How virtual agencies have come of age

Now is the time they can deliver on the promise of Working Differently

Tipping point noun 1. the point at which a series of small changes or incidents becomes significant enough to cause a larger, more important change.

In 2014, I was invited to write a blog for Brainleaf, a cloud-based client management system, about a topic I’m passionate about. At that time, as a founder, builder and leader of healthcare communications companies for many years, I was both frustrated and excited. I was frustrated about the shortcomings that I saw in the traditional agency model. I was excited by many of the changes I was seeing starting to take place, and the innovative solutions that entrepreneurs and technology solutions providers were creating to transform the agency model for the better.

There were promising signs that a lot of agency entrepreneurs were looking at new ways to provide better jobs and working environments for employees, while offering clients a different approach to partnering with a strategic communications agency. I had spent years in leadership positions at international communications consultancies, and had just successfully exited a healthcare communications company in New Jersey, USA, that I owned with a partner for 10 years. I felt that as an industry, there were business challenges that were begging for change. I also sensed that technological, social and business forces were aligning that would enable the massive change needed – and that a tipping point was approaching.

Virtual business models have been around for a long time, but as I wrote in my 2014 blog, cloud technology platforms and collaboration tools had evolved to the point that they were now really changing the landscape for business, making it easier than ever before for companies to start, scale, recruit, hire and manage. By 2013, according to Microsoft, more than half of US businesses were using cloud computing. That sounds rather tame by today’s standards, where almost every company now uses cloud-based solutions. But even back then, it was clear that the proliferation of cloud technology and collaboration tools was triggering a fundamental change in the way businesses could operate. At the time, I argued that this was particularly good news for communications consultancies, because intensely talent-focused businesses like ours would gain enormous advantages in this newly-emerging landscape. And how right I was.

Virtual Agencies Are Coming of Age

Fast forward to 2019 and the technology, employment and social environment has made working differently, particularly in the communications consulting industry, a better option for employers, professionals and clients than ever before. The age of the virtual agency has well and truly arrived. In fact, in 2018, recognising that the virtual agency model was a new model shaking up the industry, the Public Relations and Communications Association (PRCA) created its Virtual PR Agencies Group with 11 virtual agencies as founding members of the group. This was a major statement from the PR industry trade group that not only was there a new agency model, but that it was here to stay.

For those of us who are members of a virtual agency, we understand how uniquely positioned they are to offer innovative approaches to some of the most persistent challenges that traditional “bricks and mortar” agencies face, including client management, staffing and recruitment, billing and project management, and range of services. This year, I was proud to join The Difference Collective, a high-growth virtual agency dedicated to addressing many of the shortcomings of traditional agency business models by offering employees a new approach to working, while providing healthcare and life science companies worldwide a full range of strategic communications services and a unique approach to partnering with their communications agency. So what are some of the biggest challenges that agencies face, and how can virtual agencies offer solutions to these challenges? Let’s take a look.

Now You See Us, Now You Don’t

Anybody who has been in this business for longer than a week has heard clients complain about the age-old tactic of “bait and switch.” Impressive, senior-level strategists and agency leaders are brought in to the pitch to demonstrate the serious muscle that the big global agency has at their disposal. The client, impressed by the brilliance on display, awards them the business. After signing the contracts, the client finds that they now have agency team of juniors working on their account, and the senior-level people they saw at the pitch are rarely seen or heard from again, aside from hours that mysteriously appear on monthly invoices. If the client complains, those senior consultants will miraculously reappear for a few strategically scheduled conference calls before vanishing once again.

My goal here is not to denigrate younger professionals. I’ve had the good fortune throughout my career to work with some of the most brilliant, creative young people in our industry, and they are a welcome and needed addition to any team. But there is no substitute for experience, and seasoned client services leaders, especially in highly sophisticated or heavily regulated industries like healthcare, energy, finance or technology. My point here is that the old agency “bait and switch” routine has been around for way too long. It is just bad client service. Clients hate it. And bad client service is bad for business.

