Tag Archives: service delivery monitoring

Wairarapa DHB fails to undertake medical investigation into serious systemic complaint, attempted suicide, failure of duty of care, Wairarapa DHB Focus NASC Ian Childs attacks complainant by intentionally with holding allocated in home care hours for four and half years.

Wairarapa DHB Focus causing serious harm and trauma to complainant and high needs disabled quadraplegic partner by intentionally with holding allocated in home care hours of 14-12 Hrs per week; over a four and half year period.

Wairarapa DHB failed to undertake medical investigation into my systemic complaint against Wairarapa DHB, CareNZ, Wise Group Pathways.

Complaint was posted snail mail to Wairarapa DHB, HDC Anthony Hill, Dr Lynne Lane Mental health Commissioner on the 4 December 2012.

Photo of complaint cover sheet, released under New Zealand Official information Act OIA 1982, and New Zealand Privacy Act from Health and Disabilty Commissioner Office.

Wairarapa DHB confirmed recieving above serious systemic complaint on 11 December 2012; via Gillian Malton Wairarapa DHB Quality, Safety, Risk department.

Wairarapa DHB has failed to undertake Medical Investigation into this serious complaint that has caused much harm and trauma to my partner and I, my partner had a serious stroke, this information is clearly stated in this complaint.


The below Wairarapa DHB document from Gillian Malton Quality co-ordinator 11 December 2012, the DHB Quality office acknowledgement of receipt of my complaint.

At the time of recieving acknowledgement of this Complaint via Wairarapa DHB Quality, Safety, risk office, “my partner was still a patient in Masterton hospital rehabilitation ward when the first Wairarapa DHB Focus needs assessment by Ian Childs Focus RN NASC was undertaken on the 17 December 2012, both my partner and I; were completely excluded from this needs assessment, I also talked to my partner’s social workers X2; in the hospital about this complaint; I also talked to other staff in the hospital about this serious complaint.

Wairarapa DHB Focus NASC Ian Childs trying to drive disabled complainant to suicide, Wairarapa DHB have a bullying culture that targets people with punitive criminal actions if they dare file a complaint.

I made a New Zealand Official information Act request via http://www.fyi.org.nz, Wairarapa DHB posted my private medical notes on my OIA request; this forced FYI addmin to remove my request.

Wairarapa DHB censoring OIA request.Wairarapa DHB fails to undertake medical investigation into systemic complaint attempted suicide, failure of duty of care, Wairarapa DHB posted my private medical notes on OIA request, to censore and pervert the course of justice, MOH is investigating, i have asked Wairarapa DHB to take my allegation to New Zealand Police.

Wairarapa DHB is attempting to pervert the course of justice, New Zealand Ministry of Health MOH is investigating Wairarapa DHB Focus NASC needs assessment; and Healthcare of New Zealand Holdings Ltd, HHL Group Director Dr Lynne Lane.

Here is content from my OIA request to Wairarapa DHB.

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Wairarapa DHB fails to undertake medical investigation into serious systemic complaint adverse event attempted suicide, failure of duty of care.

Paul Riddler made this Official Information request toWairarapa District Health Board

Response to this request is delayed. By law, Wairarapa District Health Board should normally have responded promptly and byJune 28, 2017 (details and exceptions)

From: Paul Riddler

May 30, 2017

Dear Wairarapa District Health Board,

Wairarapa DHB fail to investigate serious systemic complaint lodged 7 December 2012. 
Reference: Letter dated; 15 January 2013. 
Simon Everitt: Group Manager Service Development (SDIU), Service integration and Development Unit. 
Simon Everitt Wairarapa DHB; confirms reciet of my complaint, dated 7 December 2013, CC letter: Ashley Bloomfield SIDU.

New Zealand Official Information Act, OIA 1982, request to Wairarapa District Health Board DHB, failure to undertake medical clinical investigation into serious systemic complaint,Wairarapa DHB Masterton Hospital; failure to undertake suicide risk assessment, no assessment by mental health team.

