There are larger agencies in this market with more people, longer client lists and better production values. Here is the honest case for the other thing.
In most agency relationships the person you meet is not the person who ends up in your account. That is not a criticism, it is how a business with staff has to work. It does mean the understanding you build in the first conversation has to survive a handover, and some of it never does.
Here there is no handover, because there is nobody to hand over to. The person who writes your ad copy is the person who read your website, ran your compliance review, and will be on the reporting call. When something is wrong you are not explaining it to somebody new.
I am registered with the HCPC, number PH154237, which you can verify yourself on the public register in about thirty seconds. I am a member of the CSP and I still treat patients.
That matters in a specific and narrow way. Marketing copy for a physiotherapy clinic engages the ASA CAP Code, HCPC standards and CSP advertising guidance all at once, and the failure mode is not a bad ad. It is copy that reads well and quietly makes a clinical claim you cannot stand behind. Somebody who has never worked to those standards is not well placed to spot it, and the clinic carries the consequence, not the agency.
It is the obvious objection and it deserves a straight answer rather than being left to sit there.
The real constraint is capacity. I can hold a limited number of retainer clients properly, and when that is full I will say so rather than take the work and stretch. If you need a team of six, a photographer and a brand refresh in the same quarter, I am the wrong choice and I will tell you that on the first call rather than after you have paid.
On continuity: your accounts are yours. The Google Ads account is opened on your own billing, the analytics and Search Console properties are in your name, and the dashboard is built on your data. If we stop working together, nothing has to be recovered from me, because none of it was ever held hostage. That is not a favour, it is how it should work, and it is worth checking with anybody you speak to.
The prices are on the pricing page rather than behind a call, because a clinic owner deciding whether to have a conversation should not have to have the conversation to find out.
There are two steps and they are different things. The free clinic review is thirty minutes on a call. I look at your site, your Google profile and your ads beforehand, and I tell you what I see. No report, no obligation, and if the honest answer is that you are already doing the right things, that is what you will hear.
The £495 diagnostic is the actual work: two weeks, a full compliance position, a dashboard wired to your own data, and your real cost per new patient calculated from the last twelve months. It is charged because it takes real time, and it is credited in full against your first month if you go on to a retainer. If it concludes you do not need one, that is a legitimate outcome and you keep everything it produced.
Scheduled work such as reporting moves by a few days and I tell you in advance. Live campaigns keep running, since they are not dependent on daily intervention. What I will not do is pretend a solo operator has the cover a larger team does, because that is the genuine trade for having the founder do the work.
A limited number, and I would rather say no than deliver thinly. If capacity is full when you ask, I will tell you that rather than start you on something and slow down.
Yes. Ad accounts run on your billing, analytics and Search Console are in your name, and the reporting is built on your data. If we part ways there is nothing to hand back because nothing was held.
Not necessarily, and I would be careful with anyone selling on that basis. Retainers start at £450 a month and the pricing page sets out what each tier includes. The argument here is about who does the work, not about being the lowest number.