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Attacks on health workers in conflict zones at highest level ever – report

Attacks on health workers, hospitals and clinics in conflict zones jumped 25% last year to their highest level on record, a new report has found.

While the increase was largely driven by new wars in Gaza and Sudan, continuing conflicts such as Ukraine and Myanmar also saw such attacks continue “at a relentless pace,” the Safeguarding Health in Conflict coalition said.

Researchers recorded more than 2,500 incidents of “violence against or obstruction of healthcare” in 2023, including the killing or kidnapping of health workers and the bombing, looting and occupation of hospitals.

The coalition called for national and international prosecutions of “war crimes and crimes against humanity involving attacks on the wounded and sick, health facilities and health workers.”

Its report highlighted cases of attacks on children’s hospitals and sites running immunisation campaigns, leaving people vulnerable to infectious diseases. It also warned of a new trend in which drones armed with explosive weapons are used to target health facilities.

Leonard Rubenstein, of the Johns Hopkins school of public health, who chairs the coalition, said violence inflicted on healthcare workers and facilities had “reached appalling levels”. The report included examples where workers had been deliberately targeted, and others where combatants were reckless or indifferent to the harm caused, he said. “The lack of restraint we are seeing, from the beginning of conflicts, suggests to me that the law on protecting healthcare has had no meaning to combatants.”

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Source: The Guardian, 22 May 2024

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Long Covid course is ‘exploiting people’, says ex-GB rower

A former Team GB rower claims a treatment she underwent for long Covid leaves participants feeling "blamed" for being ill.

Oonagh Cousins was offered a free place on a course run by the Lightning Process, which teaches people they can rewire their brains to stop or improve long Covid symptoms quickly.

Ms Cousins, who contracted Covid in March 2020, said it "exploits" people.

However, the programme's founder denied it blames patients for their illness, saying that was completely at odds with the concepts of the programme

Ms Cousins had reached a career goal many athletes can only dream of - being selected for the Olympics - when she developed long Covid. By the time the cancelled 2020 Olympic Games in Tokyo were rescheduled for 2021, Ms Cousins was too ill to take part.

When she went public with her struggles, she was approached by the Lightning Process. It offered her a free place on a three-day course, which usually costs around £1,000.

"They were trying to suggest that I could think my way out of the symptoms, basically. And I disputed that entirely," the former rower said. "I had a very clearly physical illness. And I felt that they were blaming my negative thought processes for why I was ill." She added: "They tried to point out that I had depression or anxiety. And I said 'I'm not, I'm just very sick'."

Prof Danny Altmann, a leading long Covid researcher, says such behavioural approaches disregard the "mass" of underlying damage in patients that can be measured in tests.

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Source: BBC News, 21 May 2024

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‘Rolls-Royce’ EPR still being driven ‘like a Ford Focus’ admits trust CEO

The chief executive of an acute trust operating in one of the country’s most troubled healthcare economies has admitted his organisation is struggling to get the most from its top of the range electronic patient record system three years after rollout. 

Royal Devon University Healthcare Foundation Trust implemented the Epic EPR in October 2020, but the system is still causing problems with reporting performance. 

In an interview with HSJ, chief executive Sam Higginson described Epic as a “Rolls-Royce of an EPR”, but he added: “For lots of different reasons we’re still driving it a little bit like it’s a Ford Focus.

He added: “We assumed by installing an EPR that basically it would have a sufficient level of functionality that we could switch off pretty much everything else. But then you find actually it doesn’t quite have the functionality you thought it did, or you don’t quite know how to use it.”

However, Mr Higginson said the trust’s use of the EPR was improving “every month”, and the trust is testing a new cancer reporting module which it hopes will resolve the reporting problems.

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Source: HSJ, 21 May 2024

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NHS’s leading wheelchair provider told to improve as people wait up to two years

The NHS’s leading wheelchair provider has been told to urgently improve its complaints system by the health service ombudsman amid concerns disabled people are waiting up to two years for chairs.

The parliamentary and health service ombudsman (PHSO) took the unusual step of writing to AJM Healthcare after a sharp rise in complaints from wheelchair users. Most related to people not receiving new wheelchairs or the correct parts. The waits range from a month to two years, the ombudsman said.

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Source: Guardian 21 May 2024

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Infected blood scandal: Sunak promises 'comprehensive' blood compensation

Rishi Sunak has promised to pay "comprehensive compensation" to people affected by the infected blood scandal.

