Case Study

Keeping a complex digital estate in rude health

“As our web development partner, Net Efficiency really does work as an extension of our team. They’re expert developers, prepared to challenge our thinking and explore new possibilities. They will always find a way!”

Royal Marsden logo

The Client

The Royal Marsden is a world-leading cancer care centre, treating and seeing over 55,000 patients a year. It has hospitals in Chelsea and Sutton, a day unit at Kingston Hospital and educates through the Royal Marsden School.

The Challenge

The Royal Marsden is a complex organisation and the website estate covers a multitude of brands, aims, and objectives.
We look after four 'domains' - the NHS trust, the pages for Private Care patients, the Royal Marsden's school, and a research unit called CancerBRC. The challenge is to keep them all running at the lowest possible cost.

Royal Marsden screenshot

The solution

Collaboration has been the key to our success with the Royal Marsden. The health information market is complex and the Royal Marsden’s online presence is an ecosystem of differing sites, content types and even web suppliers. Through working closely with their team and their design partners, we’ve he

Our tools

With such a complex mix of business, editorial and brand requirements, we run a multi-site Drupal set up on Amazon Web Services. We use Drupal to also provide multi-lingual pages. We have also built micro-sites for the team so that, for example, people applying for courses at the Royal Marsden School are taken down a Laravel booking funnel.


Amazon Web Services (AWS) provides on-demand cloud computing platforms and APIs to individuals, companies, and governments, on a metered pay-as-you-go basis.


Drupal is an open-source content-management framework that can be tailored and customized as your needs grow.

Drupal grows as you grow with thousands of free modules and themes that will help you attract the web audience you need to deliver your message, grow brand awareness, and build your community.


Laravel is an open-source PHP framework, which is robust and easy to understand. It follows a model-view-controller design pattern. Laravel reuses the existing components of different frameworks which helps in creating a web application. The web application thus designed is more structured and pragmatic.


Jira is a bug and issue tracking software product and has evolved into a powerful work management tool for all kinds of uses.

The outcome

We’ve not only significantly improved traffic but also, as a consequence, increased visits and donations to the Royal Marsden charity simply through better visibility of the charity’s site from the core site’s homepage menu.

Delivering real world results

Come see the impact when practical strategy, design, and development meet.

Biomedical Research Centre for Cancer

Using a shared Drupal platform to create a unique organisational identity to deliver the right information with low running costs.

Learn more

HPCi Media

HPCi Media is a global business built on information, including six separate publications and a range of events.

Learn more

Carglass Netherlands

Our work has had three impacts - on the customer experience, on business results and on simplifying the website management.

Learn more

Want grounded ideas that actually get built?