The Word Edition 167 14th February 2014 What do we mean by Dignity and Respect at Work? Many of you will hopefully have read Stuart’s article last week which discussing our continuing Raising Concerns Campaign and the launch of our new film. Interestingly, very few staff who have found the confidence to come forward with concerns have come with concerns about patient safety or quality, but have been telling us concerns about personal interactions between colleagues or management. On a daily basis our staff are delivering good quality care to our patients and treating them with dignity and respect. However, on occasions, some colleagues forget that this commitment to treating people with respect also applies to their team members. It can be something as simple as how we greet each other in the morning – failure to acknowledge each other in a respectful way can set the tone for further interactions. Some staff will recognise poor behaviour in their colleagues but justify this by “they have always been like it – we put up with it”. Well that’s no longer acceptable – everyone has the right to attend a workplace which is pleasant and free from a bad atmosphere. I would urge you as teams to sit down and discuss what are acceptable interactions between yourselves and how will you manage situations where team members may step outside of your agreed behaviours. I am convinced that in the majority of cases, sensitive constructive feedback on how somebody is behaving and impacting on others will be received positively, although it may seem hurtful at the time. We all have bad days which can throw our behaviour off course and sometimes we just need a gentle nudge and some support to refocus on the priorities. We Put Quality First We Focus on People There is a very fine line between staff feeling bullied and harassed when in fact their manager may be trying to performance manage them and need them to improve in a particular area. However, if the approach taken by the line manager is very authoritative and not seen in a supportive way, then it can be perceived in an entirely different way to that intended. I am not suggesting that managers should back away from tackling the difficult issues but rather reflect on how to get the best from people when having to have the difficult conversations. As part of the new proposed Leadership Programme it will be a compulsory element that all managers and leaders attend a session on ‘Compassionate and Appreciative Leadership’ which will help us all build our skills in this area. The Partnership Trust wants to encourage a culture where all staff feel able to tackle inappropriate behaviour as it happens, in a sensitive and supportive way. This may be when they witness inappropriate care relating to our patients or how we interact with each other. We should all feel able to approach each other with our concerns without fear of reprisals. The Executive Team are under no illusions that culture cannot be changed overnight and it needs everyone to be signed up to making the changes and for staff to gain confidence. Whilst we are waiting for this to happen the Trust has formal procedures in place to help staff raise their concerns and you can read more in this edition of The Word. We Take Responsibility Julie Julie Tanner Head of Workforce & Development 1 vacancies Internal staff The Word 167 - What’s In Click here 2 | Join Annual Nursing Service at Westminster Abbey 3 | Raising Concerns 12 | 1Vision 13 | Payroll FAQ’s 13 | Francis One Year On 4 | Raising Concerns - Case Study 5 | All Staff Letter From Chief Executive Stuart Poynor 6 | NHS Change Day 7 | NHS Change Day - How to Pledge 8 | Celebrating Excellence Awards Shortlist Announced 10 | Leadership 11 | A day in the life 11 | Sexual Health Services Across Leicestershire 14 | High Profile Visitor 15 | Thank You You Making a pledge is easy. c a n also te It’s just a promise xt y o u r pledge to to yourself to do us by textin something that g PLEDG E to 0779788 will have a positive 5 5 5 Texts are 8 effect on you and cha standard rged at your message the people around rate. you. Click here for more infomation. Join Annual Nursing Service at Westminster Abbey Places are now available for Trust staff to attend the annual Florence Nightingale Service at Westminster Abbey on Wednesday 7 May 2014. Each year up to eight staff from across Trust services travel to London to take part in the service which celebrates nursing and midwifery and all staff, both qualified and unqualified, working in these services. Health visitor Joyanne Harper who attended last year’s service says, “We had a fantastic day meeting other professionals throughout the nursing world both civilian and from the Armed Services. “We shared stories and knowledge from our own field of expertise, learnt about innovative practice and heard from others whilst in the beautiful surroundings of Westminster Abbey attending such a worthwhile service.