I think that it's great that BF rates have been improved with this scheme, as another poster has said anything which improves BF uptake has to have some positives. I do have some reservations though, not about giving people incentives to BF, we do incentivise behaviours all the time, and it's clearly effective. I just think that it's not enough to solve the problem, if you consider low rates of BF to be a problem.
I think we need a huge culture change. We need more visible vocal support and guidance for those who do wish to BF, in the hospital, and at home after the birth, without shaming those who do not or cannot BF. Community midwifes and BF supporters should have the ability to spend as much time as it takes supporting new mums to establish BF with baby. I also think we need a cultural change in terms of family support as a whole. I'd love to see it become the norm that new dads are able to take longer periods of time off work, or to work more flexibly, in order to support Bf'ing mums. How many women do we see on here saying 'I do all the night feeds because DH has to go to work, and he needs his sleep'? Dads who have the flexibility and can provide more support will make it easier on mums to establish and maintain BF'ing.
I think we also need to look at how BF'ing is seen in wider culture. We rarely see babies being BF on tv, or in movies, and this normalises formula feeding as the default way of doing things if that's what people see over and over again.
Finally I think we need to move away from this idea of 'breast is best' and focus more on what is good for the family as a whole. If, given the right information and support, you can BF and choose to do so, then great. If that doesn't work for you, for whatever reason, they you should have the support to feed baby in the way that works best for you and your family. But without access to all of the information and all of the support, you can't make informed decisions.
I suspect a large aspect of the success of this scheme was that people accessed information and support about BF, where they might have dismissed it in the past. The financial incentive got people to sit up and take notice, where they had not been interested or even aware in the past. It would be interesting to know if there are other ways that you could get that message across to people, without using a financial incentive.