Orchard Stories Publishing

A book for your practice — and evidence about whether it works.

Three founding practices. A book personalised to your team and the condition you see most, at cost, in exchange for running the measurement with me.

3 places open
The pilot

Most patient-education material is generic, text-heavy and written for adults. This is the opposite: a picture book built around one condition you see constantly, featuring your team, your clinic and your care pathway, written so a child can follow it and a parent can read it aloud.

Founding practices get that book at cost. In return, we run a short measurement alongside it — because the point is not that a storybook feels nice. The point is whether it changes anything you can see in your own numbers.

Pilot protocol · founding practice ~20 families

I supply

  • A book personalised to your practice, team and condition
  • Printed copies for around 20 families, free
  • All survey material, already written
  • Analysis and a written report you can present or publish

You do

  • Four to six weeks of baseline — data you already log
  • Hand the book to about 20 families
  • Two five-question surveys, filled in by parents
  • One twenty-minute call with me at the end
Total time asked of your team ≈ 2 hours across the whole pilot

If your governance process requires review, I work through it with you. No patient-identifiable data is collected at any point.

What gets measured

Five measures. Most of them you already collect.

Agreed in writing before the pilot starts and not changed afterwards. Two come straight out of your existing systems, three take under a minute of someone's time.

MeasureWhere it comes fromWhy this one
Calls and portal messages per patient, 30 daysYour systemObjective, already logged, and a real cost line for the practice
Follow-up attendance / no-show rateYour systemAlready tracked, and financially meaningful
Parent confidence explaining it to their childParent surveyThe gap parents describe most often, measured before and after
Parent recall — three factual questions on the care planParent surveyTests the thing the literature says fails hardest
Minutes spent re-explaining, per visitOne clinician lineThe clearest return on the practice's own time
Was the book actually read, and how oftenParent surveyWithout this, none of the rest can be interpreted
Why it might work

The problem is well documented. The fix is what we're testing.

40–80%

of what a clinician says is forgotten by the time the patient leaves — and around half of what is remembered is remembered wrong.

Source ↗
~20%

of parents leave a paediatric emergency visit without fully understanding the discharge instructions they were given.

Source ↗
70%

non-adherence to medication among paediatric caregivers — the gap between instructions given and care actually delivered at home.

Source ↗

Why personalise it to your practice rather than write something generic? Because familiarising a child with the actual place and the actual people is what preparation programmes — hospital tours, photo books, play preparation — have always done. Putting your waiting room and your nurse in the story is not decoration. It is the same mechanism, in a form the family can take home and re-read.

What a pilot can and cannot show

One practice and twenty families, without randomisation, gives a directional result — not proof. What we will be able to say afterwards is something like “parents' confidence moved from A to B, and the practice logged C fewer follow-up calls per patient.” I publish the design before we start, report what we find either way, and say plainly that everyone involved knew they were in a pilot.

How it runs

From first call to a finished report.

Stage 1

Scope and baseline

We agree the condition, the cast of characters and the measures. Your baseline data starts collecting itself while the book is being made.

≈ 4–6 weeks
Stage 2

Build and test

I write and illustrate the book, personalised to your practice. You review the clinical content. It gets read by real children before it goes to print.

≈ 6 weeks
Stage 3

Run and report

Copies go to families. Surveys come back. You get a written report, and your practice is named as a founding partner on it.

≈ 8–12 weeks
Where this fits

The situations this is built for.

The test is not the diagnosis. It is how long the family lives with it — long enough that a book gets read more than once and keeps doing work between appointments.

Injury & recovery Surgery & procedure preparation Chronic illness Cancer Asthma Diabetes Grief & family loss Divorce & family change Anxiety Autism & neurodivergence Speech & language Explaining a family member's condition Something else — tell me

Is this you?

“How often do parents tell you they don't know what to say?”

“Does the family live with this long enough that a book would be read again?”

Apply

Tell me about your practice.

Opens your email app with the message ready to send. I reply to everything myself, usually within a couple of days.