“ Places are very limited and will be allocated on a first come first served basis. Please contact Lisa Matthews, (PA to Siobhan Heafield) on tel: 0845 602 6772 ext 1754 or email [email protected] to reserve a place. We Put Quality First We Focus on People We Take Responsibility 2 Last week saw the launch of our new film about Raising Concerns (click here to view) and thanks to everyone who has viewed it already and shared via social media. This week we continue the campaign with a focus on what support is available for staff. Ambassador for Cultural Change Helene Donnelly talks about how her role is helping to support staff to have greater confidence raising concerns. “It is now 10 months since I took up the role of as Ambassador for Cultural Change. Following on from my experiences at Mid Staffordshire Foundation Trust and giving evidence at both Francis Inquiries, I have been trying to raise the importance of staff speaking out and raising concerns when things are not right. “I know full well how daunting and frightening this can be for a variety of reasons, which is why the culture needs to change. I am still in the process of introducing myself and the concept of the role to many of you when I am out and about. I value the opportunity of coming to speak at team meetings and inductions so that all staff can identify who I am and what the role is all about. Please contact me helene. [email protected] to ask me to come and visit your team or service. “I’m hugely encouraged by the positive responses from staff. Many have offered to support and champion the role by telling their colleagues about it. It is the responsibility of all of us to make sure we know how to raise concerns should we ever need to. Offering support, help and advice to our colleagues when faced with this is also very important and something we can all do. “I know there will be some scepticism and cynicism about raising concerns and this role. This is understandable and for two main reasons; • Firstly - staff are scared they will not be listened to and believed, which has frequently happened throughout the NHS. Also that they may face repercussions as a result. We Put Quality First We Focus on People • Secondly- that this role will just be an attempt by the Trust to ‘pretend’ that they are listening to concerns raised, but in reality nothing happens and no action is taken! “Please let me assure you that I am serious about this role and really making it work so that these fears become a thing of the past. “Given the continuing pressures facing the NHS we must all be realistic about what can be achieved. We need to also understand that whilst we may not always like some of the processes and procedures which are in place, some exist for good reason and are enforced at a national level. “This, of course, does not mean that we should not challenge these, especially when they effect staff and patient welfare. How your Ambassador is here to help you: • I act as a voice for all staff to raise concerns and report directly to Chief Executive Stuart Poynor. • I am challenging the current and historic cultures which exist at all levels, including management and corporate. • I have been able to raise concerns on your behalf about the processes involved in disciplinary hearings and investigations. There have been some instances where the processes and procedures have failed all concerned. I am working with departments and trust systems to improve this situation which is not acceptable. • I have been able to raise concerns about the Incident reporting system and understand that improvements are being made. We Take Responsibility 3 Case Study Problem: Many staff have said that when involved in an investigation, they do not feel informed about what is going on. This was raised with Julie Tanner, Director of Workforce and Development How it was addressed: • Firstly, making sure individuals will now get a weekly update about the progress of the investigation. Even if there is no news (as these cases can take some time) those involved need to be reassured and communicated with regularly. • Secondly, making the HR policies and procedures more accessible and easy to understand. I certainly find it really difficult to understand the policies and how they will actually affect me. They need to be brief, ‘plain English’ and in a simple format for all to understand. New, simple to read “policies on a page” are now available for staff on our intranets to help us all to understand what to expect from these processes from the start. “We are beginning to resolve many cases with positive outcomes, which goes to show that it is certainly worth raising genuine concerns. Even if the outcome is not quite what you would expect, improvements will be made and lessons learnt which is what it is all about. “We all still have a very long way to go, but together we can change cultures and ensure that improvements are made for all. If you do not feel confident about raising concerns tell me why? helene.donnelly@ ssotp.nhs.uk 0300 1231 161 Ext 8888 Health Staff click here Social Care Staff click here “It is fair to say that many concerns raised with me have been about these sort of processes and lack of communication. Most often staff have already informed managers of their concerns but feel that nothing has happened. This is sometimes again down to poor communication and misunderstandings. We must ensure that we all improve this. If you feel that you have not been listened to and no action is being taken: • go back and raise it again. • If this does not work, speak to a senior manager, your Professional lead and/or myself email [email protected] • Call our Raising Concerns Helpline and leave a message: tel: 0300 1231 161 ext 8888 We Put Quality