Local and organic search for the treatments you want, your Google Business Profile, and the pages people land on. Most of the decision happens here, before anyone picks up a phone.
Patient Engine
One team owns the whole journey, so nobody can blame the other one
The Patient Engine is search, advertising and the front desk built and run as one system: we get the clinic found, bring the enquiries in, and answer every one of them. One team on both halves. That matters because patients are lost at the join, and the join is exactly what nobody owns when an agency runs the ads and somebody else runs the phone.
The outcome
More patients booked, and fewer lost on the way in
Buying the two halves separately leaves nobody accountable when enquiries still do not convert, which is the experience most clinic owners have already had once. An agency reports clicks and a vendor reports answered calls, both are hitting their number, and the clinic is still not busier. One team on the whole chain has nowhere to point.
774clicks in three weeks of paid search at one clinicGoogle Ads, 1 to 31 July 2026
17of those made contact£61.03 per tracked enquiry, £1,037.46 spend
757arrived and did not, which is where the work isThe same account, same period
Found, brought, kept
Three jobs, one build
Google Ads built and managed inside your own account, pointed at a funnel built to convert rather than at a homepage. The ad and the page underneath it are one job, so they say the same thing.
Every call, form and message answered, day or night, qualified and booked into your diary where the system can reach it. Anything clinical is escalated to a human by rule rather than answered.
What we build and run
- Search that targets treatment intent
- The pages, the profile and the internal structure that put you in front of somebody searching for the treatment rather than for a clinic. Validated against real search volume, so we build what has demand instead of what sounds important.
- Advertising in your own account
- Campaigns built and managed inside your Google Ads account, on your card. You see every pound as it is spent and you keep the account, its history and its learning if we stop working together.
- The funnel underneath both
- What a visitor does, how quickly they can do it, and what happens to the enquiry afterwards. Conversion is cheaper than traffic: doubling the share of visitors who make contact has the same effect as doubling the budget, and costs less than doubling the budget.
- The front desk, running behind it
- Everything in the Front Desk tier: answered day or night, qualified, booked, logged and escalated when it should be. The enquiries the advertising creates land somewhere that answers them.
- Measured against your own baseline
- Two weeks of your real numbers before anything is switched on, then monthly review against that line rather than against last month. It is the only honest way to say whether it worked.
What it’s worth
What the join is worth on its own
Take the ad account above. Seven hundred and fifty-seven people arrived and did not make contact, and seventeen did. Nothing about that is unusual, and it is the number the industry quietly agrees not to talk about, because the agency's job finished at the click. Moving the share who make contact, and then answering the ones who do, changes the return on spend you already have before a penny more is added.
Prices start at £495 a month ex VAT and depend on how much of it you need, plus your own advertising spend. The question is not whether the fee is large but what a first appointment is worth to you. Below roughly £300 a first appointment, or under about 100 enquiries a month, we would tell you the arithmetic does not work yet, and if the front desk on its own is all you need, we would say that too.
How it’s built
You own the Patient Engine, not a seat on ours
The ad account, the phone numbers, the website and the patient records are all registered to your clinic. Stop working with us and the campaigns keep serving, the number keeps ringing and the data stays exactly where it is. The automation between them runs on our shared platform: that is the part that would need moving, and we will quote it rather than pretend it travels for free.
- Registered to your businessThe phone numbers, the ad accounts and the spend that runs through them, the website, and every client and call record. All in your organisation's name, and all of it stays with you.
- The automation runs on our platformThe workflows themselves sit on a shared platform we run and maintain, which is what keeps it a monthly fee rather than a build cost. Our route into your accounts is a permission you grant and can withdraw.
- If we stop working togetherYour accounts, numbers and data stay exactly where they are, and you can export the lot at any time at no charge. If you want to take the automation in-house too, we can hand it over: that one is a migration with a setup cost, and we will quote it honestly rather than pretend it is a switch.
What it takes
How it starts, and in what order
Capture first, always. The enquiry handling goes in before any advertising spend, in the same engagement rather than as a project sold to you later. Pointing a budget at a phone nobody answers costs you money and costs us our reputation. Two weeks of baseline, live in days, advertising switched on once there is something worth sending traffic to.
What owners ask first
Do you run the advertising yourselves, or subcontract it?
Ourselves. The campaigns, the pages they land on and the system that answers the enquiry are one build by one team, which is the whole argument for this tier. When an agency runs the ads and somebody else runs the front desk, a lost patient is always the other supplier's fault and nothing gets fixed.
Is advertising spend included in the fee?
No. Spend goes on your own account and your own card, always, and is separate from the fee. The fee covers building and running the system. We would rather you saw the spend directly than had it marked up and passed on.
Can we keep our current marketing agency for the ads?
You can, and then this is not the right tier: take Front Desk instead and keep them. The Patient Engine is priced and built around one team owning the whole chain, and splitting it back in half puts the join, which is where patients are lost, back in nobody's hands.
How long before it shows in the numbers?
Capture moves in days, because those enquiries already exist and are currently going unanswered. Paid search moves in weeks. Organic search moves in months, and anyone who tells you otherwise is selling something. The baseline is what lets you see each of them separately.
What if we already have more enquiries than we can handle?
Then you do not need this yet, and we would say so on the first call. There is a smaller piece of work that answers what you already get, and we would point you at that instead. Adding demand to a clinic that cannot serve it is how a good practice ends up with a bad reputation.
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Find out what's recoverable in your clinic
We mystery-shop your clinic the way a patient would, by search, phone and web form, then show you the patients you could be winning. Scored on three things: are you found, is the enquiry answered, does anyone chase it.