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Whether you work in the public or private healthcare sector, only the most competent and proactive audiologists can operate free of politics within their organisation.

Within the NHS, ever-evolving strategies are being deployed by management and commissioning bodies to play the Westminster targets game; a highly frustrating distraction from focusing on helping people and implementing the specialist skillset you trained to practice.

Elsewhere, the larger the private company, the higher the chance of internal politics. In private hearcare, targets, policies and territories can change at the drop of a hat- greatly affecting both earning potential and day to day experience of actually doing the job.

Whilst a job is a means to an end, it should be so much more. However, no matter how good you are at your role, sometimes you have to be proactive and circumnavigate the politics. Sometimes you have to make a change.

If you find yourself going through the motions and don’t currently love what you’re doing enough to want to be the best at it, it is time to get out, or at least formulate a plan for change. Your current working life is not a rehearsal for something else!

Is it time for a change? 

Use the table below to reflect on current situation, to review your options and ascertain what your next move should be.

It is critical to be completely honest about where any career dissatisfaction is coming from.


Suggested Next Step

Is it the nature of the job? Could it be that you have truly and irreversibly fallen out of love with it and audiology is now the wrong career choice for you?


A complete change of career at any age is a major life-changing event. Most hearing professionals have bills to pay and dependents to support. A complete change of career is likely to involve studying to achieve new qualifications and time to acquire experience in the new field, before you can expect to earn anything like you currently earn.

If it is the right thing to do, then this it is going to take hard work and short-medium term sacrifice, but it is eminently achievable if approached pragmatically and in a structured way. For resources to help explore this further go to

Is it the nature of the business/practicing environment that you work in that is the problem?


If you love your patient-facing work, but feel underappreciated or under-rewarded by your employer, then it is time for a change.  Depending on where the problem lies, it may be time to have an honest face to face conversation with your boss. It may be possible to renegotiate your terms of employment and/or deployment.

If it is genuinely a cultural/political problem then it is time to find a new job. Further details of how to approach this can be found in this article, after this table.

Perhaps the blame lies closer to home and it is partly your own mental attitude and approach to work that is letting you down? Sometimes it is easier to blame circumstances and everyone else, when a large part of the dissatisfaction at work may lie firmly on your own shoulders. In life, even the most successful professionals can’t operate 100% in all areas, all of the time; life is not always a bed of roses and sometimes we can fall below the high standards we set for ourselves. Before making any major career-changing decisions, make sure that your own house is in good order. Set yourself a target to review your own performance and attitude for the next month. If you are genuinely giving it everything and are being positive and proactive and still feel unhappy then and only then is it definitely time for a change.  Further ideas on how to get yourself back into peak performance can be found at

How to approach the search for a new hearcare job

Whilst a change is as good as a rest, you don’t want to jump ship from one set of employer’s shortcomings straight into another sub-optimal working environment.

A key to fast-tracking the right opportunity is to identify the right company and the right boss. You should aim to work within a culture that respects high-calibre people and practices pay for performance.

The best companies to work for are dynamic, growing, ones open to new ideas, and full of opportunities for people with ambition initiative and integrity. Getting in early with this type of company makes you a key player and a person of significance to the management, rather than just another number.

With a rapidly aging population, and increasing synergy between audiology and optometry, there are more options for hearcare professional than ever before.

For the purists and the brave, one way to truly avoid politics and to live or die by your results is to go it alone by starting up your own hearcare business. Watch this space for articles and resources on this subject in the very near future.

For a free, confidential consultation about new employment opportunities or if you would like to talk about the possibility of starting your own audiology business then give call Dominic Watson of Audiology Business Central today via 0161 929 8389.