Advisory

An Operating Model a Public Health Agency Could Actually Run

Redesigning structure and accountability so the agency could respond without reorganising each time.

Stone pillar against a dark wall

Client

National public health agency

No. of Employees

6,500 employees

Scope

Operating model, accountability design, and surge decision protocols

Engagement

18 months

Time to stand up a response team

Reduced from 11 days to 3

Duplicated reporting lines

Eliminated across 14 functions

Staff clarity on accountability

Improved from 52% to 84%

The agency had reorganised three times in six years and still struggled to respond quickly. Rather than another structure, the engagement built standing accountability for recurring decisions, and a small surge model for the exceptions.

The situation

Each reorganisation had been a reasonable response to the last failure, and each had left behind reporting lines nobody removed. Fourteen functions were reporting the same information twice. Under pressure, the agency reverted to improvisation, which worked and then exhausted the people doing it.

The brief asked for a new structure. The engagement argued against one.

How the work ran

Eighteen months, mostly spent on the ordinary rather than the exceptional. Recurring decisions were given standing owners and standing forums. Only then was a surge protocol designed, on the assumption that exceptional response is only as fast as the routine underneath it. Duplicated reporting was retired function by function. Companion material sits in the insights archive.

What changed

Standing up a response team went from eleven days to three, duplicated reporting lines were eliminated across fourteen functions, and staff clarity on accountability rose from 52% to 84%. No boxes were moved on the organisation chart. Enquire about this work.

Discuss a similar mandate

Turn this insight into an advisory conversation.

Engage this work as a focused advisory session, whether through a keynote, facilitated workshop, fireside, or closed board discussion. Share the context and decision at hand, and you’ll receive a considered response within two working days.

Advisory

An Operating Model a Public Health Agency Could Actually Run

Redesigning structure and accountability so the agency could respond without reorganising each time.

Stone pillar against a dark wall

Client

National public health agency

No. of Employees

6,500 employees

Scope

Operating model, accountability design, and surge decision protocols

Engagement

18 months

Time to stand up a response team

Reduced from 11 days to 3

Duplicated reporting lines

Eliminated across 14 functions

Staff clarity on accountability

Improved from 52% to 84%

The agency had reorganised three times in six years and still struggled to respond quickly. Rather than another structure, the engagement built standing accountability for recurring decisions, and a small surge model for the exceptions.

The situation

Each reorganisation had been a reasonable response to the last failure, and each had left behind reporting lines nobody removed. Fourteen functions were reporting the same information twice. Under pressure, the agency reverted to improvisation, which worked and then exhausted the people doing it.

The brief asked for a new structure. The engagement argued against one.

How the work ran

Eighteen months, mostly spent on the ordinary rather than the exceptional. Recurring decisions were given standing owners and standing forums. Only then was a surge protocol designed, on the assumption that exceptional response is only as fast as the routine underneath it. Duplicated reporting was retired function by function. Companion material sits in the insights archive.

What changed

Standing up a response team went from eleven days to three, duplicated reporting lines were eliminated across fourteen functions, and staff clarity on accountability rose from 52% to 84%. No boxes were moved on the organisation chart. Enquire about this work.

Discuss a similar mandate

Turn this insight into an advisory conversation.

Engage this work as a focused advisory session, whether through a keynote, facilitated workshop, fireside, or closed board discussion. Share the context and decision at hand, and you’ll receive a considered response within two working days.

Available for a limited number of engagements each year.

One email a month. A talk, a paper, or an argument I’m still having with myself.

Elsewhere

Available for a limited number of engagements each year.

One email a month. A talk, a paper, or an argument I’m still having with myself.

Elsewhere

Available for a limited number of engagements each year.

One email a month. A talk, a paper, or an argument I’m still having with myself.

Elsewhere

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