Umio Design with Real Lived Experience (RLX). A New Way Forward in Health and Care.

The Blind Spot"The Blind Spot .. explains why systems fail to meet people where they are, why interventions collapse in ...
24/02/2026

The Blind Spot

"The Blind Spot .. explains why systems fail to meet people where they are, why interventions collapse in real life, and why people with chronic illness, mental health conditions, or complex care needs often feel unseen."

Read more about The Blind Spot: https://lnkd.in/eX68WsWW

Design with Real Lived Experience (RLX): FoundationsMost design and innovation works with representations and abstractio...
12/02/2026

Design with Real Lived Experience (RLX): Foundations

Most design and innovation works with representations and abstractions of life - the measurable, the categorical, the visible, observable surface of things. It operates at the level of metrics, journeys, personas, symptoms, jobs, and outcomes.

Design with RLX works differently. It co-composes from within the actual dynamics of experience - relational fields, conditioned possibilities, qualitative differences-in-kind, duration and flow, affects and atmospheres, and lived thresholds.

It begins with neither the map nor the territory, but with the moving ground and depths of experience itself: the pressures, folds, intensities, constraints, and shifts through which life is continuously formed and re-formed. Life’s geology, if you like.

Rather than reducing lived experience to stories, moments, or traits, RLX understands it as world-involving and stratified; as constituted within material, spatial, institutional, economic, cultural, and epistemic relations.

It recognises that the same representation (metric, identity, segment, etc.) can mask fundamentally different lived realities; that what becomes possible is always conditioned; that change often occurs at thresholds long before outcomes register; and that time is endured, thickened, and recalibrated - not merely counted in clock time.

Co-composition is the only realistic practical design stance within this shifting realm. It does not design for a user from above or outside their real experience, but works from within the evolving dynamics already underway. It learns from intensifications and ruptures; it responds within duration, and it attends to qualitative shifts before they solidify into metrics.

The result is design that feels more personal without being individualised; more adaptive without being reactive; more responsive to lived reality without being superficial.

By engaging the deeper conditions of lived reality, Design with RLX shapes strategy, innovation, policy, and offerings that outperform purely representational or analytical approaches.

Let me know …

Does this resonate with how you understand or experience life?
What feels right? What feels incomplete?
Would you attend a Q&A where the infographic is unpacked in more depth?
What would you want The RLX Collective to do for you?

We’d genuinely value your thoughts.

Learn more by buying the book: Real Lived Experience - A Radical New Design Philosophy for Health and Care: https://umio.io/rlx-book-live

Download the infographic: https://rlx-collective.mn.co/posts/design-with-real-lived-experience-rlx-foundations-infographic?utm_source=manual

Learn, connect, and design with Real Lived Experience ( ). Join The RLX Collective to explore a critical blind spot in e...
05/02/2026

Learn, connect, and design with Real Lived Experience ( ).

Join The RLX Collective to explore a critical blind spot in enterprise strategy, design, innovation, and valuation: experience as it is actually lived.

Explore and sign-up: https://rlx-collective.mn.co/feed

Not just a book … a challenge to every orthodoxy in health policy, design and innovation.For decades, reforms have cycle...
18/09/2025

Not just a book … a challenge to every orthodoxy in health policy, design and innovation.

For decades, reforms have cycled, services have been redesigned, and innovations have poured in - yet chronic illness, mental distress, and inequity continue to rise. The problem is not one of effort, but orientation and perception.

Real Lived Experience insists that health cannot be reformed from the outside in. Metrics, guidelines, policies, determinants, and protocols overlook what really matters: the lived, affective ground where health is made and unmade.

This book offers a radical alternative: a design philosophy that begins inside experience itself, and reimagines health and care from there.

Out now.

Buy from Amazon US: https://lnkd.in/eevGpzWq

Buy from Amazon UK: https://lnkd.in/erRyDNUr

Buy from Amazon EU: https://lnkd.in/eRtnJjiD

Buy from Amazon Australia: https://lnkd.in/ecxKMy5D


What comes after HCD, CX, or patient experience?Are we at the limit - refining methods and metrics - or is a fundamental...
06/09/2025

What comes after HCD, CX, or patient experience?

Are we at the limit - refining methods and metrics - or is a fundamentally new step possible?

Next week Nicki Sutton and I launch our book Real Lived Experience: A Radical New Design Philosophy for Health and Care.

RLX goes beyond needs, personas, journeys, outcomes, and jobs-to-be-done.

It begins inside life itself - constrained, messy, relational, affective, and always in motion.

It’s a call not to design for customers or for patients but to design WITH experience as it unfolds.

What do you think comes after CX, HCD, and PX?

Follow along here for launch updates, extracts and early insights.

When anxiety overshadows everything else: the diagnostic challenge of multi-condition experience (New research by Umio)....
19/06/2025

When anxiety overshadows everything else: the diagnostic challenge of multi-condition experience (New research by Umio).

For the 2.3 million people in the UK living with Generalised Anxiety Disorder (GAD) - and millions more around the world - accessing healthcare can feel like walking into a room already scripted. One where any new symptom, such as palpitations, fatigue, dizziness, or pain, is pre-read through the lens of anxiety.

Read out latest blog and research: https://eu1.hubs.ly/H0l7d9-0

More than Behaviour: The Real Lived Experience (RLX) of ObesityFraming the obesity crisis as an aggregation of poor life...
18/06/2025

More than Behaviour: The Real Lived Experience (RLX) of Obesity

Framing the obesity crisis as an aggregation of poor lifestyle, food and exercise choices fails to see and respond to its real lived experience.

Giving people access to the latest knowledge, digital technologies, tools and trackers may make some impact but this solution lies within the same problem framing - one steeped in the language of responsibility, optimisation, and self-management. One that positions the individual person and their body as the problem to be fixed, and the solution as a series of measurable actions to be taken: eat less, move more, try harder, comply better.

From a real lived experience (RLX) perspective, this is not only insufficient but a fundamental category mistake.

Obesity is not a discrete bodily thing, a kind of pathology extracted from its context and analysed in isolation. Nor is it simply a matter of energy imbalance or lifestyle missteps.

It is a complex, lived condition that arises in and through social, material, economic, affective, and environmental relations.

And it is experienced not just in the body but as a body in this relational field: in shame, in pain, in bias and exclusion, in stigma, in the friction of everyday life.

To reduce this experience to weight, BMI, exercise or willpower is to sever it from its reality.

Read the latest Umio blog to learn how RLX thinking can help tackle the obesity crisis ....

https://eu1.hubs.ly/H0l4LzY0

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