More than seven major religions are . The Trust is based at the Tavistock Centre in Swiss Cottage.The founding organisation was the Tavistock institute of medical psychology . Subject to the successful passage of the Health and Care Bill through parliament, CCGs will be abolished at the end of March 2022, with their functions and most of their staff transferring to integrated care systems (ICSs), which will be placed on a statutory footing. They suspect that higher. Dr B T Sanjeev has 5 jobs listed on their profile. This is our Annual Report for 2019/20. Communication problems are top of patients' concerns about hospital care East London NHS Foundation Trust: 35. East Lancashire Hospitals Nhs Trust: 131. However, the number of NHS trusts does not correlate to the number of hospitals as many trusts run more than one hospital, for example,Manchester University NHS Foundation Trustruns nine hospitals. The NHS is mainly funded from general taxation and National Insurance contributions. For someone who attends an urgent care centre and receives the lowest level of investigation and treatment theaverage cost in 2021/22 is 77. Top 10 Biggest Hospitals in the UK 1. Aintree Hospitals NHS Trust, established 1 November 1991. The NHS is one of the worlds largest employers with around1.2 million full-time equivalent staff in England, as of June 2021. Key statistics on the NHS | NHS Confederation This text provides general information. Pre-pandemic, GPs were conducting around 3 million telephone appointments a month, but during the pandemic it is estimated that number peaked at 11 million (March 2021). Last edited on 23 December 2022, at 02:43, National Health Service and Community Care Act 1990, Health and Social Care in Northern Ireland, List of NHS Wales trusts and health boards, Alder Hey Children's NHS Foundation Trust, Ashford and St Peter's Hospitals NHS Foundation Trust, Avon and Wiltshire Mental Health Partnership NHS Trust, Barking, Havering and Redbridge University Hospitals NHS Trust, Barnet, Enfield and Haringey Mental Health NHS Trust, Bedfordshire Hospitals NHS Foundation Trust, Berkshire Healthcare NHS Foundation Trust, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham Community Healthcare NHS Foundation Trust, Birmingham Women's and Children's NHS Foundation Trust, Black Country Partnership NHS Foundation Trust, Blackpool Teaching Hospitals NHS Foundation Trust, Bradford District Care NHS Foundation Trust, Bradford Teaching Hospitals NHS Foundation Trust, Calderdale and Huddersfield NHS Foundation Trust, Cambridge University Hospitals NHS Foundation Trust, Cambridgeshire and Peterborough NHS Foundation Trust, Cambridgeshire Community Services NHS Trust, Camden and Islington NHS Foundation Trust, Central and North West London NHS Foundation Trust, Central London Community Healthcare NHS Trust, Chelsea and Westminster Hospital NHS Foundation Trust, Cheshire and Wirral Partnership NHS Foundation Trust, Chesterfield Royal Hospital NHS Foundation Trust, Clatterbridge Cancer Centre NHS Foundation Trust, Cornwall Partnership NHS Foundation Trust, County Durham and Darlington NHS Foundation Trust, Countess of Chester Hospital NHS Foundation Trust, Coventry and Warwickshire Partnership NHS Trust, Derbyshire Community Health Services NHS Trust, Derbyshire Healthcare NHS Foundation Trust, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Dorset County Hospital NHS Foundation Trust, Dorset HealthCare University NHS Foundation Trust, Dudley and Walsall Mental Health Partnership NHS Trust, East Kent Hospitals University NHS Foundation Trust, East Midlands Ambulance Service NHS Trust, East of England Ambulance Service NHS Trust, East Suffolk and North Essex NHS Foundation Trust, Colchester Hospital University NHS Foundation Trust, Epsom and St Helier University Hospitals NHS Trust, Essex Partnership University NHS Foundation Trust, South Essex Partnership University NHS Foundation Trust, North Essex Partnership University NHS Foundation Trust, Gloucestershire Health and Care NHS Foundation Trust, Gloucestershire Hospitals NHS Foundation Trust, Great Ormond Street Hospital for Children NHS Foundation Trust, Great Western Hospitals NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust, Harrogate and District NHS Foundation Trust, Hertfordshire Partnership University NHS Foundation Trust, Hillingdon Hospitals NHS Foundation Trust, Homerton University Hospital NHS Foundation Trust, Hounslow and Richmond Community Healthcare NHS Trust, Hull University Teaching Hospitals NHS Trust, James Paget University Hospitals NHS Foundation Trust, Kent and Medway NHS and Social Care Partnership Trust, Kent Community Health NHS Foundation Trust, Kettering General Hospital NHS Foundation Trust, King's College Hospital NHS Foundation Trust, Lancashire Teaching Hospitals NHS Foundation Trust, Lancashire and South Cumbria NHS Foundation Trust, Leeds and York Partnership NHS Foundation Trust, Lincolnshire Partnership NHS Foundation Trust, Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool University Hospitals NHS Foundation Trust, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Aintree University Hospitals NHS Foundation Trust, London North West University Healthcare NHS Trust, Manchester University NHS Foundation Trust, Central Manchester University Hospitals NHS Foundation Trust, University Hospital of South Manchester NHS Foundation Trust, Mid Cheshire Hospitals NHS Foundation Trust, Midlands Partnership NHS Foundation Trust, Staffordshire and Stoke-on-Trent Partnership NHS Trust, South Staffordshire and Shropshire Healthcare NHS Foundation Trust, Milton Keynes University Hospital NHS Foundation Trust, Moorfields Eye Hospital NHS Foundation Trust, Newcastle upon Tyne Hospitals NHS Foundation Trust, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norfolk Community Health and Care NHS Trust, North Cumbria Integrated Care NHS Foundation Trust, North Cumbria University Hospitals NHS Trust, North East Ambulance Service NHS Foundation Trust, North Middlesex University Hospital NHS Trust, North Staffordshire Combined Healthcare NHS Trust, North Tees and Hartlepool NHS Foundation Trust, Peterborough and Stamford Hospitals NHS Foundation Trust, North West Boroughs Healthcare NHS Foundation Trust, Northamptonshire Healthcare NHS Foundation Trust, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Northumberland, Tyne and Wear NHS Foundation Trust, Northumbria Healthcare NHS Foundation Trust, Nottingham University Hospitals NHS Trust, Nottinghamshire Healthcare NHS Foundation Trust, Oxford University Hospitals NHS Foundation Trust, The Princess Alexandra Hospital NHS Trust, Queen Elizabeth Hospital, Kings Lynn, NHS Foundation Trust, Queen Victoria Hospital NHS Foundation Trust, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Rotherham Doncaster and South Humber NHS Foundation Trust, Royal Brompton and Harefield NHS Foundation Trust, Royal Devon University Healthcare NHS Foundation Trust, Royal National Orthopaedic Hospital NHS Trust, Royal Orthopaedic Hospital NHS Foundation Trust, Royal Papworth Hospital NHS Foundation Trust, Royal Surrey County Hospital NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust, Sandwell and West Birmingham Hospitals NHS Trust, Sheffield Children's NHS Foundation Trust, Sheffield Health and Social Care NHS Foundation Trust, Sheffield Teaching Hospitals NHS Foundation Trust, Sherwood Forest Hospitals NHS Foundation Trust, Shrewsbury and Telford Hospital NHS Trust, South Central Ambulance Service NHS Foundation Trust, South East Coast Ambulance Service NHS Foundation Trust, South London and Maudsley NHS Foundation Trust, South Tees Hospitals NHS Foundation Trust, South Tyneside and Sunderland NHS Foundation Trust, City Hospitals Sunderland NHS Foundation Trust, South West London and St George's Mental Health NHS Trust, South West Yorkshire Partnership NHS Foundation Trust, South Western Ambulance Service NHS Foundation Trust, Southport and Ormskirk Hospital NHS Trust, St George's University Hospitals NHS Foundation Trust, St Helens and Knowsley Teaching Hospitals NHS Trust, Surrey and Borders Partnership NHS Foundation Trust, Tavistock and Portman NHS Foundation Trust, Torbay and South Devon NHS Foundation Trust, University College London Hospitals NHS Foundation Trust, University Hospitals Coventry and Warwickshire NHS Trust, University Hospitals Birmingham NHS