Finn Formica
Founder, engineeringBuilds the things that take payments, schedule bookings, and stay up at 3am. Background in production trading systems, now writes the software behind every site we ship.
If a colleague forwarded this to you, they probably noticed their patient flow shift after rebuilding their clinical site. That's what this page is about.
Built for consultants in private practice, whether or not you still hold NHS sessions. In five minutes, you'll know whether your site is still earning you patients, or quietly losing them.
If three or more of these apply, your patient pipeline has almost certainly started leaking. The good news: this is fixable, and the fix isn't building a flashier site.
Most consultants underestimate how much patients research them. Referred or not, patients arrive at your site first. If it's outdated, slow, or absent from page one of Google, the decision is being made without you in the room.
Three things compound: SEO drift, content rot, and trust-signal decay. None of them feel urgent on any given day. After three years together they've rerouted patients to your competitors before you ever heard about them. The old approach, build the site once and leave it alone, was never going to address this. It's why posting more on social or commissioning a redesign doesn't bring the patients back.
This is the real reason your site stopped working, and it's why posting more on social or paying for a redesign won't fix it.
Think WordPress or Squarespace, but custom-built around how you actually practise. The editor is shaped around the things consultants edit: bio, procedures, press, testimonials, case studies. Short walkthrough videos cover every action. Updates happen between patients, not through us.
Stripe checkout integrated for deposits, course bookings, and follow-up consultations. Patients pay through a branded checkout, you see who paid for what in one dashboard, and reconciliation is automatic. No more PayPal links or spreadsheet matching.
Current bio, schema-marked procedures, case studies and audit data inside what the GMC permits, and SEO aimed at top-three ranking for the work you actually do. The site does the credibility work before the consultation.
Mixed NHS and private, multiple clinic sites, training alongside clinic work. Whatever shape your week takes, the site fits.
ENT Surgeon · phonosurgerycourse.com
Mr Karagama runs two distinct practices from one diary. One is general ENT, a private clinic in London for ear, nose and throat patients. The other is phonosurgery, a sub-specialty in voice and airway surgery he teaches to consultants worldwide. Both lived on the same neglected site, and his secretary spent hours each week reconciling course registrations by hand.
We separated them. karagama-ent-clinic.co.uk is now a clean private-practice site for his ENT patients. phonosurgerycourse.com is a dedicated course platform for international delegates, with Stripe checkout and automatic reconciliation. Both run on a custom website editor he updates himself between clinics. He hasn't emailed us for a typo fix since launch.



Most patients never reach page two of Google. If you aren't in the top three results for the procedures you offer in your city, you're invisible to the patients searching for you.
Free site builders and template agencies optimise for getting you live, not for getting you found. Generic copy, shared domains, no medical schema, no on-page SEO, no ongoing work. The site ships and the rankings drift.
Most consultants have no idea where their site sits today. It's not on their dashboard, their secretary isn't watching, and nobody is paid to care.
We give you a one-page monthly report your secretary can forward without translating. You know what's ranking, what's trending, and what we did about it.
This is exactly how we built SMF Studio to work.
We learn the shape of your practice: clinic days, secretary, NHS sessions, courses, the lot. No charge, no obligation.
We map your content, your services, and how payments should work. You see the plan before anything gets built.
Full page designs you sign off before we touch any code.
Frontend, website editor, payments, and SEO, built and tested.
Cross-device testing, accessibility checks, then live on your domain.
Hosting, monitoring, SEO, and small changes handled, so the site doesn't drift again.
Nothing moves forward without your sign-off. Fixed scope, no lock-in, and the site is yours.
A professional, credible site you can manage yourself. The starting point for most consultants.
For practices taking deposits, follow-up fees, or one-off paid work alongside the public-facing site.
For consultants running training or courses alongside clinic, with delegate sign-ups and payments at the heart of the site.
Indicative starting points, not fixed prices. Every project is quoted individually and agreed in writing before work begins.
Pick how much of the day-to-day you want us to handle after launch. Swappable at any time.
We hand you the website editor and the keys. You update content yourself. We keep hosting, security, and the site itself running quietly in the background.
You drive content; we keep the engine running. Monthly check-in, SEO review, small changes handled by us.
You get back to clinic. We update the site, push press mentions, run SEO, and send a monthly performance report.
What you're actually choosing between, side by side.
| Wix / Squarespace | Freelance dev | Traditional agency | SMF Studio | |
|---|---|---|---|---|
| Up-front cost | Low | Medium | Very high | Medium |
| Monthly cost | Low | Variable | Very high | Defined care plan |
| Medical schema / SEO | None | Sometimes | Yes, sold separately | Included |
| Stripe payments (deposits / courses) | Generic, manual reconciliation | Sometimes | Custom-quoted | Included |
| Website editor for clinicians | Generic editor (Wix/Squarespace block builder) | Hand-rolled or none | Custom, complex | Designed for clinicians |
| You own the code | No (lock-in) | Usually | Sometimes | Yes |
| Ongoing care plan | None | None | Heavy retainer | Optional |
| Time-to-launch | Self-serve | Variable | 4-6 months | 3-8 weeks |
| Who builds it | You | One freelancer | Agency team you won't meet | The three of us |
Deliberately excluded: patient booking diaries and EMR sync. We don't sell those, so we don't compare on them.
Three founders, one team. The same people who scope your project also design it, build it, and pick up the phone when something needs deciding.
Builds the things that take payments, schedule bookings, and stay up at 3am. Background in production trading systems, now writes the software behind every site we ship.
Decides how the site looks, reads, and converts. Sits with you in the discovery call, runs the brand and content pass, signs off the design before a line of code is written.
Owns the path from kickoff to launch. Keeps scope tight, dates honest, and the work moving. The person you'll hear from when something needs deciding.
Most of the consultants we work with came to us not because they wanted a flashier site, but because their site had quietly stopped earning trust, and they couldn't tell whether they were still being found online. The pitch is simple: build something once that does the work, keep it ranking, then leave you alone. If you've read this far and something resonated, we'd be happy to take a look at your site or answer anything.
, FinnWe'll come back with something useful, either way. No charge, no obligation. We work around clinic days.