Background
Paragon DCX has supported the Department of Health and Social Care’s (DHSC) public health campaigns since 2009, with Apteco at its heart since 2017. In 2021, DHSC launched the Better Health brand to help motivate people to make healthier, more active lifestyle choices. And in 2025, the team introduced a new health quiz to cover behaviours relating to a broader set of challenges faced by the public – this was relaunched as Healthy Choices - to give users personalised results and tailored guidance on healthier choices they can make in their everyday lives. The revamped quiz captures richer data enabling a wider scope of tailored health advice across topics such as vaping, sleep, and mental health, alongside the original areas of diet, physical activity, smoking, and alcohol.
The challenge
An entirely new set of communications and journey logic was needed for the Healthy Choices programme. The campaign journey needed to allow the fluid movement of each user through the campaign based on their results, accommodating anywhere from one to four pieces of tailored, topic-specific advice and ensuring every message - right through to the post-programme survey – connected seamlessly. DHSC also had to account for users who opted out mid-journey, making sure they were removed from the flow as early as possible. The team also required clear visibility of key metrics across registration and engagement to understand who was signing up, identify spikes tied to campaign activity, and pinpoint which content resonated most.
Watch the full customer story
Watch Caroline Monzani and Matt Foord explain how Apteco enabled DHSC to deliver personalised journeys with essential, tailored health advice.
The Apteco solution
Apteco’s advanced logic determined the hierarchy of health topics for each user, using their answers, results, and the behaviour changes most likely to make a meaningful impact. This hierarchy powered a personalised four-week journey, delivering tailored advice across the one to three priority areas identified for each individual. Every user received an overall score and a red/amber/green rating, combined with their specific quiz responses to generate a detailed results page outlining key areas for improvement. From there, users could opt into the full programme to receive a more comprehensive, personalised plan. A post-programme survey then captured feedback and measured impact, with results visualised through dashboards in Apteco Orbit.
All quiz responses were fed into FastStats as question/answer pairs, allowing a hierarchy to be applied to each user’s results. This hierarchy determined their priority topics, which in turn dictated both the content they received and the order in which it was delivered. The email volume varied by user: someone needing guidance in only one area received just that content, while those with multiple needs were sent tailored advice starting with the topics offering the greatest potential benefit. Users who opted out mid-journey had to be removed from the programme immediately. This was handled by routing each subsequent audience either to the final feedback email or directly into the end pool.
For edge cases where users attempted to register multiple times during the campaign window, DHSC chose to preserve the integrity of the original journey rather than restart it. Building this logic in Apteco proved far more efficient than coding it directly - an estimated three to four times faster - and significantly easier to QA. When late changes were made to the quiz logic, this flexibility meant updates could be implemented and tested quickly without jeopardising the launch timeline. Orbit dashboards were set up to monitor the key metrics across the registration and campaign process to provide a holistic view of the quiz result data - which included anonymous data, insights into registration data, campaign performance and questionnaire responses.
Apteco empowered us to deliver a highly personalised customer journey for DHSC’s Healthy Choices programme. Its advanced segmentation and automation enabled customised, targeted communications based on individual behaviours, boosting engagement. Orbit reporting has provided actionable insights, driving campaign optimisation and supporting strategic health awareness and engagement goals.
Lisa Grunbaum, Client Services Director, DHSC
Lisa Grunbaum, Client Services Director, DHSC
The impact on the business
Using Apteco, DHSC analysed a wealth of existing campaign data to define key performance indicators and targets, establishing a clear benchmark for engagement and outcomes. The Healthy Choices programme drove tangible behaviour change: 68% of end-of-programme survey respondents reported making healthier choices, and 66% felt supported in making changes - a 25% increase from the programme start. As results continue to mature, Apteco will provide deeper insight into engagement and impact, helping identify future improvement opportunities.
By applying a hierarchy to quiz responses, each participant received tailored content in the order most likely to drive meaningful health improvements.
Users who opted out mid-journey were automatically removed and repeat registrations didn’t disrupt ongoing journeys.
Using Apteco cut build time by an estimated 3-4 times, made QA easier, and allowed rapid last-minute adjustments to quiz logic without delaying the launch.
Capturing rich data made it possible to quantify the programme’s effectiveness, identify which content worked best, and make evidence-based decisions for ongoing campaigns.
Apteco enabled us to engage Healthy Choices quiz participants more effectively, delivering personalised, timely communications to every registrant, supporting their health and wellbeing. This tailored approach encourages positive lifestyle changes, meaningfully enhancing the impact and reach of our programme.
Caroline Monzani, Marketing Activation Campaign Lead, DHSC
Caroline Monzani, Marketing Activation Campaign Lead, DHSC