Ads give you a stream of enquiries that does not depend on your rankings, and that you can turn up, turn down or switch off. We build it, then keep testing and improving: what is working, what is not, and what is worth trying next.
Clinical Massage London
£13.05per appointment booking, on treatments worth about £87.
£248.05 spent in March 2026
19.75 appointments booked from it
1,653% return on ad spend
What is included
A campaign that works is a chain: conversion tracking, the right keywords, ad copy people click, a landing page that turns them into bookings, and someone analysing all of it week after week. A weak link anywhere and the money leaks. We handle every part of it.
Account settings put straight, then tracking designed and tested end to end so a booking registers as a booking. Without this everything after it is guesswork.
Structured around the treatments you want more of, not everything you offer. A new service or a new location gets its own ad group or campaign rather than being bolted onto an old one.
Every week we read what people actually typed before they clicked, and block the ones that were never going to book. This is where most wasted budget goes.
We put your money where it works hardest, and use the right bid strategy for where your campaign is right now. What suits an account in its first month is not what suits it a year in.
Clinics are local businesses with a realistic travel radius. We check where the bookings genuinely come from and stop paying to reach people who will never make the journey.
Each month we compare what the account claims against the patients you actually saw, and state the assumptions behind any phone or third-party booking we cannot track cleanly.
How it is managed
Every week your account runs through our own automated review system. It produces a report that surfaces what has changed, what is quietly leaking money and what is worth testing, so decisions get made on evidence rather than a hunch.
Then the same experienced ad manager goes through the account in detail. The same person every week, so they know your clinic, your busy seasons and what has already been tried.
What that means in practice
The searches that actually triggered your ads, with the ones that were never going to book blocked off.
New ad copy and landing page ideas tested against whatever is already running.
Bids and budget moved towards the treatments that are genuinely producing bookings.
Where your enquiries are really coming from, and where money is going to people who will never travel to you.
Whether your tracking is still telling the truth, because it breaks more often than anyone expects.
The Broxbourne app
Install it on your phone or your desktop and you can see the whole engagement whenever you feel like it, instead of waiting for a report at the end of the month. No agency should be a black box, least of all one spending your money every day.
Every minute logged. What was done this month, who did it, and how long it took.
The strategy and what we are on right now. Current action items and where they are up to, plus a record of every meeting and everything we agreed.
Your numbers, not ours. Spend, cost per booking and conversions alongside your rankings, Search Console and Google Business Profile.
Updated daily. So what you are looking at is never a month out of date.
Proof
Clinical massage · East London
Natalie was paying for clicks from people who were never going to book. We stripped out the low-conversion targeting, tightened the keywords to what she actually treats, and took a pass at the account every week.
Return on ad spend, alongside the SEO work.
Return on ad spend from a rebuilt account.
Per booking, from people searching a symptom rather than a treatment.
“I have worked with Chris and his team for the last three years. They have done a great job in helping me with my Google Ads and SEO.”
Andrew Terry, on Trustpilot
Straight talk
If an agency tells you otherwise, ask them to put it in writing.
They are not right for everyone. If your treatment values are low, your diary is already full, or nobody in your area is searching for what you do, we will say so on the call rather than take the retainer.
It is an auction. Competitors arrive, budgets change, seasons turn. A good month is not a permanent setting, and anyone quoting you a fixed cost per patient forever is guessing.
Clicks are the easy number to report and the least useful. We track through to booked appointments wherever the technology allows, and where it does not, we tell you exactly what we assumed.
There is no magic here, no secret, and no proprietary system with a trademark on it. Everything we plan and everything we do is written down in your app, and you are welcome to check any of it against any other source or adviser you like.
What it costs
You can buy Google Ads management on its own as a fixed monthly fee, or buy hours and spend them wherever your clinic needs them that month. Your ad budget is separate either way and goes straight to Google, not to us.
Option one · Google Ads only
A fixed management fee for your Google Ads and nothing else. Simple, predictable and the cheapest way in.
Option two · The marketing retainer
You buy time rather than a service. £600 covers eight hours. If ads only need two of them in a given month, the other six go on your website, your local SEO, or whatever else is holding you back.
If Google Ads is genuinely the only thing you want touched, your website is in good shape and you have nothing else on the list, the fixed £250 is clean and easy to budget for. If there is a queue of things that need doing, and for most clinics there is, the retainer gets you more for your money because the time never goes to waste. We are happy either way, and we will tell you honestly which one we think fits.
Set up in your name, with your billing, and you keep it. If we ever part company you keep the account and every bit of history in it, which is the part that took the longest to build.
Clinics have seasons. Turn the ads off through the busy months and back on when the diary softens. It is one of the real advantages ads have over everything else we do.
Want the whole picture? See the full pricing page →
How much should we be spending on ads?
It depends on what a patient is worth to you and how competitive your area is, so we work it backwards from your numbers rather than quoting a figure. Small budgets can absolutely work: the Clinical Massage London month above was £248 of spend. At the other end, a high-ticket cosmetic treatment in a competitive city can need several thousand a month before ads are worth running at all. We will give you an honest idea of what yours will take.
We tried Google Ads before and it did not work. Why would this be different?
There are all sorts of reasons. The account may have been bidding on searches that were never going to book. There may have been no working conversion tracking, so nobody could tell what was actually happening. The page people landed on may not have made booking easy. Or ads may simply not work well in your market, which is worth knowing too. We will look at your campaign for free and tell you whether there is something fixable here, or whether your money is better spent on a different channel.
Do you take a percentage of our ad spend?
No. You pay us for time and your budget goes straight to Google on your own card. A percentage model quietly rewards an agency for spending more of your money, which is not an incentive we want.
Can we pause when the diary is full?
Yes, and you should. Turning ads off through your busy season and back on when it quietens is one of the few genuinely useful levers in clinic marketing. Just tell us and it is done that day.
How quickly will we see something?
Anywhere from about two weeks to two or three months, depending on how competitive your area is and how much data the account starts with. The first few weeks are as much about gathering data as generating bookings, and we will be honest about which is which. Either way it is a great deal quicker than SEO.
Can we get other work done inside the package?
Yes. The retainer buys hours, not a fixed list. If one month you would rather we updated the website, worked on your local SEO or did technical maintenance on the site, say so and the time goes there instead.
How much will we actually hear from you?
A monthly catch-up call to stay aligned, and beyond that you have Chris and Jessica directly on email, WhatsApp or the phone whenever you need us. That contact time is counted separately, not taken from your work hours.
Is there anything you cannot advertise?
Healthcare advertising has rules, and some treatments need certification or cannot be promoted at all. We will tell you where the lines are for your services before we build anything, and we will need clinical evidence for any treatment claim that goes into an ad.
No slides and no pitch. Tell us where the clinic is now, what is working, what is not and what you want more of. We will listen, say honestly what we would do next, and explain where we could help if you want us to.
If ads are the wrong answer for you, that is what we will say.