The prime minister said the government would pay "whatever it costs" following a damning report on the scandal, external, which saw 30,000 people infected.

A public inquiry found authorities had exposed victims to unacceptable risks and covered up the NHS's biggest treatment disaster.

The government will set out compensation details on Tuesday.

Ministers have reportedly earmarked around £10bn for a compensation package.

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Source: BBC News, 21 May 2024

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UK pharmacists demand powers to change whooping cough prescriptions

Pharmacists are calling for fresh powers to provide patients with alternative prescriptions as they warned that drugs shortages are hampering their ability to tackle whooping cough.

More than 2,700 cases have been reported across England so far in 2024 – more than three times the number recorded in the whole of last year.

But some pharmacies have been forced to turn away families seeking help for their children because they have run out of clarithromycin, a key antibiotic used to treat the condition.

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Source: Guardian, 20 May 2024

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I love being a pharmacist, but the UK’s drug shortage makes me want to give up – and Brexit makes it worse

For the past 16 years, I have run a small community pharmacy in rural west Dorset. My business is older than me – the little yellow-brick building I own is about to turn 235. Right now, I am really concerned about it getting through the next 12 months.

In my years as a pharmacist, I have never seen things as bad as they are at the moment. We are going through a period of rampant drug shortages in England, caused by global shortages, the NHS’s insistence on paying unsustainably low prices for medicines and Brexit, among other things, and people are on the brink. Long gone are the days when customers could place a prescription order safe in the knowledge their life-saving medication would arrive the next day.

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Source: Guardian, 17 May 2024

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‘NHS bosses use dirty tricks to force out whistleblowing doctors’

Hundreds of senior doctors have been driven out of their jobs in the NHS after raising concerns about patient safety, a campaign group has claimed.

The senior consultants say managers of NHS trusts employ a playbook of “dirty tricks” to sack whistleblowers or force them to move trusts or take early retirement. Justice for Doctors (JFD), which represents 140 whistleblowing doctors, claims some have been forced to sell their homes to pay legal fees, had their careers destroyed and had been pushed to the brink of suicide.

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Source: The Times, 16 May 2024

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NHS bosses destroy careers of whistleblowers who stand up to protect patients’ lives

NHS managers are destroying the careers of whistleblowers who raise concerns about patient safety, a group of medics warns.

More than 50 doctors and nurses have told The Telegraph they have been targeted after raising concerns about upwards of 170 patient deaths and nearly 700 cases of poor care. One consultant described it as “the biggest scandal within our country” and said the true number of avoidable deaths was “astronomical”.

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Source: Telegraph, 18 May

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'Thousands' of whistleblowing NHS staff are being silenced as bosses spend millions covering scandal

'There are literally thousands of us out there who have suffered just for trying to do the right thing.'

Former Consultant Urological Surgeon, Peter Duffy, explains the extent NHS bosses are going to, to silence whistleblowers who are standing up for patient safety.

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Source: GB News

Related reading: NHS bosses destroy careers of whistleblowers who stand up to protect patients’ lives - News - Patient Safety Learning - the hub (pslhub.org)

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Justice at last as both parties pledge billions to blood victims

Jeremy Hunt will approve final compensation for the victims of the contaminated blood scandal this week after a Sunday Times campaign for justice was backed across the political divide.

The chancellor is preparing to unveil a package worth at least £10 billion for those affected by the deadliest man-made disaster in postwar Britain. Tens of thousands of people were treated with disease-ridden blood products from the United States in the 1970s and 80s.

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Source: The Times, 19 May

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Trusts red-listed because of failure to connect to ‘critical’ safety system

Some of the country’s largest trusts could be left without a safety incident reporting system when NHS England removes the existing solution next month, HSJ has learned.

NHSE has put around 37 trusts on a “red list” for failing to move to the new learning from patient safety events service. They remain on the historic national reporting and learning system, which national leaders describe as ” liable to irretrievable failure at any time” and plan to shut down in June.
NHSE has warned those providers – including University Hospitals Birmingham and University College London Hospitals foundation trusts – that they will be in breach of their licence if they fail to make the switch.

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Source: HSJ, 20 May

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Period trackers 'coercing' women into sharing risky information

Female health monitoring apps are putting women at risk by "coercing" them into disclosing - and then poorly handling - highly sensitive data, according to new research.

