East Lancashire Hospitals NHS Trust

Locum Consultant in Musculo-Skeletal Radiology

Information:

This job is now closed

Job summary

We are seeking to appoint a humble, capable and forward-thinking locum musculoskeletal radiologist to join our highly functional, accomplished and friendly team. The radiologist should have the ability to report all MSK radiology scans (both small and large joints) and have good experience of all musculoskeletal imaging using all modalities MRI, CT, US. The ability to perform screening or US-guided injections is preferred.

This locum post is for an initial 18 months at which the point the post will be advertised as a substantive consultant radiology post for which the successful applicant can apply if eligible.

The department has a track record of developing locum consultants with almost universal progression to substantive consultants.

Main duties of the job

A sample 10 PA job plan subject to discussion would include:

  • 5 sessions cold reporting mainly MSK scans
  • 1 session hot reporting - acute MRI and/or CT
  • 1 session injections (screening and/or US guided)
  • 5 sessions MDT
  • 2 session US
  • 1 session free in lieu of on call (1 in 20)
  • 1 SPA off site

An extra 0.5 SPA which runs concurrent to the day-to-day job plan allows for departmental meetings eg directorate meetings, audit, educational meetings etc. Additional SPAs can be given to support additional roles (eg governance, quality improvement lead, university roles) after discussion with the clinical director.

The candidate would be expected to take part in core departmental activities plain film reporting, fluoroscopy, MRI, CT or NM after agreement with the clinical director. The general reporting sessions can be at either Royal Blackburn Hospital or Burnley General Hospital, which are 11 miles apart.

About us

Established in 2003 East Lancashire Hospitals NHS Trust (ELHT) is a large integrated health care organisation providing high quality acute secondary healthcare for the people of East Lancashire and Blackburn with Darwen, serving a population of approximately 550,000 citizens.

Our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 700,000 patients a year from the most serious of emergencies to planned operations and procedures. We employ over 8,000 staff, many of whom are internationally renowned and have won awards for their work and achievements.

The radiology department at East Lancashire Hospitals NHS Trust is regarded by trainees as one of the best or THE best place to train year on year. This is due to the unique culture we have crafted here over the last 15 years which values humility, training and proficiency and staff satisfaction.

Details

Date posted

01 December 2021

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£82,096 to £110,683 a year £82,096 - £110,683 Per annum

Contract

Locum

Duration

18 months

Working pattern

Full-time

Reference number

435-MQ134-21

Job locations

East Lancashire Hospitals NHS Trust

Royal Blackburn Hospital

Blackburn

BB2 3HH


Job description

Job responsibilities

The main components of the job description have been described above.

Our forward-thinking department encourages flexible working.

The on-call rota is 1 in 20, soon to rise to 1 in 22. On-call requires on site presence from 5pm to 7pm weekdays and 9am to 3pm on Saturday which in turn gives you a half day back in the week to further improve the scope for flexible working.

We have a further 5 interventional radiologist on a separate rota and a further 2 senior radiologists who have retired, come back part time and do not contribute to the on-call.

A radiologist with an intertest in teaching and/or research we feel would be of great value to the department and the Trust as we strive to improve our relationships with University of Central Lancashire (UCLAN) and other local universities such as Lancaster University.

Since 2016, our Trust has entered into a strategic alliance with UCLAN, a fast-growing medical school, as their main provider of clinical placements and teaching. Our medical student intake is increasing year on year, with students from several medical schools, both locally and internationally.

ELHT has teaching hospital status. Across all our sites we pride ourselves on our teaching and for providing a great experience for trainee doctors and continue to receive excellent feedback from medical students.

We have a thriving community of research in the Trust, and we contribute to a wide range of national and international studies, with a high number of patients entering clinical trials.

ROYAL BLACKBURN TEACHING HOSPITAL

The hospital is situated just off Junction 5 of the M65. It is our main hospital site receiving most emergency patients. Other than for obstetric emergencies, all blue light ambulances attend this site.

