| Period | Spend | Booked consultations | Cost per booking |
|---|---|---|---|
| 24 months, all campaigns | £323,520 | 6,124 | £53 |
| 24 months, excluding brand searches | £278,160 | 3,269 | £85 |
| Last 12 months | £164,160 | 3,189 | £51 |
Spend in the account was kr 4,044,000, kr 3,477,000 and kr 2,052,000, at kr 660, kr 1,064 and kr 643 per booking. Converted from Norwegian kroner at 1 NOK = £0.08, the rate published by Norges Bank on 11 September 2026. Source: C-Medical's own Google Ads account, exported 11 September 2026. Published with their written permission.
This is what a private clinic's account looks like when it is run for bookings.
The second row is the one that matters. Strip out people already searching for the clinic by name, and a booked consultation costs £85. We show you the expensive number first because you would have found it yourself in about four minutes. And we invoice on the ones who turn up, not on the bookings.
The clinic is a Norwegian group, not a British one. The health system is different. What a patient types into Google when they are looking for a specialist is not, and neither is what it costs to be the answer.
See whether we would take you onNine questions. We turn most clinics down.
Before the model, before the money
Every ad is signed off by your clinician before it runs
Your named clinician approves every ad and every landing page before it goes live. Nothing runs on your account that you have not seen.
No prescription-only medicine is named anywhere in the campaign. Not in copy, not in a hashtag, not in a testimonial.
No countdown timers, no limited slots, no before-and-after claims we cannot evidence, no language that trades on how someone feels about their appearance.
Every claim we make about outcomes is one we can show you the source for, in writing, before it runs.
In a review published in March 2026, the ASA assessed more than 900 ads for one cosmetic procedure and found 11.5 per cent of them compliant. Six clinics were told to amend or withdraw ads and three were referred to Meta for removal. Under the CAP Code the clinic is the advertiser, not the agency. That is why this section is second on the page and not in the small print.
Three things we do not do
We do not lead with Meta.
Meta classifies clinics as a health and wellness data source and restricts what its algorithm is allowed to learn from your patients. Campaigns that depend on it get worse quietly. Search is where the intent is, and search is where we start.
We do not touch treatment data.
We are paid on attended consultations, and a monthly number is all we need. We never ask for, receive or process anything about who the patient was or what they came in for.
We do not talk to your patients.
No calls, no chasing, no follow-up sequences in your name. The booking lands in your calendar and the rest is your clinic.
This works if
A meaningful share of your revenue is self-pay
Patients can book online today, in a system that records whether they attended
You could see at least twenty more new patients next month
One named clinician can approve campaign material within a couple of days
This does not work if
Nearly all your income is insured or contracted volume
Booking is by phone only, with no record we can both see
You are already at capacity, in which case come back when you are not
Nobody clinical has time to sign anything off
How we get paid
We invoice a fixed fee for each consultation that came from a campaign we run and that the patient actually attended. Not per booking. If they do not turn up, there is nothing to invoice and nothing to argue about.
The table at the top of this page counts bookings, because that is what an ad account can see. We invoice on the ones who turn up, which only your clinic can see. We are comfortable being paid on the smaller number.
Your booking system is the record, and an aggregate count is all we need. We never ask who the patient was or what they came in for.
There is no retainer, no setup fee and no minimum term. The fee depends on your speciality and what a consultation is worth to you, so we agree it before anything runs. There is nothing to sign to have the conversation.
Straight answers
Is this a referral fee?
No. A referral fee is money paid to someone who sends you a patient, and that is what the GMC and GDC rules are about. We are paid for advertising that we produce and run, in the same way you would pay any agency, with the amount tied to how well it worked.
What counts as an attended consultation?
A patient who came from a campaign we run, booked, and turned up. Rescheduled appointments count when the patient attends the new time. Cancellations, no-shows and anything you decline to see do not. You send a monthly count from your own system and we invoice against it.
Who owns the ad accounts?
You do. They are opened in your name, you hold the billing, and if we stop working together you keep everything, including the campaign history.
What do you need from us to start?
A named clinician who can approve material, access to your booking figures, and a decision on how many new patients you can take.
What if it does not work?
Then you have paid for the advertising you would have paid for anyway. If nobody turns up, you have paid us nothing at all. That is the whole point of the model, and it is also why we are selective about who we take on.
Are you regulated to give clinical advice?
No, and we do not. Everything clinical is yours.
Who we are
Elevate Marketing is operated by EngeCo AS. We work with service businesses that can measure what a new customer is worth. Most of what we do is paid on results.
See whether we would take you on
Nine questions, about two minutes. We turn most clinics down, and we would rather do that now than in a meeting.