So why do traditional agencies do it? They do it because they have high fixed costs in the form of expensive offices all over the world, high salaries, leases and other big expenses. They adhere to hourly billing practices that assign different billing rates to consultants based on their title and levels of experience, which means that it is very expensive for senior-level people to work on the business for any length of time. This billing model also means that profitability can be maximised by having the lowest cost employees doing as much of the work as possible. This is not a great recipe for ensuring that you have access to the right expertise when you need it.

Virtual agencies tend to employ more experienced professionals; people who have gained serious experience elsewhere, working in more traditional agency environments, and who are now seeking a different approach to how they work. Client teams at virtual agencies are usually built around the skill sets required to deliver, rather than on individual billing rates or titles. In other words, they get who they need for the job in hand when they want them. This offers enormous advantages to clients, who can have regular access to senior-level people and teams that are client-centric (focused on meeting the needs of the client), rather than agency-centric (focused on maximising profit for the agency). If the agency is pricing for its services appropriately (which I’ll address next), this is a win/win for both the agency and the client.

The High Cost of Low Expectations

I said in my 2014 Brainleaf blog that when it comes to the issue of pricing, “this is a major opportunity for fundamental change, and potentially a key differentiator for firms willing to innovate.” In the traditional agency business model, hours are scrupulously tracked and clients are billed monthly based on the number of hours per month required to deliver the work. This is the same approach used by lawyers and accountants, and it is the standard approach adopted by most communications consultancies. Unsurprisingly, in my 20-plus years in this business, I haven’t met many clients who expressed deep love and affection for this approach. Yet most agencies continue to persist with it, either because they are lazy or because they haven’t been able to come up with anything better. So, what are the alternatives?

Over the past five years, value-based pricing is one option that marketing services firms have been implementing. This model is based on the client and agency agreeing up front on the outputs that drive the most value for the client, and pricing the project based on targets for agreed value drivers. This could be anything from the key messages contained in media coverage, advocacy platforms developed, content outputs and utilisation across marketing channels, content downloads, conversion rates and more. Value-based pricing allows agencies to focus more on the quality of their outputs and less on tracking their time.

Clients can relax, knowing that budgets have been set and that if the project scope doesn’t change, they won’t be invoiced for extra hours. The challenge with this model, and the benefit, is that it requires real transparency between the agency and the client, a deep understanding of what drives value for the client’s business, and a commitment to strong partnership and risk sharing. Value based pricing also requires a bespoke approach to building budgets for each client, since “value” is a measure that is unique to every client. It requires a degree of sophistication and financial literacy on both sides, but agencies who have committed to it, have seen improvements in their ability to add value to their clients’ business, greater agency profitability and increased sales.

In addition to value-based pricing, project-based budgeting and retainers are being more frequently used by agencies as alternative approaches to hourly billing. Other, newer innovations in financial models for agencies include points-based, or credit-based pricing and hybrid models that combine some variation of a retainer, project budgets and value-based pricing depending on the unique needs of each client.

When it comes to billing models, virtual agencies have an opportunity to get it right. They have fewer fixed costs and greater flexibility, which means it’s time for virtual agencies to find and implement billing models that clients love, and that maximise agency profitability and effectiveness.

Winning the War for Talent

It was true in 2014, and it is even more the case today, that the best strategic communications and creative talent is not confined to any geographic location. As a virtual agency owner and team member for many years, I’ve worked with world-class consultants and in teams with people based as far away from each other as London, San Francisco, Bangalore, Sydney, New York, Kearney Nebraska, and Macclesfield, to name just a few locations. The ecosystem of collaboration tools is bigger and better than ever, removing any boundaries and making geography less relevant.

Smart, well-managed virtual agencies can attract and keep the best people. We can do this by offering world class consultants the opportunity to work with global clients, be part of integrated project teams, and do their best work. All from the comfort of their own location. Without expensive offices and high rents, we can offer employees the incentive of good pay. We can promote the quality of life advantages of working from home, not having to commute to an office and no longer having to endure noisy open plan offices. Who needs to be watching the creative team kick a football about, as the person sitting opposite munches egg and onion sandwiches and crisps while you try to have an in-depth conversation with a client?

