Our analysis echoed Kingdon’s distinction between the governmental agenda (the list of subjects getting attention) and the decision agenda (the list of subjects considered for active decision-making). According to one participant “It’s one thing signing of the policy document and there are a lot of policy documents, it’s another thing to see it into action”. Getting to the management table was not the final step before action; diabetes joined a list of issues for prioritisation by the executive. While hindsight imposed a sequence on the approval process, at the time the path to implementation was not well-defined. The gap between approval and action was one of the most com- monly cited frustrations of the EAG experience.