1. Please supply all communication,documents,emails; between Wairarapa DHB and Health and disability Commissioner’s office relating to my systemic complaint that was lodged with HDC, on 4 December 2012; against Wairarapa DHB, Pathways,CareNZ; file reference number: 12HDC01560. 
Please include all clinical/medical investigation documents, and if no medical investigation documents have been reviewed or investigated, please state clearly “no clinical/medical investigation documents available”.

2. Please supply all clinical/medical investigation documents from licenced medical practitioners, chief medical officer,or other doctors qualified to investigate sub standard care medical complaints; of Wairarapa DHB Masterton Hospital, MSW medical surgical ward notes; relating to my stay at Masterton Hospital between 27 January 2012 and 31 January 2012, “please state clearly, if no clinical/medical investigation documents exist”. 
(Please be aware I have requested all my medical notes for this period)

3. Please supply all clinical/medical investigation documents from the Wairarapa DHB mental health team, relating to my stay in the Masterton Hospital medical surgical ward MSW, between 27 January 2012 and 31 January 2012, please state clearly; if no clinical/medical investigation documents exist.

4. Please supply all communications relating to my 7 December complaint filed with Wairarapa DHB, between Wairarapa DHB officers; Simon Everitt and Ashley Bloomfield, SIDU, and all communications with Wairarapa DHB members.

5. Reference: Dr Lynne Lane, HDC Wairarapa DHB visit, 2012,

3.0 Wairarapa DHB senior management response.

3.3 Re: improvement programs, “please supply all communication between Wairarapa DHB and HDC relating to Improving trust and confidence,generally: “with a specific focus on improving complaint processes”.

6. Reference HDC visit 2012, 3.3 Wairarapa DHB senior management response. 
Please supply all communications between Wairarapa DHB; and HDC relating to, “improving access to appropriate care in acute/ crisis situations. 
My complaint that was filed with Wairarapa DHB 7 December 2013 related to me being discharged without being assessed by the Wairarapa DHB mental health team, no suicide risk assessment was undertaken; i was acute in crisis, mentally unwell and suicidal. 
Wairarapa DHB failed to undertake an medical/clinical investigation into my serious systemic complaint.

7. Please supply the Wairarapa DHB Masterton Hospital “complaint management process” that was in place for these years 2012/2013 through to 2017. 
Please supply the complaint management protocols for serious systemic medical complaints of adverse events, please supply the designation and qualification of Wairarapa DHB employee’s who are bound under the Health and disability commissioner’s Act, and New Zealand BoRa; to be responsible for investigating serious complaints of adverse events resulting in harm. 
Please include reference to HDC act “Code of patients rights”.

Reference: HDC visit, Wairarapa DHB 2012 (3.7) “in the interest of openness and transparency Wairarapa DHB”. 
I am requesting that all mental health and addiction improvement programs are made public; with special focus on suicide prevention and integrity of complaints relating to sub standard care that has resulted in attempted; and completed suicides under Wairarapa DHB care. 
This OIA request is of interest to the wider community; due to ongoing issues relating to people being denied access to mental health services, suicide risk assessments, suicide watch; when they are acute/in crisis and actively suicidal. 
Failing to release the information requested may endanger the wider Wairarapa community for people with mental health and addiction issues; who try to access mental health services when they are acute, in crisis and suicidal.

Please supply all information requested under, New Zealand Official Information Act; via supplied physical address in hard copy, please also supply copies to supplied email address.

Evidence 1.

Health and disability commission; MHC, Dr Lynne Lane; attends public meeting, 10 August 2012, at Pathways Wise Group CareNZ office, 20 Victoria Street Masterton. 
I received an invitation to attend this public meeting; I attended this public meeting with my HDC advocate Betty Knott; and an support person Victoria; approximately 25 people attended this meeting; “two Wairarapa DHB representatives were also present”.

I spoke of my serious systemic complaint at this meeting; I read the content of my systemic complaint that was filed with Betty Knott HDC Advocacy, 21 May 2012.

