diff --git a/app/(gcforms)/[locale]/(form administration)/form-builder/[id]/preview/BackButton.tsx b/app/(gcforms)/[locale]/(form administration)/form-builder/[id]/preview/BackButton.tsx
index 98dda43822..3323535c70 100644
--- a/app/(gcforms)/[locale]/(form administration)/form-builder/[id]/preview/BackButton.tsx	
+++ b/app/(gcforms)/[locale]/(form administration)/form-builder/[id]/preview/BackButton.tsx	
@@ -4,7 +4,7 @@ import { Button } from "@clientComponents/forms";
 import { Language } from "@lib/types/form-builder-types";
 
 // Must be placed withing context of the GCFormsContext.Provider
-export const BackButton = ({ language }: { language: Language }) => {
+export const BackButton = ({ language, onClick }: { language: Language; onClick?: () => void }) => {
   const { t } = useTranslation("review");
   const { setGroup, previousGroup } = useGCFormsContext();
   return (
@@ -13,6 +13,7 @@ export const BackButton = ({ language }: { language: Language }) => {
       secondary={true}
       onClick={() => {
         setGroup(previousGroup);
+        onClick && onClick();
       }}
     >
       {t("goBack", { lng: language })}
diff --git a/app/(gcforms)/[locale]/(form administration)/form-builder/[id]/preview/Preview.tsx b/app/(gcforms)/[locale]/(form administration)/form-builder/[id]/preview/Preview.tsx
index 0ec464b7a7..0d5d94dd08 100644
--- a/app/(gcforms)/[locale]/(form administration)/form-builder/[id]/preview/Preview.tsx	
+++ b/app/(gcforms)/[locale]/(form administration)/form-builder/[id]/preview/Preview.tsx	
@@ -27,6 +27,7 @@ import { ErrorSaving } from "@formBuilder/components/shared/ErrorSaving";
 import { toast } from "@formBuilder/components/shared";
 import { defaultForm } from "@lib/store/defaults";
 import { showReviewPage } from "@lib/utils/form-builder/showReviewPage";
+import { focusElement } from "@lib/client/clientHelpers";
 
 export const Preview = ({
   disableSubmit = true,
@@ -209,7 +210,10 @@ export const Preview = ({
                               return (
                                 <>
                                   {allowGrouping && isShowReviewPage && (
-                                    <BackButton language={language} />
+                                    <BackButton
+                                      language={language}
+                                      onClick={() => focusElement("h2")}
+                                    />
                                   )}
                                   <Button
                                     type="submit"
diff --git a/components/clientComponents/forms/BackButtonGroup/BackButtonGroup.tsx b/components/clientComponents/forms/BackButtonGroup/BackButtonGroup.tsx
index 7ec1e68a16..b2528b319f 100644
--- a/components/clientComponents/forms/BackButtonGroup/BackButtonGroup.tsx
+++ b/components/clientComponents/forms/BackButtonGroup/BackButtonGroup.tsx
@@ -4,7 +4,13 @@ import { Button } from "@clientComponents/globals";
 import { LockedSections } from "@formBuilder/components/shared/right-panel/treeview/types";
 import { Language } from "@lib/types/form-builder-types";
 
-export const BackButtonGroup = ({ language }: { language: Language }) => {
+export const BackButtonGroup = ({
+  language,
+  onClick,
+}: {
+  language: Language;
+  onClick?: () => void;
+}) => {
   const { currentGroup, getGroupHistory, handlePreviousAction } = useGCFormsContext();
   const { t } = useTranslation("form-builder");
 
@@ -28,6 +34,7 @@ export const BackButtonGroup = ({ language }: { language: Language }) => {
         onClick={async (e) => {
           e.preventDefault();
           handlePreviousAction();
+          onClick && onClick();
         }}
         type="button"
         className="mr-4"
diff --git a/components/clientComponents/forms/Form/Form.tsx b/components/clientComponents/forms/Form/Form.tsx
index 08f0806dbe..cbdbc8ca75 100644
--- a/components/clientComponents/forms/Form/Form.tsx
+++ b/components/clientComponents/forms/Form/Form.tsx
@@ -158,6 +158,7 @@ const InnerForm: React.FC<InnerFormProps> = (props) => {
   const isGroupsCheck = groupsCheck(props.allowGrouping);
   const isShowReviewPage = showReviewPage(form);
   const showIntro = isGroupsCheck ? currentGroup === LockedSections.START : true;
+  const groupsHeadingRef = useRef<HTMLHeadingElement>(null);
 
   const { t } = useTranslation();
 
@@ -255,7 +256,9 @@ const InnerForm: React.FC<InnerFormProps> = (props) => {
               isShowReviewPage &&
               currentGroup !== LockedSections.REVIEW &&
               currentGroup !== LockedSections.START && (
-                <h2 className="pb-8">{getGroupTitle(currentGroup, language as Language)}</h2>
+                <h2 className="pb-8" tabIndex={-1} ref={groupsHeadingRef}>
+                  {getGroupTitle(currentGroup, language as Language)}
+                </h2>
               )}
 
             {children}
@@ -274,7 +277,10 @@ const InnerForm: React.FC<InnerFormProps> = (props) => {
 