First We Focus on People We Take Responsibility 4 All Staff Letter From Chief Executive Stuart Poynor ANONYMOUS LETTERS TO THE TRUST At a recent meeting with some of our staff side colleagues we had a discussion about the fact that the Trust had received an anonymous letter which expressed concerns about the Trusts knowledge and management of Social Care Services. I informed them that I had responded via The Word and the management cascade process but they were not supportive of the Trust responding to such letters in the future. They recommend that we don’t respond to such letters as to be able to respond fully and appropriately there is often vital information missing from the content which would help us shape the response or look into the issues further. We discussed the point that quite often in these letters the author indicates that the reason it is anonymous is that they are fearful of reprisals from colleagues, or management action if they were to identify themselves. However, they considered that the Trust had sufficient mechanisms in place to allow staff to raise concerns in a safe and protected manner. Therefore, one again on behalf of the Trust board I would like to give you assurance that if any member of staff has genuine concerns about any element of their employment with this organisation that all concerns will be treated with importance and sensitivity. The Trust has over the last couple of years tried to put in place appropriate formal processes to protect individuals with concerns i.e. the Raising Concerns Policy (Whistleblowing), Trust Grievance, Disciplinary and Dignity & Respect Policies some of which do provide the opportunity for an individual’s identity to be protected as far as possible but does enable us to undertake a thorough investigation into concerns raised. In addition we have put in place the Ambassador for Cultural Change role (Helene Donnelly) and Directors and myself have tried to make ourselves more accessible via the monthly drop in sessions and offering an open door policy. If you don’t feel able to approach a member of Management or the Executive Team directly then do this through Helene or your Trade Union Representative who will be able to offer you the appropriate support to raise your concerns with us. Therefore please be aware that it is unlikely in future that the Trust will take account of anonymous letters as we do feel that we have put appropriate mechanisms in place to support you in being able to raise your concerns. We have to start to change this culture of fear in the NHS and that will only happen if you work with myself and the management team to build trust in each other. Stuart Poynor Chief Executive We Put Quality First We Focus on People We Take Responsibility 5 See next page for the many ways you can log your pledge. We Put Quality First We Focus on People We Take Responsibility 6 How to pledge • Email your pledge to nhschangeday@ ssotp.nhs.uk • Write your please on one of the NHS Change Day posters that you should see around your place of work during the next week or so • Text your pledge to 07797885558 starting with the word PLEDGE followed by your pledge then your name or initials • Tweet your pledge @StaffsPartnersh using the has tag #nhschangeday • Go online and make your pledge at www. changeday.nhs.uk Here are some examples of pledges already made by our staff “Discuss my work load with colleagues and offer help and advice where possible” “Promote the organisational values of the Trust at every opportunity and inspire my colleagues to think about them to” “I pledge to look at ways that the Trust can work more efficiently and put suggestions forward on how teams and individuals can work differently to save money” Make a change and make a difference! Click here to log your pledge We Put Quality First We Focus on People We Take Responsibility 7 We are thrilled to announce below the shortlisted individuals and teams for the Celebrating Excellence Awards which recognise and celebrate achievements, innovations and success of individual staff and teams from across the Partnership Trust. Shortlisted nominees announced… (In no particular order) Outstanding Care and Compassion Award Cath Skerratt Cancer and Supportive Therapies Team Physiotherapy Team Samuel Johnson Hospital Lichfield Volunteer of the Year Award Nicola Brennan Breastfeeding Peer Supporter Pauline Gould Cancer Awareness Volunteer Mick Dunthorne and the 4x4 Group Outstanding Leadership Award Amy Freeman Chief Information Officer Catherine Morris Team Leader Children’s Community Nursing Service Wendy Anderson Advanced Weight Management Dietitian Team Leader Outstanding Team of the Year Award Corporate / Support Services Electronic Staff Record Team Appointment Booking Centre The Quality Team We Put Quality First Over 195 teams and individuals were nominated in the eleven categories by their colleagues, our partner organisations and patients. It is important that we acknowledge the wonderful work and commitment of our staff which were recognised by the shortlisting panel, who were indeed very proud and delighted to recognise the people who go the extra mile to improve the lives of the local people who use our services. A special night of celebration will take place on Friday 14 March at Staffordshire County Showground to reveal the winners of the