Neil Squire Society provides services online for people with disabilities. We have radically changed the look of Moodle to make it more accessible and usable. Navigation Block? Gone. Front Page? Who needs it! Sections? We’ll use pictures, thanks. File picker? Shredded from existence. On top of this naked UI, we created a screen reader, templates for online answers, and a badge-based navigation system. Core mods, theme mods, and plugins, oh my! It’s documented and the code is available, so you can do the same.