T40 listing – 2025 edition

Click on a header to sort the list by each ranking factor. Click on an agency name or logo to view their profile page where you can read what the agency has to say about themselves, view the data they submitted and a breakdown of how their overall position is made up from the different ranking factors. Agencies are listed based on a number of factors using data they have supplied and information in the public domain. Find out how the list was created and the methodology used here.

Rank	Name	Total staff	Healthcare staff	Age
1	Ogilvy Health	150-249 staff	150-249 staff	Over 30 years
2	Havas Lynx	250-499 staff	250-499 staff	Over 30 years
3	Inizio Evoke	Over 749 staff	Over 749 staff	Between 15 and 20 years
4	McCann Health London	100-149 staff	100-149 staff	Between 20 and 30 years
5	Avalere Health Global Marketing	150-249 staff	150-249 staff	Between 20 and 30 years
6	Syneos Health Communications	100-149 staff	100-149 staff	Between 20 and 30 years
7	VCCP Health	50-74 staff	50-74 staff	Between 15 and 20 years
8	Costello Medical	500-749 staff	500-749 staff	Between 15 and 20 years	At Costello Medical, we enjoy building lasting partnerships in the healthcare sector by providing exceptional service. Our vision is to be a leading global partner consistently striving for meaningful and outstanding contributions that improve people’s health and lives.
9	FCB Health London	50-74 staff	50-74 staff	Between 15 and 20 years
10	Havas Life London	100-149 staff	100-149 staff	Between 20 and 30 years
11	Oi Ltd	75-99 staff	75-99 staff	Between 20 and 30 years
12	Swordfish Advertising Ltd.	25-49 staff	25-49 staff	Between 20 and 30 years	We create work that challenges the status quo and takes brands further than they thought they could go. As an independent agency, everything we do is bigger, bolder and braver; we reimagine what is possible in the world of healthcare communications.
13	Virgo Health	75-99 staff	75-99 staff	Between 20 and 30 years
14	Page & Page Health	25-49 staff	25-49 staff	Between 10 and 15 years
15	Precision AQ	100-149 staff	100-149 staff	Between 2 and 3 years
16	11 London	25-49 staff	25-49 staff	Between 10 and 15 years	11 London is a full-service agency in London, the first to gain B Corp status, helping health and humanity brands deliver breakthroughs at scale in their advertising and communications. What makes us unique is that half our clients are in pharma, and half are charities and patient associations.
17	Hamell Communications Ltd	25-49 staff	25-49 staff	Between 10 and 15 years
18	Dice Medical Communications	25-49 staff	25-49 staff	Between 10 and 15 years
19	KVA	25-49 staff	25-49 staff	Between 10 and 15 years
20	Medico Digital	10-24 staff	10-24 staff	Between 10 and 15 years
21	Verve	10-24 staff	10-24 staff	Between 10 and 15 years	Our work is led by humans for humans. We are a diverse team of individuals bringing unique skills and perspectives together to create compelling strategic narratives. Our humanised approach ensures we transform complex scientific information to relevant and impactful content. We give you Verve.
22	Life Healthcare Communications	10-24 staff	10-24 staff	Between 20 and 30 years
23	Hug Advertising Ltd	10-24 staff	10-24 staff	Between 10 and 15 years
24	Grace Communications	10-24 staff	10-24 staff	Between 10 and 15 years
25	bmore	10-24 staff	10-24 staff	Between 15 and 20 years
26	CAN Advertising Ltd	10-24 staff	10-24 staff	Between 15 and 20 years
27	Wizzard	10-24 staff	10-24 staff	Between 20 and 30 years	We are an independent Healthcare agency where people are at the heart of everything that we do. We’ve gained a reputation for approaching medcomms in a different way, through our experience in the consumer sector. Leveraging insights, trends and tech across sectors to offer a unique perspective.
28	GIG Health	25-49 staff	10-24 staff	Between 10 and 15 years
29	Salt	10-24 staff	10-24 staff	Between 7 and 10 years	We're a strategic creative agency, using human connections to make a positive difference
30	Graphite Digital	25-49 staff	25-49 staff	Between 15 and 20 years
31	Get Animated Medical	0-9 staff	0-9 staff	Between 5 and 7 years
32	Kanga Health Ltd	10-24 staff	10-24 staff	Between 10 and 15 years	Kanga is a full-service digital and creative agency that helps pharmaceutical and healthcare companies with digital marketing and medical communications. Our focus: Practical Digital Transformation, striving to deliver the best global experiences for patients, carers, payers and HCPs.
33	Atomic Matter	25-49 staff	25-49 staff	Between 1 and 2 years
34	Learner Adams Bones	10-24 staff	10-24 staff	Between 15 and 20 years
35	IGNIFI	10-24 staff	10-24 staff	Over 30 years
36	Foundry3	0-9 staff	0-9 staff	Between 7 and 10 years	Foundry 3 is a healthcare communications agency fusing human expertise with AI to rethink medical and brand strategy. Delivered by a fully senior-led team, we create data-driven omnichannel plans and award-winning campaigns that deliver measurable impact and improve outcomes.
37	Genetic Digital	0-9 staff	0-9 staff	Between 10 and 15 years
38	Volume Up Digital	0-9 staff	10-24 staff	Between 5 and 7 years
39	Sapience Communications	0-9 staff	0-9 staff	Between 7 and 10 years
40	Hooked	0-9 staff	0-9 staff	Between 1 and 2 years	Hooked is The Healthcare Customer Experience Agency. We engineer delightful customer experiences to make brands stand out, where it really matters.