Background
The scale of the problem
4 in 10
Families at RHCYP needed help finding their way around — internal NHS Lothian survey, 100 families, pre-deployment.
8M
NHS outpatient appointments missed in England in 2023–24, with navigation difficulty a documented contributing factor.
£1bn
Estimated annual cost of missed NHS outpatient appointments in England, at approximately £120 per appointment.

Hospitals are among the most complex environments most people will ever need to navigate — often for the first time, under considerable stress. The evidence is consistent: when patients and families cannot find where they are going, appointments are missed, staff time is diverted, and an already difficult experience becomes worse.

Language adds a further layer of complexity. Research into appointment non-attendance consistently identifies language barriers as a contributing factor — particularly in urban NHS trusts serving diverse communities. Navigation and language barriers are often compounded: a family that cannot read the signage and cannot find a member of staff to ask faces a double obstacle that standard wayfinding infrastructure does nothing to address.

The burden falls on clinical staff too. Junior doctors routinely report getting lost on the way to urgent calls — with ward names offering little geographic indication of their actual location.

The RHCYP facility

The Royal Hospital for Children and Young People is NHS Lothian's tertiary paediatric hospital at the Edinburgh BioQuarter. Opened as the successor to the Royal Hospital for Sick Children in Sciennes following a £150 million construction project, the facility spans six floors with 242 beds across 10 wards — over 60% of them single en-suite rooms — plus 10 operating theatres, a paediatric critical care unit, and a helideck.

Despite being a modern, purpose-built facility, the RHCYP is genuinely difficult to navigate. Its scale, multi-floor layout, shared campus with the Royal Infirmary of Edinburgh, and ward names drawn from Scottish castles create real difficulty for first-time visitors. The internal survey result — 40% of families needing wayfinding assistance — was the documented starting point for this project.

There was also a defining technical constraint: the building has poor GPS and mobile signal throughout. Any solution relying on GPS, Wi-Fi positioning, or cellular data would not function reliably inside the RHCYP.

How the project came about

This deployment started with a clinician, not a procurement process. Dr Olivia Swann identified wayfinding as a direct drain on clinical time and a source of avoidable distress for families. She researched available solutions and identified Waymap as the only viable option that could operate without GPS, Wi-Fi, or cellular signal — all of which are unreliable inside the RHCYP.

Dr Swann brought the proposal to Roslyn Neely, CEO of Edinburgh Children's Hospital Charity. ECHC secured the funding, worked with Waymap to make the cost accessible for an NHS setting, and NHS Lothian's senior leadership gave the project their backing.

For Waymap, Edinburgh represented our entry into healthcare — a sector we had long identified as well suited to infrastructure-free navigation, but one that requires the right institutional partner to enter responsibly. Following the RHCYP deployment, Waymap is now in discussions with healthcare providers in North America and Singapore.

"Children's Hospital in Edinburgh is beautiful. It's new. But it's just not simple to find your way around. It wasn't great for families when they were arriving at a time where it's stressful and they're anxious. And if doctors and nurses are spending all their time guiding people around, then we can't do the stuff that we need to do."
Dr Olivia Swann, Paediatric Infectious Diseases Consultant, NHS Lothian — Healthcare Brew, 3 March 2026
[7]
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Deployment

The project was structured as a genuine three-way collaboration. Edinburgh Children's Hospital Charity initiated and funded the deployment. NHS Lothian provided institutional access, clinical leadership, and senior sign-off. Waymap delivered the navigation platform, carried out the physical mapping of the hospital, and maintains the ongoing technical infrastructure — structuring the commercial arrangement to be accessible for an NHS partner.

Why Waymap was the only viable option

The RHCYP's signal environment was the defining technical constraint. GPS is unreliable throughout the building. Wi-Fi positioning requires a dense network of access points calibrated for navigation. Bluetooth beacon systems require physical hardware installed across the building. Dr Swann described the hospital as "like a black hole" in terms of signal — ruling out every conventional indoor navigation approach.

Waymap operates differently. Our system uses the inertial measurement sensors already built into standard smartphones — no external signals, no installed hardware. AI algorithms process sensor data in real time to estimate the user's step length and direction of travel, generating turn-by-turn guidance that works even in a complete absence of GPS and Wi-Fi.

Before the app went live, Waymap's team mapped the RHCYP's interior using a LiDAR scanner — capturing spatial geometry in three dimensions to produce a precise digital twin of the building. The result is a system requiring no ongoing infrastructure maintenance, no building access for hardware updates, and no dependency on the hospital's network.

What the app covers

The deployment covers the full six-floor indoor environment and surrounding outdoor campus. From the moment a family leaves home, the app guides them — via live bus and train timetable integration — all the way to the specific ward, consulting room, or department they need, with uninterrupted step-by-step directions throughout. Navigation instructions are available as both on-screen visual directions and audio guidance, supporting users with visual impairments and those who simply have their hands full.

Multilingual navigation — addressing a documented gap

Language barriers and appointment non-attendance are directly linked in the NHS literature. Dr Swann and her colleagues identified the ten languages most commonly spoken by the RHCYP's patient population: English, Polish, Arabic, Ukrainian, Cantonese, Mandarin, Urdu, Romanian, Spanish, and Bengali. Three were live at launch, with four more in active development for the weeks immediately following.