I then was able to speak of my systemic complaint; to Dr Lynne Lane; at an short private individual meeting; Betty Knott HDC Advocacy; and Victoria my quit smoking coach as support person were present at this meeting. 
Background: Wairarapa DHB fail to investigate serious complaint.

Evidence 2.

Betty Knott, Wairarapa Nationwide health and disability advocacy service; did not act in my best interest; Betty Knott colluded with Wairarapa DHB mental health and addiction providers; Pathways and CareNZ; my HDC advocate altered,redacted my systemic complaint by using confidential information from my private email dated 14 May 2012.

Due to Betty Knott perverting the course of my complaint; I filed an comprehensive complaint with the Health and disability commissioner’s office on; December 4 2012.

During 2013, Wairarapa DHB officer; Strategic development and population health manager Simon Everitt became involved with my HDC complaint, number C12HDC01560.

Simon Everitt colluded with Pathways provider Michelle Glenny; to shut down any accountability for my serious complaint, Simon Everitt did not undertake any investigation into my complaint; he also denied two other complainant’s accountability by colliding with Pathways manager Michelle Glenny; stating that these complaints had already been resolved, mine and the other two complaints as of today; with this OIA(Official information act) request to Wairarapa DHB “have not been investigated or resolved.

Wairarapa DHB Simon Everitt did not have the clinical qualifications to be involved with my serious systemic complaint; or the other two complaints that were lodged at Betty Knott’s office on; 21 May 2012.

Simon Everitt was fully involved with the installation of Pathways Wise Group & CareNZ; as mental health and addiction providers to Wairarapa DHB from 2011 through 2013. (Link below)

 http://i.stuff.co.nz/dominion-post/news/….

Simon Everitt, Wairarapa DHB involvement with my 4 December 2012 systemic complaint number; C12HDC01560; evidence of involvement reference. 
New Zealand Health and disability commissioner MHC, Dr Lynne Lane; Wairarapa DHB visit; 2-3 February; and 10 August 2012. 
Wairarapa DHB visit in August 2012 
Outcome of the Mental Health Commissioner Consultation with Consumers and their Family/Whanāu in the Wairarapa District. 
August 2012 
  
1.0       Background to the consultation with Wairarapa consumers and family/whanāu 
1.1        On 2-3 February 2012, the Mental Health Commission (MHC) conducted a District Sector Visit (DSV) in the Wairarapa. The Wairarapa DHB had made significant changes to the contracts and governance arrangements for mental health and addiction services just prior to the DSV. The purpose of these changes was to achieve higher quality better integrated services that would lead to improved mental health outcomes for people in the Wairarapa. 
1.2        During the DSV the MHC did not hold face to face meetings with consumers and family/whanāu members due to MHC’s lack of capacity during the transition to disestablishment. Over 30 Wairarapa service users and family/whanāu completed questionnaires in lieu of a meeting. They requested an opportunity to meet with the Mental Health Commissioner to discuss their concerns about the potential adverse impacts of the services changes that were not yet fully implemented. It was therefore agreed that the Mental Health Commissioner would conduct follow-up meetings with consumers and their family/whanāu to assess how well the new arrangements were meeting their needs. 
1.3        Over the past 12 months organisational change has impacted on the DSV process conducted by the Mental Health Commissioner. The MHC was disestablished on 30 June 2012. From 1 July, the Office of the Health and Disability Commissioner (HDC) is responsible for monitoring and advocating for improvements in Mental Health and Addiction Services and includes the role of Mental Health Commissioner. The HDC is conducting DSVs on a biannual basis as did the MHC. 
1.4       DSVs are not a forum for consumers and/or their family/whanāu to make formal complaints to HDC, however that option is explained to those who specifically express an interest in doing so. 
2.0       Summary of feedback from consultation meetings on 10thAugust 2012 
2.1        On 10th August the Mental Health Commissioner met with Wairarapa Mental Health and Addiction Service Users/Tangata Whaiora and their family/whanāu. Approximately 100 people attended the meetings at three venues: Supporting Families, Pathways and Te Hauora Runanga O Wairarapa.  Participants were assured that any information they shared would be treated in strictest confidence and only anonymous feedback would be used to advocate for improvements in services. 
2.2        People attending the consultation meetings identified a wide range of issues on what was working for them and what was not working. The process did not allow for a systematic review of all the Mental Health and Addiction Services funded by the Wairarapa DHB. However a number of key themes were consistently raised and confirmed by many people attending the meetings. 
2.3        The feedback focused on recent experience with the mental health and addiction services and overall reflected less confidence in the DHB following the recent changes in contracted providers. 
2.4        Confidence in the Mental Health and Addiction Services has been undermined by the loss of local consumer and family advisor roles being filled by people resident in the Wairarapa. We heard how much importance they place on having a trusted representative who is familiar with their concerns and able to influence the delivery of services. 
2.5        Concerns were raised about not being able to access appropriate care when they or their family/whanāu member was acutely unwell. This was particularly an issue for youth and adults at high risk of suicide. 
2.6        There was wide agreement by people using alcohol and other drug services that the services did not reflect a recovery focus and they were not being adequately listened to, or involved in decisions regarding their care. The high level of concern expressed was compounded by a lack of due process if they complained to the provider. 
2.7        Consumers and family/whanāu are increasingly turning to other organisations for the support they need. They are choosing organisations which make them feel welcome, respected and cared about as people.  Supporting Families and Te Hauora O Wairarapa Services were praised for the services they provide. 
2.8        Other suggestions were made about how things should be, including the need to strengthen community-led responses to reduce suicide, services to support addicts to stay abstinent, and provide programmes to promote mental health and wellbeing. 
  
