01
You are not hiring once, you are hiring repeatedly
The cost that shows up in the accounts is the salary. The cost that does not is the gap: the weeks between one person leaving and the next being useful, during which calls ring out and nobody follows up with anyone.
Front desk roles turn over quickly, and in a single-doctor clinic there is no bench. One person leaving is the entire function leaving.
02
The leave lands when you can least afford it
A receptionist going home to her native place is often gone for weeks rather than days, and festival leave clusters on exactly the dates patients have time off work to visit a clinic.
So the desk is least staffed in the periods it would have been busiest. That is not bad management, it is what happens when a function depends on one person being physically present.
03
The person you hire may not want the software
There is a second failure that nobody plans for: the person at the desk is the one who has to use whatever system the clinic buys, and she may simply not want to. We have been told as much, directly, by an assistant who keeps patient files by hand and said she dislikes technology.
A tool that only works if a reluctant user operates it correctly every day is not a solution to a staffing problem. It is another thing that depends on the same person.
04
What does not resign
Insor answers on the clinic's own number at 9pm, on a Sunday, during festival week and while the desk is unstaffed. It does not take leave, does not resign and does not need retraining when someone new arrives.
It also does not replace her. One receptionist plus Insor covers what would otherwise need a second hire, and keeps covering it during the weeks she is away.