             <div className="flex">
               {isGroupsCheck && isShowReviewPage && (
-                <BackButtonGroup language={language as Language} />
+                <BackButtonGroup
+                  language={language as Language}
+                  onClick={() => groupsHeadingRef.current?.focus()}
+                />
               )}
               {props.renderSubmit ? (
                 props.renderSubmit({
@@ -285,7 +291,10 @@ const InnerForm: React.FC<InnerFormProps> = (props) => {
                         {isGroupsCheck &&
                           isShowReviewPage &&
                           currentGroup === LockedSections.REVIEW && (
-                            <BackButton language={language as Language} />
+                            <BackButton
+                              language={language as Language}
+                              onClick={() => groupsHeadingRef.current?.focus()}
+                            />
                           )}
                         <div className="inline-block">
                           <SubmitButton
diff --git a/components/clientComponents/forms/NextButton/NextButton.tsx b/components/clientComponents/forms/NextButton/NextButton.tsx
index 36361b7300..c74a5dbdd7 100644
--- a/components/clientComponents/forms/NextButton/NextButton.tsx
+++ b/components/clientComponents/forms/NextButton/NextButton.tsx
@@ -13,6 +13,7 @@ import { Language } from "@lib/types/form-builder-types";
 
 import { getLocalizedProperty } from "@lib/utils";
 import { showReviewPage } from "@lib/utils/form-builder/showReviewPage";
+import { focusElement } from "@lib/client/clientHelpers";
 
 export const NextButton = ({
   validateForm,
@@ -90,6 +91,7 @@ export const NextButton = ({
           e.preventDefault();
           if (await handleValidation()) {
             handleNextAction();
+            focusElement("h2");
           }
         }}
         type="button"
diff --git a/components/clientComponents/forms/Review/Review.tsx b/components/clientComponents/forms/Review/Review.tsx
index 24cf6baede..5217642f05 100644
--- a/components/clientComponents/forms/Review/Review.tsx
+++ b/components/clientComponents/forms/Review/Review.tsx
@@ -109,8 +109,9 @@ export const Review = ({ language }: { language: Language }): React.ReactElement
   const { groups, getValues, formRecord, getGroupHistory, getGroupTitle, matchedIds } =
     useGCFormsContext();
 
-  const headingRef = useRef(null);
-  useFocusIt({ elRef: headingRef });
+  const groupsHeadingRef = useRef<HTMLHeadingElement>(null);
+  // Focus heading on load
+  useFocusIt({ elRef: groupsHeadingRef });
 
   const reviewItems: ReviewItem[] = useMemo(() => {
     const formValues: void | FormValues = getValues();
@@ -146,7 +147,9 @@ export const Review = ({ language }: { language: Language }): React.ReactElement
 
   return (
     <>
-      <h2 ref={headingRef}>{t("reviewForm", { lng: language })}</h2>
+      <h2 ref={groupsHeadingRef} tabIndex={-1}>
+        {t("reviewForm", { lng: language })}
+      </h2>
       <div className="my-16">
         {Array.isArray(reviewItems) &&
           reviewItems.map((reviewItem) => {
@@ -159,14 +162,26 @@ export const Review = ({ language }: { language: Language }): React.ReactElement
                 className="mb-10 rounded-lg border-2 border-slate-400 px-6 py-4"
               >
                 <h3 className="text-slate-700">
-                  <EditButton reviewItem={reviewItem} theme="link">
+                  <EditButton
+                    reviewItem={reviewItem}
+                    theme="link"
+                    onClick={() => {
+                      groupsHeadingRef.current?.focus();
+                    }}
+                  >
                     {title}
                   </EditButton>
                 </h3>
                 <div className="mb-10 ml-1">
                   <QuestionsAnswersList reviewItem={reviewItem} />
                 </div>
-                <EditButton reviewItem={reviewItem} theme="secondary">
+                <EditButton
+                  reviewItem={reviewItem}
+                  theme="secondary"
+                  onClick={() => {
+                    groupsHeadingRef.current?.focus();
+                  }}
+                >
                   {t("edit", { lng: language })}
                 </EditButton>
               </div>
@@ -233,10 +248,12 @@ const EditButton = ({
   reviewItem,
   theme,
   children,
+  onClick,
 }: {
   reviewItem: ReviewItem;
   theme: Theme;
   children: React.ReactElement | string;
+  onClick?: () => void;
 }): React.ReactElement => {
   const { setGroup, clearHistoryAfterId } = useGCFormsContext();
   return (
@@ -246,6 +263,8 @@ const EditButton = ({
       onClick={() => {
         setGroup(reviewItem.id);
         clearHistoryAfterId(reviewItem.id);
+        // Focus groups heading on navigation
+        onClick && onClick();
       }}
     >
       {children}
diff --git a/lib/client/clientHelpers.ts b/lib/client/clientHelpers.ts
index 4483aba614..72c7a9c92f 100644
--- a/lib/client/clientHelpers.ts
+++ b/lib/client/clientHelpers.ts
@@ -20,6 +20,22 @@ export const scrollToBottom = (containerEl: HTMLElement) => {
   }
 };
 
+/**
+ * When a function does not have access to an element (ref), use the DOM to get an element and
+ * after the next tick (after the current event loop), focus the element. This moves the page to
+ * the element location and announces the text in the element to AT. Use a react ref over this to
+ * get and focus an element when possible.
+ * @param elementSelector selector to get the DOM element (first one found). Defaults to H1. Must
+ * have a tabIndex.
+ * @returns undefined
+ */
+export const focusElement = (elementSelector = "H1") => {
+  const NEXT_TICK = 0;
+  setTimeout(() => {
+    (document.querySelector(elementSelector) as HTMLElement)?.focus();
+  }, NEXT_TICK);
+};
+
 /**
  * Like a UUID but smaller and not as unique. So best to append this to the element name.
  * e.g. id = `myElementName-${randomId()}`