The Fresh Group has been ranked the top agency outside London by the Recommended Agency Register.
The Cheshire agency was placed at number one in the annual RAR Top 100 Marketing Services Companies outside of London list, which was published today.
HPS Group came second, while McCann Erickson Communications House, Brilliant Media and Brightsource completed the top five.
The RAR Top 100 looks at how profitable agencies are, how well they are growing, and how efficient they are in terms of turnover per head of staff. You can read more about how the list is compiled here.