London · Dubai · Bangkok · Bali
Established 2021
We build patient acquisition systems for specialist clinics across Europe, the Middle East, and the United States. The methodology is documented, the clients are named, the results are measurable, and partnerships are measured in years.
Now accepting enquiries
Partnerships begin Q3 2026.
Partners to specialist clinicians across three continents.
A partnership with K. is measured in years, not campaigns, and the work compounds.
We started K. because the clinics doing the best clinical work were rarely the ones filling their diaries. The surgeons with the strongest outcomes, the centres with the most considered care, the practices patients travelled across borders to reach. Too often they were quietly losing enquiries to louder, lesser competitors.
The problem was almost never the marketing in the abstract. It was the system underneath it. Enquiries arriving and going unanswered for hours. Follow-up that depended on whoever happened to be at the desk. A reliance on email, which we found patients simply do not read.
So we built a way of working that treats patient acquisition as infrastructure rather than advertising. We audit what a clinic already has, we stress test it against real demand, and then we automate the parts that should never depend on someone remembering to follow up. The result is quiet, and it lasts.
If you run a specialist clinic and you suspect the work you do deserves a fuller diary than it has, we would like to hear from you. That is the whole invitation, and we mean it plainly.
Sam Howard
Founder, K Factor Agency
One sequence, run for every clinic we work with. It is deliberately unglamorous. Each phase exists because we have watched its absence cost clinics patients they had already earned.
We map every point at which a prospective patient meets the clinic, from first impression to booked consultation, and find where enquiries are being lost. Usually they are being lost in the gaps no one is looking at.
We run real demand against the existing system to see where it bends. Response times, routing, follow-up, language. A funnel that looks fine on a quiet week tends to fail on a busy one, and the busy weeks are the ones that matter.
We rebuild the parts that should never rely on memory or goodwill. A WhatsApp-first communication system that reaches patients where they actually respond, with the clinic's voice preserved throughout.
We rebuilt the enquiry and follow-up system around a multilingual, WhatsApp-first funnel. Patients who had previously slipped through the gaps between channels were captured, answered quickly, and carried through to consultation. A modest media budget did the work of a far larger one because almost nothing leaked out of the system.
| £1M+ | Revenue attributed |
|---|---|
| €80K | Total ad spend |
| 1,000+ | Monthly leads |
A standing start, with the Protocol run end to end. Audit, stress test, then a rebuilt automation layer that answered and routed every enquiry without depending on the front desk. The pace held because the system, not a person, was carrying the follow-up.
| 500+ | Monthly sales |
|---|---|
| 74 | Days to reach it |
| 8× | Conversion lift on WhatsApp |
The Dispatch.
Notes on the economics of specialist patient acquisition.
Quarterly
Four times a year we write down what we are learning. Considered pieces rather than posts, written for the people who run specialist clinics and the clinicians who lead them.
Past issues have covered multilingual funnel economics, the collapse of conventional email in healthcare, and the curious behaviour of the medical-tourism buyer. Read by Medical Directors and clinic owners internationally.
Arrange a consultation.
Tell us about the clinic and the diary you want it to have. We read every request and reply within one working day. Partnerships begin Q3 2026.