QUOTE: “We are a health services comparison website…… so you can imagine that for the majority of those pages the content that will be presented in terms of the clinics that will be listed looking fairly similar right and the same I think holds true if you look at it from the location …… we’re conscious that this causes some kind of content duplication so the question is is this type … to worry about? “
Google will select the best title it wants for your search snippet – and it will take that information from multiple sources, NOT just your page title element. A small title is often appended with more information about the domain. Sometimes, if Google is confident in the BRAND name, it will replace it with that (often adding it to the beginning of your title with a colon, or sometimes appending the end of your snippet title with the actual domain address the page belongs to).

While that theory is sound (when focused on a single page, when the intent is to deliver utility content to a Google user) using old school SEO techniques on especially a large site spread out across many pages seems to amplify site quality problems, after recent algorithm changes, and so this type of optimisation without keeping an eye on overall site quality is self-defeating in the long run.
Hey Sharon, great post! Re. dwell time – I’ve read conflicting opinions, some saying that Google DOES consider it an ‘important’ ranking signal, and others saying that it doesn’t, because dwell time can sometimes be a misleading indicator of content quality. For example when a user searches for something specific and finds the answer immediately in the recommended page (meaning that the content on the page is actually spot on) so he returns to the SERPs very quickly. I have been unable to locate any definitive statements (written/spoken) from anyone at Google that suggest that dwell time IS still a factor in ranking considerations, but it makes sense (to me, anyway) that it should be. Do you have any ‘proof’ one way or the other re. whether Google definitely considers dwell time or not?
Google is looking for a “website that is well cared for and maintained” so you need to keep content management systems updated, check for broken image links and HTML links. If you create a frustrating user experience through sloppy website maintenance – expect that to be reflected in some way with a lower quality rating. Google Panda October 2014 went for e-commerce pages that were optimised ‘the old way’ and are now classed as ‘thin content’.

After a while, Google will know about your pages, and keep the ones it deems ‘useful’ – pages with original content, or pages with a lot of links to them. The rest will be de-indexed. Be careful – too many low-quality pages on your site will impact your overall site performance in Google. Google is on record talking about good and bad ratios of quality content to low-quality content.
Search engines may penalize sites they discover using black or grey hat methods, either by reducing their rankings or eliminating their listings from their databases altogether. Such penalties can be applied either automatically by the search engines' algorithms, or by a manual site review. One example was the February 2006 Google removal of both BMW Germany and Ricoh Germany for use of deceptive practices.[54] Both companies, however, quickly apologized, fixed the offending pages, and were restored to Google's search engine results page.[55]
Great content is a critical component of everything we do. From blogging and site content to compelling social and PPC copy, Dallas SEO Dogs’ content writers improve client credibility and establish them as authorities in their business. Presenting your organization in a way that attracts and maintains interest affects search rankings, engagement, leads and conversions. That’s what content marketing is the most important aspect of our overall strategy.
One concern we hear frequently is whether it is beneficial or harmful to repeat keywords. In other words, should we vary keywords (dog food, puppy food, and Purina) or repeat keywords (dog food reviews, dog food comparison, and dog food rankings.) The short answer is that the repetition is just fine, as long as the meaning of the phrase as a whole is sufficiently varied. In other words, dog food and dog food online are basically synonymous, and the content that one might expect to find associated with both keywords is the same. However, dog food reviews and dog food comparison indicate somewhat different content and therefore are appropriate to be used in tandem as keywords.
Alt text (alternative text), also known as "alt attributes" describe the appearance and function of an image on a page. Alt text uses: 1. Adding alternative text to photos is first and foremost a principle of web accessibility. Visually impaired users using screen readers will be read an alt attribute to better understand an on-page image. 2. Alt tags will be displayed in place of an image if an image file cannot be loaded. 3. Alt tags provide better image context/descriptions to search engine crawlers, helping them to index an image properly.
QUOTE: “Content which is copied, but changed slightly from the original. This type of copying makes it difficult to find the exact matching original source. Sometimes just a few words are changed, or whole sentences are changed, or a “find and replace” modification is made, where one word is replaced with another throughout the text. These types of changes are deliberately done to make it difficult to find the original source of the content. We call this kind of content “copied with minimal alteration.” Google Search Quality Evaluator Guidelines March 2017
There are some basic keyword usage rules you should follow to get started. Unique keywords should be employed on each page of your site in the areas that bots and humans normally look to reassure them that you have what they're after. This includes both the title tag and the body of your content, which leads to an important point: the pitfalls of clickbait. You may believe you're enticing more clicks by offering tantalizingly vague titles for your content, but by disguising what the page is actually about, you're opting out of some of the power of keywords.