Organisations world over are searching for elements that constitute continuous organisational success. They are searching for effective approaches to management that offer organisations competitive advantage. Customers are looking for excellent products and services so the search is on the factors that do not cause a one-time good result but sustainable high performance and identifying these approaches is of paramount importance and success to a greater extent hinges on the capability of the organisation’s management team. The key success factor is managers’ enhanced ability to identify factors that determine the continuous success of high performance in line with organisational purposes based upon their missions. Therefore, creation of HPOs is driven by managers who provide effective leadership and know precisely what their organisations collectively envisage to achieve, and then devise effective strategies and actions to achieve the organisational goals, measure how well their organisation are collectively achieving their goals, and use such evaluation results to improve the operations and service delivery. Everything rises and falls on leadership as leadership is cause and everything else is effect.