Process improvement is a funny old thing when you look at it over an extended period of time. When the journey started the focus was about relieving some very explicit "pain" in the system and all thought, money and effort would have been addressed to that task. Over time that pain was dulled and was replaced by another "pain" further along the system. Again with time and money this second pain abated - only to be replaced by a third and a fourth etc etc.
As you travel around the continuous improvement mouse-wheel you never get to the end of the pain and of course in reality you probably never will. There is always something else that is the "next best pain" to salve.
The frustrating part for the pain doctors can be the lack of thanks from the patients. Very occasionally you come across people who have been there from the start and still vividly remember the excruciating pain that triggered the whole relationship in the first place - and they realise that the current pain is invariably far less than those of times gone by - and they know it will get eased - and they thank you with a smile and their patience and understanding around the challenges of today - and it is a pleasure.
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