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Declared competing interests of authors: Padmanabhan Badrinath co-ordinates the Clinical Priorities Group in Suffolk. Claire Beynon is a member of South West Commissioning Support. Christine E Hine was a consultant in public health employed by NHS South Gloucestershire and NHS Bristol to provide independent public health advice to health services commissioning during the research period. She was a member of the Bristol, North Somerset and South Gloucestershire Commissioning Advisory Forum. Hayley E Jones reports personal fees from Novartis AG and personal fees from the British Thoracic Society, outside the submitted work. All other authors declare no competing interests.

health services and delivery research

Using clinical practice variations as a method for commissioners and clinicians to identify and prioritise opportunities for disinvestment in health care: a cross-sectional study, systematic reviews and qualitative study