The Job Feels Safe. That's the Trap.

trapped in job

 

You went to university. You passed your pre-reg. You got registered. You built your clinical skills. You know how to look after patients better than most.

And now you are working for someone else—a dispensing optician earning somewhere around £33,000. An optometrist earns somewhere between £55,000 and £65,000. Both working a rota you didn't design, in a practice you didn't choose, building someone else's patient list, and having conversations shaped by someone else's business model.

That is fine, for a while. Most good careers start that way. But if you are reading this and feeling something — a restlessness, a sense that your skills are worth more than your current circumstances reflect — then you already know what this article is going to say.

You are not stuck. You just think you are.

The Illusion of Security

The salary feels secure. The direct debit hits every month. The pension ticks along. The holiday allowance is in writing.

But here is the thing nobody tells you when you take that employed role: security inside employment is not as real as it feels. Practices are bought and sold—Rotas change. Locum hours get cut. The practice manager you liked leaves and is replaced by someone you don't. The owner retires, and the buyer has a different vision. The corporate restructures, and your branch closes.

You are not in control of any of that. The security you feel is borrowed.

Self-employment feels frightening precisely because it removes the fiction. When you work for yourself, you know exactly how secure you are — because you built it. That honesty is uncomfortable at first. Then it becomes the most motivating thing you have ever experienced.

What the Data Actually Says

The standard warning about self-employment is that most businesses fail in their first year. That statistic is real, but it does not apply equally across all sectors.

Optometry and optical dispensing are not speculative businesses. You are not launching a tech startup or opening a restaurant. You have a clinical skill that people need. You have a GOC registration that took years to earn. You have patient relationships, clinical knowledge, and dispensing expertise that cannot be replicated by an algorithm or outsourced to a cheaper market.

The demand for what you do is not going anywhere. The question is only whether you capture the value yourself or hand most of it to an employer.

You Do Not Have to Jump Off a Cliff

The biggest myth about going independent is that it requires a dramatic, all-or-nothing moment. Hand in your notice on a Friday, open the doors on a Monday, sink or swim.

Very few successful independent practice owners actually did it that way. Most of them built something alongside what they were already doing. They tested the idea. They talked to patients. They got their numbers straight before they resigned. They treated the early months as research, not performance.

If you are an optometrist, the options are broader than most people realise. Locum work is one of the most underused bridges to independence. It builds clinical confidence, grows your professional network, and exposes you to how different practices are run — including every decision you would make differently. Many optometrists spend twelve months locuming and emerge with a clear picture of exactly the practice they want to build. Others take a different route: buying into an existing practice, taking on an associate role with equity potential, or building a specialist clinical service — dry eye, myopia management, medical optometry — that differentiates them entirely from the high street model. The clinical specialism route is particularly powerful for optometrists right now. A practice built around a specific patient need, delivered by someone with genuine expertise, commands fee levels and patient loyalty that a general testing practice simply cannot match.

If you are a dispensing optician, the studio model changes the numbers entirely. No testing room. No optometrist salary on your books. A curated frame offer, a proper dispensing conversation, and the clinical skill already in your head. The overheads for a well-structured dispensing studio are manageable on a scale that those of a full optical practice are not. Some DOs have launched from a single treatment room in a complementary health clinic, spending almost nothing on fit-out, and built a loyal patient base from there.

Neither path requires recklessness. Both require a plan.

The Plan Does Not Have to Be Perfect. It Has to Exist.

Before you go anywhere near a lease or a business bank account, sit down with three documents: a simple cashflow forecast, a personal financial runway calculation, and an honest list of what you know and what you will need to learn.

The cashflow forecast does not need to be sophisticated. It needs to answer one question: what does this practice need to take each month to cover its costs, and how many patients does that represent? Work backwards from a number, not forwards from a hope.

The financial runway is personal. Most people who have successfully made the transition to self-employment recommend having between six and twelve months of personal living costs saved or secured before making the move. That is not a rule. It is a cushion that allows you to make good decisions rather than desperate ones in the early months.

The honest skills list is the one people skip, and the one that matters most. Running a practice means doing things that no pre-reg or dispensing qualification prepares you for. Bookkeeping. Marketing. Negotiating with suppliers and equipment companies. Managing a lease. Understanding your tax position. For optometrists considering a specialist clinical model, there is also fee-setting, referral pathway building, and communicating value to patients who have never paid privately for an eye examination. None of these things is beyond you — but knowing which ones you will need help with, and getting that help early, is the difference between a business that survives year one and one that does not.

Get a good accountant before you do anything else. Not a friend who does their own tax return. A proper accountant who works with small practices. The advice they give you in the first six months will be worth many times what they cost.

The Comparison Trap

The moment you start building something of your own, you will begin comparing yourself to people who have been doing it longer. Practices that look polished and established. Optometrists who seem to have figured it all out. Frame walls that seem perfectly curated. Instagram profiles that show the beautiful version of independent practice ownership.

What you are seeing is not their beginning. You are seeing their middle, or their end. You do not know what year three looked like. You do not know which suppliers let them down, which members of staff didn't work out, which months were harder than they will ever publicly admit.

Your first year is not supposed to look like someone else's fifth. Build at the pace your patients, your finances, and your energy actually support. The practices that last are not the ones that launched loudest. They are the ones who kept going.

What You Are Actually Afraid Of

If you are honest with yourself, the fear is probably not about money. Not really.

It is about identity. About what it means to step away from the structure that told you what to do next. Pre-reg had a framework. Employment has a rota. The GOS has protocols. Independent practice is the first time in your professional life when nobody is telling you the answer.

That is terrifying. It is also the point.

Every clinical skill you have was developed by doing something you could not yet do perfectly. Independence is no different. You will not know how to run a practice before you run one. You will learn it by doing it, making small mistakes when you plan carefully, and getting better each month.

The optometrists and dispensing opticians who build independent practices do not do so because they are fearless. They do it because at some point, the discomfort of staying where they were became greater than the fear of building something new.

That moment is different for everyone. But if you are reading this, it might be closer than you think.

If you are ready to start exploring what independence could look like for you, Go Independent is where to begin.

Back to blog

1 comment

A monthly salary, chocolate and cocaine are the three most addictive things. Hard to break

Michael

Leave a comment

Please note, comments need to be approved before they are published.

Thank You to Our Sponsors