The study examined the privacy policies and data safety labels of 20 of the most popular of these kind of apps, which are commonly used to help women conceive. It found a host of poor data-management practices, including some apps not having a delete function, even for highly personal information such as menstrual cycles and miscarriages. Its authors say it is the most extensive evaluation its kind completed to date. They say the apps are used by hundreds of millions of people.

The BBC has contacted a number of app providers - none have responded to a request for comment.

"While female health apps are vital to the management of women’s health worldwide, their benefits are currently being undermined by privacy and safety issues," the lead author of the study, Dr Ruba Abu-Salma, from King's College London, told the BBC.

Other key findings from the study include:

  • 35% of apps claimed not to share personal data with third parties but contradicted this in their privacy policies
  • 50% assured users that health data would not be shared with advertisers, but were ambiguous about other data collected
  • 45% of privacy policies denied responsibility for third-party practices, despite claiming to vet them.

Female-focused technology has boomed in recent years, with the market expected to exceed $75 billion by 2025. But Lisa Malki, another of the study's authors, said the industry needed to get better at protecting the women whose data it was using.

Read full article on the BBC here.

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Prozac one of 30 antidepressants probed by UK watchdog over links to suicide

More than 30 of the most common antidepressants used in the UK are to be reviewed by the UK’s medicines regulator, as figures point to hundreds of deaths linked to suicide and self-harm among people prescribed these drugs.

The medicines, which include Prozac and are prescribed to millions of patients, will all be looked at by the Medicines and Healthcare products Regulatory Agency (MHRA).

It follows concerns raised by families in Britain over the adequacy of safety measures in place to protect those taking the drugs, such as warnings about potential side effects.

The regulator will look into the effectiveness of the current warnings, according to a letter from mental health minister Maria Caulfield, which has been seen by The Independent.

There has been a huge rise in the use of antidepressants in England, with 85 million prescriptions issued in 2022-23, up from 58 million in 2015-16, according to NHS figures.

Nigel Crisp, a crossbench peer and chair of the Beyond Pills all-party parliamentary group, told The Independent: “Overprescribing of antidepressants has an enormous cost in terms of human suffering, because so many people become dependent and then struggle to get off them – and it wastes vital NHS resources.”

The review comes as it emerged that:

  • More than 515 death alerts linked to these drugs, involving suicidal ideation and self-harm, have been made to the MHRA since the year 2000 (these alerts don’t directly confirm the cause of a person’s death)
  • Some antidepressants have been given to children as young as four, and the total cost of the medication to the NHS in 2022-23 was more than £231m

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Source: The Independent, 11 May 2024

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HPV vaccine stops 90% of cervical cancer cases

Giving teenagers the HPV vaccine is cutting cases of cervical cancer by 90%, figures for England show.

Scientists say it works so well that this type of cancer could be eradicated in the near future. The study shows the vaccine is most effective when offered to Year 8 students - those aged 12 to 13. The vaccine also provides protection against genital warts by preventing human papillomavirus (HPV) infections.

The study, funded by Cancer Research UK and led by experts at Queen Mary University of London, shows the HPV vaccine combined with cervical screening can dramatically reduce cervical cancer incidence to the point where almost no-one develops it. More cases were prevented in the most deprived socio-economic groups in society - those often hit hardest by the disease.

Prof Peter Sasieni, lead author of the work that is published in the British Medical Journal,, external said: "Our research highlights the power of HPV vaccination to benefit people across all social groups. Historically, cervical cancer has had greater health inequalities than almost any other cancer and there was concern that HPV vaccination may not reach those at greatest risk. This study captures the huge success of the school-based vaccination programme in helping to close these gaps and reach people from even the most deprived communities."

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Source: BBC News, 16 May 2024

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NHS whistleblowers: We lost jobs after reporting patient deaths

More than 50 NHS whistleblowers claim to have lost their jobs—with some driven to the brink of suicide—after standing up to protect patients’ lives as bosses bury their concerns.

The group of doctors and nurses said that they had been targeted after raising concerns about more than 170 patient deaths and nearly 700 cases of poor care.

One consultant said that it was the “biggest scandal within our country” and claimed the true number of avoidable deaths was “astronomical”. Instead of addressing the problems, the whistleblowers claim that NHS bosses are spending millions of pounds of taxpayers’ money on hiring law firms and private investigators to investigate them instead.