The Future is Beautiful. And Virtual

When it comes to providing game-changing strategic communications, delivered by highly experienced teams, with specialist expertise and world class creative capabilities, virtual agencies offer advantages that more traditional, “bricks and mortar” agencies can only dream about. Sure, there are the traditional network agencies that can boast of having offices in 70 countries across the globe, and there will always be some clients who are still impressed by that, even though they will rarely, if ever, work with more than one of those offices.

For the rest of us, and for those clients looking for something different, virtual agencies offer a model that has many advantages. Virtual agencies have formed in response to the need to address some of the biggest shortcomings in the traditional agency business model

When it comes to strategic communications, virtual agencies can really set themselves apart from their traditional predecessors, offering new solutions that will not only improve agency profitability and increase sales but most importantly – make clients happy.

Looking at the state of our industry in 2019, the future looks beautiful. And virtual.  

About the Authors

David Avitabile has more than 20 years of experience in healthcare, health policy and medical communications that includes international drug, diagnostics and medical device launches in Europe, the United States, Latin America and Japan. 

David has helped clients build new communications infrastructures, messaging, and processes to support emerging product portfolios and position themselves in new therapeutic areas. David has started and built two of his own international communications consultancies and has provided management consulting and leadership development to agencies in the United States and Europe.  

Or say hello to us on social media…

Louise Watson

Consumer & Wellbeing Brand Marketing

I have 25 years of consumer and corporate brand-building experience gained working in global network agencies. I am a creative strategist at heart and my client experience across wellbeing, nutrition-marketing and health includes leading award-winning work for Bayer Consumer Health, Kellogg’s, P&G and Unilever. My most recent experience includes 3 years as Chair of Consumer Marketing EMEA at Weber Shandwick where I led the regional client service community and a 12-month contract with Ogilvy leading integrated campaigns.

An impassioned problem-solver, Louise enjoys bringing an audience-centric approach to client issues in order to solve business challenges through strategic communications.

I also lead communication for TEDx Kingston, one of the UK’s largest and most preferred events of its kind.

Wayne Page

Digital Communications

I served as CEO of one of the most innovative and successful independent digital healthcare agencies in the UK (big pink) for 15 years, leading a team of experts in creating and implementing some of the most impactful global digital healthcare campaigns for some of the biggest brands in the pharmaceutical market. I played a pivotal role in establishing Pfizer’s first EUCAN (EU and Canadian) digital strategy and created and implemented an innovative ‘digital acceleration programme’ to drive rapid uptake of this new approach. For five years, across 22 markets, big pink under my guidance, led the development and execution of Seretide’s global brand strategy (and tactics) as Agency of Record.

Vicki Harper

Client Management

I have been in communications and marketing for over 20 years, working with UK and global agencies. I have well-honed client service skills with an insight-first approach that enable me to craft and deliver effective healthcare communications campaigns with a clear strategy and a defined purpose, delivered on time and within budget. I am attuned to the need to add genuine value to my clients and committed to delivering meaningful results that make a difference. In recent years, I have created global digital influencer and partnership programmes supporting women’s health, as well as consumer healthcare brands, enabling them to reach new audiences and online communities alongside PR. I am adept at managing and delivering complex multiple-territory campaigns for large and small-scale organisations, across public, private and the third sector with a background spanning pharmaceutical and healthcare companies, women’s health, healthcare charities, sports & wellbeing brands and social enterprise.

Susan Cuozzo

Medical Education Global

I am an award-winning medical education specialist, accredited publication planner (ISMPP CMPP) and medical writer with a 20+ year track record of creating strategic scientific communications. I have led medical writing and editorial teams across therapeutic areas on global and US accounts for agencies based in NYC. I have worked on over 20 drug launches including agents given fast-track designation by the FDA. I am adept at applying adult learning principles to maximize engagements with any HCP audience and have designed and moderated over 100 advisory board meetings and workshops. My passion is working with thought leaders to bring data to life to ultimately improve patient outcomes. In 2017 I was recognised by Pharma Marketers 360 magazine with an ELITE award for Transformational Leadership and by PharmaVOICE as one of the 100 most inspirational people in the life sciences industry.

