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National Health Service Act 1977
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There are outstanding changes not yet made by the legislation.gov.uk editorial team to National Health Service Act 1977. Any changes that have already been made by the team appear in the content and are referenced with annotations.
Changes to Legislation
Revised legislation carried on this site may not be fully up to date. Changes and effects are recorded by our editorial team in lists which can be found in the ‘Changes to Legislation’ area. Where those effects have yet to be applied to the text of the legislation by the editorial team they are also listed alongside the legislation in the affected provisions. Use the ‘more’ link to open the changes and effects relevant to the provision you are viewing.
Changes and effects yet to be applied to the whole Act associated Parts and Chapters:
- Act modified by 2003 c. 43 Sch. 7 para. 3(7)
- Act repealed by 2006 c. 43 Sch. 4
Whole provisions yet to be inserted into this Act (including any effects on those provisions):
- s. 3(4) inserted by 2003 c. 43 Sch. 11 para. 8
- s. 3(4)(a) words substituted by 2006 c. 28 Sch. 8 para. 7(4)(a)
- s. 3(4)(b) modified by S.I. 2004/865 art. 109(2)(a)
- s. 3(4)(b) words substituted by 2006 c. 28 Sch. 8 para. 7(4)(b)
- s. 8(9) (10) added by 2006 c. 28 s. 74(1)
- s. 11(4A) (4B) inserted by 2006 c. 28 s. 74(2)(a)
- s. 16B(4) inserted by 2003 c. 43 s. 182(1)
- s. 16BC(4) inserted by 2003 c. 43 s. 182(2)
- s. 16CA and heading inserted by 2003 c. 43 s. 170
- s. 16CB inserted by 2003 c. 43 s. 171(1)
- s. 16CC inserted by 2003 c. 43 s. 174
- s. 16CD 16CE inserted by 2006 c. 28 s. 37
- s. 19A(2)(aa) inserted by 2003 c. 43 Sch. 9 para. 9
- s. 20A inserted by 2003 c. 4 s. 1(1)
- s. 21(4) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 9
- s. 22(1A)(e) inserted by 2003 c. 43 Sch. 4 para. 25
- s. 28D(1)(b)-(bc) substituted for s. 28D(1)(b)(c) by 2003 c. 43 s. 177(2)
- s. 28D(1)(bc)(i) modified by S.I. 2004/865 art. 109(2)(a)
- s. 28D(1)(bc)(iii) words substituted by S.I. 2004/957 Sch. para. 3
- s. 28D(1A) inserted by 2003 c. 43 s. 177(3)
- s. 28E(3)(ca) inserted by 2003 c. 43 s. 177(7)
- s. 28E(3A) (3B) inserted by 2003 c. 43 s. 177(8)
- s. 28E(3C) inserted by 2003 c. 43 s. 177(9)
- s. 28E(3D) inserted by 2003 c. 43 s. 177(10)
- s. 28E(3E) (3F) inserted by 2003 c. 43 s. 177(11)
- s. 28K-28P and heading inserted by 2003 c. 43 s. 172(1)
- s. 28M(4) words substituted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 16
- s. 28Q-28W and heading(s) inserted by 2003 c. 43 s. 175(1)
- s. 28W(5) applied by S.I. 2004/478 reg. 100(3)
- s. 28W(5) applied by S.I. 2004/478 Sch. 6 para. 100(3)
- s. 28X applied (with modifications) by S.I. 2006/552 Sch. 1 para. 4
- s. 28X inserted by 2003 c. 43 s. 179(1)
- s. 28X heading words substituted by 2006 c. 28 s. 39(5)
- s. 28X(1A) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 17(a)
- s. 28X(2A) inserted by 2006 c. 28 s. 39(2)
- s. 28X(3)(b) words substituted by 2006 c. 28 s. 39(3)
- s. 28X(3)(c) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 17(b)
- s. 28X(6A) inserted by 2006 c. 28 s. 39(4)
- s. 28Y inserted by 2003 c. 43 s. 180
- s. 28Y(1) applied (with modifications) by S.I. 2006/552 Sch. 1 para. 5
- s. 28Y(1)(a) substituted by 2006 c. 28 s. 40(2)
- s. 28Y(1)(b) words substituted by 2006 c. 28 s. 40(3)
- s. 28Y(1)(c) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 18
- s. 28WA-28WF and cross-heading inserted by 2006 c. 28 s. 38