3.0       Wairarapa DHB Senior Management Response 
3.1        At the conclusion of the meetings with consumers family/whanāu the Mental Health Commissioner met with the DHB Senior Management team to provide timely feedback from the meetings. The DHB listened to consumers and their whanāu/family members concerns and has taken action to rebuild confidence in the services. 
3.2        The DHB immediately convened a meeting of key provider and consumer advocates to discuss the concerns that had been brought to their attention.  It was agreed that the CEO would sponsor the establishment of a DHB wide Improvement Programme to ensure the new model of integrated Mental Health and Addiction Services fully achieves its aim of improving the patient/whanāu experience, improve the health of the population and achieve value for money within a constrained budget. 
3.3        The Improvement Programme is to be undertaken by the Mental Health and Addiction Service Improvement Group which will be supported by the Wairarapa DHB Director of Quality Safety and Risk. The Improvement Programme goals include the following outcomes: 
improving trust and confidence, generally: with a specific focus on improving complaint processes;increasing the local consumer voice;improving access to appropriate care in acute/ crisis situations;strengthening the focus on recovery and supporting the consumer to meet their recovery goals;improving the provision of support to whanāu/families; andopen and honest communication with patients, whanāu/families and education around what services are available. 
3.4        Individual improvement programmes will be developed for each provider to address specific concerns expressed by consumers, families/whanāu. 
3.5        The Improvement Programme will validate the communities concerns and ensure they are engaged in agreeing the actions to address them. 
3.6        Community-led responses to reducing the incidence and harm as a result of suicide will be enhanced. Specific steps have also been taken to strengthen the DHB role in supporting suicide prevention. 
3.7        In the interest of openness and transparency the DHB will make the systemic Improvement Programme public and will publicise progress against the plan quarterly and share the results with the Office of the Health and Disability Commissioner.