Last year Rob Behrens, the health ombudsman, warned The Times Health Commission that patient safety was at risk due to “toxic” and hierarchical behaviour among NHS doctors. Professor Phil Banfield, the chairman of the council of the British Medical Association, which represents doctors, wrote in The Daily Telegraph that whistleblowing “is not welcomed by NHS management… NHS trusts and senior managers are more concerned with protecting personal and organisational reputations than they are with protecting patients.”

In one case, the NHS spent more than £4 million on legal action against a single whistleblower, which included £3.2 million in compensation. Among the clinicians interviewed, 40 said that their employer took “no positive action” to address patient safety concerns; 36 said that patients remained at risk at their place of work; 19 said that NHS trusts covered up the problems, and ten said that their employers had denied there was a problem.

Whistleblowers’ representatives are urging the government to require independent medical assessments for claims and to ban the suspension or exclusion of doctors for speaking out about patient safety.

Dr Naru Narayanan, president of the hospital doctors’ union, has called for an independent national whistleblowing body outside of the NHS to register protected disclosures and protect individuals against recriminations. The Times Health Commission recommended that a no-blame compensation scheme should be introduced for medical errors, with settlements determined according to need. Backed by Jeremy Hunt, the chancellor, the scheme would help end the deadly cycle of NHS scandals and cover-ups and ensure families receive timely support.

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Source: The Times, 15 May 2024

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EPR causing errors and delays two years after go-live

A trust is experiencing severe problems with its electronic patient record system two years after it was installed, HSJ research has revealed.

A “preliminary review” into the Oracle Cerner electronic patient record – called Surrey Safe Care – at Ashford and St Peter’s Hospitals (ASPH) Foundation Trust in Surrey found the emergency department was still spending “significant time” using the system, an electronic bed board was not updated in real-time, and there were booking and workflow errors in clinics.

The review, which was released to HSJ after a Freedom of Information Act request and carried out in recent months, found problems stemming from limited system training, configuration issues and insufficient technology available on wards and in clinics. The EPR went live in May 2022.

The trust also had “insufficient analysts” to provide comprehensive management information. Also, performance, utilisation and management information were described as still being “under construction.”

In a statement, ASPH said, “Annual reviews will be carried out to monitor the continual progress of this project. A new working group of clinical, operational, and digital staff will agree how we use existing resources to improve staff training, add extra functionality to the EPR, invest in appropriate technology and additional analysts.”

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Source: HSJ, 15 May 2024

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Our mother wasn’t taken seriously — and died of cancer at 44

A mother of five died of endometrial cancer hours after being admitted to A&E following preventable delays in her diagnosis.

An inquest was told that a private clinic identified the cancer by ultrasound but the report was never sent to her GP.

Kerri Mothersole, 44, from Swale in Kent, had a complex medical history including decades of depression and chronic back pain.

Her 21-year-old son, Jordan Dighton, said: “My mum should have been taken more seriously—if she were, maybe she’d still be alive.”

In May 2020 Mothersole presented with symptoms of early menopause. Blood tests showed that she had low iron levels and her symptoms persisted. In March 2021 she told her GP at Green Porch Medical Centre that she had had vaginal bleeding for six weeks.

She could not attend her ultrasound appointments because she was the family’s only driver, and was removed from the waiting list despite rescheduling two appointments.

In June of that year her GP referred her for an NHS scan at HEM Clinical Ultrasound Service in Sittingbourne. A radiographer, who was new to the private clinic, found a suspected ovarian mass. However, the clinical lead deemed the scan results inaccurate so they were never returned to the GP. Instead Mothersole was asked to attend a second pelvic and abdominal scan. She was losing weight and in persistent pain. Despite her symptoms being gynaecological, she underwent what turned out to be a clear colonoscopy. According to the coroner, had the first scan report been seen this would have led to an urgent referral to gynaecology.

Mothersole was eventually admitted to A&E, where she remained under the care of oncology until she was discharged home to the care of hospice nurses.

Dighton told The Times, “The system was so siloed and her case was passed around from department to department. It’s only after her death that we’ve started to make sense of what pathways she should have been on.”

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Read the Prevention of Future Deaths Report for Kerri Mothersole

Source: The Times, 15 May 2024

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Trust scraps suicides review

A trust has announced it is scrapping a major suicides review, prompting concerns about the “devastating” impact the surprise move could have on some grieving families.

