All problems
clinic

My automated emails keep landing in patients' spam folders and I don't know why

"We set up an email sequence for new patient follow-up. Half the responses I get are from people saying they found our emails in their junk folder weeks later."

Cost of Inaction

Bookings lost to spam per month × 12 × patient value

Estimated Annual Cost
£25,200
Range: £17,640£32,760
500
25 %
4 %
£420

How it breaks down

  • Annual value of bookings lost to spam£25,200
125
Emails landing in spam per month
5
Estimated bookings lost per month

Two minutes, no typing, and I read every one myself.

Paul, Solvable

From Paul

Tell me where that £25,200 is coming from, and I'll come back with the three things to fix first.

A few quick questions, about two minutes, and no typing. I read every one myself and reply with the three things costing you most and where I'd start. If it's useful, we talk. If not, you've still got a clear picture.

No obligation, no sales call unless you ask for one, and nothing automated lands in your inbox.

Paul, Solvable

I reply personally, usually the same day.
  • A clinic whose emails achieve 72% inbox placement versus the achievable 96% is losing the potential response of 24 in every 100 emails sent before the patient even sees the message
  • Configuring SPF, DKIM, and DMARC records correctly takes approximately two hours with a technical email administrator and immediately improves deliverability on the next campaign send
  • Running a pre-campaign deliverability test using a tool such as Mail-Tester or GlockApps costs under £10 per test and identifies inbox placement issues before they affect patient communication
  • Patient communication campaigns do not reach their intended recipients
  • Appointment reminders are missed because they land in junk folders
  • Follow-up and recall campaigns generate no response and are assumed to have failed
  • Review request campaigns do not generate reviews because patients never see them
  • Marketing investment in email content is wasted if the emails are not delivered

Frequently asked questions

Why does this problem persist?

Email sending infrastructure is not correctly configured for deliverability Domain reputation has been damaged by previous sending behaviour or domain sharing Email content or subject lines trigger spam filters in common email clients

What is the cost of leaving it unaddressed?

If 25% of your emails are landing in spam across a 500-patient recall campaign, you are losing the response of up to 125 patients per campaign. At £420 per patient, that is over £52,000 per campaign in missed recall revenue.

This is exactly what I do with UK private practices. Answer the few questions above and I'll come back personally with where to start. Paul.

Related problems

Solvable.Health© 2026

This information is for educational purposes only and does not constitute professional advice.