It's pretty standard protocol in most congregations with a decent Body of Elders that when a Ministerial Servant or Elder in good standing need to step down
People in the cong already know there is a problem and a prayer at the end doesn’t fool them. The prayer at the end is to soften the blow on the deleted and his family but he is nonetheless viewed with less respect. —-Or as the Bible puts it, hated or disrespected. Now he has to try to measure up again while going to meetings, give parts, run up and down with mikes, etc same as he did before but now without authority or the title of elder. Never saw anybody deleted for health reasons but only as a pretext for concurrent qualifications issue.