Services at the Royal Blackburn Teaching Hospital site include:

  • A busy Emergency department, with 8 bedded resuscitation area, and a co-located Urgent Care Centre and ambulatory care facility
  • ITU, HDU and POCCU facilities.
  • A wide range of Radiology services including MRI and CT seven days per week and isotope scanning
  • Acute Surgical Services (General Surgery, Vascular Surgery, Urology, T&O, ENT, Maxillofacial and Surgical Triage Unit)
  • 11 Operating Theatre complex with integrated Day Case Unit, 24 hour Emergency Theatre, Angiography Suite
  • Endoscopy Unit providing a 24/7 Upper GI bleed endoscopy service
  • Acute Medical beds, Medical Assessment Unit and Fast Flow wards.
  • Cardiac Unit (a CCU, specialist cardiac ward and 2 Cath Labs)
  • Generalised and Acute Paediatric services
  • Learning & Development and Research Centres
  • We are also now planning the build of a primary care access centre at our ED front door as part of our redesign programme.

BURNLEY GENERAL TEACHING HOSPITAL

Services at this site include:

  • Lancashire Women and Newborn Centre including 5 Operating Theatres, Consultant led maternity unit, midwife led birthing centre, Level 3 Neonatal Intensive Care Unit, general, emergency and specialist gynaecology services
  • Urgent Care Centre: A new purpose built building with a childrens assessment and observation area, and an on-site GP unit
  • Elective Orthopaedic Centre (28 beds and 5 operating theatres)
  • Endoscopy Unit
  • Paediatric Day Surgery Unit
  • Radiology services including CT, MRI and ultrasound
  • Ophthalmology Unit and dedicated Ophthalmology Theatres
  • Elective care centre incorporating facilities for day case surgery and short stay surgery, two theatres one of which is laparoscopic theatre and a procedure room. This facility will eventually include chemotherapy suite and enhanced endoscopy facilities.

DEPARTMENT OF RADIOLOGY ROYAL BLACKBURN

This is a new department built as part of the PFI hospital. There is a new Sectra PACS which went live November 2019.

There are 6 general rooms, 1 fluoroscopy room, 1 multipurpose interventional suite, 4 CT scanners (Canon 640 slice, Siemens 128 slice and 2 x 80 detector row Toshiba systems), 2 MRI scanners, both to be replaced in the next 9 months with Siemens Sola systems (1.5T) and a 3 room ultrasound suite. A further 5 room ultrasound suite is situated adjacent to the antenatal clinic and includes Siemens and Canon/Toshiba machines. The interventional room is within the theatre complex and has easy access to the Day Case Unit. We have plans approved for a hybrid theatre.

A dedicated Nuclear Medicine Department provides services for the whole of East Lancashire on two Siemens SPECT enabled Gamma Cameras.

Much of the equipment at RBH is replaced under the existing managed equipment service with Siemens.

DEPARTMENT OF RADIOLOGY BURNLEY

The department at Burnley primarily supports out-patients and GP patients. The department has a CT scanner, two MRI systems, five general rooms, a single digital fluoroscopy rooms and 2 ultrasound rooms. Further ultrasound equipment is located within the Lancashire Women and Newborn Centre for obstetrics and gynaecology

There are close links with GPs in the two local PCTs East Lancashire and Blackburn with Darwen. We have an open access policy for x-ray imaging and direct access for ultrasound and barium studies. There is also GP direct access for MRI & CT scanning.

East Lancashire Hospitals NHS Trust provides both breast screening services and symptomatic breast imaging services for the women of East Lancashire and neighbouring districts. Breast Screening and Imaging is run from a dedicated Breast Imaging Unit on the Burnley General Teaching Hospital premises.