Stuart Mayell

Creative & Strategy

I’m a Creative Director with 22 years of undimmed curiosity about health and science. I’ve contributed the insights, innovation and ideas that have opened up opportunities for hundreds of businesses. If you need impact, whether with words, brands or strategy, I can help. I’ve led multi-disciplinary teams across design, video, copywriting, digital and development. In my time in the healthcare communications industry I’ve worked across all main medical specialities, however I have particular experience and interest in oncology, medical technology and vaccines. The Difference offers me the perfect platform to advocate for creativity as the answer to many of society’s greatest health challenges; and the tool to help businesses succeed.

Rod Cartwright

Crisis & Issues Management

I am a strategic communication consultant working with agencies and in-house teams to deliver personal communication preparedness and organisation resilience. I bring a 25-year global PR agency pedigree working with market leaders including Ketchum (Global Corporate Practice Director), Text100 (EMEA Regional Director), Hill & Knowlton Strategies (Director) and GCI (Director) to drive lasting reputational growth and business change.

My focus is on issues management & crisis communication; leadership communication & executive preparedness; thought leadership & corporate reputation; and strategic problem-solving & facilitation. I have considerable expertise across ethical healthcare, OTC, consumer health and medical devices and has worked for healthcare clients including Takeda, Roche Diagnostics, Pfizer Consumer Health, Medtronic, Macmillan Cancer Support, Medco, Allergan and the Motor Neurone Disease Association.

Over the course of my career, I have taken on all that global news events such as the disappearance of Malaysia Airlines’ MH370 and the airline’s subsequent sovereign-led restructuring can throw at you.

Michelle Healy-Thomas

Design

I am passionate about typography and communicating clever ideas through inspired design. Over the last 10 years, I have successfully worked with a broad range of clients encompassing health and life sciences, beauty, energy, telecommunications and the financial sectors. My client experience includes Sony Ericsson, Great Ormond Street, Dresdner bank, Alliance Boots, Liverpool Victoria and Virgin Media. I have won ‘Design Effectiveness’ Awards for my work on Boots Laboratories and Vitol Energy and am a member of the Chartered Society of Designers, sitting on the judging panel for Corporate design. 

Liz Adams

Media Relations

With nearly 20 years of healthcare communications and PR experience behind me, I provide detailed insights into the media landscape and client campaigns. I take pride in devising strategies that will breakdown the barriers to patient understanding and empower them to take action when needed. Health matters. Compelling campaigns allow patients to present quicker, access treatment faster, meaning families stay together for longer and lives can be lived. The Difference Collective is a dream team of talent that takes healthcare communications to another level.

Lisa Harper

Virtual Working

I’m a healthcare communications consultant with over 15 years of experience. I worked at two highly respected PR agencies for over nine years before taking the plunge and becoming a freelancer. I’ve worked with GSK, Roche, AstraZeneca and Pfizer. The Difference is empowering; it brings us together in a virtual space where we can focus on delivering top-quality work for clients with the support and resources of the wider Difference community. I love the pace and immediacy and enjoy getting up to speed on new therapy areas and assignments in record time.

Julie Saunders

Internal Communications & Change Management

I’ve spent over 20 years working in communications functions of pharmaceutical companies and in global healthcare communications consultancies, which has given me a unique perspective on the intricacies of communication across the healthcare environment. Now, as an independent healthcare communications consultant, I focus on communication strategies, stakeholder mapping, leadership counsel, product and corporate communications and internal communication. I am particularly passionate about working with the pharmaceutical industry to make the concept of patient centricity meaningful, and not just a ‘buzzword’! Joining The Difference Collective has given me an amazing connection with a network of very talented and supportive peers, broadening my client offering through collective, efficient expertise.

Jo Williams

Social Media

I am a highly experienced healthcare marketing consultant who has worked in both client-side and agency roles for over 20 years. My knowledge and experience spans the breadth of the marketing discipline but has particular expertise in strategy development and multi-channel marketing. As well as helping to launch and build successful brands for many of the top 10 pharmaceutical companies, I have delivered numerous projects in the areas of corporate reputation, customer experience, insight development, and social media marketing. I worked as a Senior Client Director for one of the largest healthcare insights and consulting agencies, before going freelance in 2017. I am driven by curiosity, a passion for learning and a drive to keep on top of the latest trends in marketing.  

