Table 6 Round two results: to what extent do you agree that the following considerations do actually-in practice-inform decisions to carry out decommissioning?
Consideration | Strongly disagree | Disagree | Agree | Strongly agree | Do not know |
|---|---|---|---|---|---|
Cost/budgetary pressures | 3.7 | 0 | 22.2 | 74.1 | 0 |
Government intervention (e.g., legislation) | 7.4 | 3.7 | 37.0 | 51.9 | 0 |
Capital costs/condition (buildings, maintenance) | 3.8 | 15.4 | 42.3 | 30.8 | 7.7 |
Quality and patient safety | 0 | 7.4 | 66.7 | 25.9 | 0 |
Complexity of implementation of decommissioning | 0 | 29.6 | 40.7 | 18.5 | 11.1 |
Support from clinicians | 7.4 | 18.5 | 37.0 | 33.3 | 3.7 |
Cost-effectiveness/efficient use of resources | 3.7 | 22.2 | 48.1 | 25.9 | 0 |
Support from industry and other interest groups | 7.4 | 29.6 | 37.0 | 14.8 | 11.1 |
Clinical effectiveness | 3.7 | 11.1 | 74.1 | 11.1 | 0 |
Availability of alternative services/interventions | 3.7 | 29.6 | 44.4 | 18.5 | 3.7 |
Cost of implementation of decommissioning | 0 | 33.3 | 48.1 | 14.8 | 3.7 |
Alignment with strategic priorities | 7.4 | 29.6 | 37.0 | 22.2 | 3.7 |
Support from elected politicians | 11.1 | 14.8 | 51.9 | 22.2 | 0 |
New service developments/innovations | 8.0 | 28.0 | 44.0 | 16.0 | 4.0 |
Prejudice against public sector provision | 3.7 | 51.9 | 22.2 | 7.4 | 14.8 |
Duplication of services | 7.4 | 33.3 | 40.7 | 14.8 | 3.7 |
Responding to changing demographics/population needs | 7.4 | 37.0 | 40.7 | 11.1 | 3.7 |
Evidence-base | 3.7 | 37.0 | 51.9 | 7.4 | 0 |
Impact on workforce | 3.7 | 59.3 | 18.5 | 14.8 | 3.7 |
Patient and public views | 11.1 | 40.7 | 37.0 | 7.4 | 3.7 |
Maximising population health | 11.1 | 48.1 | 37.0 | 0 | 3.7 |
Addressing inequalities | 11.1 | 70.4 | 14.8 | 3.7 | 0 |
Equitable resource allocation | 11.1 | 74.1 | 11.1 | 3.7 | 0 |
Marginal groups not heard (e.g., homeless) | 22.2 | 66.7 | 7.4 | 0 | 3.7 |