ADDITIONAL SATELLITE RADIOLOGY DEPARTMENTS

The following satellite areas are also in use across the organisation (you would NOT be required to work on these additional sites):

  • Accrington Victoria Hospital X-ray, DEXA.
  • Rossendale Primary Care Health Centre X-ray, obstetric ultrasound, non-obstetric Ultrasound.
  • Clitheroe Community Hospital X-ray and non-obstetric ultrasound
  • Pendle Community Hospital X-ray.
  • Barbara Castle Way Medical Centre X-ray, and non-obstetric ultrasound.

STAFF

There are currently 25 Consultant Radiologists working at East Lancashire Hospitals NHS Trust (23.5 WTE) with approximately 235 radiographic and support staff. Each modality has a Lead Radiographer overseeing operational management and service development.

Day to day management of the service is supported by the Radiology Directorate Manager and Radiology Operations Manager.

There is an active skill mix programme within the Directorate with Radiographers participating in x-ray reporting (Chest, Abdomen & MSK), CT, MRI, Breast and Nuclear Medicine reporting.

Both hospital sites are training departments for student radiographers. There are close teaching links with the University of Central Lancashire, University of Lancaster and the University of Salford.

As a senior employee of the Trust the Consultant Radiologist will work in close co-operation with clinical staff and other medical professionals and managerial colleagues in providing high quality health care to the Trust's patients. Integral to these responsibilities is:

  • The provision of a first-class service.
  • Effective leadership to all staff engaged in the specialty.
  • Sustaining and developing teaching and research.
  • Undertaking all work in accordance with Trust procedures and operating policies.
  • Conducting clinical practice in accordance with Trust procedures and operating policies.

JUNIOR MEDICAL STAFF

The Directorate is an accredited radiology training department with up to 7 Specialist Trainees from the Manchester Radiology Training Scheme rotating through the department at any one time. Regular consultant led teaching sessions are held on a weekly basis and all Consultant Radiologists are available for help and advice. The department also provides sub speciality training in vascular/non vascular intervention, breast and GI/GU imaging.

EQUAL OPPORTUNITIES

The Trust provides a range of services and employment opportunities for a diverse population. As a Trust employee you are required to treat all patients, customers, visitors and work colleagues with dignity and respect irrespective of their background.

TERMS AND CONDITIONS OF SERVICE

This post is subject to the New Consultant Contract 2003.

The appointee will be required to live within 10 miles or 30 minutes travel time by car of the relevant Trust Hospital base. The Trust will reimburse certain expenses relating to removal and relocation when required; the expenses refunded shall reflect the actual costs involved but will not exceed £8,000.

A satisfactory medical examination is a condition of employment for Medical and Dental staff in the NHS.

Candidates are requested to note that any person recommended for appointment in connection with this post will be referred to the DBS (Disclosure & Barring System) for their clearance.

Please note: In line with other NHS organisations in the North West Region, the Trust is now passing the charge for undertaking a DBS check on to candidates in the event they are successfully appointed into the post for which they have applied. Candidates can choose whether to pay this over 1-3 months as a deduction from the monthly salary. By applying for this vacancy you are agreeing to this undertaking in the event you are successfully appointed.

Job description

Job responsibilities

The main components of the job description have been described above.

Our forward-thinking department encourages flexible working.

The on-call rota is 1 in 20, soon to rise to 1 in 22. On-call requires on site presence from 5pm to 7pm weekdays and 9am to 3pm on Saturday which in turn gives you a half day back in the week to further improve the scope for flexible working.

We have a further 5 interventional radiologist on a separate rota and a further 2 senior radiologists who have retired, come back part time and do not contribute to the on-call.

A radiologist with an intertest in teaching and/or research we feel would be of great value to the department and the Trust as we strive to improve our relationships with University of Central Lancashire (UCLAN) and other local universities such as Lancaster University.

Since 2016, our Trust has entered into a strategic alliance with UCLAN, a fast-growing medical school, as their main provider of clinical placements and teaching. Our medical student intake is increasing year on year, with students from several medical schools, both locally and internationally.

ELHT has teaching hospital status. Across all our sites we pride ourselves on our teaching and for providing a great experience for trainee doctors and continue to receive excellent feedback from medical students.