- s. 29-34A repealed by 2003 c. 43 s. 175(2) Sch. 14 Pt. 4
- s. 34A inserted by 1997 c. 46 s. 25(1) (This amendment not applied to legislation.gov.uk. S. 25(1) repealed (1.4.2004) without ever being in force by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 14 Pt. 4 Note; S.I. 2004/288, art. 6(2)(p) (with art. 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); S.I. 2004/480, art. 5(2)(p) (with arts. 6, 7) (as amended by S.I. 2004/1019 and S.I. 2006/345))
- s. 35(3)-(3B) substituted for s. 35(3) by S.I. 2005/2011 Sch. 6 para. 1(2)(a) (This amendment comes into force on a day to be specified in the London, Edinburgh and Belfast Gazettes (see, for example, the London Gazette, issue nos. 57734, 57975, 58050 and 58769, dated respectively 19.8.2005, 5.6.2006, 21.7.2006 and 18.7.2008))
- s. 42(2A) inserted by 2001 c. 15 s. 40(3)
- s. 42(2B) (2C) inserted by 2006 c. 28 s. 35
- s. 42A 42B inserted by 2006 c. 28 s. 34(1)
- s. 43(4)(5) added by 1997 c. 19 Sch. para. 6 (This amendment not applied to legislation.gov.uk. 1997 c. 19 repealed (30.3.2007) by S.I. 2007/289, art. 1(2)(3), Sch. 1 para. 6; commencing date as notified in The Gazette, published 23.3.2007)
- s. 43A inserted by 1984 c. 48 s. 7(1) (This amendment not applied to legislation.gov.uk. S. 7(1) repealed (1.3.2007 immediately before the National Health Service Act 2006 comes into force) without ever being in force by National Health Service (Pre - consolidation Amendments) Order 2006 (S.I. 2006/1407), art. 1(1), Sch. 2 (with art. 4))
- s. 43A 43B substituted by 1999 c. 8 s. 10(1)(2) (This amendment not applied to legislation.gov.uk. S. 10 repealed (1.3.2007) without ever being in force by National Health Service (Consequential Provisions) Act 2006 (c. 43), ss. 6, 8(2), Sch. 4 (with Sch. 2 Pt. 1))
- s. 43A 43B substituted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 19
- s. 43A(3) repealed by 1997 c. 46 Sch. 2 para. 77 Sch. 3 Pt. 2 (This amendment not applied to legislation.gov.uk. Sch. 2 para. 77 repealed (E.W.) (1.3.2007 immediately before the National Health Service Act 2006 comes into force) without ever being in force by The National Health Service (Pre-consolidation Amendments) Order 2006 (S.I. 2006/1407), art. 1(1), Sch. 2 (with art. 4))
- s. 43B added by 1984 c. 48 s. 7(3) (This amendment not applied to legislation.gov.uk. S. 7(3) repealed to the extent that it inserts section 43B of the National Health Service Act 1977 (1.3.2007 immediately before the National Health Service Act 2006 comes into force) without that amendment ever being in force by National Health Service (Pre - consolidation Amendments) Order 2006 (S.I. 2006/1407), art. 1(1), Sch. 2 (with art. 4))
- s. 44(3A) inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 20(c)
- s. 45A 45B inserted by 2003 c. 43 Sch. 11 para. 23
- s. 45A(3) modified by S.I. 2004/865 art. 109(2)(a)
- s. 45A(3)(a) word repealed by 2006 c. 28 Sch. 8 para. 17(2) Sch. 9
- s. 45A(3)(aa) inserted by 2006 c. 28 Sch. 8 para. 17(2)
- s. 45A(4) modified by S.I. 2004/865 art. 109(2)(a)
- s. 45A(4)(a) substituted by 2006 c. 28 Sch. 8 para. 17(3)
- s. 45A(11) modified by S.I. 2004/865 art. 109(2)(a)
- s. 45C inserted by 2006 c. 28 s. 41
- s. 46-46C substituted for s. 46 by 1999 c. 8 s. 40(1) (This amendment not applied to legislation.gov.uk. S. 40 repealed by 2001 c. 15, ss. 67, 70(2), Sch. 6 Pt. 1 (with ss. 64(a), 65(4)), the repeal coming into force immediately before the coming into force of the National Health Service Act 2006 (c. 41) (as to which see s. 227 of that 2006 Act) by virtue of The National Health Service (Pre-consolidation Amendments) Order 2006 (S.I. 2006/1407), arts. 1(1), 2, Sch. 1 Pt. 2 para. 8(c))
