Google Ads lead generation GA4 GTM Performance Max UK healthcare

We're a UK private clinic providing adult ADHD and neurodevelopmental assessments. We're launching Google Ads for the first time and looking for one experienced person to build and own the account — not an agency, and not someone who'll pass it to a junior. To be upfront: this is a greenfield build. No existing campaigns, no historical data, no conversion tracking in place yet. If you prefer inheriting an account to optimise, this isn't the right fit. If you like building properly from scratch, read on. WHAT WE'RE STARTING WITH Budget: launching at around £1,500–2,000/month, scaling to £3,000–4,000/month once we understand our cost per lead and lead quality UK only, self-pay private assessments Target: under £250 per booked assessment (we'll share our assessment price and margin with shortlisted candidates) No tracking, no landing pages built for conversion yet — that's part of the job WHAT YOU'D OWN Keyword research, forecasting and campaign structure from zero Conversion tracking in GA4 and Google Tag Manager, built and verified by you before we spend anything Call tracking setup (a lot of our enquiries will come by phone) Google Search build and ongoing management Aggressive early search term and negative keyword work Landing page and CRO recommendations (we can implement) A short weekly report, including cost per booked assessment once we have volume — not just cost per lead WHAT WE'RE LOOKING FOR 5+ years managing Google Ads hands-on, personally Experience launching lead generation accounts from scratch, not just optimising existing ones Genuine lead gen background. E-commerce-only experience isn't a fit Accounts at £3k–£50k+/month spend Comfortable with UK market specifics and healthcare advertising policy restrictions Excellent written and spoken English, and happy to do a 30-minute Zoom You do the work yourself. No subcontracting. HOW THIS WORKS Paid engagement, reviewed at 90 days, with a no-fault break at 30 days No long-term contract The Google Ads, GA4 and GTM accounts stay owned by us. You're added as a user. Budget: £600–700/month, all-inclusive, covering the initial build and ongoing management. Tell us your rate and exactly what's included. TO APPLY Please answer these in your proposal, specifically. Generic applications won't be reviewed. Walk us through your first 30 days on a from-scratch UK lead gen account with no existing data. What happens before we spend a penny? Here's a hypothetical. A clinic like ours is spending £4,000/month, cost per lead is £78, booking rate is 22%, and the target is under £250 per booked assessment. What do those numbers tell you, and which lever would you pull first? How many client accounts are you actively managing right now? Do you build GA4 and Google Tag Manager tracking yourself, or does someone else do it for you? One note: we're not looking for guaranteed results, and we're sceptical of anyone forecasting a specific CPA before doing keyword research. We'd much rather hear what you'd need to find out first, and what you'd want from us to make this work.