We have a thriving community of research in the Trust, and we contribute to a wide range of national and international studies, with a high number of patients entering clinical trials.

ROYAL BLACKBURN TEACHING HOSPITAL

The hospital is situated just off Junction 5 of the M65. It is our main hospital site receiving most emergency patients. Other than for obstetric emergencies, all blue light ambulances attend this site.

Services at the Royal Blackburn Teaching Hospital site include:

  • A busy Emergency department, with 8 bedded resuscitation area, and a co-located Urgent Care Centre and ambulatory care facility
  • ITU, HDU and POCCU facilities.
  • A wide range of Radiology services including MRI and CT seven days per week and isotope scanning
  • Acute Surgical Services (General Surgery, Vascular Surgery, Urology, T&O, ENT, Maxillofacial and Surgical Triage Unit)
  • 11 Operating Theatre complex with integrated Day Case Unit, 24 hour Emergency Theatre, Angiography Suite
  • Endoscopy Unit providing a 24/7 Upper GI bleed endoscopy service
  • Acute Medical beds, Medical Assessment Unit and Fast Flow wards.
  • Cardiac Unit (a CCU, specialist cardiac ward and 2 Cath Labs)
  • Generalised and Acute Paediatric services
  • Learning & Development and Research Centres
  • We are also now planning the build of a primary care access centre at our ED front door as part of our redesign programme.

BURNLEY GENERAL TEACHING HOSPITAL

Services at this site include:

  • Lancashire Women and Newborn Centre including 5 Operating Theatres, Consultant led maternity unit, midwife led birthing centre, Level 3 Neonatal Intensive Care Unit, general, emergency and specialist gynaecology services
  • Urgent Care Centre: A new purpose built building with a childrens assessment and observation area, and an on-site GP unit
  • Elective Orthopaedic Centre (28 beds and 5 operating theatres)
  • Endoscopy Unit
  • Paediatric Day Surgery Unit
  • Radiology services including CT, MRI and ultrasound
  • Ophthalmology Unit and dedicated Ophthalmology Theatres
  • Elective care centre incorporating facilities for day case surgery and short stay surgery, two theatres one of which is laparoscopic theatre and a procedure room. This facility will eventually include chemotherapy suite and enhanced endoscopy facilities.

DEPARTMENT OF RADIOLOGY ROYAL BLACKBURN

This is a new department built as part of the PFI hospital. There is a new Sectra PACS which went live November 2019.

There are 6 general rooms, 1 fluoroscopy room, 1 multipurpose interventional suite, 4 CT scanners (Canon 640 slice, Siemens 128 slice and 2 x 80 detector row Toshiba systems), 2 MRI scanners, both to be replaced in the next 9 months with Siemens Sola systems (1.5T) and a 3 room ultrasound suite. A further 5 room ultrasound suite is situated adjacent to the antenatal clinic and includes Siemens and Canon/Toshiba machines. The interventional room is within the theatre complex and has easy access to the Day Case Unit. We have plans approved for a hybrid theatre.

A dedicated Nuclear Medicine Department provides services for the whole of East Lancashire on two Siemens SPECT enabled Gamma Cameras.

Much of the equipment at RBH is replaced under the existing managed equipment service with Siemens.

DEPARTMENT OF RADIOLOGY BURNLEY

The department at Burnley primarily supports out-patients and GP patients. The department has a CT scanner, two MRI systems, five general rooms, a single digital fluoroscopy rooms and 2 ultrasound rooms. Further ultrasound equipment is located within the Lancashire Women and Newborn Centre for obstetrics and gynaecology

There are close links with GPs in the two local PCTs East Lancashire and Blackburn with Darwen. We have an open access policy for x-ray imaging and direct access for ultrasound and barium studies. There is also GP direct access for MRI & CT scanning.

