It is not uncommon to hear of a lack of autonomy, frustration with middle management, and working conditions that inhibit rather than promote focus on the job at hand.
If that job at hand has:
A clear objective.
Tasks that are not simple or repetitive
Then it is possible to create self-directed teams who decide when and how to do the work.
The Buurtzorg model shows us that you can’t cure a person by sitting behind a desk or in a meeting room but you can create change when you strengthen relationships between those who promote and optimise health.