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 articleA balance clinic mixes specialist tests with repeated rehabilitation sessions. Patients arrive dizzy and fearful, so the skills of the audiologist, therapist and desk decide whether they return for the full course.

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Share your requirementsA vertigo and balance clinic assesses people who feel dizzy or unsteady. An ENT or neurologist leads, and audiologists run tests that record eye movement and inner ear function. Vestibular therapists then guide exercises and manoeuvres over several weeks. Patients may feel sick during tests, and some cannot travel alone. Sessions are long and tests often need dim rooms and special equipment. Falls are a real risk, so staff handle patients with care at the door, the chair and the stairs. Rehabilitation depends on attendance, and patients stop when they feel better or when travel is hard. The team is small and highly specialised, so a single resignation can disable a test. See also HR for hospitals.
These are the places the people side of this kind of business tends to give way. The rest of this page works through them.
HR here has to work for each of these groups, not only the office. The set-up below is written with all of them in mind.
GullyHR runs talent acquisition for permanent roles in vertigo and balance clinics. For each role we agree the job description with you, find and screen candidates against it, and support the offer through to joining. Tell us the role and the number of people, and we start there.
We recruit permanent employees. We do not supply contract or temporary staff.
Every business interviews, but few have a written process that works the same way for every role and every interviewer. GullyHR designs yours, from the role brief to the offer, trains your managers to run it, and can run it for you on the roles you hand us.
We agree what the role must deliver, the must-have and nice-to-have skills, and how each will be scored.
Screening call, assessment, interview rounds and decision points, sized to the role and the number of people you hire.
Structured questions for each role family and a rating guide, so two interviewers judge the same answer the same way.
A short briefing for your managers on what to ask, what to avoid and how to give a clear yes or no.
Who approves, how the offer is made, and how candidates are kept informed from first call to joining.
Only one audiologist runs a particular test. When she is absent, patients are rebooked and anger rises.
Dizzy patients are moved by whoever is free. Handling is improvised and sometimes unsafe.
Nausea and vomiting are common in some tests. Cleaning and calming are left to chance.
A two-hour test, a late patient and a missing assistant push the whole afternoon behind.
After two sessions the patient feels better and stops, and the course is incomplete.
Elderly patients come with relatives who need seating and guidance, and the desk is stretched.
Delicate equipment is shared and cleaned unevenly, and damage is not reported.
Therapists are given a mix of home advice calls, exercise teaching and paperwork, with no clear target.
Start with the topics that matter most here: Learning and Development; Health, Safety and Wellbeing; Retention and Attrition Management. Then work through the rest. Each topic is written for healthcare, not in general.
Training planned from need rather than from the calendar.
Induction, records, incident reporting and follow-through.
Who leaves, when, why — and which of them mattered.
How many people, in which roles, by when — and what they will cost.
Structure, reporting lines and who is allowed to decide what.
Requisition to joining, the same way every time.
A first day that is the same for the fifth joiner as the first.
Records, attendance, leave and the day-to-day HR that must simply work.
Salary structure, payroll inputs and a month that closes on time.
Goals, reviews and ratings that hold up in a conversation.
Named backups for the roles that cannot be vacant.
Communication, recognition and the conditions people actually work in.
Two routes — one for complaints, one for conduct — kept separate.
Policies a manager can apply, and obligations with owners and dates.
Resignation to relieving letter, in a defined order.
Records that survive people, and approvals that do not queue.
A short monthly pack management actually reads.
An HR function that runs the same way every month.
The pieces a vertigo and balance clinics business puts in place, in an order that makes each easier. Open any card for the detail.
Who can run each test, who has watched whom and when it was last reviewed.
Who can run each test, who has watched whom and when it was last reviewed. The learning and development process holds them.
How to guide a dizzy patient from door to chair, who helps and how falls are reported.
How to guide a dizzy patient from door to chair, who helps and how falls are reported. The workplace health, safety and wellbeing work covers it.
Test slots with room for lateness and clean-up, and rosters that match test days.
Test slots with room for lateness and clean-up, and rosters that match test days. The attendance, shift and leave process sets them.
Calls before each session, a short motivation script and a named person who chases missed ones.
Calls before each session, a short motivation script and a named person who chases missed ones.
Cleaning between patients, storage and a fault log, taught in the employee onboarding process.
Cleaning between patients, storage and a fault log, taught in the employee onboarding process.
What is included in a session, what is advice by phone and how time is recorded, kept in the HR documentation process.
What is included in a session, what is advice by phone and how time is recorded, kept in the HR documentation process.
Before changing anything, find out what is true today. These checks take an afternoon and tell you which of the topics above to start with.
Share your requirementsConfirm 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.
The services below fit this kind of business best. Each starts by recording where you stand, and every later report compares against that. We do not promise outcomes.
Cross-training and records so one resignation does not stop a test.
Safe patient handling and cleaning routines for a clinic where falls and nausea are real risks.
Rosters that match long test days and protect therapist time.
Role notes for therapists and technicians so workload and records are clear.
Start with a free conversation, or see the paid HR Diagnostic.
Understand the hospital, its workforce, current processes and HR challenges.
Find the missing, weak, inconsistent or person-dependent processes.
Create the structure, processes, policies, SOPs, dashboards and systems needed.
Help HR and department managers actually adopt the new system.
Digitise repetitive and approval-based workflows where it is worth doing.
Track hiring, attendance, employee cost, performance, training and attrition.
Strengthen the people-management system continuously, not once.
From the GullyHR blog: one on HR in healthcare, and one on each of the topics this page points to.

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Cross-train a second person and arrange a visiting specialist for planned leave. Tell patients early and rebook with a priority slot.
Train all staff in a simple routine: stop, support, slow pace and call for help. Record any near-fall and review it monthly.
Book the full course up front, remind patients and call those who miss. A short explanation of why every session matters helps.
Time a sample of real tests and add a buffer for lateness and clean-up. Planning to the average guarantees a late afternoon.
Count sessions, but also set aside time for planning, family advice and records. Write the role note so the therapist is not judged only on session count.
We would ask who runs each test, how patients are guided and how rehab attendance is tracked. A good opening project is a competence record plus a recall routine. Scope is then written down for you to accept or change.
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