We ran the same search, Otolaryngology clinic, from 25 spots around Headington in Oxford. You appear lower down the first screen in many spots. Across most of the map, you are not in the top three. Each dot is one of those spots; Green means you are in the top three there.

From the weaker parts of the map, someone searching nearby may not come across you. So it helps to see what the same search looks like for another local practice.

Mr Pablo Martinez-Devesa ENT Surgeon Oxford appears ahead both close to you and further out around Headington in Oxford, so patients nearby are more likely to see that practice first.

This is the same search, from the same spots around Headington in Oxford, so you can read the two maps side by side.

This suggests wider reach nearby is possible. The next question is how people reach your website when they search.

In the searches we found, nobody reached your website by typing your name. Searches like 'ent john radcliffe hospital' show up instead.

• So Google is not yet acting as a simple route back to you for people who already know your name.
• Someone nearby who needs an otolaryngology clinic around Headington in Oxford has to come across you some other way.

So which searches can still bring people to you when they do not know your name?

These searches are about rhinoplasty and septorhinoplasty, and ENT care linked to the John Radcliffe.

• 'septorhinoplasty and rhinoplasty' shows up low on the first page, so few people see it, and it leads to your rhinoplasty page.
• 'ent john radcliffe hospital' shows up low on the first page, so few people see it, and it leads to your home page; this is a hospital search, not for you.

The closest fit to your own work is rhinoplasty, but it is only low on the first page, so few new patients are likely to reach that page this way. That is the page to lift first.