- s. 54(1)(c) and word(s) inserted by 2003 c. 43 Sch. 11 para. 26(2)(c)
- s. 54(1)(c) modified by S.I. 2004/865 art. 109(2)(a)
- s. 72(5)(d) and word(s) inserted by 2003 c. 43 Sch. 11 para. 27(2)
- s. 72(5)(d) modified by S.I. 2004/865 art. 109(2)(a)
- s. 72(5)(d) words substituted by 2006 c. 28 Sch. 8 para. 21(b)(i)
- s. 72(5)(d) words substituted by 2006 c. 28 Sch. 8 para. 21(b)(ii)
- s. 77(4) inserted by 2003 c. 43 Sch. 11 para. 28
- s. 78A inserted by 1997 c. 46 s. 26(1) (This amendment not applied to legislation.gov.uk. S. 26(1) repealed (1.3.2007) without ever being in force by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1))
- s. 79(5)(b) modified by 2003 c. 43 s. 183(4)
- s. 96(4) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 27
- s. 96A(12) inserted by 2003 c. 43 Sch. 4 para. 37
- s. 98(1A)-(1C) inserted by S.I. 2003/1324 Sch. 2 para. 1(2)
- s. 98(1A) substituted by S.I. 2004/1714 Sch. 2 para. 1(2)
- s. 98(1A)(e) inserted by S.I. 2006/960 Sch. 2 para. 1(2)
- s. 98(1C) words inserted by S.I. 2004/1714 Sch. 2 para. 1(4)
- s. 98(1C) words substituted by S.I. 2006/960 Sch. 2 para. 1(4)
- s. 98(1D) inserted by 2004 c. 23 Sch. 2 para. 2
- s. 98(1BA)(1BB) inserted by S.I. 2004/1714 Sch. 2 para. 1(3)
- s. 98(1BC) inserted by S.I. 2006/960 Sch. 2 para. 1(3)
- s. 98(4A) inserted by S.I. 2003/1324 Sch. 2 para. 1(4)
- s. 98(7)-(10) inserted by S.I. 2005/1074 art. 2(2)
- s. 103(4)(5) inserted by 2001 c. 15 Sch. 5 para. 5(12)(c) (This amendment not applied to legislation.gov.uk. Sch. 5 para. 5(12)(c) repealed (1.3.2007) without ever being in force by 2006 c. 43, s. 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1))
- s. 124A(3)(aa) inserted by 2002 c. 38 Sch. 3 para. 20
- s. 126(1A) inserted by 2003 c. 43 s. 183(3)(b)
- s. 126(4A) inserted by 2001 c. 15 Sch. 5 para. 5(13)(c) (This amendment not applied to legislation.gov.uk. Sch. 5 para. 5(13)(c) repealed (1.3.2007) without ever being in force by 2006 c. 43, s. 8(2), Sch. 4 (with Sch. 2 Pt. 1, Sch. 3 Pt. 1))
- s. 126(4A) inserted by 2003 c. 4 s. 1(2)
- Sch. 5 para. 12B inserted by S.I. 2006/1407 Sch. 1 Pt. 1 para. 39(c)
- Sch. 5 para. 10(2A)-(2C) substituted for Sch. 5 para. 10(2A) by S.I. 2005/2011 Sch. 6 para. 1(4) (This amendment comes into force on a day to be specified in the London, Edinburgh and Belfast Gazettes (see, for example, the London Gazette, issue nos. 57734, 57975, 58050 and 58769, dated respectively 19.8.2005, 5.6.2006, 21.7.2006 and 18.7.2008))
- Sch. 5A para. 20(1A) inserted by 2006 c. 28 s. 74(3)
- Sch. 5B para. 19(1A) inserted by 2006 c. 28 s. 74(4)
- Sch. 7A inserted by 2003 c. 4 s. 1(3) Sch. 1
- Sch. 7A para. 3(1)(fa) inserted by 2003 c. 43 Sch. 11 para. 40(2)(a)
- Sch. 7A para. 3(1)(g) words repealed by 2003 c. 43 Sch. 11 para. 40(2)(b) Sch. 14 Pt. 4
- Sch. 7A para. 3(2) words substituted by 2003 c. 43 Sch. 11 para. 40(3)
- Sch. 9A para. 10(a)(aa) substituted for s. Sch. 9A para. 10(a) by 2003 c. 43 Sch. 11 para. 42(4)(b)
- Sch. 9A para. 6(d)(i)(ii) substituted for words in para. 6(d) by S.I. 2006/1407 Sch. 1 Pt. 1 para. 40(b)
- Sch. 11 para. 5A inserted by S.I. 2004/3363 art. 7
- Sch. 12 para. 2A(6) added by S.I. 2006/1407 Sch. 1 Pt. 1 para. 42(g)
- Sch. 12 para. 2B amendment to earlier affecting provision 2006 c. 28, s. 41(3) by S.I. 2006/1407 Sch. 1 Pt. 2 para. 15 (The earlier affecting provision cited is incorrect. The correct provision should be s. 42(3).)
