
News the NHS nationally has finally started to use TikTok should also act as a green light for other public sector comms teams.
As part of their re-entry into the space was the acknowledgment that TikTok was somewhere where people were making health-related decisions.
In short, they could not afford not to be there.
It is so important to have the right information in the right place for people who use TikTok.
Why?
- Half of the top 100 mental health TikToks have misinformation.
- More than 90 per cent of young women have inadvertantly accessed public health information on TikTok with a fifth of it misinformation.
- A third of young people turn to TikTok for medical advice.
One part of my brain thinks ‘about time’ while the other is just glad they are finally using tools that can effectively reach audiences.
So, with that in mind, I’ve written a Blue Peter-style summary to help bring you up to speed.
If you’ve not been using it here’s what you need to know.
No, I don’t think you should be on it just for the sake of it.
Yes, I do if you want to communicate with younger people.
TikTok was never banned
I know surprising, isn’t it? But it was never banned. The advice from UK Government and devolved governments was not to put TikTok onto a device which also had work emails. A trip to Argos to buy a burner phone would have enabled the organisation to carry on safely within the advice.
More than a few people I’ve spoken to either didn’t know the full guidance or used it as an excuse.
For me, if you don’t want to use it for strategic or capacity reasons that’s no problem. So long as you are clear what your strategy or capacity exactly is.
Your public sector TikTok strategy
Your chief executive may not like TikTok… they are not the audience. There’s a degree of snobbery and misunderstanding about TikTok from people who don’t use it. No, it’s not all dancing nurses.
It’s not just young people. What began as something for under 24s has broken out to older users. Almost eight in ten of under 24-year-olds use TikTok. That’s expected. But the figure is around half of people in their early forties. Surprised?
TikTok is a video-first platform. You switch it on and you are delivered video straight away.
It’s about your interests not your connections. Twitter, Facebook and the other social media channels started off by serving content into your timeline from people you follow. TikTok turned this on its head and serve you instead based on your interests. So, if you spend time watching midweek recipe ideas on TikTok then the platform algorithm works out thats what you are interested in so will give you more.
This curated feed lands on the For You Page (FYP). More than 90 per cent of video watched on TikTok is this rather than the ‘friends’ or ‘following’ options.
Entertainment. People go to TikTok to be entertained. If you can slip in some health advice on the way you are winning.
Common TikTok mistakes
Just whack onto TikTok what you’ve already done for other platforms. I’ve seen this done. It never works. To borrow a line from the video platform, ‘Don’t make an ad, make a TikTok.’ Make something that’s going to work.
Hello, my name is. The ‘my name is’ NHS bedside routine introduces the patient to the medical professional. Avoid this on TikTok. You have barely more than a second to hook people into watch your video. Don’t blow it with a name. Add the name and job title as a title on the screen.
Thinking its too hard. TikTok will take time but you don’t have to block out three days a week to make the platform work.
Thinking you don’t have the content. You probably do. But people won’t automatically find what happened at finance and audit scrutiny committee interesting.
Seeking sign-off for here today and gone tomorrow trends. A trend is a video that has worked for someone and people would like to replicate.
Hot topics will get a response. CAHMS, the part of the NHS that looks after teenage mental health, made a gentle TikTok with a nurse. This turned into a reaction video from a deeply unhappy service user. The original CAHMS post had allowed a re-use of the original when it was uploaded. This can be unchecked to make it harder.
Common ways to win on TikTok
The first second matters. A text hook on the screen should tease and tantalise. You have a second to make an impact before the scroller scrolls.
Look for inspiration on TikTok. See what others have done not just in the public sector but in other places, too. A particular approach can inspire something that can work for you.
It’s 30 seconds tops. The optimum time for a TikTok is between 20 and 30 seconds. However, there is also an additional trend for longer videos if they are of value.
Look for volunteers. The Black Country Museum were an early success on TikTok as they included five or six of their period-dressed demonstrators. The comms team would have a conversation with them to see if an idea or a trend would work with them.
Experiment. The people behind the South Yorkshire Fire & Rescue account took six months to work out how they should use it. For them, it turned into a channel for youth engagement, recruitment and some fire safety. How about advice for business? That’s LinkedIn, not TikTok.
Make it for the platform. While there is a lot of criossover between the vertical video that works on Reels and TikTok start with the idea of making it work on TikTok first.
Yes, there are good public sector accounts
TikTok has taken root in public sector comms England far more than Wales and especially Scotland. There is limited uptake in Northern Ireland.
For ideas and inspiration, here’s some accounts to look at.
Sandwell and West Birmingham NHS Trust in the West Midlands has done some fine work. One bowel health TikTok has had 1.5 million views.
Barts Health NHS Trust in London gives health advice on a range of subjects with one deeply human post on a cancer patient receiving 750,000 views.
Police Service Northern Ireland have used TikTok effectively in incidents such as rioting after a stabbing incident.
Southwark Council in London have used TikTok as a way to reach different audiences with 300,000 views on their output.
British Transport Police use the platform to give human travel safety and reassurance advice. One clip reached 2.1 million views.
South Yorkshire Police were early breakout stars on the platform with their output reaching more than four million views.
Worcestershire NHS have done some fine work to show that you don’t need to be an urban area to reach an audience. One clip of human story telling where a patient weds his fiance has more than five million views.
South Wales Police use TikTok intelligently to communicate with residents. One clip that uses a trend to show the breadth of work they do reached 22 million.
Manchester City Council use TikTok as part of their wider comms toolkit.
Met Police. The police in London have some strong figures which show how powerfully and intelligently edited body-worn and CCTV footage can show a compelling narrative.
But it’s also worth saying that the corporate approach is one way TikTok is being used. Another are health influencers.
Dr Rajan Karan, an NHS surgeon and educator, has more than five million followers on TikTok, a podcast and YouTube channel.
Dr Nathan Spence creates content aimed at NHS professionals and people interested in medicine.
Nurse Cerys who has moved from the UK to Australia is your actual nurse influencer with management and everything.
That’s a taster. For more, you are very welcome to come along to video training I deliver.
For more, I deliver training to help you make sense of the changing landscape.
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Creative commons credit: Lab broadcasting by Melwinsy.




















