Driving delivery, measuring performance, reward grants are all phrases that describe strategic action. But the behaviour that is required by Michael Lyons in his influential report will need a lot more communicative action. Consider how bizarre it would be to set an obese person government targets for being less overweight and using hierarchichal methods to impose them?
In the first place people who are obese must agree that they are overweight, that this is not a good thing for them (or society) and that collectively something can be done about thier situation. This is the adaptive challenge identified by Ron Heifetz as the “gap between a desired state and reality that cannot be closed using existing approaches alone. To make these changes the patient will have to take responsiblity for his health and learn his way to a new set of priorities and habits“.