Jo Willey

Media Strategy

I’m a storyteller and story creator, passionate about uncovering that killer “line” I know will be irresistible for journalists and their audiences. I have worked as a journalist on national newspapers for 20 years, latterly at the Daily Express where, as Health Editor, I led the newspaper’s health and science coverage which included three or four front pages a week. I have also written for – and continue to write for as a freelance – titles including the Daily Mail, The Times, The Sun, The Mail on Sunday and The Mirror. After leaving the Daily Express in 2014 I set up my successful consultancy Jo Willey Media, and am now a highly sought after communications specialist working with PR agencies, pharmaceutical companies, businesses and charities offering services including media strategy, storytelling and content development, media training and I am an expert facilitator of advisory boards, meetings and workshops.

Hugh Gosling

Pharma Content & Insight

Having completed a pharmacology degree and journalism post-grad, I have spent 20+ years writing, editing and managing content and editorial projects in healthcare/pharma. I have worked at independent media organizations (notably as Editor of several industry-leading publications), in-house at global pharmaceutical companies, and within creative agencies. I now bring this broad experience to shape content of all types and formats.

In recent months, I have worked on white papers, in-depth reports, patient-focused materials, corporate slide decks and position papers, blogs/articles, technical papers, sales leaflets and HCP training toolkits. I specialise in advising on and delivering high-quality content, with a particular interest in thought-leading content that delivers real value and insight.

Elspeth Massey

Charity & Patient Groups

I started my career as a journalist working on the newsdesk of ITV Meridian where I honed by skills as a storyteller. Since then I’ve spent the last ten years leading comms teams in three national health charities, including The Stroke Association, Samaritans and Beating Bowel Cancer. I’ve developed and delivered cut-through campaigns that have driven the profile of organisations, achieved wide-spread media relations coverage and subsequent policy change. I’ve loved getting important causes the attention they deserve.

Clare Evans

Global Communications

I’ve worked in the biopharmaceutical industry for over 20 years, both in-house and in agencies including leading UK, EU, Global and regional communications teams at Novartis (Switzerland), Roche (Switzerland) and AstraZeneca (UK and U.S.) in areas such as cardiovascular disease, diabetes, manufacturing, supply and quality assurance, neuroscience, and infectious disease. My focus areas are executive and leadership communications, issues and crisis communications, change management, strategy development, and scientific/product data and launch communications. My experience includes leading the Global communications for the 2009 H1N1 pandemic for Roche HQ in Switzerland and managing issues related to the Japan earthquake and tsunami in 2011, from an employee, governmental, manufacturing and product perspective. I am also a qualified pharmacy technician and previously worked in hospital pharmacies in London and Kent ranging from dispensing OTC and prescription medicines to making chemotherapy for patients

Charlotte Messer

Consumer Health PR

I have worked in PR for over 25 years, a career that has been varied and exciting.  Having worked in a variety of sectors, healthcare is the area that I am most passionate about and where I feel most proud and pleased to be making a real difference. After working for agencies and in-house I decided that I wanted to have more control over the way I worked. For me, this meant working in an agile way with talented freelancers so I could ensure clients got to work with the very best people, with teams tailored to each project. I was invited to join The Difference Collective this year, which brings exceptional PR professionals together who all share the same ‘brilliance’ ethos. I am proud to be part of such a great team.

Charlie Hobson

Copywriting

I’m a marketing professional turned content writer who’s worked with clients in a range of industries including healthcare over the last 20 years. I’m commercial in approach so working on projects with clear outcomes and KPIs really appeals to me. In The Difference Collective, I’m energised by working with different clients and team members who are real experts in their fields, so we spark off each other creatively. I like that projects get moving fast – we’re hands-on quickly, without the pitches and politics.