Yours faithfully,

Paul Riddler

Link to this

From: Jean McDowall [WRDHB]
Wairarapa District Health Board

June 02, 2017


AttachmentW17 070 signed acknowledgement.pdf 
389K Download


Good afternoon

Acknowledgement of your OIA request is attached

 

Regards

 

Jean McDowall | Communications Administrator

Wairarapa DHB

…………………………………………………………………………

Phone  +64 (06) 9469 800  x 5840
[mobile number]
[1][email address]

[2]www.wairarapa.dhb.org.nz

 


This email or attachment(s) may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of the DHB

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2. http://www.wairarapa.dhb.org.nz/

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Paul Riddler left an annotation (June 14, 2017)

Wairarapa DHB fail to investigate complaints, attempted suicide, failure duty of care,gross misconduct, and the DHB has failed to provide information requested under the New Zealand Official information act OIA, Wairarapa DHB please provide requested OIA information. 
http://www.radionz.co.nz/news/political/…
Wairarapa DHB, Focus 4 1/2 year assault with intent to injure; via punitive reduction of in home care for my high needs disabled partner. 
Wairarapa DHB fails to investigate systemic complaint, then attacks complainant’s family. 
New Zealand Ministry of health is investigating.

Link to this

Paul Riddler left an annotation (June 15, 2017)

Wairarapa DHB do not undertake medical investigations in to serious complaints involving sub-standard care, medical negligence and gross misconduct. 
There is a criminal bullying and cover up culture that is facilitated by the Health and disability commissioner Anthony Hill; who shuts multiple complaints down under HDC act 38, “To take no further action”. 
This criminal misuse of legislation has endangered the wider Wairarapa community, this is systemic through multiple DHB regions. 
http://i.stuff.co.nz/national/health/743…

Link to this

Paul Riddler left an annotation (June 15, 2017)

The Ministry of health MOH investigation into Wairarapa DHB Focus and Healthcare New Zealand Holdings Ltd; Dr Lynne Lane Director, “4 1/2 year assault with intent to injure”; via punitive reduction of in home care from 18 hours per week allocated to my high needs disabled partner, reduced to just 2 hours per week has caused much trauma and harm. 
This and other criminal actions have been employed against me and my high needs disabled partner. 
As of up dating this OIA request to the Wairarapa DHB today, the MOH Investigator is subjecting us to victim blaming, by delivering out right lies from Wairarapa DHB Focus needs assessor Ian Child’s, and complete misrepresentations of the facts delivered by Healthcare New Zealand Holdings Ltd; to conceal my initial complaint that Wairarapa DHB failed to investigate. 
Two disabled people; my high needs quadraplegic disabled partner and I have been subjected to years of abuse, lies and bullying from Wairarapa DHB. 
The 4 1/2 year assault with intent to injure; via a punitive reduction of in home care also exposes serious corruption of over $200,000 misdirected allocated in home care hours funded to Wairarapa DHB Focus needs assessor by the ministry of health.

Link to this

From: Jean McDowall [WRDHB]
Wairarapa District Health Board

June 22, 2017


AttachmentW17 070 signed extension.pdf 
442K Download


Good morning Paul

Attached is a letter extending the date by which we will respond to your
Official Information request.

 

Regards

 

Jean McDowall | Communications Administrator

Wairarapa DHB

…………………………………………………………………………

Phone  +64 (06) 9469 800  x 5840
[mobile number]
[1][email address]

[2]www.wairarapa.dhb.org.nz

 


This email or attachment(s) may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of the DHB

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Paul Riddler left an annotation (June 22, 2017)

Wairarapa DHB has extended the time to reply to this OIA request.

Link to this

From: Paul Riddler

June 29, 2017

Dear Wairarapa District Health Board, 
Please supply the information I requested under the New Zealand Official information Act, by law the Wairarapa DHB should have promptly supplied the requested information by 28 June 2017. 
Re: OIA Request: Wairarapa​ DHB fails to undertake medical investigation into serious systemic complaint, adverse event, attempted suicide failure of duty of care.

Yours faithfully, 
Paul Riddler.

Paul Riddler

Link to this

From: OIA Request [WRDHB]
Wairarapa District Health Board

July 03, 2017

Dear Mr Riddler
Please see the attached letter regarding your OIA request, sent to you on 22 June. Your request has necessitated a considerable amount of consultations and searching through documents to locate the information.

