We ran the same search, an endocrinologist, from 25 spots around Barlow Moor Rd in Manchester. You are among the first three almost everywhere. You show first right by you, and drop to third only toward Didsbury and Parrs Wood. Each dot is one of those spots; Green means the practice is in the top three there.
This means someone searching nearby finds you in most of the spots we tested, and the area right around you is worth protecting. Now it helps to see what a nearby practice shows.

Across the same spots around Barlow Moor Rd in Manchester, Endocrinology at The Christie comes first more often, but your practice also shows up well across the area.
We ran the same search from the same spots around your practice, so the two maps can be read side by side.
So you still show up here, even when someone else is first. That shifts the question to your website: does it help people take the next step?

Of the searches we found reaching your site through Google, none uses your practice name.
That leads to the searches people use when they do not know your name yet.

These are searches for your thyroid work and for an endocrinologist, rather than for your practice by name.
The gap is in your own field: people looking for thyroid care or an endocrinologist around Barlow Moor Rd in Manchester are not reaching your pages this way yet. So the question is where to focus first.

There is real ground already won here, and a few gaps worth attention. None of them is complicated, and each one can be worked on its own.
I used to run clinics myself, so this is really two colleagues reading the same page together. Nothing here needs solving at once; each of these can be taken one at a time.
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.