Foundation Trust, University Hospitals Bristol and Weston NHS Foundation Trust, University Hospitals Dorset NHS Foundation Trust, University Hospitals of Derby and Burton NHS Foundation Trust, University Hospitals of Leicester NHS Trust, University Hospitals of Morecambe Bay NHS Foundation Trust, University Hospitals of North Midlands NHS Trust, University Hospital Southampton NHS Foundation Trust, University Hospitals Sussex NHS Foundation Trust, Warrington and Halton Hospitals NHS Foundation Trust, West Midlands Ambulance Service University NHS Foundation Trust, Wirral University Teaching Hospital NHS Foundation Trust, Wrightington, Wigan and Leigh NHS Foundation Trust, Yeovil District Hospital NHS Foundation Trust, York and Scarborough Teaching Hospitals NHS Foundation Trust, Barnet and Chase Farm NHS Hospitals Trust, Basildon and Thurrock University Hospitals NHS Foundation Trust, Birmingham Children's Hospital NHS Foundation Trust, Birmingham Community Healthcare NHS Trust, Greater Manchester West Mental Health NHS Foundation Trust, Brighton and Sussex University Hospitals NHS Trust, Calderstones Partnership NHS Foundation Trust, Central Manchester and Manchester Children's University Hospitals NHS Trust, West Midlands Ambulance Service NHS Foundation Trust, Doncaster and Bassetlaw Hospitals NHS Foundation Trust, South Western Ambulance Service NHS Trust, Hull and East Yorkshire Hospitals NHS Trust, Frimley Park Hospital NHS Foundation Trust, Great Western Ambulance Service NHS Trust, Greater Manchester Mental Health NHS Foundation Trust, South Central Ambulance Service NHS Trust, Heatherwood and Wexham Park Hospitals NHS Foundation Trust, South East Coast Ambulance Service NHS Trust, Queen Elizabeth Hospital King's Lynn NHS Trust, Manchester Mental Health and Social Care Trust, University Hospital of North Staffordshire NHS Trust, Royal Devon and Exeter NHS Foundation Trust, The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Central Manchester and Manchester Children's University Hospitals NHS Foundation Trust, Royal National Hospital for Rheumatic Diseases NHS Foundation Trust, Royal United Hospital Bath NHS Foundation Trust, Royal National Throat, Nose and Ear Hospital, Western Sussex Hospitals NHS Foundation Trust, Scarborough and North East Yorkshire NHS Trust, York Teaching Hospital NHS Foundation Trust, Somerset Partnership NHS Foundation Trust, South Devon Healthcare NHS Foundation Trust, Staffordshire and Stoke on Trent Partnership NHS Trust, South West Yorkshire Mental Health NHS Trust, South Yorkshire Metropolitan Ambulance and Paramedic Service NHS Trust, Southend University Hospital NHS Foundation Trust, Tameside and Glossop Integrated Care NHS Foundation Trust, Taunton and Somerset NHS Foundation Trust, Torbay and Southern Devon Health and Care NHS Trust, University Hospitals Bristol NHS Foundation Trust, Wakefield and Pontefract Community Health NHS Trust, 5 Boroughs Partnership NHS Foundation Trust, West Middlesex University Hospital NHS Trust, West Yorkshire Metropolitan Ambulance Service, Whipps Cross University Hospital NHS Trust, "Confronting coronavirus in the NHS: Foreword", "Authorisation of Airdale NHS Foundation Trust", "Authorisation of Alder hey Children's NHS Foundation Trust", "Merger trusts set course for 'significant' service changes", "5 Boroughs Partnership NHS Foundation Trust changes name to North West Boroughs Healthcare NHS Foundation Trust after public vote", "Authorisation of South Staffordshire Healthcare NHS Foundation Trust", "Gloucestershire Health and Care NHS Foundation Trust", "Gloucestershire Care Services NHS Trust", "Authorisation of Cambridge University Hospitals NHS Foundation Trust", "Authorisation of Aintree University Hospitals NHS Foundation Trust", "Why mega merger between Liverpool's major hospitals is great news for the city", "Aintree University Hospital NHS Foundation Trust / The Royal Liverpool and Broadgreen University Hospitals NHS Trust merger inquiry", "Grant of Application for the Acquisition of Staffordshire and Stoke-On-Trent Partnership NHS Trust by South Staffordshire and Shropshire Healthcare NHS Foundation Trust", https://en.wikipedia.org/w/index.php?title=List_of_NHS_trusts_in_England&oldid=1128998265. A