Taking cancer on through

Managing Work

Expert advice on how to manage work, return to work or find work after a cancer diagnosis as a patient or carer.

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Changing job or career

Introduction

A cancer diagnosis is life-changing. Many aspects of your life, including your work and how you view it, may have been affected. You may have different priorities now. A diagnosis of cancer may cause you to re-assess your career options and how you want to spend the rest of your working life. Almost half of people working when diagnosed with cancer have had to leave work or change roles as a result of their diagnosis.

Whatever your circumstances, if you are looking for a new job, thinking about starting or restarting a business, or going freelance, there are a few things to consider: when to start looking, what to apply for given your circumstances, what to write in your application, how to handle gaps in your CV and what to say at interviews when you apply for a new role.

It is important to remember that the majority of patients, including those with secondary and metastatic cancer, are very employable. With or after cancer, you can find satisfying and rewarding work, and in many cases enjoy a new career. Indeed, for many, cancer has provided an opportunity for a positive career change and a more fulfilling working life.

How to navigate changing your job or career with or after cancer

Changing your job

There are a number of reasons why you may look for a different job during or after your cancer treatment:

  • Maybe work has become less important or meaningful to you since your experience with cancer

  • Perhaps you took extended leave for treatment and your role, or perhaps the company you worked for no longer exists 

  • Perhaps the long-term physical and emotional side effects of treatment are preventing you doing the kind of job you were doing before treatment, or at least making it significantly more difficult

  • Maybe you didn’t enjoy your role before cancer and are dreading returning to it 

  • Maybe you have been asked to relocate but don’t wish to move

Whatever the reason for your job search, you probably have some short-term and long-term considerations.

Short term decisions

For the short term, it’s usually best to stay in your current job if possible while undergoing or recovering from your treatment. This is because:

  • It provides you with some sort of normality when everything else can seem uncertain

  • It gives you financial stability

  • It will help you gradually phase back into work and regain your confidence, particularly if you are still dealing with physical or emotional side effects

It also important to remember that determining your maximal work capacity, both physically and emotionally, can take time (perhaps 12 months or more). This may mean that you need to stay in a less-than-satisfying job for a while, but in the meantime you can work out a plan to transition into a longer-term, more satisfying role (see below).

If staying in your current job is not an option, you can follow the practical guidance below to help you find a new one.

Bear in mind that it takes a lot of confidence and energy to change jobs, and a new job can be exhausting for someone without cancer let alone for someone receiving, or recovering from, treatment. You should also be aware that you may make more hasty decisions when you are not feeling 100%.

Longer-term career decisions

For many people, experiencing cancer leads them to re-assess their life and priorities, and consider a change of career.

If you are starting to think about changing direction, you’ll need to spend some time and energy on exploring what you’re looking for. What kind of work do you like and has meaning for you? How might it contribute towards a better work-life balance? 

If it’s appropriate, you might want to discuss your longer-term career goals with your current employer. There may be interesting opportunities within your current organisation, or development pathways that you’re not yet aware of. As an alternative, you could work with a career coach to help you consider your options and sketch out a future career path. 

Voluntary work

If you don’t have a job and don’t yet feel ready to apply for a paid position, a temporary volunteering role can be valuable for many reasons. It can:

  • Help build your confidence

  • Give you social interaction

  • Provide structure to your day

  • Help you with your recovery

  • Act as a stepping stone from your old job to a new one

  • Be a great way to ‘give something back to the community’, after receiving a lot of support

Volunteering can also be a good way to test out your physical and emotional stamina and resilience, learn new skills or to practice social interaction without the pressure and commitment of a paid position. Above all, it’s good way of building your CV and can help you cover any potential gaps.

Becoming self-employed or freelance

Maybe your diagnosis made you consider becoming self-employed or freelancing. Avoid dismissing this option just because of your existing health condition; it might offer you the independence and flexibility you need.

The key is to be honest and realistic about your physical and mental capability. See the section about “Self-employment” for more information.

Portfolio career

A portfolio career covers a variety of job types (full-time, part-time, gig worker, freelancer and so on) where you work in various positions or roles simultaneously or at different points in time. For example, someone might have a part-time job as an account manager that pays the bills but doesn’t ‘soothe the soul’, so they pursue their cooking passion with other part-time work as a chef.

You may have multiple interests you want to pursue. Instead of focusing your career development on a single subject, a portfolio career helps you explore your varied interests and develop different talents.

If you want to change careers but are deciding between a few, a portfolio career can help you test out several options without the commitment of a full-time role. Or, maybe after trying out several things, you may learn you prefer to stay in your current job.
 

