The wording of your recall messages can have a big impact on whether patients open them, trust them, and take action.
This guide combines NHS messaging guidance, behavioural science principles, and practical Hippo examples to help you create recall templates that improve engagement and increase bookings.
Good patient messages should quickly answer three questions:
✅ Why am I being contacted?
✅ What do I need to do?
✅ How do I do it?
❓ Do I need custom templates?
Not necessarily.
Hippo's default templates already follow many NHS messaging principles and work well for most practices.
This guide is most useful if your practice:
Uses custom recall templates
Wants to improve booking rates
Adds educational links or response options
Tailors messages for specific patient groups
Wants more control over wording and tone
If you're unsure, starting with Hippo's default templates is often the best option.
📜 NHS messaging principles
NHS guidance recommends patient messages are:
Clear → avoid unnecessary wording or jargon
Short → most patients skim
Action-focused → make the next step obvious
Trustworthy → clearly explain who the message is from and why
Many patients will read your recall on a phone and decide within seconds whether to engage.
✅ Good:
You are due your annual asthma review at {{patient_practice_name}}. Please book using the link below.
❓Less clear:
We are contacting you regarding your ongoing healthcare requirements and would like to invite you...
⚠️ Common template mistakes
We commonly see:
❌ Long introductions before the booking link
❌ Too many actions in one message
❌ Educational content before the main action
❌ Large blocks of text
❌ Clinical or internal terminology patients may not understand
❌ Too many links competing for attention
Good recall messages usually have one clear action and one clear next step.
📱 Writing messages in Hippo
When creating custom templates:
✅ Put the main action near the top
✅ Keep wording warm and human
✅ Make the next step obvious
✅ Keep paragraphs short
✅ Explain unfamiliar terms
✅ Think about how the message appears on mobile
Patients often decide whether to act based on the first few lines.
🔗 Put booking links first
Patients should not need to search for what to do next.
✅ Good:
You are due your annual review. Please click below to book:
{{appointment_booking_url}}
❓Less clear:
We would like to invite you to attend an appointment. Please see the information below...
Place supporting information after the booking action.
📋 Using questionnaires
Where possible, keep messages focused on one primary action. Patients are more likely to respond when the next step is obvious.
However, Hippo questionnaires can also be included alongside recalls.
If your message includes both:
📅 Appointment booking
📝 Questionnaire completion
Make both actions clear.
✅ Good:
You are due your annual asthma review. Please book your appointment here. We also need some updated information - please complete this short questionnaire.
❓Less clear:
Please review the following information and complete any relevant actions.
📖 Adding educational links
Educational links can help answer questions and improve confidence — but they should support booking, not distract from it.
Best practice:
✅ Put booking links first
✅ Keep educational content optional
✅ Limit to 1–2 links
✅ Position links after the main action
Example:
Want to know more before booking? Read here:
Avoid placing educational information before the booking link.
📲 Example: Cervical screening with educational content
Dear {{patient_first_name}},
It's time for your cervical screening at {{patient_practice_name}}.
The screening only takes a few minutes, and our nurses will do everything they can to help you feel comfortable.
Please click here to book: {{appointment_booking_url}}
Prefer to book by phone? Call {{patient_practice_number}}
Want to know more?
https://www.nhs.uk/tests-and-treatments/cervical-screening/
Thank you,
{{patient_practice_name}}
You can read our Cervical Screening Case Study here
🗣️ Patient response links
When using response options such as:
I've already had this
I do not want to book at this time
Keep them simple.
Best practice:
✅ Limit to 2–3 options
✅ Put positive actions first
✅ Use clear wording
Too many options can reduce response rates.
📲 Example: Flu vaccination with response links
Dear {{patient_first_name}},
It's time for your flu vaccination at {{patient_practice_name}}.
Please book here:
{{appointment_booking_url}}
Or reply below:
I've already had my flu vaccination [Link for already received care]
I do not want to book at this time [Link for decline care]
Thank you,
{{patient_practice_name}}
💡 Read more about Patient Response Links here
💬 Tone and wording examples
Patients generally respond better to messages that sound human and supportive.
More effective:
✅ "This test only takes a few minutes and helps prevent cancer."
✅ "Our nurses are here to support you."
✅ "Thank you for taking this important step for your health."
Less effective:
❌ "Our systems indicate you are due..."
❌ "Please contact reception to arrange an appointment."
❌ "Further action may be required."
🧠 Social Norms and Behavioural science techniques that can improve uptake
Many of these approaches are used across NHS communications and Behavioural Insights Team research - you can read more about Social Norms Messaging here.
Small wording changes can have a meaningful impact on patient response rates.
Benefit framing
Explain why the appointment matters.
✅ Good:
This check helps prevent serious health problems.
Rather than:
You are due your annual review.
Reassurance
Reduce uncertainty or anxiety.
✅ Good:
Our nurses are here to support you and make you feel comfortable.
This can be particularly helpful for screening and vaccination recalls.
Urgency (when appropriate)
Encourage timely action.
✅ Good:
Please book early to secure your appointment.
Avoid creating urgency if there isn't a genuine reason.
Personalisation
Use the patient's name and practice name where possible.
✅ Good:
Dear {{patient_first_name}}
Personalised messages often feel more relevant and trustworthy.
Keep one main action
Patients are generally more likely to respond when the message asks them to do one clear thing.
✅ Good:
Book your appointment below.
❓Less clear:
Book an appointment, complete a questionnaire, read these resources and reply with options below.
🧩 Reasonable adjustments for vulnerable patients
Some patient groups may benefit from clearer, calmer, or more supportive wording.
This can be particularly helpful for:
Learning disabilities
Dementia
Serious Mental Illness (SMI)
🟦 Learning Disabilities
Best practice:
✅ Use concrete language
✅ Explain what the appointment is
✅ Encourage support from carers
Example:
We are inviting you for a health check at {{patient_practice_name}}.
This appointment is to talk about your health and see how you are.
You can bring someone with you if you would like.
🕊️ Dementia
Best practice:
✅ Keep language familiar
✅ Reduce anxiety
✅ Encourage support from carers or family
Example:
We are inviting you for your yearly health check.
This is a regular appointment many patients have each year.
A family member or carer can come with you if you would like.
🟧 Serious Mental Illness (SMI)
Best practice:
✅ Respect autonomy
✅ Avoid pressure
✅ Explain clearly what the appointment is for
Example:
We are inviting you for your annual physical health check.
This appointment is to support your physical health.
✅ Quick checklist
Before saving a custom template:
✅ Is the main action obvious?
✅ Is the booking link easy to find?
✅ Is the wording simple?
✅ Have you avoided jargon?
✅ Are educational links optional?
✅ Have you avoided information overload?
✅ Does it work well on mobile?
🦛 Summary
The most effective recall messages are usually the simplest.
Patients should quickly understand:
Why they're being contacted
What they need to do
How to do it
Small wording changes can make a meaningful difference to patient engagement and uptake.
