Hippo's Impact in Birmingham & the Midlands

hippo-birmingham-case-study

Practice Name

Birmingham & the Midlands · 9 practices

Location

Birmingham & the Midlands

List Size

128,000

59% response rate

achieved across all campaigns for a practice

Hippo in Birmingham & the Midlands

Headline numbers

Metric

Value

Practices

9

Unique patients contacted

6,176

Total recalls sent

14,218

Appointments booked

5,342

Overall response rate

37%

Summary

Across nine practices in Birmingham & the Midlands, Hippo is delivering some of its strongest response rates anywhere in England — with a 37% overall response rate, well above the network average. The region's strongest performer achieved an overall 59% response rate across all campaigns in 2025/26, with individual multi-condition campaigns peaking at 73%.

The story behind those numbers is methodology: practices in the cohort are configuring Hippo to recall patients for multiple conditions simultaneously, consistently outperforming single-condition recalls. It's the same pattern observed in other Hippo regions where multimorbid configuration is in place, but it shows up most strongly here.

The multi-condition recall approach

One practice in the Midlands cohort built its 2025/26 recall programme entirely around multi-condition combinations. Rather than running separate campaigns for each condition, the practice configured Hippo to identify patients with overlapping clinical needs and recall them together.

Selected multi-condition campaigns from the cohort:

Campaign

Patients

Booked

Response rate

Diabetes & Heart Failure

15

11

73%

HYP / CHD / CKD / Stroke / PAD

140

102

72%

Diabetes & CHD

26

18

69%

Diabetes & Stroke

19

13

68%

Asthma & COPD

21

14

66%

Hypertension & NDH

955

846

63%

Selected single-condition campaigns from the same cohort:

Campaign

Patients

Booked

Response rate

COPD

144

127

64%

Diabetes

295

286

63%

Asthma

386

339

56%

Mental Health

30

22

44%

NHS Health Checks

483

181

37%

The pattern is consistent: campaigns that combine two or more conditions outperform single-condition recalls. A patient receiving one message about multiple outstanding reviews is more motivated to act than a patient receiving a single-condition prompt — the combined recall signals clinical relevance and urgency more effectively than any individual campaign can.

This approach also reduces the total number of contacts sent to each patient. Rather than receiving three separate recalls across the year for hypertension, diabetes, and COPD, a patient with all three outstanding receives a single, comprehensive recall covering everything. Less noise, more signal, better response.

Channel performance

Across the cohort, recalls were delivered via three primary channels:

Channel

Response rate (regional range)

NHS App

39–63%

Email

38–59%

Text

37–51%

NHS App leads in both volume and response rate, peaking at 63% at the strongest-performing practice in the cohort. The narrow gap between channels (37–63% across the region) reflects a patient population well engaged across digital touchpoints and a recall message clear enough to convert regardless of how it arrives.

What the Birmingham & Midlands data shows

Nine practices. A high-performing region producing some of the strongest response rates in the Hippo network — with one practice demonstrating what consistent multi-condition recall configuration can achieve.

The insight is transferable. Any practice with a multimorbid patient population — which is most practices — can configure Hippo to identify patients with overlapping LTC reviews and combine them into a single recall. The data from the Midlands cohort suggests that doing so consistently adds several percentage points to response rates compared to single-condition campaigns, while simultaneously reducing the total number of recalls sent.

For practices in Birmingham and the Midlands — a region with above-average rates of diabetes, cardiovascular disease, and respiratory conditions — this approach is particularly relevant. The patients most likely to have multiple outstanding reviews are often the patients with the highest clinical need. Reaching them with one well-configured recall, rather than three separate contacts, is both more efficient and more effective.

About Hippo

Hippo is an NHS healthtech company building proactive care automation tools for GP practices. Our platform automates patient recall, tracks QOF and LTC indicators, and optimises appointment demand — helping practices deliver better care with the capacity they already have.

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Data accurate as of 31 March 2026. Figures based on 2025/26 contract year, aggregated across nine practices in Birmingham & the Midlands region. No individual practices identified.