Route map to a (new) job

Route map to a new job

Route map to a (new) job

Changing your job when you have cancer – practical guidance

Introduction

Your focus during treatment has probably been event-driven, such as the next hospital appointment, getting through radiotherapy and so on. Your active treatment may have ended, and you or others close to you may feel like you should put the experience behind you and return to work. But understandably, your life’s focus may have changed dramatically – you may have different priorities now – and change isn’t always easy to manage. If you have incurable but treatable cancer, you may be uncertain about the future but keen to carry on working, explore opportunities and take on new challenges.

When looking for a new role or career, it is important to:

  1. Understand your strengths
  2. Clarify your direction
  3. Set some goals
  4. Plan to achieve your goals

Take time to reflect on each of the above and discuss them with family and friends or use a career coach to help you.

1. Understand your strengths

The first step is to better understand and note your skills, strengths and personal attributes. Here are some questions to help you understand yourself better and keep track of your findings:

  • What do I enjoy doing and what do I feel passionate about?

  • When have I been happy in a work setting?

  • When have I been complimented for a job well done?

  • What are my skills and core strengths?

  • What ambitions do I have for the future?

  • Which skills would I like to develop? 

The ‘new you’

You are still the same person, but now with different priorities due to the impact of cancer and its treatment. A simple way to find out what has changed in your overall life is to complete the ‘life map’ exercise below. 

The following questions may help you explore the impact of cancer on your life, how you feel about what has changed, and what kind of life you want to lead in future. 

Family

How do you see family life in three years’ time? What do you enjoy doing with your family?

How would you like your relationship with your parents, children, siblings, and other family members to be?  

Finance 

What annual income will you need?

How will any outgoings be managed (e.g., a mortgage)

Will you have a pension or savings to rely on?

Health 

How do you see your recovery progressing?  

What quality of life/health would you prefer if your cancer is irreversible?

What can you do to take care of yourself and those you love? 

Friends 

Do you want to give more or less time to friends?

Do you want to develop new friends or new networks? How would you like to spend time with your friends?  

Material things 

Are there certain things you would like to have or have more of? For example, new car, holiday, new home, technology or labour-saving gadgets? 

Are there ways you can start to save for these now?  

Home 

How happy are you in your current home?

If you are renting, do you want to buy a home?

What improvements would you like to make to your home?

If you want to move, where would you like to go? What kind of area will it be in?

What will the house look like? 

Travel 

Do you enjoy travel?

Are there specific places you would like to visit for business or leisure?

On a more mundane basis, are there any ways to improve your current daily travel?

Relationships 

What is ideal for your relationship with your spouse/partner or for a new relationship if you aren’t in one at present? 


Are you looking for new friends or for better relationships with existing friends?  


What would you like to be contributing to those relationships?

Work 

What work do you want to be doing? What are the options open to you?

Would you like to be self-employed?

What would your ideal work-day look like?

What type of people do you want to have as colleagues? Would you like a more routine job or more variety?

Do you want to travel more/less?

Do you want to work in a town or the countryside or from home?

Me

What changes would you like to see in yourself? Fitter? Better diet? More confident? More assertive? More relaxed? Taking more time for hobbies and pursuits? Reading or studying more? Meditating, exercising? 


What does this changed you look like and feel like?


What kind of person do you want to be?

2. Clarify your direction

This is about considering new possibilities and opportunities, understanding what motivates you and what you would like to achieve in the future. So, it’s important to reflect on:

What motivates you to work? 

For example:

  • Personal integrity/self-respect 

  • Intellectual development/stimulation 

  • Helping others 

  • Working as part of a team

  • Recognition and praise 

  • Money/earnings 

  • Independence/autonomy 

What would you like to have achieved 2 to 3 years from now?

For example:

  • What kind of organisation will you be working and where?

  • What sort of work will you be doing? 

  • Will you be employed, self-employed/freelance?

  • Will you be working full- or part-time?

  • What kind of work-life balance will you have achieved?

  • What would you have like to have achieved at work or outside of work?

3. Set some goals

Given the achievements you have identified above, what goals do you want to set for yourself? In considering these you should:

  1. Think about the results you want to see and by when. Before you set a goal, take a closer look at what you're trying to achieve and whether it is realistic
  2. Create SMART goals. These are:

    Specific

    Measurable

    Attainable

    Realistic

    Time-bound

  3. Write down your goals to help you understand them better and, if possible, discuss and refine them with people you trust
  4. Create an action plan with a timeline
  5. Keep track of how you are progressing, note and learn from what has gone well and what has not

4. Plan to achieve your goals

Here are some of the key things you will need to do to achieve your goals:

  • Use your network and social media to explore and develop opportunities 

Networking could be a very effective way of finding your next job and these days is almost a necessity. It helps you make a professional approach to prospective employers. Research shows that most people now find work by following up on leads suggested by people they know – friends, family, ex-colleagues, clients or suppliers – rather than by applying for jobs directly. 

