Following on from my post of a month ago regarding the difference between service (product) and process and in addition to these two aspects there is the input from the clinician. I’ve thought a bit more about the ‘product’. Maybe there is a split between ‘healthcare’, the realisation process, and ‘treatment’ which is more aligned with the word ‘product’. Additionally there is the diagnosis, maybe that also is more aligned with ‘product’ also. I think that this is important for ‘improvement’ to be effective and is very worthy of debate here.