Presented on Tuesday 6 September at NCVO Campaigning Conference 2016.
Esmée Russell, Head of Policy and Influencing, Stroke Association
Michael Sanders, Chief Scientist and Head of Research and Evaluation, The Behavioural Insights Team
Tanya Joseph, Director of Business Partnerships, Sports England
Vicky Browning, Director, Charity Comms (chair)
If you would like to find out more about our training and events, visit our website at https://www.ncvo.org.uk/training-and-events.
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AM4: Changing behaviour: Turning your campaign into reality
1. Exhibitors:
Sponsor:
CHANGING BEHAVIOUR:
TURNING YOUR CAMPAIGN INTO
REALITY
CHAIR:
VICKY BROWNING
DIRECTOR, CHARITY COMMS
SPEAKERS:
ESMÉE RUSSELL
HEAD OF POLICY AND INFLUENCING, STROKE ASSOCIATION
MICHAEL SANDERS
CHIEF SCIENTIST AND HEAD OF RESEARCH AND EVALUATION,
THE BEHAVIOURAL INSIGHTSTEAM
TANYA JOSEPH
DIRECTOR OF BUSINESS PARTNERSHIPS,
SPORTS ENGLAND
2. Stroke Helpline 0303 3033 100
stroke.org.uk
THE ACT FAST
CAMPAIGN
Esmée Russell
Head of Policy
@EsmeeRussell #NCVOCC
9. RISKS
Raise awareness but people don’t act
There are still barriers which prevent action
People wait for all three signs
Don’t realise it’s serious – person is breathing, nearly
always cautious and often not in pain
Ignoring strokes which never display the FAST symptoms
Asking people to call 999 in an environment where people
feel the NHS is already overwhelmed
Doesn’t recognise strokes can occur in younger people and
children
11. • Non-departmental public body
• Increasing the number of people doing regular exercise
• Public funding of £300m per annum
12.
13. Being sweaty Not being fit enough
Family should be more important
Having a red face
Not being good enough
Studying should take priority Not looking ‘made up’
Looking silly
Bringing the wrong equipment
Time with friends should be more important
Changing in front of others
Not being competitive enough
Being the only new person
Exercise isn’t cool
Wearing tight clothing
Not knowing the rules Showing their body
Holding back the group
Wearing sports clothing
Being ‘too’ good
Not appearing feminine
Body parts wobbling when exercising
Wearing the wrong clothing/kit
Developing too many muscles
Being seen as too competitive
FEAR OF JUDGEMENT
14. THREE AREAS OF JUDGMENT
PrioritiesAppearance
8/10
50%
girls aged 11-21 believe there is
too much discussion about
women’s weight in the media
of the same group say they would
like to look more like the pictures
of girls and women they see in the
media
Ability
BUTCH
RUBBISH
FAMILY
EXERCISE
15. Get women aged 14-40 exercising
Ground-breaking – fresh, surprising, disruptive
Reshape the language around
women and exercise
Ability to be owned by
women & partners long-term
Think ‘campaigning’, not a campaign
BEHAVIOUR CHANGE
BRIEF
16.
17. Our Manifesto
Women come in all shapes and sizes and all levels of ability.
It doesn’t matter if you’re rubbish or an expert.
The point is you’re a woman and you’re doing something.
19. A SASSY CELEBRATION OF ACTIVE WOMEN
EVERYWHERE
• Street cast
• Breadth of activities
• Variety of shapes, sizes & skill levels
• ALL with a ‘don’t give a damn’ attitude
47. 2. Real insight is your foundation
3. Understand who your role models really are
4. Language and tone of voice is crucial
5. Engage – create & curate conversations that charm
I’m going to start with a few questions to you all
Who has heard of the FAST campaign?
What does FAST stand for?
What is it?
The FAST test is a really simple test for recognising the signs of stroke and encouraging action.
These signs, facial drooping, inability to lift arms or sudden paralysis and slurring, confusing or an inability to understand what’s being said, or to reply, are a clear indicator that people may be having a stroke
And it’s really important that a stroke is recognised quickly because time is critical for the treatment of stroke. There are some treatments which need to be given within 4.5 hours of the onset of systems of a stroke to improve outcomes. And considering that that 4.5 window involves getting someone to hospital, assessment, brain scans as well as then the delivery of the treatment – you begin to see early diagnosis is so vital
To answer that we need to go back over 10 years – when stroke was not considered a medical emergency. Often is was felt that nothing could be done to help people when they had a stroke. With the development of new treatments this changed, but peoples attitudes remained the same, which meant people were not being diagnosed and getting to hospital quick enough to have life saving treatments
Initially, we decided that we needed to do something to change the attitude of paramedics. We chose this focus because it was within our budget and because we felt it would lead to better and quicker diagnosis which would save more lives. So we funded research which
showed that using the FAST test paramedics could identify a stroke just as accurately as specially trained doctors. Over 85 per cent of the suspected stroke patients brought to the accident and emergency department had actually had a stroke and were able to receive more rapid medical treatment as a result of their early diagnosis
This led to this test being adopted and rolled out nationally to all paramedics to identify whether a patient may be having a stroke and whether or not they need to go on to have a brain scan to diagnose their stroke.
The test is now commonly used by paramedics and on initial hospital triage identify whether a patient may be having a stroke and whether or not they need to go on to have a brain scan to diagnose their stroke – which has sped up the process from diagnosis to treatment which is saving lives and improving outcomes post stroke.
Does anyone recognise these pictures?
Given budget and resources, the SA decided to focus our efforts on the paramedics, which worked in improving response times, but it threw up a new challenge – the public were not aware of (a) what a stroke is (b) the signs of stroke and (c) did not understand the need to get medical treatment immediately - because of this were not calling the ambulance service – leading to vital delays in getting life saving treatment
In 2009 we lobbied the DH to take this campaign on and make it a public campaign – which they did and we supported the development of it. This involved running TV ads for a month aimed at stroke savers and a secondary audience of those at risk of stroke themselves. It’s important to state the SA would never have done this on our own – resources, expertise, time. DH was the right organisation to lead this
The campaign proved successful and has been run every year – it is now led by PHE (we still support it) and budget is around £800,000 per year (this is one of the factors as to why the SA didn’t focus on the public!)
The ads have stayed very much the same over this time period but two creatives have been used – this is 2009 – 2013
This is 2014-2015
Both have proved successful – and there’s very little difference between the two. Only difference is we’ve lost the ‘call 999’ message from the latest campaign, which may have had consequences.
We continue to support PHE with this through PR, casestudies normally done by us but in partnership with PHE’s ad agency. It’s a good partnership as we both need each other. They can’t get PR year on year for same ad, so we work together to find media angles and place case studies in regional and national media
This information is from PHE and shows some of their key impact measures.
The critical ones in here for me are that:
There was a 69% uplift in stroke related calls to 999
Over 38,000 people got to hospital quicker – meaning they received timely treatment
Resulting in 4,337 fewer people became disabled as a result of a stroke
Which has saved the NHS over 332 million (factoring in care costs)
Really positive to show the full range of impact of this campaign and the impact across a 5 year time span
It is seen as the most successful behaviour change campaign the DH run
While FAST campaign has done wonders we know that there are risks to the approach we have taken and we are having discussions with PHE about these
Name of girl: Sam
Name of girl: Ashley
Name of girl: Grace
Name of girl: Lara
Name of girl: Sharon
The above is a snapshot of the best coverage from October to date