This post accompanies a short reel on Instagram. If you haven't watched it yet, it's worth 60 seconds of your time.
Most agencies won't talk about their fees. They'll quote you a number, send over a proposal, and hope you don't ask too many questions.
We think that's the wrong approach.
If you're a private healthcare clinic - fertility, dental, aesthetics - you're making a significant investment in paid media. You deserve to know exactly where that money goes and why the structure is what it is. So here it is, no vagueness, no filler.
Here's the thing most people don't say out loud: the fee you pay should reflect the level of expertise you're actually receiving. A lower fee often means less experienced people, less attention, and ultimately worse results. A higher fee should mean genuine specialists who know your market, your compliance landscape, and how to turn ad spend into booked patients. The question isn't "how cheap can I get this?" - it's "what am I actually getting for what I'm paying?"
Daily Campaign Management: The Difference Between Attentive and Average
There's a version of "campaign management" that means someone logs into your ad account once a week, adjusts a budget, and calls it done.
That's not what we do.
Our team is in your account every day. Monitoring trends, watching data, checking how spend is moving across placements. Analysing day-of-week performance. Breaking down age and gender splits. Looking at geographic variation to understand where your budget is working hardest.
None of that is exciting to read about. But compounded over weeks and months, this level of attention consistently delivers a 30% to 50% ROAS uplift compared to lighter-touch approaches.
The media buyer doing this work has a decade of healthcare campaign experience. That expertise carries a real cost - and it should, because the gap between a skilled media buyer and an average one is often measured in tens of thousands of pounds in wasted budget. Expertise in private healthcare specifically matters: patient acquisition behaviour is different from e-commerce, the compliance requirements are stricter, and the stakes of a poorly targeted campaign are higher.
You're not paying for someone to "manage" your account. You're paying for someone who knows what to look for before a problem becomes expensive.
Creative: The Reason Campaigns Fail at Month Three
If campaign management is the engine, creative is the fuel - and it runs out faster than most people realise.
Creative fatigue is the single biggest reason paid media campaigns fall off a cliff around the three-month mark. Your audience has seen your ad. They've seen it again. The click-through rate drops, the cost per lead climbs, and it looks like "the ads stopped working." In most cases, the ads haven't stopped working. The creative has stopped working.
The only defence against creative fatigue is a continuous production pipeline.
We have a dedicated design manager whose sole focus is keeping your creative fresh. Every week, new hooks are being tested. New angles, new formats, new visual approaches. This isn't a nice-to-have feature - it's infrastructure. It's what protects your campaign performance at month four, month six, month twelve.
That resource costs money. We're not going to pretend otherwise.
Account Management: Strategic Oversight, Not Just Check-Ins
Behind every campaign is an account manager overseeing the full picture - every ad, every optimisation, every strategic decision.
Our account managers are in near-daily contact with clients. Not weekly updates with a PDF attached. Actual communication, actual context, actual input into what happens next. They're the connective tissue between your goals and what's live in the account.
This matters particularly in private healthcare, where a shift in patient behaviour, a regulatory update, or a seasonal trend can change what good looks like very quickly. Having someone who understands your business and is paying close attention is the difference between reacting in time and finding out too late.
Vertical-Specific Advisors: Fertility, Dental, Aesthetics
Private healthcare is not a single market. Fertility patients make decisions differently to dental patients. Aesthetics has its own compliance landscape. What works for one clinic doesn't automatically translate to another.
We have external advisors specialising in each of our three verticals. They support our clients on compliance questions, flag changes in the regulatory environment, and bring sector-specific intelligence that generalist agencies simply don't have access to.
This is part of why we only work in private healthcare. It means every person on our team - including the advisors - is focused entirely on the space you operate in.
Why the Fee Scales With Your Budget
This is the part that can feel counterintuitive, so it's worth addressing directly.
As your ad spend grows, our management fee scales proportionally. The instinctive reaction is: I'm already spending more on ads - why does the fee go up too?
Here's the honest answer.
A £5,000 a month account and a £15,000 a month account are not the same amount of work. More budget means more campaigns running simultaneously. More creative variants being produced and tested. More data coming back every day that needs to be interpreted and acted on. More optimisation decisions being made every week.
The management overhead is real and it scales with the complexity of what we're running. Charging a flat fee regardless of account size would mean either overcharging smaller clients or under-resourcing larger ones. Neither serves you well.
What You're Actually Buying
It's easy to look at a management fee and see a line item.
What it actually represents is the hours, the healthcare-specific expertise, the creative infrastructure, the account oversight, and the compliance advisory support of a specialist team that works exclusively in private healthcare.
We don't take on clients outside our verticals. We don't have a general-purpose team that switches between healthcare and SaaS and retail. Every person involved in your account is focused on private healthcare and nothing else.
That focus is what the fee pays for. And it's why we're confident it's worth it.
Ready to Understand What This Looks Like for Your Clinic?
We help private healthcare clinics grow through expert paid media management with full transparency on what you're paying for.
Talk to Our Team