leading London hospital trust is expected to record an annual deficit of between 180m and 191m - the biggest overspend in NHS history, the . For example, in 2021/22 an appendix removal operation for a child without complications costs, on average, 2,817, and the average cost of an emergency coronary artery bypass graft without complications is 9,212. Belowwe outline what 1 billion in health and social care spending would buy in 2019/20. Percentage of individuals in Great Britain who said select issues were the biggest . NHS hospital trusts to pay out further 55bn under PFI scheme Manchester Royal Infirmary 2. It also funds some social care services, which are mainly commissioned by local authorities. See the complete profile on LinkedIn and discover Dr B T Sanjeev's connections and jobs at similar companies. 2.5 billion of the Department for Health and Social Cares budget is spent on administration costs for the department and the health and care system, such as departmental running costs, regulatory costs and business services, eg, the NHS payroll. Are you interested in testing our business solutions? There were136,878 consultant-led beds available in the NHS, as of Q2 2021/22. Get in touch with us. Find out whatour position is on the future challenges for the NHS workforce. All such trusts were abolished on 31 March 2013. Find out more abouttrends in hospital beds in our explainer. A G/E1A)y%$PNs-"bfAfU6qD' ~XH uMDgm*e-?Od+@? CHKS - Insight for better healthcare part of the wider Health Infrastructure Plan announced in September 2019, a strategic . Research studies come in all shapes and sizes, covering a wide range of topics aimed at all different age groups. )xH]fC./0u `;2Cs.1)[ UC]&'jIo3} F`1 This statistic shows the. The most recent figures have been used where possible due to reporting delays some figures are based on 2019/20 data. Global health care spending expected to rise at a compound annual growth rate ( CAGR) of 5% in 2019 to 2023 a year and recent research estimates that there is a winnable contract value between 3 . Lifecare NHS Trust, established 21 December 1990, Lifespan Cambridge NHS Trust merged into Cambridgeshire and Peterborough Mental Health Partnership in 2002, Lincoln and Louth NHS Trust merged into United Lincolnshire Hospitals NHS Trust in 2000, Lincoln District Healthcare NHS Trust merged into Lincolnshire Healthcare NHS Trust in 2001, Lincoln Hospitals NHS Trust changed its name to Lincoln and Louth NHS Trust in 1996, Lincolnshire Ambulance and Health Transport Service NHS Trust merged into, Lincolnshire Healthcare NHS Trust changed its name to Lincolnshire Partnership NHS Trust in 2002, Liverpool Obstetric and Gynaecology Services NHS trust changed its name to Liverpool Womens Hospital NHS Trust in 1994, Local Health Partnerships NHS Trust changed its name to Suffolk Mental Health Partnership NHS Trust in 2004, Louth and District Healthcare NHS Trust merged into Lincoln and Louth NHS Trust in 1996, Luton and Dunstable Hospital NHS Foundation Trust acquired Bedford Hospital NHS Trust, forming, Maidstone Priority Care NHS trust merged into Invicta Community Care NHS Trust in 1997, Manchester Central Hospitals and Community Care NHS Trust changed its name to Central Manchester Healthcare NHS Trust in 1993, Manchester Children's Hospital NHS Trust merged into Central Manchester and Manchester Children's University Hospitals Trust in 2001, Mancunian Community Health NHS Trust dissolved 2001 and divided between three Manchester. Imperial College Healthcare NHS Trust - Wikipedia Several of NHS' biggest trusts set to miss financial plans St George's Hospital 6. The backlog of people waiting for care means some activities, such as routine operations, are likely to be affected for years. endstream endobj 1215 0 obj <>stream The cost of an operation depends on a range of factors, such as the complexity of the procedure and how long the patient stays in hospital. data than referenced in the text. PDF Ranking - NHS England This list of NHS trusts in England provides details of current and former English NHS trusts, NHS foundation trusts, acute hospital trusts, ambulance trusts, mental health trusts, and the unique Isle of Wight NHS Trust. 