How are decommissioning decisions made?

Disentangling rhetoric and reality: an international Delphi study of factors and processes that facilitate the successful implementation of decisions to decommission healthcare services
Implementation Science 2014, 9:123

• Using a three round Delphi study of 30 international experts the research explores the factors and processes that shape the successful implementation of decommissioning decisions and consensus as to current best practice. 
• The research found a stark contrast between what experts thought should determine decommissioning decisions and what does so in practice mirroring technical and political aspects of decommissioning processes. 
• The best practice recommendations which we grouped into three categories—change management and implementation; evidence and information; and relationships and political dimensions.