Last agency week (6 Jul)
£25.08
What actually happened when a physiotherapy clinic's Google Ads account changed hands from a traditional agency to AI-led management. Same account, same offer, same market.
No rebuild, no reset, no new account. The exact same Search campaign, targeting the exact same offer, only the manager changed.
Campaign built and launched by the clinic's agency. Within weeks it becomes the account's best-performing campaign.
A routine review flags the campaign is under-budgeted for its own results, and lists specific keyword gaps letting budget leak to the wrong searches.
Three weeks pass. The agency retains full access. None of the flagged gaps are closed. (More: page 4.)
Management moves to AI. Same campaign ID, same budget, same offer, the only variable that changes is who's watching it.
Fifteen straight weeks, including August, the seasonally slowest month for physiotherapy (school holidays). No cliff, no spike, at the point the manager changed.
*Compared using the account's tracking setup after its July upgrade. The weeks shown either side of this window use directly comparable data. Full weekly detail available on request.
The performance held steady, but the account underneath it got healthier. This is what "AI-managed" meant, on the exact campaign in the chart above.
24 Jun: Flagged in writing, under-budgeted, with named competitor and NHS/hospital search terms leaking spend.
24 Jun–12 Jul: Three weeks, full access. None of it actioned.
13 Jul: Handover day. 87 protective keywords added, closing every gap flagged three weeks earlier.
Alongside the Search campaigns, the agency ran two additional campaigns on a different ad format. Both are now retired.
| Campaign | Clicks | Spend | Bookings |
|---|---|---|---|
| Ultrasound Treatment | 32,314 | £1,076 | 0 |
| Sports Massage | 3,765 | £1,058 | 0 |
If the ad results are comparable, the real difference isn't in the ad account, it's in what stops leaving your bank account every month.
Most clinics have never seen exactly what their agency is (or isn't) doing with their budget. A short call is usually enough to find out.
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