0 This growth in demand is also reflected in general practice. Queens Medical Centre, Nottingham 5. Source: More than 1 million people would attend a GP appointment, More than 250,000 people would attend an outpatient appointment, Nearly 45,000 people would attend a major A&E department, and about 20 per cent of A&E patients would be admitted into hospital, Around 750 patientswould go into critical care, GP appointments figure is based on the average number of appointments on working weekdays in 2019/20. View Dr B T Sanjeev Kumar's profile on LinkedIn, the world's largest professional community. Of identified patient safety reports, the doctors said 90% were probably or definitely avoidable. www.nationalrehabilitationcentre.nhs.uk . Each day varies depending on the day of the week, the environment (eg, the season), social and cultural events (eg, bank holidays) and disaster events (eg, global pandemics). University Hospital Coventry hb```"WMB ea0+ PNXwvq0p4v@*YXin iegq+C RODvp0Xy! 1 For example, type 1 A&E attendances in June 2021 were already higher than pre-pandemic levels. Royal Stoke University Hospital 4. In addition to general cleaning of public areas and dealing with ad hoc tasks, e.g. endstream endobj 1211 0 obj <>/Pages 1209 0 R/StructTreeRoot 28 0 R/Type/Catalog>> endobj 1212 0 obj <>/MediaBox[0 0 595.2 841.68]/Parent 1209 0 R/Resources<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1213 0 obj <>stream L{` 3Lqp c[6w{jf3 x5oEIg\:;-9p;A^, gNk@ir _PNk=n#}9mb^ij> )Lc8YUqQU-^7^Ak-1PfxX$M3Q{K5S5Qe%A+ @V0j>k;>Jca$~XL;^" ,d:'ow8TWGGdy8 uzO]TI-\nXV[%4Od\=~zE-z$v In 2019/20, the average cost of a patient being taken to A&E by ambulance was 292. Total current healthcare expenditure in 2020 is estimated at 269 billion, a nominal-terms increase of 20% on spending in 2019. It is one of the largest NHS trusts in England [3] and together with Imperial College London forms an academic health science centre . Imperial College Healthcare NHS Trust is an NHS trust based in London, England. hRk0W}Ig4anJ?plwtt'G9x;= `@3i+2(X!]_;'_>wCuo|*)vU2SP j942% rgOI?AOsd!#gFk)F,j@a (,%3ECgQmnpa/1qEzc /c}:sgN(l0w #|w~x^zT}$'eZ4Z0`LPGc.r+P{y@{\onOh6#QH 8RRb,\M` (" H]o0+$HuDvv :fj02vZZvsNJa(n#AQNA:OuD=e{]p=IX/3A7n14;m|R[Y,bjd(E0P+#F. This represents an overall increase of 42 per cent an average increase of 3.2 per cent a year. The best of the best: the portal for top lists & rankings: Strategy and business building for the data-driven economy: Most important issues facing Britain 2019-2023, Level of satisfaction with national health systems worldwide as of 2019, by country, NHS England workforce vacancy rates by staff group 2018/19 Q1-2021/22 Q3, Public healthcare spending as share of GDP in the United Kingdom (UK) 2000-2020, NHS total operating expenses in the UK 2020/21, Health expenditure per head in the United Kingdom 2012/13-2020/21, by country, Healthcare expenditure in the UK 2000-2021, Total healthcare expenditure in the United Kingdom from 2000 to 2021 (In billion GBP), Healthcare expenditure as a share of GDP in the UK 1980-2021, Total healthcare expenditure as a share of GDP in the United Kingdom from 1980 to 2021, Healthcare expenditure growth rate United Kingdom 1998 to 2020, Total healthcare expenditure annual growth rate in the United Kingdom (UK) from 1998 to 2020, Annual health expenditure per head in the United Kingdom (UK) from 2012/13 to 2020/21, by country, Population covered by public or private health insurance in the UK 2000-2019, Percentage of population covered by public or private health insurance in the United Kingdom from 2000 to 2019, Annual public healthcare spending per capita in the UK 2000-2021, Annual public healthcare spending per capita in the United Kingdom (UK) from 2000 to 2021 (in GBP), Annual spending on public healthcare as a share of gross domestic product (GDP) in the United Kingdom (UK) from 2000 to 2020, National Health Service (NHS) total operating expenses in the United Kingdom in 2020/21 (in million GBP), NHS providers in the UK 2020/21, by service, Number of National Health Service (NHS) providers in the United Kingdom during 2020/21, by service, NHS