trust’s third Celebrating Excellence Awards. Edric House Cannock Hospital Morston House We Focus on People We Take Responsibility 8 Shortlisted nominees announced Continued... Outstanding Team of the Year Award Front Facing / Clinical Services Fracture Liaison Team Haywood Hospital Children’s Speech and Language Therapy Team (North) UNICEF Infant Feeding Team Outstanding Newcomer of the Year Award Katie Lee Communications Assistant at Morston House Lisa Hulme Community Hospitals Manager Eoghan Murray Extended Scope Physiotherapist at the Haywood Hospital Dedication to Service Award Moya Fletcher Health Centre Administrator at Porthill Clinic Fiona Haynes Rehabilitation Administration Support at Haywood Hospital Joan Roberts Senior Medical Secretary at Haywood Hospital Innovation Award Heart Failure Tunstall Primary Care Centre Specialist Nurses Therapy Parkinson’s Support Group (Sir Robert Peel Rehabilitation Team Hospital) Transformation Bradwell Hospital Workforce Team Developing Excellent Services Award Sue Turner and The Hub (Newcastle ) Supported Discharge Stafford Service Community Stoke Health Centre Respiratory Team Working in Partnership Award Tamworth Integrated Local Care Team (ILCT) Longton Integrated Local Care Team (ILCT) William Bates Advanced Practitioner for Mental Health Apprentice of the Year Award Jake Taylor Chatterley Ward, Haywood Hospital Callum Cumming Morston House Bethany Mullock Haywood Hospital - Sneyd Ward Chairman and Chief Executive’s Special Recognition Award Baz Kaur Baz Kaur Well Done We Put Quality First We Focus on People We Take Responsibility Thank you to everyone who voted 9 LEADERSHIP ‘The Partnership Approach’: Leadership for Positive Cultural Change ‘The Partnership Approach’: Leadership for Positive Cultural Change We are excited to announce The Partnership Trust’s own Leadership Development Programme is commencing in April 2014. The Programme is available to staff at all levels who have leadership responsibilities as part of their role. Please look out for correspondence in the next couple of weeks advertising the first element of the programme: ‘The Gateway’. This is a one-day workshop which is mandatory for staff in leadership roles, completion of which will allow access to the rest of the leadership development programme. At the Gateway, you will learn about Leading with Compassion and Appreciation, the empowering approach to leadership that has been adopted throughout The Partnership Trust. Following the Gateway, other elements of the programme include ‘Management and Leadership Essentials’ – a 5 day programme for new managers or those who would like a refresh! Everyone who attends the Gateway will be able to choose from a series of leadership master classes .This will be driven by your own Personal Development Plan and leadership development goals. Examples include: • Courageous Conversations • Leading Upwards • Coaching for Managers • Political and Strategic Awareness • Leading for Service Improvement Finally, other events and activities will be available to continue your leadership development journey, such as evening inspirational speaker session, leadership conferences, mentoring, coaching and supervision. Look out for more information and dates, which will be distributed in the next couple of weeks. We look forward to seeing you there! For more information contact Dr Sarah Lehmann, Leadership Programme Manager at Edric House, on tel: 01889 571549 or email [email protected] We Put Quality First We Focus on People We Take Responsibility 10 A day in the life – spent shadowing the Chief Exec! District nurse Sarah Coghlan has embarked on the partnership Trust Specialist Practice Course. She was offered the opportunity to spend time shadowing Chief Executive Stuart Poynor to learn more about the way the Trust works and this week she visited Morston House. Here she writes about the day and reflects on the experience. the Trust to promote positive change and improve the NHS for staff and people who use our services. This was particularly good as it also gave me a chance to think what I could contribute and I’ll be making my own pledge to make sure I read key communications like The Word more often and share it with colleagues. “It can be difficult for frontline staff to have enough time at a computer to read emails and keep up to date with news from the Trust. I was glad to have the chance to explain this to colleagues involved in communications, who understand and are trying other approches, but I will certainly now print it out more often. “I had never really seen myself as someone who could be a leader but since commencing the Specialist Practice Course and completing a leadership module it has given me a greater insight into different types of leadership styles and how these can be utilized within current practice. To give me an understanding of leadership I had the opportunity to shadow the Chief Executive for a day “I was welcomed to Morston House by Stuart Poynor and straight away we were into a meeting with other executives including Julie Tanner, Director for Workforce and Development, and Deputy Chief Executive Geraint Griffiths. Having the chance to listen to their discussions about key topics such as staffing levels and operational issues was really interesting. “Next I joined Stuart at a meeting with a group