{"id":47570,"date":"2020-05-20T17:54:39","date_gmt":"2020-05-20T16:54:39","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=47570"},"modified":"2020-05-20T17:54:39","modified_gmt":"2020-05-20T16:54:39","slug":"richard-smith-learning-from-a-four-star-general-on-leading-in-a-time-of-pandemic","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/20\/richard-smith-learning-from-a-four-star-general-on-leading-in-a-time-of-pandemic\/","title":{"rendered":"Richard Smith: learning from a four-star general on leading in a time of pandemic"},"content":{"rendered":"<p><span style=\"font-weight: 400\">No matter what you think about the US, war, or the invasion of Iraq, you can\u2019t help thinking that a four-star general who has led several hundred thousand people in a surge to bring some sort of order in Iraq must have something useful to say on strategic leadership and responding to the covid-19 pandemic. And David Petraeus, who has more the air of a professor than a soldier, did not disappoint in a talk at the London School of Economics last week.<\/span><\/p>\n<p><span style=\"font-weight: 400\">For him strategic leadership has four tasks, and the first task\u2014without which nothing happens\u2014is to have what he called \u201cthe big idea,\u201d\u2014the strategy. For him in Iraq the big idea was the \u201csurge,\u201d to increase not decrease the number of troops in Iraq, to try and bring some more order to a country on the brink of civil war. Interestingly, Petraeus said later in his talk that he did not use terms like victory and defeat; rather like an epidemiologist he looked for an improvement in the \u201cmetrics.\u201d \u201cYou live and die by metrics,\u201d he said.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The big idea with the pandemic is, he said, to try and minimise deaths by testing, contact tracing, and isolating. But he recognised that if that strategy fails, as it has in both the US and UK, then you have no choice but to lockdown for a while. He thought that the big idea with the pandemic is largely agreed and that \u201clives versus livelihood\u201d was a false choice because people would have no confidence to restart the economy if they thought their health at risk.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Petraeus was not asked what he thought of leadership in the US and UK, as if it had been agreed beforehand that he would not be asked about that, but he was asked about the problem of \u201cmanaging upwards.\u201d He answered that you tried to persuade, concentrating on arguments that you thought would work for the leader, but he was clear that \u201cyou don\u2019t win all the time.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">The second task of strategic leadership is relentlessly to communicate the big idea. Before the surge he had to convince a highly sceptical Congress to fund the surge. He was honest that things would get worse before they got better. Having communicated upwards, you then need to communicate to the troops. He was clear that leading an army was different from leading a country, but even with an army you need to convince everybody of the worth of the big idea. If you are reduced to saying \u201cyou must do it because I say so\u201d you won\u2019t do well even with an army. In the war Petraeus communicated directly with those immediately under him but also used video and written material to communicate with the troops.<\/span><\/p>\n<p><span style=\"font-weight: 400\">It goes without saying that the message must be clear, particularly in a war, and I heard Petraeus speak the day after the \u201ccar crash\u201d of Boris Johnson\u2019s attempt to communicate his \u201cbig idea\u201d on managing the pandemic to the British people; and the day afterwards I watched comedian <a href=\"https:\/\/edition.cnn.com\/2020\/05\/11\/uk\/matt-lucas-boris-johnson-video-scli-intl-gbr\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Matt Lucas\u2019s demolition<\/a> of Johnson\u2019s attempt at communication.<\/span> <span style=\"font-weight: 400\">In contrast, Petraeus spoke of the formidable communications skills of Johnson\u2019s hero, Winston Churchill.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Churchill was also strong on the third task of strategic leadership\u2014an intense concentration on implementation: hiring the right people; getting the funds; providing equipment; setting the right metrics; and adapting from day to day.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Thinking of the pandemic in the UK and the US, we see an \u201carmy going into battle\u201d with inadequate equipment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The fourth component of the strategic leadership is a formal mechanism for learning and adapting the big idea and the means of implementation. In the Iraq war it was necessary to move from fighting the various opponents to reconciliation. We had, Petraeus said, to sit down and talk with people we had been fighting just a few weeks before.<\/span><\/p>\n<p><span style=\"font-weight: 400\">There is no learning without recognition of what is going wrong, and leadership in both the US and UK seems to have difficulty talking about what has gone wrong and what changes will be needed.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In questioning, Petraeus was asked about the importance of answering \u201cHow will this end?\u201d Unsurprisingly he doesn\u2019t know how the pandemic will end, but he imagined a point where people would be able to test themselves everyday and communicate the results with their phones\u2014allowing immediate contact tracing and isolation.<\/span><\/p>\n<p><span style=\"font-weight: 400\">He was asked as well about leading on multiple issues at once. He referred to when he was responsible for an area stretching from Pakistan to Somalia: there were wars in Afghanistan, Iraq, and Yemen, pirates off the coast of Somalia, and \u201cterrorists everywhere.\u201d You are, he said, like a circus performer, trying to keep multiple plates in the air at once. You must decide which plates you can\u2019t drop, and for world leaders now the two plates are the pandemic and climate change.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Finally, he was asked about global leadership in the pandemic. This is not, he said, a time for recriminations. Instead, he emphasised the importance of working together globally by saying \u201cNo one is safe unless everyone is safe.\u201d<\/span><\/p>\n<p><em><strong>Richard Smith<\/strong>\u00a0was the editor of\u00a0<\/em>The BMJ<em>\u00a0until 2004.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>No matter what you think about the US, war, or the invasion of Iraq, you can\u2019t help thinking that a four-star general who has led several hundred thousand people in [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/05\/20\/richard-smith-learning-from-a-four-star-general-on-leading-in-a-time-of-pandemic\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":47572,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[955],"tags":[],"class_list":["post-47570","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-smith"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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