East Lancashire Hospitals NHS Trust provides both breast screening services and symptomatic breast imaging services for the women of East Lancashire and neighbouring districts. Breast Screening and Imaging is run from a dedicated Breast Imaging Unit on the Burnley General Teaching Hospital premises.

ADDITIONAL SATELLITE RADIOLOGY DEPARTMENTS

The following satellite areas are also in use across the organisation (you would NOT be required to work on these additional sites):

  • Accrington Victoria Hospital X-ray, DEXA.
  • Rossendale Primary Care Health Centre X-ray, obstetric ultrasound, non-obstetric Ultrasound.
  • Clitheroe Community Hospital X-ray and non-obstetric ultrasound
  • Pendle Community Hospital X-ray.
  • Barbara Castle Way Medical Centre X-ray, and non-obstetric ultrasound.

STAFF

There are currently 25 Consultant Radiologists working at East Lancashire Hospitals NHS Trust (23.5 WTE) with approximately 235 radiographic and support staff. Each modality has a Lead Radiographer overseeing operational management and service development.

Day to day management of the service is supported by the Radiology Directorate Manager and Radiology Operations Manager.

There is an active skill mix programme within the Directorate with Radiographers participating in x-ray reporting (Chest, Abdomen & MSK), CT, MRI, Breast and Nuclear Medicine reporting.

Both hospital sites are training departments for student radiographers. There are close teaching links with the University of Central Lancashire, University of Lancaster and the University of Salford.

As a senior employee of the Trust the Consultant Radiologist will work in close co-operation with clinical staff and other medical professionals and managerial colleagues in providing high quality health care to the Trust's patients. Integral to these responsibilities is:

  • The provision of a first-class service.
  • Effective leadership to all staff engaged in the specialty.
  • Sustaining and developing teaching and research.
  • Undertaking all work in accordance with Trust procedures and operating policies.
  • Conducting clinical practice in accordance with Trust procedures and operating policies.

JUNIOR MEDICAL STAFF

The Directorate is an accredited radiology training department with up to 7 Specialist Trainees from the Manchester Radiology Training Scheme rotating through the department at any one time. Regular consultant led teaching sessions are held on a weekly basis and all Consultant Radiologists are available for help and advice. The department also provides sub speciality training in vascular/non vascular intervention, breast and GI/GU imaging.

EQUAL OPPORTUNITIES

The Trust provides a range of services and employment opportunities for a diverse population. As a Trust employee you are required to treat all patients, customers, visitors and work colleagues with dignity and respect irrespective of their background.

TERMS AND CONDITIONS OF SERVICE

This post is subject to the New Consultant Contract 2003.

The appointee will be required to live within 10 miles or 30 minutes travel time by car of the relevant Trust Hospital base. The Trust will reimburse certain expenses relating to removal and relocation when required; the expenses refunded shall reflect the actual costs involved but will not exceed £8,000.

A satisfactory medical examination is a condition of employment for Medical and Dental staff in the NHS.

Candidates are requested to note that any person recommended for appointment in connection with this post will be referred to the DBS (Disclosure & Barring System) for their clearance.

Please note: In line with other NHS organisations in the North West Region, the Trust is now passing the charge for undertaking a DBS check on to candidates in the event they are successfully appointed into the post for which they have applied. Candidates can choose whether to pay this over 1-3 months as a deduction from the monthly salary. By applying for this vacancy you are agreeing to this undertaking in the event you are successfully appointed.

Person Specification

Qualifications

Essential

  • Valid Full Registration with the General Medical Council
  • CCST/ CCT and entry on Specialist Register (or expected within 6 months)
  • FRCR or equivalent

Desirable

  • Other relevant medical and non-medical training/degree
  • Other relevant postgraduate qualification
  • Membership of Specialist Radiological Societies

Training

Essential

  • Satisfactory completion of previous posts providing professional training in core radiology and CCT in Radiology.
  • Appropriate training in musculo-skeletal interventional radiology techniques

Desirable

  • Specialist experience in one or more areas of practice to take a lead role in that area

Experience

Essential

  • High level of clinical experience in musculo-skeletal & general radiology
  • Evidence of undergraduate and postgraduate teaching. Ability to mentor others
  • Understanding of, and experience of, performing and participating in audits during general professional and higher specialist training. Willingness to undertake departmental audits as requested/required

Desirable

  • Attendance at courses in teaching, appraisal and mentorship
  • Publications in peer reviewed journals

Professional Development

Essential

  • Clear commitment to lifelong learning, ability to keep up to date in the speciality.

