Local and organic search for the treatments you actually 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 · £1,495 a month
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. It is the same team on both halves, which matters because the patients are lost at the join, and a 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.
At £1,495 a month 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.
How it’s built
You own the Patient Engine, not a seat on ours
The ad account, the phone numbers, the website, the patient records and the automations are all registered to your clinic. Stop working with us and the system keeps running, the campaigns keep serving and the data stays where it is. Nothing here is a platform you rent access to, which is why we have never needed a minimum term.
- Registered to your businessThe numbers, the database, the automations, the website and every call record sit in accounts in your organisation's name.
- We hold access, not ownershipOur route in is a permission you grant, and one you can withdraw without anything stopping.
- If we stop working togetherThe system keeps running and nothing has to be exported, because none of it was ever somewhere else.
What it takes
How it starts, and in what order
Capture first, always. The enquiry handling goes in before any advertising spend, inside the same engagement rather than as a separate project sold later, because 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 £1,495?
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.
Free · No install · Results in 48 hours
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.