Monthly growth report
September 2026
01The month in one paragraph
September was your best month so far: 133 new patients, 10% more than August and 3.7× the 36 a month you averaged before we started in March. AI assistants sent 24 of them, up from 2 in March, and ChatGPT now recommends you for 13 of the 24 questions we track. Paid search booked 14 patients at £82 each.
02Where new patients came from
Every booking is traced to the channel that brought it. Organic search is still the biggest source; AI assistants are the fastest-growing.
- Organic search
- AI assistants
- Google Maps
- Paid search
Show the numbers
| Month | Organic search | AI assistants | Google Maps | Paid search |
|---|---|---|---|---|
| Oct | 21 | 0 | 14 | 0 |
| Nov | 20 | 0 | 13 | 0 |
| Dec | 18 | 0 | 12 | 0 |
| Jan | 23 | 1 | 15 | 0 |
| Feb | 25 | 1 | 16 | 0 |
| Mar | 29 | 2 | 19 | 7 |
| Apr | 36 | 5 | 23 | 10 |
| May | 42 | 8 | 27 | 11 |
| Jun | 47 | 12 | 29 | 12 |
| Jul | 51 | 15 | 31 | 13 |
| Aug | 55 | 19 | 34 | 13 |
| Sep | 59 | 24 | 36 | 14 |
03What AI assistants say about you
Each week we ask ChatGPT, Gemini, Perplexity and Copilot the 24 questions your patients ask, and record whether you’re recommended. In March you appeared in 3; this month, 14.
| Question | ChatGPT | Gemini | Perplexity | In March |
|---|---|---|---|---|
| Best physio in Bristol for a running injury? | Recommended | Recommended | Listed | Not mentioned |
| Physiotherapist near Clifton with weekend appointments | Recommended | Listed | Recommended | Not mentioned |
| Who treats sciatica in Bristol without a GP referral? | Listed | Recommended | Listed | Not mentioned |
| Sports massage or physio for tight hamstrings in Bristol? | Recommended | Listed | Not mentioned | Not mentioned |
| Recommended physio for knee pain after ACL surgery, Bristol | Listed | Listed | Recommended | Not mentioned |
| How much does a physio session cost in Bristol? | Recommended | Recommended | Recommended | Listed |
| Physio that accepts health insurance in Bristol | Not mentioned | Listed | Not mentioned | Not mentioned |
| Back pain clinic Bristol open late | Not mentioned | Not mentioned | Listed | Not mentioned |
Visits from each assistant in September
04Google search and Maps
Rankings are the average position in Bristol over the month. Your Google Business Profile brought 62 calls and 141 direction requests.
| Search | Searches a month | March | September | Change |
|---|---|---|---|---|
| physio bristol | 2.4k | #14 | #4 | ▲ 10 places |
| physiotherapist clifton | 320 | #6 | #1 | ▲ 5 places |
| sports physio bristol | 880 | #9 | #2 | ▲ 7 places |
| back pain physio near me | 1.6k | #18 | #3 | ▲ 15 places |
| knee physio bristol | 390 | #22 | #5 | ▲ 17 places |
| running injury clinic bristol | 210 | #31 | #7 | ▲ 24 places |
05Website and foundations
Your Digital Foundation Score is 86 out of 100, up from 41 in March. The site passes all three Core Web Vitals.
| Measure | Your site | Google’s “good” | Status |
|---|---|---|---|
| Largest Contentful Paint | 1.6 s | under 2.5 s | ✓ Good |
| Interaction to Next Paint | 120 ms | under 200 ms | ✓ Good |
| Cumulative Layout Shift | 0.02 | under 0.1 | ✓ Good |
06Paid search
£1,150 spent on Google Ads brought 14 new patients: £82 each, worth about £3,640 at your average new-patient value, a return of 3.2× on the spend.
07What we did in September
- Published two guides that answer the questions patients ask assistants: “Physio or sports massage?” and “What a first physio appointment involves”.
- Added treatment prices and insurer information to the website in a format AI assistants can read and quote.
- Launched the missed-call text-back: every unanswered call gets a booking link within a minute.
- Moved £150 of ad budget from “physiotherapy” to “sports physio Bristol”, which books at a third of the cost.
- Replied to all 18 new Google reviews within a day.
08Planned for October
- Insurer page and a clearer answer on cover, to win the “physio that accepts insurance” question.
- Evening-appointment content and opening hours in structured data, for “open late” questions.
- A reactivation email for patients not seen in 12 months, written and scheduled in the automation.
09How we measure
Bookings come from your booking system and call tracking, matched to the visit that led to them. AI visibility is checked weekly with the same 24 questions, asked logged out from a Bristol location. Revenue is estimated as new patients × £260, the average value of a first course of treatment you gave us. This is a sample report: every figure is illustrative, not a result for Kestrelmoor Physiotherapy.