Regards

Jean McDowall | Communications Administrator
Wairarapa DHB
…………………………………………………………………………
Phone  +64 (06) 9469 800  x 5840
[email address]
www.wairarapa.dhb.org.nz

show quoted sections

Link to this

From: OIA Request [WRDHB]
Wairarapa District Health Board

July 03, 2017


Attachment22062017110336 0001.pdf 
442K Download


Sorry Paul, here’s the attachment

show quoted sections

Link to this

From: Jean McDowall [WRDHB]
Wairarapa District Health Board

July 04, 2017

Dear Mr Riddler

Could you please supply your current physical address for release of hard
copies of your official information request.

 

Regards

 

Jean McDowall | Communications Administrator

Wairarapa DHB

…………………………………………………………………………

Phone  +64 (06) 9469 800  x 5840
[1][email address]

[2]www.wairarapa.dhb.org.nz

 


This email or attachment(s) may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of the DHB

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From: Sophie Holmes [WRDHB]
Wairarapa District Health Board

July 07, 2017


AttachmentFinal Signed Response W17 070.pdf 
371K Download

Attachment04072017095329 0001.pdf 
680K Download

Attachment04072017095400 0001.pdf 
937K Download

Attachment04072017095427 0001.pdf 
329K Download

Attachment04072017095757 0001.pdf 
2.6M Download

Attachment04072017100049 0001.pdf 
4.6M Download

Attachment04072017100119 0001.pdf 
1.4M Download

Attachment04072017100150 0001.pdf 
1.7M Download

Attachment04072017100221 0001.pdf 
659K Download


Good morning Paul,

 

Please see attached documents that relate to your OIA request regarding
your complaint lodged against Wairarapa DHB, your medical records and a
copy of the DHBs Complaints Policy.

 

You requested the hard copies be sent to you in the mail, however you
haven’t supplied an address to send them to. So until such time we will
hold them here.

 

Regards,

 

Sophie Holmes | Executive Administrator | Chief Executive’s Office

Wairarapa DHB

Phone  +64 (06) 9469800 extn. 5145
[1][email address]

[2]www.wairarapa.dhb.org.nz

 

Please consider the environment before printing this email and / or any
related attachments

The information contained in this email and any attachments is
confidential and may be legally privileged. If you have received this
message in error, please notify the sender immediately and remove all
copies of the message, including any attachments. Any views or opinions
expressed in this email (unless otherwise stated) may not represent those
of Wairarapa DHB. Thank you.

 


This email or attachment(s) may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of the DHB

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Link to this

Paul Riddler left an annotation (July 09, 2017)

Send hard copy OIA documents to my partner’s address; Wairarapa DHB, Focus has the address, it is the address where my partner and I ; have been subjected to a four and half year assault with intent to injure; via Focus and Healthcare New Zealand Holdings Ltd (HHL Group) intentionally with holding allocated in home care hours. 
To be quite honest, do you really expect me to provide my address, in light of the criminality of Focus and HCNZ. 

About time WDHB contacted New Zealand Police concerning the above stated crimes.

Link to this

From: Paul Riddler

July 09, 2017

Dear Sophie Holmes [WRDHB], 
Send hard copy OIA documents to my partner’s address; Wairarapa DHB, Focus has the address, it is the address where my partner and I ; have been subjected to a four and half year assault with intent to injure; via Focus and Healthcare New Zealand Holdings Ltd (HHL Group) intentionally with holding allocated in home care hours. 
To be quite honest, do you really expect me to provide my address, in light of the criminality of Focus and HCNZ.

About time WDHB contacted New Zealand Police concerning the above stated crimes.

Yours sincerely,

Paul Riddler

Link to this

From: Paul Riddler

July 10, 2017

Dear Sophie Holmes [WRDHB], 
I am formally requesting the Wairarapa DHB contact New Zealand Police regarding Focus and Healthcare of New Zealand Holdings Ltd; that these organisations did intentionally with hold allocated in home care hours for over 4 years, causing serious harm. 
I am also requesting that Wairarapa DHB take down my personal medical notes that were posted in PDF files; on this OIA request.

Yours sincerely,

Paul Riddler

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