with creativity?
We usually start by agreeing a set of guiding principles. These serve as a compass when it comes to balancing creative freedom with scalable design.
We also recommend structuring workstreams to support both BAU and innovation — so teams rotate between optimisation, refinement and fresh feature work.
Creative teams and agency partners often push back against Design Systems because they fear losing control. Involving them early and showing how flexible a well-built system can be goes a long way to building trust.
What standards and governance do you recommend?
We always encourage a base level of standards, such as:
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Accessibility compliance
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Mobile-first design
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Organisation-specific brand or UX principles
On the governance side, it’s crucial that there’s a clear process for raising requests or questions. If teams can’t find what they need, or don’t understand the system, they’ll work around it — and you lose the consistency you worked so hard to build.
Approachability is important, but so is structure. Be open, but set boundaries.
How do you communicate updates to a Design System? Is everything versioned?
When versioning design work we primarily use a combination of ZeroHeight and Figma to create numbered or named releases. We also prepare release notes alongside the new components to enhance understanding, and publish it at the point when the components become available for use in the CMS and other design files.
Where possible, having a close alignment between when the design system updates are made and when the new components are actually available to use by teams is important. We also recommend making your roadmap public to manage expectations.
What role do leadership teams play in Design System success?
Leaders are critical to long-term success. Their role is to:
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Communicate the benefits of the Design System across the business
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Secure funding and resources for ongoing work
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Set KPIs and keep the team focused
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Support research and iteration beyond the initial release
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Share success stories and bring the wider business on board
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Ensure the Design System becomes part of the organisation’s wider processes
Without strong leadership support, Design Systems risk becoming “just another project.”
What’s your view on community-led Design Systems?
We’ve supported organisations using this approach, but structure is key.
If you’re opening the system up to a wider community (internal or external), you need governance in place before that happens. Otherwise, you risk being swamped with feature requests that add no value or dilute the system’s purpose.
Handled well, a community-led Design System can be a great source of ideas. But make sure there’s a process for prioritising and reviewing what gets added.
Final thoughts: why invest in a Design System?
Done right, a Design System will:
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Create scalable, consistent HCP digital experiences
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Accelerate delivery across teams and markets
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Reduce duplication, bugs and wasted effort
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Improve accessibility, performance and brand trust
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Support long-term digital growth for pharma organisations
Want to talk about how a Design System could support your teams?
We’ve helped many healthcare and pharmaceutical clients navigate the journey, from first steps to long-term evolution.
We’d be happy to share examples and ideas tailored to your organisation. Reach out today to start the conversation.
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