Getting thousands of veterans the healthcare they deserve, for the Royal College of GPs

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The Background

The Royal College of GPs’ (RCGP) Veteran Friendly practices programme supports GP surgeries to identify, support and refer veterans for best health outcomes. However, with reports from the British Medical Association, the Kings Fund and the RCGP highlighting the immense pressure that GP surgeries remain under post-Covid, momentum around signing up to the programme had slowed dramatically.

Prior to Evergreen being commissioned, the number of practices getting accredited each month was in the low single figures.


The Target Outcome

After we demonstrated effectiveness with a campaign in November 2021 that increased the number of accreditations by 260% in one month, Evergreen was commissioned to repeat the feat in November 2022.
A clear target was agreed:

  • Objective: Trigger 90 GP practices to get accredited in November - this would set a new monthly record and pass a key milestone


The Evergreen MERTO Insight

Our research, which included an audit of the GP Workforce, a review of published studies on veteran healthcare, a COM-B behavioural analysis of our target audiences and Power Interest assessment to inform prioritisation, uncovered a number of key insights:

  • While previous campaigns by the RCGP had focused on their primary audience of GPs, they comprise just 26% of the practice workforce 

  • Veterans are more likely to experience long-term health problems and have different needs to the general population, yet most practices don’t have a system to identify them and veterans are less likely to access support if they feel they won’t be understood

  • Previous campaign messaging and imagery had been very military-focused. It was possible that while this appealed to GP staff with a military background, it could alienate some audiences.


The Evergreen MERTO Strategy

Our idea was:

Create an emotionally powerful campaign that provokes a realisation among health and care professionals that the impacts of serving in the Armed Forces are often not obvious and veterans can be hard to spot - while at the same time appealing to the wider practice workforce by using real stories of veterans and staff in an integrated campaign that encourages staff to sign-up.

Our campaign involved the following steps:

  1. We developed a Messaging Framework around the hero line: ‘The impact of service isn’t always obvious’, which was backed by key insights from the research phase

  2. We briefed and collaborated with our design partners at Everything’s Fine to produce the high impact image and supporting images illustrating the diversity of military personnel. Critical feedback on the imagery and campaign messaging was gathered from GPs and veterans via the RCGPs ‘clinical champions’, with the adjustments that followed helping us to make it more compelling.

  3. We developed a press release using the timely hook of Remembrance Day, alongside statistics sourced from our literature review, shining a spotlight on the issue of ‘undisclosed health needs’ and warning that many veterans are going undetected and may be reluctant to seek support if they think GP practice staff won’t understand them.

  4. We initiated targeted media relations, focusing on outlets that we scored as High Power in our analysis. We focused on driving a combination of news coverage, interviews and viewpoint articles across a mix of mainstream, NHS system, GP, nursing and practice manager media.

  5. We developed a Digital Toolkit containing draft copy and campaign imagery that could be used across a range of social and online channels and shared this with health professional associations who support General Practice staff. 

  6. We also produced social and newsletter content for the RCGP and NHS England.


Outcomes

  • 179 GP practices got accredited in the month of November 2022. This was:

      • 645% more than the average before we were commissioned

      • Double our stretch target

      • More than double the best ever month for the programme, which launched in 2018

  • As most practices see a veteran patient every day, over the next 12 months, tens of thousands more veteran patients will now get access to support that has been found to be effective, thanks to these accreditations

  • The Department of Health and Social Care issued a press release applauding the surge in growth

A number of significant outputs were also achieved:

  • More than 45 mentions - including NHS England, BBC News, Pulse, GP Online, Nursing Times, Management in Practice, First Practice Management, as well as BBC TV and healthcare webinar appearances for GP and veteran case studies - were secured, building trust in the RCGP programme across the wider General Practice workforce

  • We more than doubled the volume of traffic visiting the programme website page

  • We delivered a six fold improvement in the web page’s conversion rate - up from 3% of visitors to 17%

 
 

Client testimonials

 
Evergreen have proven time and again that they deliver tangible impact for us through their campaign work and comms support. The team carry a high spread of knowledge, are all experts in their field and are extremely easy and pleasant to work with. The introduction of their 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 result has been upticks in engagement and the delivery of positive outcomes.
— Andy Riley, Head of Programmes and Projects, the Royal College of GPs
You’ve done a brilliant job. I think you’re managed to turn the Accreditation programme into a mainstream requirement for GP practices.
— Dr Alan Finnigan, Director of Nursing & Military Mental Health University of Chester
 

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