We ran the same search, surgeon, from 25 spots around Headington in Oxford. The map shows you far down the list in most places, not among the first three nearby. For someone with a phone in hand, that makes you hard to spot. Each dot is one of those spots; Green means the practice is in the top three there.
From most of those areas, someone searching on their phone may not come across your practice. So what happens when the same search is run for a nearby practice?

Across around Headington in Oxford, Oxford Hernia Clinic appears first or among the first three both close to your address and further out, while your practice sits far down the list.
We ran the same search from the same spots around your practice, so the two maps can be read side by side.
This suggests a wider local presence is reachable around Headington in Oxford. The next question is whether your website is bringing in people who already know you or new people.

From the searches we found, people reaching your site through Google are not using your practice name. This is an estimate, not a count of real visits.
That leads to the searches people use when they do not know your name yet.

These searches are about hepatobiliary surgery and about Churchill Hospital. They lead people to your services page or your Churchill Hospital page, rather than to a broader page about your surgical work.
None of the searches we found is bringing new people yet. Even 'hepatobiliary surgeon' is beyond the first page, so someone looking for HPB surgery around Headington in Oxford does not arrive this way yet.

Some of what is already here is working and worth keeping. A few things are not, and each of them can be put right without upheaval.
I used to run clinics myself, so this is two colleagues reading the same page together. None of it needs doing at once, and each of these is workable on its own.
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.