Table 7 Round two results: rating of factors in terms of importance within each category in shaping the extent to which decommissioning is implemented as planned
Factor | Very low importance | Little importance | High importance | Very high importance | Do not know |
|---|---|---|---|---|---|
Change management and implementation strategy | |||||
Strength of executive leadership | 0 | 0 | 7.4 | 92.6 | 0 |
Strength of clinical leadership | 0 | 3.7 | 14.8 | 74.1 | 7.4 |
Quality of communication | 0 | 3.7 | 33.3 | 63.0 | 0 |
Clarity of specific aims and objectives at start | 0 | 3.7 | 48.1 | 48.1 | 0 |
Extent of cultural and behavioural change | 0 | 7.4 | 51.9 | 40.7 | 0 |
Attention throughout to human aspects of process of change | 0 | 11.5 | 46.2 | 42.3 | 0 |
Quality of project management | 0 | 11.1 | 48.1 | 40.7 | 0 |
Availability of resources to support decision-making and implementation processes | 0 | 14.8 | 48.1 | 33.3 | 3.7 |
Quality of strategic planning | 0 | 11.1 | 63.0 | 25.9 | 0 |
Training and preparation of staff | 0 | 18.5 | 63.0 | 18.5 | 0 |
Clarity of incentives and levers to support change | 0 | 22.2 | 59.3 | 18.5 | 0 |
Complexity of decommissioning programme | 0 | 29.6 | 59.3 | 11.1 | 0 |
Pace of change | 3.7 | 40.7 | 51.9 | 0 | 3.7 |
Evidence and information | |||||
Demonstrable benefits | 0 | 0 | 37.0 | 63.0 | 0 |
Clarity of evidence/data to support business case, ongoing monitoring and impact assessment | 0 | 0 | 63.0 | 37.0 | 0 |
Clarity around new patient pathways | 0 | 14.8 | 63.0 | 18.5 | 3.7 |
Review/evaluation of process | 3.7 | 11.1 | 59.3 | 25.9 | 0 |
Availability of alternative services | 0 | 25.9 | 51.9 | 22.2 | 0 |
Extent of adoption elsewhere of new intervention/service | 0 | 33.3 | 48.1 | 18.5 | 0 |
Relationships and political dimensions | |||||
Clarity of rationale/case for change | 0 | 0 | 29.6 | 70.4 | 0 |
Nature and extent of clinician engagement/involvement | 0 | 7.4 | 33.3 | 59.3 | 0 |
Level of political support | 0 | 14.8 | 29.6 | 55.6 | 0 |
Transparency of decision-making process | 0 | 7.4 | 63.0 | 29.6 | 0 |
Nature and extent of patient/public engagement/involvement | 0 | 14.8 | 51.9 | 29.6 | 3.7 |
Quality of partnership working with relevant agencies | 0 | 7.7 | 76.9 | 11.5 | 3.8 |
Extent to which challenges vested interests | 0 | 23.1 | 46.2 | 30.8 | 0 |
Nature and extent of media coverage | 0 | 25.9 | 51.9 | 18.5 | 3.7 |
Stability within the local health economy during transition | 3.7 | 18.5 | 66.7 | 11.1 | 0 |
Reputation of existing providers | 0 | 33.3 | 55.6 | 3.7 | 7.4 |
Meets community expectations | 0 | 37.0 | 51.9 | 7.4 | 3.7 |