Google expects pages to “be edited, reviewed, and updated on a regular basis” especially if they are for important issues like medical information, and states not all pages are held to such standards, but one can expect that Google wants information updated in a reasonable timescale. How reasonable this is, is dependent on the TOPIC and the PURPOSE of the web page RELATIVE to competing pages on the web.
There are many ways to determine which efforts are producing results and which ones aren't. For example, you can study your website's analytics through your web host or by using Google Analytics. Most social media sites provide analytics as well, or you can use tools such as Hootsuite to get social media analytics. Your email service should also provide you with information on the open rates and engagement rates for your emails.
QUOTE: “Returning a code other than 404 or 410 for a non-existent page (or redirecting users to another page, such as the homepage, instead of returning a 404) can be problematic. Firstly, it tells search engines that there’s a real page at that URL. As a result, that URL may be crawled and its content indexed. Because of the time Googlebot spends on non-existent pages, your unique URLs may not be discovered as quickly or visited as frequently and your site’s crawl coverage may be impacted (also, you probably don’t want your site to rank well for the search query” GOOGLE

Try and get links within page text pointing to your site with relevant, or at least, natural looking, keywords in the text link – not, for instance, in blogrolls or site-wide links. Try to ensure the links are not obviously “machine generated” e.g. site-wide links on forums or directories. Get links from pages, that in turn, have a lot of links to them, and you will soon see benefits.

The SEO starter guide describes much of what your SEO will do for you. Although you don't need to know this guide well yourself if you're hiring a professional to do the work for you, it is useful to be familiar with these techniques, so that you can be aware if an SEO wants to use a technique that is not recommended or, worse, strongly discouraged.