A Delphi study and ranking exercise to support commissioning services: future delivery of Thrombectomy services in England

Table 2 Aggregate panellist responses (Likert Scale category) for each proposition, N = 11

	Percentage Responses
Proposition Number (from original list in Table 1)	1 very strongly disapprove	2 quite strongly disapprove	3 disapprove	4 neutral	5 Approve	6 quite strongly approve	7 very strongly approve
2. Any local provider delivers IAT on a formal rota		55	18		27
4. Transfer to nearest primary coronary percutaneous intervention unit and shared care with stroke physicians	18	18	37	18			9
5. Ambulance bypass for all acute stroke patients of known time onset to comprehensive stroke unit where advanced imaging and “expert intra-arterial thrombectomy [IAT]” are available 24/7		9	55	18	18
6. Local CT and transfer all patients with NIHSS ≥10 to the nearest neuroscience centre for interventional neuroradiologist delivered “expert thrombectomy” **			9	27	27	27
7. Local CT/CTA then transfer all large artery occlusive stroke patients to nearest neuroscience centre for interventional neuroradiologist delivered “expert thrombectomy” **					27	37	27
8. Local advanced imaging then selective transfer to nearest neuroscience centre for “expert thrombectomy”			18	18	18	37	9
9. Local CT/CTA then transfer large artery occlusive stroke patients to nearest neuroscience centre for advanced imaging and “expert thrombectomy”				18	18	46	18
10. Advanced imaging performed locally but interpreted centrally by Neuroradiology then selective transfer to nearest neuroscience centre for “expert thrombectomy”			9	27	9	46	9
11. Selective transfer to nearest on call neuroscience centre for “expert thrombectomy”					36	46	18

**N = 10
NB Propositions that achieved consensus approval have been highlighted in bold text. Percentages may not equal 100 due to rounding

ISSN: 1472-6963