Silence is easy to ignore—until it isn’t. Every agency knows the feeling: the numbers slip, the culture strains, the pace accelerates—and leaders convince themselves it’s all still fine. But denial only delays the diagnosis. In this episode, we explore what agency “health” really looks like, and why the early signs are so easy to miss.

Strategic adviser Andy West joins hosts Farzana Baduel and Doug Downs to examine the vital signs of a thriving PR agency: the truths revealed in revenue and margins, the habits that separate high performers from survivors, and the systems that keep teams resilient in an AI-shifting world. From staffing models to culture, hybrid work to specialisation, this is a much-needed check-up for anyone leading or working inside an agency.

Whether you’re scaling, struggling, or somewhere in between, this conversation asks a simple question: Are you paying attention?