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Table 8 Comparisons of round two and round three responses for statements attracting no or low consensus in round 2

From: Disentangling rhetoric and reality: an international Delphi study of factors and processes that facilitate the successful implementation of decisions to decommission healthcare services

  Strongly disagree Disagree Agree Strongly agree Do not know Change in level of consensus
  Round 2 Round 3 Round 2 Round 3 Round 2 Round 3 Round 2 Round 3 Round 2 Round 3  
`Costs of implementation of decommissioning’ do actually in practice inform decision to carry out decommissioning 0 0 33.3 32.0 48.7 60.0 14.8 8.0 3.7 0 low→medium
`Duplication of services’ does actually in practice inform decision to carry out decommissioning 7.4 0 33.3 24.0 40.7 68.0 14.8 8.0 3.7 0 no→medium
The `evidence base’ does actually in practice inform decision to carry out decommissioning 3.7 0 37.0 32.0 51.9 52.0 7.4 16.0 0 0 no change (low)
`Maximising population health’ does actually in practice inform decisions to carry out decommissioning 11.1 4.0 48.1 76.0 37.0 20.0 0 0 3.7 0 no→high
`Availability of alternative services/interventions’ does actually in practice inform decisions to carry out decommissioning? 3.7 0 29.6 16.0 44.4 68.0 18.5 12.0 3.7 4.0 low→medium
`Responding to changing demographics/population needs’ does actually in practice inform decisions to carry out decommissioning 7.4 0 37.0 44.0 40.7 48.0 11.1 4.0 3.7 4.0 no change (none)
`New service developments/innovations’ do actually in practice inform decisions to carry out decommissioning? 8.0 0.0 28.0 24.0 44.0 72.0 16.0 4.0 4.0 0 low→high
`Alignment with strategic priorities’ does actually in practice inform decisions to carry out decommissioning 7.4 0 29.6 28.0 37.0 64.0 22.2 8.0 3.7 0 no→medium
`Patient and public views’ do actually in practice inform decisions to carry out decommissioning 11.1 8.0 40.7 72.0 37.0 16.0 7.4 4.0 3.7 0 no→high
`Support from industry and other interest groups’ do actually in practice inform decisions to carry out decommissioning 7.4 0 29.6 32.0 37.0 48.0 14.8 4.0 3.7 16.0 no change (none)
`Prejudice against public sector provision’ does actually in practice inform decisions to carry out decommissioning 3.7 8.0 51.9 60.0 22.2 8.0 7.4 8.0 14.8 16.0 low→medium
`Complexity of implementing decommissioning’ does actually in practice inform decisions to carry out decommissioning 0 0 29.6 8.0 40.7 72.0 18.5 16.0 11.1 4.0 no→high
`Impact on workforce’ does actually in practice inform decisions to carry out decommissioning 3.7 8.0 59.3 48.0 18.5 28.0 14.8 12.0 3.7 4.0 low→no
  Very little importance Little importance High importance Very high importance Do not know Change in level of consensus
  Round 2 Round 3 Round 2 Round 3 Round 2 Round 3 Round 2 Round 3 Round 2 Round 3  
What is the relative importance of the `pace of change’ for shaping the extent to which decommissioning is implemented as planned? 3.7 0 40.7 33.3 51.9 50.0 0.0 4.2 3.7 12.5 no change (none)
What is the relative importance of the `extent of adoption elsewhere of new intervention/service’ for shaping the extent to which decommissioning is implemented as planned? 0 0 33.3 24.0 48.1 60.0 18.5 8.0 0 8.0 low→medium
What is the relative importance of `meets community expectations’ for shaping the extent to which decommissioning is implemented as planned? 0 0 37.0 28.0 51.9 64.0 7.4 4.0 3.7 4.0 low→medium
What is the relative importance of the `reputation of existing providers’ for shaping the extent to which decommissioning is implemented as planned? 0 0 33.3 12.0 55.6 76.0 3.7 4.0 7.4 8.0 low→high