Stock & Fable
Case study · Marketing, internal comms and user research

Helping the NHS talk to itself

We worked with NHS England across marketing, internal communications and user research. A huge organisation, stretched people, high stakes. Our job was to make communication clearer and to make sure decisions were grounded in what real people actually said and did.

12
stakeholder groups worked with across programmes
4
national programmes supported with comms and research
60+
user interviews and survey responses fed into decisions

The organisation

NHS England sets direction for the health service in England. It is vast, complicated and full of people doing difficult jobs under real pressure. In an organisation like that, communication is not a nice extra. When a message fails to land, work stalls, and the people affected are patients and staff.

The teams we supported were smart and committed but permanently stretched. They did not need more noise. They needed materials that worked first time, internal comms that respected people's attention, and evidence they could trust when making decisions.

How we approached it

Every piece of work followed the same discipline, whether it was a national campaign asset or a two paragraph staff update.

  1. Understand the audience first. Interviews, surveys and journey mapping before a single word was written, so we knew what people actually needed to hear rather than what the programme wanted to say.
  2. Say less, more clearly. Every draft was cut, then cut again. In the NHS your message competes with something genuinely urgent, so it has to work in thirty seconds.
  3. Test before shipping. Materials went in front of real users before rollout. Cheap to do, and it caught problems that would have been expensive to discover live.
  4. Feed findings into decisions. Research was delivered to the right person before the decision was made, in a form they could act on, not archived in a slide deck.

"If your comms need explaining, they have already failed."

The discipline the NHS taught us, applied to every client since

What we delivered

Campaign materialsNational programme assets from messaging to finished artwork
Internal communicationsShorter, clearer comms designed for stretched teams
User interviewsStructured interviews and surveys across staff and public audiences
Journey mappingEnd to end journeys highlighting where communication broke down
Research reportingFindings packaged for decision makers, not for shelves
Accessible designWCAG-aware materials, because in health accessibility is the baseline

What it taught us

Working inside the NHS teaches you respect for constraints. Every audience is busy. Every message competes with something genuinely urgent. That discipline of writing for people with thirty seconds and a full inbox has shaped everything we have made since.

It also taught us that research is only useful if it changes something. Interviews and journey maps that sit in a slide deck are decoration. The value comes when a finding lands in front of the right person before a decision is made. That is the standard we hold research to now.

What this means for your business

You probably do not run a health service, but the same rules apply. Your customers are busy, your team is busy, and clarity wins. When we plan your marketing we start with what your audience needs to hear, test the message before spending money behind it, and report findings you can actually act on. If you want communication that works first time, that is the job we learned here.

Drawn from work with this organisation. Some details are generalised for confidentiality.

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