We ran the same search, a doctor, from 25 spots around Headington in Oxford. You are outside the first three at every one of those spots, and at 24 of them you do not come up in the results at all. Close to you and farther out, the picture is the same. Each dot is one of those spots; Green means the practice is in the top three there.
So someone nearby looking for a hand surgeon today is unlikely to come across you on the map. Is it the same for practices just down the road?

We ran the same search for The Manor Surgery. It comes before you at all twenty-five spots, and it comes first at three of them.
Same search, same twenty-five spots around you, so the two maps sit side by side and can be read together.
It reaches the first three at 14 of the 25 spots, where you reach none. So the places where a patient searching for a doctor sees a name, you are not among them. Which leaves your website.

Of the searches we found reaching your site, all the estimated visits come from people typing your name, like 'henk giele'. It is an estimate, and it covers only part of the searches.
So what are people with a hand or reconstruction problem typing when they have never heard of you?

Only one search found here does not carry your name, and it is not about hands or reconstructive work. It looks like a search for a different doctor, and it leads to your home page.
So no search we found brings someone looking for a hand surgeon around Headington in Oxford to your pages. That gap is the finding, and it shapes where we would start and what to put first.

Here is what already works for you, and what we would fix 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.