I have always thought that lean is much more than improving the 
efficiency of existing equipment, factories, supply chains, hospitals and 
service facilities. Lean teaches us to learn to see and improve the 
processes we are responsible for. It also challenges us to look up and out 
and cooperate with others to streamline the whole process from end to 
end, often across several organisations.  
But ultimately lean is about re-examining the end product or service being 
delivered to customers. Does it really meet their needs at an acceptable 
cost without wasting their time? And is it sustainable and can it continue 
to generate an adequate return on investment? If we are honest we would 
have to conclude that in many cases it does not – we are actually 
delivering the wrong product through the wrong facilities in the wrong 
place using the wrong equipment. Our business model is actually a relic of 
the era of mass production and mass consumption.   
Recognising this dilemma does not solve it! One of the key constraints 
may be the technology – which is still being designed by engineers 
resolutely focused on developing the next bigger, all-singing all-dancing 
piece of equipment. Other constraints may be the drag of existing assets 
and careers tied to the existing business model.  
However lean engineers are always thinking about developing right-sized 
tools and lean entrepreneurs are always thinking about how these might 
be used in new business models that ultimately replace existing providers. 
We can see similar opportunities in the three great growth industries of 
our time - transportation, communications and healthcare.  
One of the examples readers remember from 
Lean Thinking
 is the holiday 
flight to Crete, which took 13 hours door to door for 7 hours of actual 
travel time. Very little has changed about the process of flying on holiday 
in the last decade – except you can do it more often, from more places, to 
more destinations and for a lot less money. You just squeeze your knees 
between the seats, switch off with a good book and look forward to 
getting there. 
Things have not got much better when we travel on business. In some 
cases they have got worse – it is a nightmare trying to schedule 
convenient connections between medium sized cities in Europe - and a 
growing hassle connecting through massive hub airports. I just spent five 
days getting up before the crack of dawn and taking two flights via hubs, 
in order to do a day’s work. Smaller jets carrying business travellers are 
now relegated to distant parking stands and often, after two bus trips and 
fighting my way through the terminal, I end up boarding the plane next to 
one I just left! In an exceptionally crazy 70 hour week I did 23 hours of 
valuable work – and then spent the weekend recovering my sanity! 
But help is on the way. Video conferencing is getting better all the time – 
making some trips unnecessary. But equally the advent of the new very 
light jets promises to usher in a new era for the business traveller. In 
Lean Solutions 
we showed how point-to-point on-demand air taxi 
operations from local airports could save us all a lot of time and hassle. 
The Eclipse, the Hondajet and others from Cessna and Embrair are just 
the beginning of the story. Building and financing a viable business model 
and the necessary air traffic infrastructure come next. However the impact 
on the existing airlines and airport operators is likely to be profound.  
This is a similar story to what has happened in communications – the PC 
replaced the mainframe and mobile operators are now challenging old 
telecom monopolies. I think we are on the threshold of a similar revolution 
in healthcare delivery.  
There is a growing recognition that bringing diagnosis and treatment closer to patients rather than centralising them in big general hospitals 
will improve outcomes for many while saving time and cost. Health 
entrepreneurs and even retailers are thinking about new healthcare 
business models. This in turn depends on equipment providers developing 
smart, right-sized diagnostic and treatment equipment that can be used 
for self-diagnosis in the home or in local treatment centres. Existing 
equipment suppliers still seem wedded to bigger machines. Who is going 
to provide the right-sized technologies to make this happen?  
Yours sincerely 
Professor Daniel T Jones
Professor Daniel T Jones
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