We ran the same search, Dermatologist, from 25 spots around City Rd E in Manchester. You are among the top three almost everywhere. Very close to you, you often show first, then in north central Manchester you drop lower down the first screen. Each dot is one of those spots. Green means the practice is in the top three there.
This suggests people nearby can often find you, while further into north central Manchester you sit lower down. That makes the comparison with one nearby practice worth seeing.

Against Manchester Dermatology Clinic, both practices show up well. You are strong close to your practice, but it comes first more often further out around City Rd E in Manchester.
This is the same search from the same spots around your practice, so the two maps can be read side by side.
So there is room to be found further out around City Rd E in Manchester. The next question is how new patients find your website in the first place.

Most people who reach your site through Google were not looking for you by name. It is an estimate. Some arrive from searches like 'dermatologist manchester'.
So which searches bring those new people to you, and where do they land?

These are searches by people who do not know your name yet. They group into general dermatology and skin tag removal.
The clearest opening is dermatology itself: when someone nearby searches for a dermatologist, they can already reach your home page, and that is worth building on.

Here is what already works well for you, and where we would start first.
None of this is about your care. It is about who sees your name first.
Patients choose before they call: from the first names on the map, from the first results on Google. My team rebuilds what decides that, your Google listing and the pages a patient lands on, and keeps it up every month. Here is what happens if you reply.
WhatsApp or a voice note. Tell me which part of this page matters most to you. I reply myself.
We agree the priorities and what Forge will deliver, in writing. It is the only real time this asks of you.
Your Google listing and the pages a new patient lands on. Fixed before anything is built on top.
Kept up month after month. You watch it in a shared table, with a regular call, and your own people kept in the loop.
Four practices, four kinds of work. Delivered, not promised.
See the projectsEvery page about implants rebuilt, down to the questions patients ask before deciding. Kept up month after month.
The page patients land on before they book, her Google advertising, and a weekly letter to the colleagues who refer to her.
Every question his patients ask, mapped, then written and linked from his own publications.
His whole site reviewed page by page, and the three-month plan, city by city.
For a given specialty. So we do not work with the practice on the second map above, and would not while working with you.
Then very little: the odd decision, and your clinical eye where it matters.
If you stop, you keep all of it. No minimum term.
Agreed in writing. Nobody honest can promise you a position on Google, and we will not.
I'm a doctor. I used to run a group of clinics, and I know this part of the job is not why anyone chooses medicine. Today my team does it for practices like yours: the research, the writing and the set-up. You come in only where clinical knowledge matters.

WhatsApp or voice note: +33 7 43 69 81 74. Tell me which part of this page you want to understand better. I reply myself. This page was made for your practice only, and it comes down 32 days after it was published.
The questions practitioners actually ask me after a page like this.