diff --git a/app/assets/stylesheets/_grids.scss b/app/assets/stylesheets/_grids.scss
index fd6d38bee..48c1b60aa 100644
--- a/app/assets/stylesheets/_grids.scss
+++ b/app/assets/stylesheets/_grids.scss
@@ -49,6 +49,11 @@
   margin-top: $gutter / 3;
 }
 
+.top-gutter-2-3 {
+  @extend %top-gutter;
+  margin-top: $gutter * 2 / 3;
+}
+
 %bottom-gutter,
 .bottom-gutter {
   @extend %contain-floats;
diff --git a/app/assets/stylesheets/components/browse-list.scss b/app/assets/stylesheets/components/browse-list.scss
index 95128534f..bc63bd9a6 100644
--- a/app/assets/stylesheets/components/browse-list.scss
+++ b/app/assets/stylesheets/components/browse-list.scss
@@ -37,6 +37,7 @@
 
   &-hint {
     @include core-19;
-    margin-top: 5px;
+    margin: 5px 0 10px 0;
+    color: $secondary-text-colour;
   }
 }
diff --git a/app/models/user.py b/app/models/user.py
index 9c03ceab6..3ffe5b076 100644
--- a/app/models/user.py
+++ b/app/models/user.py
@@ -318,6 +318,14 @@ class User(JSONModel, UserMixin):
             return 'nhs'
         return None
 
+    @property
+    def has_multiple_services_or_organisations(self):
+        return (
+            self.organisations or self.live_services
+        ) and (
+            self.trial_mode_services
+        )
+
     @property
     def has_nhs_email_address(self):
         return self.email_address.lower().endswith((
diff --git a/app/templates/views/choose-account.html b/app/templates/views/choose-account.html
index 34cb581bc..85f13290e 100644
--- a/app/templates/views/choose-account.html
+++ b/app/templates/views/choose-account.html
@@ -1,6 +1,11 @@
 {% extends "withoutnav_template.html" %}
 
-{% macro service_list(heading, show_heading, organisations=[], services=[]) %}
+{% macro service_list(
+  heading,
+  show_heading,
+  organisations=[],
+  services=[]
+) %}
   {% if show_heading %}
     <div class="grid-row">
       <div class="column-one-quarter">
@@ -34,6 +39,11 @@
   {% else %}
     </ul>
   {% endif %}
+  {% if show_add_service_button %}
+    <div class="js-stick-at-bottom-when-scrolling">
+      <a href="{{ url_for('.add_service') }}" class="button-secondary">Add a new service</a>
+    </div>
+  {% endif %}
   <div class="keyline-block"></div>
 {% endmacro %}
 
@@ -43,10 +53,11 @@
 
 {% block maincolumn_content %}
 
-  <h1 class="heading-large">
+  <h1 class="heading-large {% if current_user.has_multiple_services_or_organisations %}visually-hidden{% endif %}">
     Choose service
   </h1>
-  <nav class="browse-list">
+
+  <nav class="browse-list {% if current_user.has_multiple_services_or_organisations %}top-gutter-2-3{% endif %}">
 
     {% if current_user.platform_admin %}
       <div class="grid-row">
@@ -55,11 +66,11 @@
             Platform admin
           </h2>
         </div>
-        <div class="column-three-quarters">
+        <ul class="column-three-quarters">
           <li class="browse-list-item">
             <a href="{{ url_for('.organisations') }}" class="browse-list-link">All organisations</a>
           </li>
-        </div>
+        </ul>
       </div>
       <div class="keyline-block"></div>
     {% endif %}
@@ -88,9 +99,21 @@
     {% endif %}
 
   </nav>
+
   {% if can_add_service %}
     <div class="js-stick-at-bottom-when-scrolling">
+      {% if current_user.has_multiple_services_or_organisations %}
+        <div class="grid-row">
+          <div class="column-one-quarter">
+            &nbsp;
+          </div>
+          <div class="column-three-quarters">
+      {% endif %}
       <a href="{{ url_for('.add_service') }}" class="button-secondary">Add a new service</a>
+      {% if current_user.has_multiple_services_or_organisations %}
+          </div>
+        </div>
+      {% endif %}
     </div>
   {% endif %}