You should also review your use of social media. LinkedIn is a networking site for business professionals and is increasingly being used by employers posting jobs and job-seekers posting their CVs.

Regarding other forms of social media, please remember that recruiters are increasingly putting candidates’ names into search engines to check out their profiles. If you decide to share your story online, know that anything you put on the internet could become public and you may be disclosing all this information, including your cancer, to current or future employers.

  • Review and refresh your CV

A good CV will double your chances of getting an interview. The time and effort you give to developing your CV is worth the investment. 

You will find various examples of CV layouts on the internet. You should:

  • Use organised, concise wording – avoid rambling sentences and paragraphs

  • Focus on your achievements, not daily tasks or duties. Write what you did, why it was important, how it is relevant now

  • Make sure your spelling and grammar are correct – avoid abbreviations and jargon

  • Include your personal contact details and a appropriate email address

  • Avoid irrelevant information that does not differentiate you 

  • Keep to two pages or less. Avoid extreme typefaces, visual effects and photographs

  • Prepare for your interview 

Competency questions are common at most job interviews. They create an objective assessment of a candidate’s experience, and the qualities that make them suitable for the job. Competency-based questions usually start with phrases such as “tell me about a time when you...”, or “can you give me an example of when you...”.

A well-known technique to help you to answer competency-based questions is STAR:

  • Situation – set the scene

  • Task – describe the purpose

  • Action – explain what you did

  • Result – share the outcome

Create your own list of STAR examples to prepare yourself for an interview.

Should I disclose my cancer? Explaining gaps in your CV

Disclosing your cancer is a personal decision but there is no legal requirement to tell a prospective employer that you have or have had cancer. 

Although in many countries it is illegal for employers to ask specific questions about your health, it’s not out of the ordinary for them to inquire about a gap in employment. The key here is to be prepared and decide on your answer ahead of time. The best answer is brief, expressed in general terms and focused more on the future rather than on the past.

If you are asked to explain a gap in your CV you might say:

a)    If you don’t want to mention your cancer:

“I went through some personal difficulties that are now resolved and I am keen to return to work.”

OR

“I realised that what I was doing didn’t fulfil me, so I took a step back to think about what would make me happy. I think my skills and values fit better with your organisation.”

b)    If you are willing to disclose your cancer diagnosis:

“I had treatment for cancer. This is now all behind me and I am eager to develop my career.”  

Practice saying this with confidence – after all, you have nothing to be ashamed of!

And finally, four top tips for an interview

  1. Be prepared: research the company website so you understand as much as possible about the organisation and the area where you might be working
  2. Practice your interview with a friend
  3. Be positive – believe in yourself and your abilities. Share your skills and knowledge relevant to the role and the personal qualities that make you a great person to have as part of a team
  4. Listen as well as talk: aim to make the interview a discussion with a balance of questions and listening on both sides

Changing your job as a carer once your caring responsibilities have ended – practical guidance 

Introduction

You may have spent the last few months or years juggling work and caring responsibilities, possibly undertaking work that you didn’t really enjoy, but which at least paid the bills.

Now, with your caring responsibilities at an end, you may want to do something different, perhaps more interesting or better paid, or if your loved one has passed away you may need to find a job that accommodates your changed circumstances (e.g., you are now the sole carer for your children).

So where should you start looking, and how? This guidance has been designed for carers looking for a new job or career after their caring role has ended.

What’s different now?

The first step is to look at how your situation and your needs have changed.

For example, you might:

  • Have become the (main) breadwinner

  • Need to downsize or move house

  • Have become a single parent

  • Want to move closer to family and/or friends

  • Decide to take early retirement and, for example, start travelling more

  • Want to look for a less stressful job 

  • Want to look for a more fulfilling role

  • No longer be under the same financial pressure to earn

  • Want to build on your caring role experience and turn this into a new career 

A lot depends on your personal situation in terms of what’s changed and how you see your future. 

Plan for the future

For many people, the biggest challenge they face in considering a career change is inertia. They want to change roles, but they don’t want to risk the security they have in their current job and are worried about what their family and friends will think. The first step can be daunting. It’s when you start to act that things start to change and you can start moving on with your future. 

If circumstances are forcing you to change your job in the short term, there are two things you should consider: 

  • It’s best not to resign from your current job before you have a new one, especially if you are the (main) breadwinner

  • Can you use your caring skills as ‘transferable skills’ to help you find a new job?

When considering changing your job in the long term, follow the steps as outlined above (either for employees with cancer or carers) to help you find a new role that best fits your changed circumstances.