Why hospital staff leave and how to understand why
Nurses, doctors, technicians and support staff leave hospitals for different reasons. How to run a respectful exit conversation, spot patterns and act.
7 min readRead articleAn eye clinic with an optical shop is part clinic and part retail. Here is how to run the people side across the test room and the showroom.

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Share your requirementsAn eye care clinic examines vision and eye health, then often sells the spectacles, lenses and contact lenses that follow. The team is mixed: optometrists and sometimes ophthalmologists in the consulting rooms, optical assistants and dispensing opticians on the showroom floor, and technicians who cut and fit lenses in a small workshop. Many practices run several branches or kiosks inside malls and hospitals, open late and on weekends. Staff on the floor are expected to advise on frames and lenses and also to sell, with incentives tied to what the customer buys. Eye tests need calibrated equipment and a clear record of each patient's prescription. See also HR for healthcare. What makes HR different here is that two cultures share one counter: a clinical team trained to advise without pressure, and a floor team paid partly to close a sale.
Who does the work
Sales targets clash with advice
A floor team paid on what the customer buys can push higher-value lenses, and the optometrist who advised something simpler sees the clinic's name at stake.
Branches rely on one optometrist
When the only optometrist at a branch is on leave or resigns, testing stops and the shop becomes a place to browse.
Incentive plans are hard to follow
Commission varies by frame, lens type and brand, staff cannot predict their month, and disputes follow at the close.
Workshop skill sits with a few people
Fitting and finishing lenses depends on technicians who learned by years of practice, and an exit leaves delays and rework.
Late opening and mall timings
Long hours and weekend footfall wear down floor staff, and rosters are set by the mall rather than by the team.
Eye camps and outreach add a second operation
Screening camps in schools and communities pull optometrists and assistants away from the shop, with little planning for cover.
Split clinical and sales roles in writing
State who advises, who sells and who handles the prescription, so the optometrist's advice is never overruled by a target. The organisation design work supports this.
Design incentives staff can calculate
A short plan with few variables that a dispensing assistant can work out at the counter, plus a monthly statement. See performance management and incentive design.
Plan optometrist cover across branches
A rota or a standby optometrist so a branch is not left without testing, and a visiting schedule where one person serves several shops.
Document lens workshop know-how
Step-by-step job cards for the common fitting and finishing tasks, and a junior technician paired with each senior one.
Build a fair roster for mall and weekend hours
A rotating schedule with rest days that accounts for peak days, defined in the attendance and leave process.
Confirm with a qualified professional. What applies to you depends on your business, your state and your arrangements, and it changes. This page describes practice. It does not state a legal position.
Incentive plans that reward good service and sales without pushing staff to sell what the customer does not need.
Rosters that cover late hours, weekends and optometrist absence across branches.
A pipeline for optometrists and opticians in scarce supply, with a structured way to assess skill and fit.
Practical training for floor staff on listening, explaining choices and handling complaints about fit and price.
Every engagement starts by recording where you stand, and every later report compares against that. We do not promise outcomes. Start with a free conversation, or see the paid HR Diagnostic.
From the GullyHR blog: one on HR in healthcare, and one on each of the topics this page points to.

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Keep the optometrist's role separate from the sales target, and pay them on their own measures such as quality of examination and patient feedback. Put the separation in writing.
Keep them simple and predictable, tie them to a few things the person controls, and give a monthly statement. If staff cannot work out their pay themselves, disputes will follow.
Plan for it in advance with a standby or a visiting rota. Otherwise testing stops, walk-in customers leave and the branch loses its main draw.
Yes. Without a clear step from junior to senior, skilled technicians leave for better pay elsewhere. Document the tasks and grade them by skill.
Plan camps in the roster in advance, name who covers the branch and keep camp work within a fair limit per person. Treat camp days as part of someone's schedule, not extra.
We would read your incentive plan to a floor assistant and see whether they can predict their pay, list who tests at each branch when the optometrist is away, and find which workshop tasks only one technician can do. A sensible first piece of work is separate clinical and sales roles in writing. Scope is agreed in writing afterwards.
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