of staff who have been brought together to see how NHS Change Day could be a good opportunity for “I had a discussion with Stuart on Helen Donnelly’s role as Ambassador for Cultural Change which he states is a positive move for the Trust and I must agree as she is a great ambassador for staff. I really do thing things are changing for the better and support from someone like Helene is making a difference. “The day passed very quickly and I feel that I learnt a huge amount about the way the Trust works, what the corporate teams focus on and how senior management hear about the work we do in frontline services. I can certainly recommend this opportunity to colleagues and want the thank Stuart and his team for hosting me and for a really interesting day.” Sexual Health Services Across Leicestershire New Partnership Trust staff from sexual health services across Leicestershire gathered together for their first induction session recently. The atmosphere was very positive and Chief Executive Stuart Poynor has praised the teams for their approach and attitude. Welcome on board to everyone! We Put Quality First We Focus on People We Take Responsibility 11 Vision 1 Date for your Diary At the end of March executive team members will be hitting the road to host two staff communication events. The events are all about the senior leadership team getting out and about and letting you know what’s going on in and around the Partnership Trust. The session will include a range of updates including how the organisation is performing, key highlights, plans for the future and generally the things you need to know. You will have an opportunity to ask questions on the day, but you can send any questions through in advance via [email protected] and we will ask them for you. When and Where South 18th March 1pm – 4pm Gatehouse Theatre, Stafford How to get involved North 21st March 1pm – 4pm Keele Hall (Ballroom) Future Dates for your Diary These events will take place every quarter and we have agreed dates for the next 12 months so please make a note of them and agree who will attend the future sessions from your team. Friday 13th June 2014, Friday 5th September 2014 , Friday 5th December 2014 We Put Quality First We Focus on People We Take Responsibility Every team across the Trust is required to send along one member who can capture the key messages and feed this back. You should agree in your team who this is going to be and just so we know how many people to expect please send their name through to Andrew.Lovatt@ ssotp.nhs.uk 12 NHS Shared Business Services PAYROLL FREQUENTLY ASKED QUESTIONS WEBINAR: Webinar Following the recent migration in November to NHS Shared Business Services and the new processes of EPAY and Manager Self Service being introduced, NHS SBS are providing 6 training webinars for you to take part in for support and advice. NHS SBS have reviewed the most frequent types of queries and in the webinar will provide some resolutions to these and will advise Partnership Trust staff of the correct processes to get your queries resolved quickly. If you would like to attend a webinar please email: [email protected] • When registered you will be sent a webinar invite and details of how to log in • You can take part in the webinar from any computer with speakers and microphone functions • You will also need a phone to dial in The webinars will be held on: Monday 24th February 2014 10: 00 am – 11:30 am 11:45 am – 1:15pm Tuesday 25th February 2014 10:30 am -12:00 pm 2:00 pm – 3:30 pm Friday 7th March 2014 10:30 am -12:00 pm 2:00 pm - 3:30 pm Francis One Year On Follow this link to the gov.uk website read Jeremy Hunt’s personal message to NHS staff, one year on from the Francis report into failings at Mid Staffordshire NHS Foundation Trust. https://www.gov.uk/government/speeches/jeremy-hunt-message-to-nhsstaff-one-year-on-from-francis-report We Put Quality First We Focus on People We Take Responsibility 13 High Profile Visitor From Chief Inspector of Social Care Andrew Errington – Professional head of Social Work bring you news of important visit to the Partnership Trust. Andrea Sutcliffe Chief Inspector of Adult Social Care for the Care Quality Commission (CQC) will be visiting Staffordshire, following an invitation from Chief Executive Stuart Poynor and will be with the Partnership Trust on the afternoon of Friday 21st February 2014 from approximately 1.30pm. We are in the process of confirming more precise timings for the afternoon (Andrea will be spending time with Staffordshire County Council in the morning) however this will be an ideal opportunity to show case our work either directly or indirectly (nursing and quality/operations) in support of Adult Social Care regulated services. I am hoping that we can do something similar to the display of our services that we laid on for the visit of Ruth May, NHS England Regional Director of Nursing for Midlands and East in July 2013. Therefore I am looking for people who would be prepared to be in attendance with a display board to highlight your work or practice using both the Chesterton and Brampton rooms at Morston House for a marketplace exhibition. If you can please let Lisa Mathews, PA to Siobhan Heafield, know on tel: 0845 602 6772 ext 1754 or email [email protected] know if you are able to support and we will be in touch will when