Management

Essential

  • Understanding of current NHS management systems including clinical governance and risk management

Desirable

  • Attendance at appropriate management courses

Personal Skills

Essential

  • Ability to communicate and liaise effectively with patients, their relatives and with colleagues and staff in all disciplines
  • Experience of supervision of junior staff
  • Ability to lead the development of services and provoke best practice amongst the colleagues in a changing environment
  • Ability to work as part of a multidisciplinary team with professional colleagues, management and AHP

Desirable

  • Evidence of development of leadership within the work environment
  • Willingness to undertake additional professional responsibilities

Circumstances

Essential

  • Agree to live within 30 minutes travel time of the Trust unless permitted otherwise.
Person Specification

Qualifications

Essential

  • Valid Full Registration with the General Medical Council
  • CCST/ CCT and entry on Specialist Register (or expected within 6 months)
  • FRCR or equivalent

Desirable

  • Other relevant medical and non-medical training/degree
  • Other relevant postgraduate qualification
  • Membership of Specialist Radiological Societies

Training

Essential

  • Satisfactory completion of previous posts providing professional training in core radiology and CCT in Radiology.
  • Appropriate training in musculo-skeletal interventional radiology techniques

Desirable

  • Specialist experience in one or more areas of practice to take a lead role in that area

Experience

Essential

  • High level of clinical experience in musculo-skeletal & general radiology
  • Evidence of undergraduate and postgraduate teaching. Ability to mentor others
  • Understanding of, and experience of, performing and participating in audits during general professional and higher specialist training. Willingness to undertake departmental audits as requested/required

Desirable

  • Attendance at courses in teaching, appraisal and mentorship
  • Publications in peer reviewed journals

Professional Development

Essential

  • Clear commitment to lifelong learning, ability to keep up to date in the speciality.

Management

Essential

  • Understanding of current NHS management systems including clinical governance and risk management

Desirable

  • Attendance at appropriate management courses

Personal Skills

Essential

  • Ability to communicate and liaise effectively with patients, their relatives and with colleagues and staff in all disciplines
  • Experience of supervision of junior staff
  • Ability to lead the development of services and provoke best practice amongst the colleagues in a changing environment
  • Ability to work as part of a multidisciplinary team with professional colleagues, management and AHP

Desirable

  • Evidence of development of leadership within the work environment
  • Willingness to undertake additional professional responsibilities

Circumstances

Essential

  • Agree to live within 30 minutes travel time of the Trust unless permitted otherwise.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

East Lancashire Hospitals NHS Trust

Address

East Lancashire Hospitals NHS Trust

Royal Blackburn Hospital

Blackburn

BB2 3HH


Employer's website

http://jobs.elht.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

East Lancashire Hospitals NHS Trust

Address

East Lancashire Hospitals NHS Trust

Royal Blackburn Hospital

Blackburn

BB2 3HH


Employer's website

http://jobs.elht.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Clinical Director - Radiology

Tom Newton

tom.newton@elht.nhs.uk

01254734386

Details

Date posted

01 December 2021

Pay scheme

Hospital medical and dental staff

Grade

Consultant

Salary

£82,096 to £110,683 a year £82,096 - £110,683 Per annum

Contract

Locum

Duration

18 months

Working pattern

Full-time

Reference number

435-MQ134-21

Job locations

East Lancashire Hospitals NHS Trust

Royal Blackburn Hospital

Blackburn

BB2 3HH


Supporting documents

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