Social workers always strive for an intricate balance between the competitive demands of different discourses of accountability. However, the neoliberal welfare regime, which privileges the ideologies of free market choice and managerial control, has synchronized the different discourses into a neoliberal discourse of accountability. Using Hong Kong as an example, this article examines how this discourse is put into practice and how it demoralizes the social work profession. To resist this discourse, social workers may need to work reflexively with their service users in and outside their workplace.