Strategic Effectivenes Services

We’re the strategic health communications agency that is known for helping our clients identify the ‘most effective route to outcomes’. Our proprietary MERTO Method has powered countless award-winning campaigns and achieved measurable impact for health organisations of all sizes.

Most effective route to outcomes.

Our partners

Stakeholder Identification and Prioritisation

Change only happens when we can persuade specific audiences to take specific actions which, together, lead to the outcome being achieved. We can help you to map and prioritise your stakeholders, uncovering the actions you need from them how to unlock them.

  • We can help you map all of the stakeholders who must be activated for your priority outcome to be achieved.

  • Not all stakeholders are equal. We can help you to identify those that matter most when it comes to achieving your goal through our power and interest scoring process.

  • The key to activating your priority stakeholders is to understand them. We can help you to gain full clarity on what you need from them and to unlock the behavioural barriers and drivers that will allow you to activate them.

Narrative Development

It all begins with a story. We can help you to create a narrative to inspire action. Win hearts and minds with a powerful story that articulates your purpose, that shows how you are helping to tackle societal challenges and that changes behaviours.

  • We’ll get under the skin of your organisation and the wider challenges you are tackling so that all of our thinking is based on a deep understanding of your position.

  • We’ll develop a narrative that will help you to win attention, build authority, create enthusiasm and drive action utilising the right structure for you.

  • We’ll provide you with a clear usable framework for messaging, that can be adapted and used by staff and teams right across your organisation and on whatever channels are needed.

Strategic Route

Our MERTO Map is an end-to-end planning tool that helps you to prioritise the steps needed to get you from where you are today to where you want to be tomorrow. We uncover the audiences, insights, messages and activity you need and present you with a clear roadmap to achieving your priority outcomes.

  • We go deep into your external landscape and internal operation to uncover the priority audiences, what you need from them and what’s stopping them - as well as identifying the keys to activating them to change their behaviour.

  • We give you full clarity on the 3-5 priority strategic levers hat will hold the key to your successful journey to outcomes. This will be invaluable and will prevent you and your team from becoming distracted by low impact activity that won’t move the dial - a common issue with communications teams.

  • We’ll create the messaging and the tactical activity plan that will not only win the attention and trust of your priority audiences, but will take each of them on a carefully choreographed journey to support your target outcome.

Training and Consultation

Whether you are looking for high level counsel on a strategic issue or introductory training for your junior team, our senior practitioners can support you with bespoke consultation or training designed to meet your needs.

  • We have a number of senior team members with upwards of 20 years of experience in the industry. From managing media crises, to social media issues response, we can give you the support you need.

  • We can offer training on a wide range of topics including planning, evaluation, messaging, media interviews, media relations and more.

Origin Story


MERTO is our behaviour science and prioritisation-based method for identifying the ‘most effective route to outcomes’. This report outlines the theory behind it and how our method encourages practitioners to move away from an SOS (just ‘Send Out Stuff’) method of communications to a strategy-driven method that achieves measurable outcomes. Read the report for a full understanding of the method.

Andy Riley, Head of the Personalised Care Institute

“The introduction of Evergreen PR's MERTO Framework has allowed us to systematically identify our key stakeholder audiences, understand the way that they work and adapt our engagement approach to deliver the best results - the impact has been upticks in engagement and the delivery of positive organisational outcomes.”

Laura Marlow, External Communications Lead, Ascenti

“MERTO has helped us to focus on what matters and to cut out those things that aren’t helping us to achieve our outcomes. The Evergreen team have been able to consume an impressive amount of detail to understand our business and the external landscape, encouraging us to invest our budget only in those things that will deliver real value. Our partnership has been really successful, driving large upticks in recruitment and supporting sales of Ascenti tech services like virtual physiotherapy and our Ascenti Reach app.”

Nick Wright, Marketing Director, OutsideClinic

“The MERTO ensured that our activity had an excellent strategic foundation, prioritising the things that would make the biggest difference to our goals. We enjoyed the process, which prompted open dialogue and it gave us confidence that Evergreen PR understood our business and would be representing us excellently with journalists and other stakeholders - which they have! I would strongly recommend Evergreen.”

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