The concerns from a whistleblower—and a family member who has reportedly expressed their “upset and shock”—come despite the provider’s insistence they had taken relatives’ views into account when reaching their decision.

Cambridgeshire and Peterborough Foundation Trust originally announced plans for the review of over 60 cases in July last year—a move which followed allegations that a patient’s record was tampered with after they had died by suicide in the trust’s care. A chair was appointed to lead the review just last month.

But in a short statement on its website, the trust said it had now taken the decision “not to proceed with [the review] as originally intended [after] speaking with several families and loved ones with lived experience” of the suicide cases, which date back to 2017.

The review had been “planned with the best of intentions [but] it has become clear… that the review would not answer the individual and highly personal questions some families might have,” the trust said.

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Source: HSJ, 13 May 2024

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Hospital surgical teams with more women improve patient recovery, study finds

Hospital surgical teams that include more female doctors improve patient outcomes, lower the risk of serious complications and could in turn reduce healthcare costs, according to the world’s largest study of its kind.

Studies show diversity is important in business, finance, tech, education and the law not only for equity but for output. However, evidence supporting the value of sex diversity in healthcare teams has been limited.

Now researchers who examined more than 700,000 operations spanning a decade report that hospitals with more women in their surgical teams provide better outcomes for patients. The findings were published in the British Journal of Surgery.

“Care in hospitals with greater anaesthesia-surgery team sex diversity was associated with better postoperative outcomes,” the researchers concluded. “The main takeaway for clinical practice and health policy is that increasing operating room teams’ sex diversity is not a question of representation or social justice, but an important part of optimising performance."

Dr Julie Hallet, the lead author of the study at the University of Toronto, said, “These results are the start of an important shift in understanding the way in which diversity contributes to quality in perioperative care.”

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Source: Guardian, 15 May 2024

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No acute trust now rated ‘inadequate’ as CQC upgrades troubled provider

The last acute trust deemed “inadequate” by the Care Quality Commission has had its rating improved to “requires improvement”, the regulator has announced today.

Shrewsbury and Telford Hospitals Trust has been rated “inadequate” since November 2021. Until today, it was the only acute trust in England to have the lowest possible combined CQC rating.

Inspectors said leaders were visible and approachable, but kept the trust’s leadership rating as “requires improvement.” This was unchanged from the previous inspection.

Meanwhile, maternity services at Princess Royal Hospital in Telford, which for years have been under intense scrutiny over multiple instances of poor care and scores of baby deaths, have also been upgraded, this time from “requires improvement” to “good”.

Inspectors visiting in October and November 2023 said there had been a “positive shift” in culture with staff saying they felt safer to speak up.

The CQC’s report said that overall, people were receiving a higher standard of care with “staff now proud to work for the trust” and SaTH was “working hard to help rebuild people’s confidence” in its services.

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Source: HSJ, 15 May 2024

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Patients for Patient Safety US Receives $100,000 to Launch 'Project PIVOT,' a Novel, Patient-Centered Initiative to Improve Healthcare

The Patient-Centered Outcomes Research Institute (PCORI) awarded Patients for Patient Safety US (PFPS US) a $100,000 Eugene Washington PCORI Engagement Award for a new project called “Patients Involved in deVeloping Outcomes Together” or “Project PIVOT.”  Project PIVOT is a novel patient-led initiative to advance the integration of patient-centred patient-reported outcomes (PROs) and patient-reported experiences (PREs) into Patient-Centered Outcome Research (PCOR), Comparative Clinical Effectiveness Research (CER) and quality assessment measurement tools to improve patient safety, diagnostic quality, and equity. 

“This award will allow us to identify opportunities to capture—directly from patients and families—their care experiences and challenges, filling key gaps in the traditional data sources used to evaluate healthcare quality and safety,” stated Sue Sheridan, co-founder of PFPS US. In contrast to traditional tools, such as clinical outcome measures and hospital readmission rates, Project PIVOT’s long-term goal is to make healthcare safer and more equitable by capturing and learning from patients’ experiences related to patient safety, diagnostic quality and bias.

Project PIVOT will have a special focus on historically underserved communities to help define which questions and outcomes are most important to capture. Priority areas of focus include maternal/newborn health in communities of colour, the physical, intellectual and developmental disability communities and older adults.

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Source: Newswire, 13 May 2024

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