providers in deficit in the UK 2020/21, by service, Number of National Health Service (NHS) providers in deficit before impairment and transfers in the United Kingdom during 2020/21, by service, Surplus/deficit of NHS providers in the UK 2020/21, by service, Surplus/deficit of National Health Service (NHS) providers before impairment and transfers in the United Kingdom during 2020/21, by service (in million GBP), Number of doctors employed in the NHS in England 2004-2021, Annual number of National Health Service doctors employed in England from 2004 to 2021, Number of nurses employed in the NHS in England 2004-2021, Annual number of National Health Service nurses employed in England from 2004 to 2021, Number of scientific, therapeutic and technical staff in the NHS in England 2004-2021, Annual number of National Health Service scientific, therapeutic and technical staff in England from 2004 to 2021, Number of staff employed to support clinical staff in England 2004-2021, Annual number of National Health Service support staff to clinical staff in England from 2004 to 2021, Number of qualified ambulance staff in the NHS in England 2004-2021, Annual number of National Health Service qualified ambulance staff in England from 2004 to 2021, Number of senior managers and managing staff in the NHS in England 2004-2021, Annual number of National Health Service senior managers and managing staff in England from 2004 to 2021, NHS England workforce vacancies by staff group 2018/19 Q1-2021/22 Q3, Number of vacancies in the NHS workforce in England from 2018/19 Q1 to 2021/22 Q3, by staff group, Vacancy rate of the NHS workforce in England from 2018/19 Q1 to 2021/22 Q3, by staff group, Mean annual salary for doctors in NHS England in 2020/21, by staff group, Mean annual basic salary for doctors in NHS England in 2020/21, by staff group (in GBP), Mean annual salary NHS staff in England 2020/21, by staff group, Mean annual basic salary for nurses, midwives, and support staff in NHS England in 2020/21, by staff group (in GBP), Median wait time for treatment in A&E in the UK 2011-2022, Median waiting time for treatment in the accident and emergency (A&E) in the United Kingdom from May 2011 to January 2022 (in minutes), England: A&E attendees seen within four hours 2011-2022, by month, Share of individuals who attended any accident and emergency (A&E) department and were seen in four hours or less in England from 2011 to 2022, by month, Number and share waiting within 18 weeks for elective treatment in England 2007-2021, Number and percentage of patient's waiting for elective (non-urgent) treatment within 18 weeks in England from August 2007 to August 2021, Number and share waiting over 52 weeks for elective treatment in England 2007-2022, Number and percentage of patients waiting more than 52 weeks for elective (non-urgent) treatment in England from August 2007 to August 2022, Overall rating of NHS acute hospitals core services in England in 2021, Rating of NHS acute hospitals core services in England as of July 2021, Overall rating of NHS acute hospitals core services in England in 2021, by service, Rating of NHS acute hospitals core services in England as of July 2021, by service, Overall rating of NHS mental health core services in England in 2021, by service, Rating of NHS mental health core services in England as of July 2021, by service, Public satisfaction with the NHS in the United Kingdom (UK) 2000-2021. * This group includes all HCHS doctors, qualified nurses and health visitors, midwives, qualified scientific, therapeutic and technical staff and qualified ambulance staff. 1230 0 obj <>stream The Tavistock and Portman NHS Foundation Trust is a specialist mental health trust based in north London. This list of NHS trusts in England provides details of current and former English NHS trusts, NHS foundation trusts, acute hospital trusts, ambulance trusts, mental health trusts, and the unique Isle of Wight NHS Trust. Many services had to change the way they operated. Within elective care, the number of referrals to outpatient services increased from 4.1 million in Q1 2008/09 to 5.9 million in Q1 2019/20.
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