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SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

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Figure 5.11: Ratings used in evaluations<br />

The rankings of each option against the criterion are aggregated to identify the option with<br />

the highest relative ranking across all the criteria. This option is identified at this stage as the<br />

recommended option, subject to the outcome of sensitivity analysis.<br />

During pre-consultation we selected the three highest ranked options and consulted on<br />

these, identifying the highest ranked option as the preferred option. For final decision making<br />

we will recommend just the top ranked option unless sensitivity testing shows that the<br />

ranking of the „best‟ two or more options would change in the event of a reasonable change<br />

to an assumption or assessment.<br />

5.5.7 Stage 7 – Sensitivity analysis<br />

As a final stage in the evaluation, we conducted further analysis on a shortlist of the most<br />

viable options considered to check their sensitivity to changes in the assumptions or<br />

assessment.<br />

Figure 5.12: Sensitivity analysis<br />

Stage 7 Purpose Outcome<br />

7<br />

Sensitivity analysis<br />

• Tests 18 underlying<br />

assumptions for<br />

acute reconfiguration<br />

• Test 3 sensitivities for<br />

out of hospital<br />

To test the effect of variation in the<br />

underlying assumptions in the<br />

modelling.<br />

To assess the likelihood that the<br />

options being considered for<br />

recommendation would withstand<br />

the pressures of expected<br />

fluctuations and change.<br />

To ensure the recommended<br />

option remains the recommended<br />

option despite variations in the<br />

underlying assumptions<br />

5.6 How we used the process during the post consultation phase<br />

On the basis that the process was valid, during the post-consultation period (October 2012<br />

to February 2013) we went through the process for a second time to establish whether the<br />

criteria were right and whether they were applied appropriately. This analysis is detailed in<br />

Chapter 9 parts a, b, c and d.<br />

5. Process for identifying a recommendation 59

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