we have some firmer timings for the afternoon For your information please see below for more information regarding Andrea and her role. Chief Inspector of Adult Social Care The Chief Inspector of Adult Social Care leads CQC’s inspection and regulation of adult social care, one of three chief inspectors (Adult Social Care, Hospital and General practice). Andrea is responsible for developing the new approach to the way CQC regulates social care. She will oversee the development of a new rating system for social care providers, championing the interests of people using services and making critical judgments about the quality of care provided. Follow Andrea on twitter @Crouchendtiger7 We Put Quality First We Focus on People We Take Responsibility 14 Thank You Laura Porter, Homeless Liaison Nurse, has received this wonderful email from the sister of a customer utilising the pilot scheme for Homeless Admission and Discharge “My brother, has been in hospital since the 7th Dec 2013 and during that time I experienced difficulty in receiving answers to my questions and concerns. We feel he is unfortunately a casualty of the recession and unbeknown to the family, was deteriorating both in his social and financial status and more worryingly his medical condition, resulting in the circumstances he now finds himself in. “Although he has nine brothers and sisters none of us have experienced a situation such as this before, therefore our knowledge of what to expect or what steps to take next were extremely limited. “While all the medical staff at the hospital were and still are brilliant at seeing to his medical situation, I found it hard to get assistance in the social area, to be able to support my brother and get things ready for his discharge. “Once I received your number, I was able to ask you the questions I needed and if you were unable to answer them yourself, you took the time to find out for me. Whenever I have rung, you have been there for support and have always made the effort to ring me back. “The Homeless Liaison Service has been my saviour and I would recommend this service continues to be available, as the help and support you offer in circumstances such as ours, is invaluable. Thank you, on behalf of all the members of the family.” We Put Quality First Staff Nurse Emma Davis at Cannock Minor Injuries Unit recently received a card and a box of chocolates from Staffordshire Police to thank her for “going over and beyond her role”. Emma had involved Staffs Police in respect of a safeguarding issue relating to a patient attendance. Emma also received praise from the Paediatric Link Nurse and her Team Leader in the way she had professionally handled this difficult situation The Living Independently Staffordshire team in Stafford took a telephone call from the son of a service user calling to thank LIS Support Worker Maureen Simms for all her help with his father “He was in a lot of pain after having a fall and if it wasn’t for Maureen’s observations of my father and her professional attitude, the paramedics wouldn’t have come back for a second visit and taken him into hospital where he required a hip replacement. Thank you.” Sycamore Ward at Bradwell Hospital has received a lovely thank you letter from the daughter of a recent patient. “The care you ward staff gave to mum during her stay was excellent and much appreciated. They were always very polite and obliging and the ward was always very clean and well presented. Please pass on best wishes to everyone from all the family.” formula fed babies. Thank you.” Staff Nurse Dawn Anderson who works at the Ambulatory Clinic at Tunstall Primary Care Centre has received a lovely letter from a recent patient. “I have been attending wound clinic, not a brave person where injury is concerned! What can I say about Dawn, she is wonderful, she gave me confidence and made me feel comfortable. I could not look at the wound. “She always asked me about my well being, not just my injury, she asked plenty of questions about my pain and if I had any concerns. Very professional and truly caring. Without Dawn I would not have got through this, nothing was too much trouble. Thank you so much. Living Independently Staffordshire Janet Booton, who is the Lichfield and Tamworth team has had great feedback from a service user. “Janet gave me a ‘silver star’ for being positive and getting better quickly, that really made me laugh. I just wanted to say how pleased I have been with the careers who have looked after me very well after my operation. I couldn’t have managed without them and now I am feeling much better. Thank you all very much Congratulations The Infant Feeding Team at Cobridge Health Centre have had a lovely card with a thank you from a mother of young babies. Well done to Health Visitor and Clinical Practice Educator Karen Jolly who has passed her Masters in Education from Meir PCC Health Visiting Team. “I just wanted to say a huge thank you to you all for the support you have provided me and the girls over the last 6 months. You really are priceless. Without you guys, I would have Congratulations to District Nursing Clinical Practice Educators Janet Powell and Paula Wood who have both passed their Masters qualification in higher education. We Focus on People We Take Responsibility 15
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