Getting the app into families' hands

ECHC and NHS Lothian planned to include a QR code linking to the Waymap app in appointment letters sent to patients ahead of their visits — putting navigation in families' hands before they leave home. Waymap is also developing a web-based version of its platform that would not require a separate app download, recognising that reducing friction at the point of first use is critical to adoption in a healthcare context.

"Imagine that you're a family turning up in the hospital at nighttime where there's nobody around to ask. You don't understand the signage. The hospital wards have got very weird names; some of them named after lovely, fancy castles in Scotland, which doesn't mean anything to you. It's one more way to try and make it less scary and less stressful."

Dr Olivia Swann, Paediatric Infectious Diseases Consultant, NHS Lothian — Healthcare Brew, 3 March 2026
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Outcomes

Establishing the evidence base

The RHCYP deployment went live on 11 February 2026. A formal pre–post evaluation study, led by the University of Edinburgh, is currently underway. This makes the RHCYP one of the few hospital navigation deployments anywhere to be subject to independent academic peer review — a standard of evidence that most wayfinding solutions in the healthcare sector do not reach.

The University of Edinburgh evaluation was commissioned as part of the deployment from the outset — not retrospectively. Independent academic assessment of impact on wayfinding confidence, appointment attendance, and staff time is in progress. Results will be published and made available on request. This case study will be updated upon publication of those findings.

Early user feedback

Early feedback from families at the RHCYP reflects the practical impact the app was designed to have. Gilly Bain, whose daughters have been admitted to the hospital on multiple occasions with recurrent respiratory conditions, described the difference it makes at the moment of highest stress:

The University of Edinburgh evaluation was commissioned as part of the deployment from the outset — not retrospectively. Independent academic assessment of impact on wayfinding confidence, appointment attendance, and staff time is in progress. Results will be published and made available on request. 

Verified indicators at time of publication
Table 1. Verified deployment indicators, RHCYP, Edinburgh (2026)
Indicator
Value
Families needing wayfinding help pre-deployment (internal NHS Lothian survey, n = 100)
40%
Inpatient beds at RHCYP
242
Languages available at launch
3 (4 further in active development)
App live date
11 February 2026
Independent evaluation
University of Edinburgh pre–post study underway
Sector expansion following RHCYP
Discussions underway with healthcare providers in North America and Singapore
Partner statements

"We are proud to be the first hospital in the world to introduce this technology to support our young patients and their families. It is about making the journey to and from hospital easier, reducing stress, and helping families to feel more confident and independent from the moment they arrive."

Aris Tyrothoulakis, Service Director, Women's and Children's, NHS Lothian — The NEN, 12 February 2026
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"Hospital visits can already be a daunting experience, especially for children and families with additional needs. This technology removes one of the biggest sources of anxiety — finding your way. Not only will it make journeys to the hospital much simpler, it will also help to ease anxiety, break down language barriers, and reduce missed appointments."

Roslyn Neely, CEO, Edinburgh Children's Hospital Charity — The NEN, 12 February 2026
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"My colleagues and I realised we were spending a lot of time helping anxious families find their way around the hospital. I was sure we could do this better. My research led me to Waymap and their way of helping people navigate complex indoor settings. Working with Waymap and ECHC, we managed to secure funding to bring this app to the families at RHCYP and hope it helps make hospital visits simpler and less stressful for everyone."

Dr Olivia Swann, Paediatric Infectious Diseases Consultant, NHS Lothian — The NEN, 12 February 2026
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Media and press coverage

Broadcast coverage: STV News broadcast a video segment on 13 February 2026 covering the launch, including on-camera commentary from Dr Olivia Swann and footage of a family using the app. Available at: news.stv.tv

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References
  1. Kaspar, H., Lereya, S. T., & Deighton, J. (2021). Characterising the nationwide burden and predictors of unkept outpatient appointments in the NHS in England. PLOS ONE. pmc.ncbi.nlm.nih.gov/articles/PMC8509877/
  2. Ramos, T. B., et al. (2021). Factors and reasons associated with appointment non-attendance in hospitals: A narrative review. Cureus. pmc.ncbi.nlm.nih.gov/articles/PMC11102763/
  3. NHS England. (2024). Hospital outpatient activity 2023–24. NHS England Digital. digital.nhs.uk
  4. Waymap. (n.d.). Waymap for your hospital. waymapnav.com
  5. Wikipedia contributors. (2025). Royal Hospital for Children and Young People. en.wikipedia.org
  6. NHS Lothian. (n.d.). The RHCYP. children.nhslothian.scot/the-rhcyp/
  7. Aguilar, R. (2026, March 3). Children's hospital in Scotland leads the way on adding navigation tech for patients, staff. Healthcare Brew. healthcare-brew.com
  8. Pickering, D. (2026, February 12). Lothians families given world-first hospital navigation solution. The NEN. nen.press
  9. STV News. (2026, February 13). New app helps families to navigate Edinburgh Children's Hospital. news.stv.tv