Candida Halton

Behavioural Psychology

I am a healthcare communications specialist with 20 years’ experience working both in-house and for a leading agency and experience developing and delivering successful communication, corporate responsibility and employee engagement strategies. I have a proven track record of providing external and internal communications strategic advice to all levels including CEOs of major corporations and patient groups. I previously worked at GSK in the communications function in various global roles initially as the Financial and Corporate Media Director, and latterly as the Director of Activation for the GSK Save the Children partnership. During this role I was responsible for the internal and external communications strategy and employee engagement campaign for the company’s global partnership.  

Becky Jones

Medical Education UK/EU

I am a medical communications expert with extensive knowledge and over 25 years’ experience in the Pharmaceutical Industry. I am innovative and skilled at translating scientific and technical language into clear and simple messages for specific healthcare professional audiences and understand the need to incorporate strategic focus and deliver relevant and compelling stories. Delivering projects for the UK Market as well as Europe, Australia and Canada, Becky has worked with healthcare agencies and companies such as Bayer, Eli Lilly, Napp, Gilead, Mundipharma and Novo Nordisk, I have worked across many therapeutic areas, but is passionate about diabetes, cardiovascular disease, and obesity. And as an advocate of expert to expert communications, I am adept at building and establishing trusted partnerships and collaborations and have a strong network of high-profile thought leaders.

Anna Gray

Prescription PR

I’m a trusted senior PR professional with over 20 years’ experience of healthcare communications. I’ve held senior positions in agencies for over 13 years and have extensive experience of leading brand and therapy area communications, internal and change communications, issues management, patient advocacy and awareness campaigning, patient involvement, content development, stakeholder mapping and development and media relations (traditional and social). My strengths lie in seeing the bigger picture while keeping an eye on the detail and strong relationship skills. I have a real interest in learning and maintaining health and wellness and am currently studying for a post-graduate diploma in Nutritional Therapy with the Institute for Optimum Nutrition in London.

Angie Wiles

Founder & Head of Collectivity

I’ve been passionate about healthcare communications and the ‘difference’ we can make to patients’ lives for over 30 years now. I thrive on collaborative creative working and believe the freedom to choose to work in a way that best suits a person’s lifestyle produces the absolute best results in terms of productivity and creativity. The Difference Collective brings together the best independent senior talented consultants in the business who want to work differently but still benefit from the support and camaraderie of an agency community that has been purpose built to work virtually.

Ali Perkins

Leadership Communications

I am an experienced business and communications leader with over 25 years’ experience in large corporate, small and start up organisations. Key roles have included Global Head of R&D communications for Astra Zeneca, as well as over eight years at Microsoft heading up the UK communications team and as Director of Privacy and Social Media Strategy. 

I have extensive experience of strategic communications, brand and reputation, business planning and restructuring, change management, employee engagement and crisis / issues management. I am comfortable working with and advising the most senior business leaders, often on complex and sensitive issues.

Alex Harrison

Corporate Communications

I am a healthcare communications specialist with 20 years’ experience working both in-house and for a leading agency and experience developing and delivering successful communication, corporate responsibility and employee engagement strategies. I have a proven track record of providing external and internal communications strategic advice to all levels including CEOs of major corporations and patient groups. I previously worked at GSK in the communications function in various global roles initially as the Financial and Corporate Media Director, and latterly as the Director of Activation for the GSK Save the Children partnership. During this role I was responsible for the internal and external communications strategy and employee engagement campaign for the company’s global partnership.  

Louise Watson

Consumer & Wellbeing Brand Marketing

I have 25 years of consumer and corporate brand-building experience gained working in global network agencies. I am a creative strategist at heart and my client experience across wellbeing, nutrition-marketing and health includes leading award-winning work for Bayer Consumer Health, Kellogg’s, P&G and Unilever. My most recent experience includes 3 years as Chair of Consumer Marketing EMEA at Weber Shandwick where I led the regional client service community and a 12-month contract with Ogilvy leading integrated campaigns.

An impassioned problem-solver, Louise enjoys bringing an audience-centric approach to client issues in order to solve business challenges through strategic communications.

I also lead communication for TEDx Kingston, one of the UK’s largest and most preferred events of its kind.