- Sch. 12 para. 2B inserted by 2006 c. 28 s. 42(3)
- Sch. 12 para. 2A(1)(b) (ba) substituted for Sch. 12 para. 2A(1)(b) by 2006 c. 28 s. 42(2)(a)
- Sch. 12A para. 7(4) inserted by 2001 c. 15 Sch. 5 para. 5(17)(c)
- Sch. 12B inserted by 2006 c. 28 s. 56(2) Sch. 3
- Sch. 12ZA inserted by 2003 c. 43 s. 183(2)
Commencement Orders yet to be applied to the National Health Service Act 1977
Commencement Orders bringing legislation that affects this Act into force:
- S.I. 2003/53 art. 2-4 commences (2001 c. 15)
- S.I. 2003/713 art. 2 commences (2001 c. 15)
- S.I. 2003/833 art. 2 3 commences (2002 c. 17)
- S.I. 2003/2245 art. 2 commences (2001 c. 15)
- S.I. 2003/2246 art. 2 commences (2002 c. 17)
- S.I. 2003/2660 art. 2-4 commences (2003 c. 4)
- S.I. 2003/3064 art. 2 commences (2003 c. 4)
- S.I. 2003/3083 art. 2 commences (2002 c. 17)
- S.I. 2003/3346 art. 2-5 commences (2003 c. 43)
- S.I. 2004/103 art. 2-4 commences (2001 c. 15)
- S.I. 2004/287 art. 2 3 commences (1997 c. 46)
- S.I. 2004/288 art. 2-6 commences (2003 c. 43)
- S.I. 2004/289 art. 2 commences (1998 c. 8)
- S.I. 2004/480 art. 2-5 commences (2003 c. 43)
- S.I. 2004/759 art. 2-13 commences (2003 c. 43)
- S.I. 2004/874 art. 2 commences (2003 c. 42)
- S.I. 2004/1009 art. 2 commences (2003 c. 43)
- S.I. 2004/1019 art. 2 commences (2003 c. 43)
- S.I. 2004/1859 art. 2-6 commences (1999 c. 8)
- S.I. 2004/2626 art. 2 commences (2003 c. 43)
- S.I. 2005/457 art. 2 commences (2003 c. 43)
- S.I. 2005/558 art. 2 Sch. 1 commences (2004 c. 23)
- S.I. 2005/1432 art. 2 commences (2005 c. 12)
- S.I. 2005/2213 art. 2 3 commences (2002 c. 38)
- S.I. 2005/2800 art. 3-5 commences (2005 c. 10)
- S.I. 2005/2897 art. 2 commences (2002 c. 38)
- S.I. 2005/2925 art. 2 4-11 commences (2003 c. 43)
- S.I. 2005/2926 art. 2 3 commences (1997 c. 46)
- S.I. 2006/345 art. 2-7 commences (2003 c. 43)
- S.I. 2006/481 art. 2 3 commences (2001 c. 15)
- S.I. 2006/1014 art. 2 Sch. 1 2 commences (2005 c. 4)
- S.I. 2006/1407 Sch. 1 Pt. 2 para. 3 6 8 12 13 commences (1997 c. 46)
- S.I. 2006/2603 art. 2-5 commences (2006 c. 28)
- S.I. 2006/3125 art. 2-4 commences (2006 c. 28)
- S.I. 2007/204 art. 2-4 commences (2006 c. 28)
- S.I. 2008/1972 art. 2 commences (2006 c. 28)
StaffE+W+S
10[F1(1)Subject to and in accordance with regulations and such directions as may be given by the Secretary of State, an authority . . . F2 may employ such officers as it may determine [F3and pay its officers such remuneration and allowances, and employ them on such other terms and conditions,] as it may determine; and regulations and directions under] this sub-paragraph [F4may make provision with respect to any matter connected with the employment by an authority of its officers, including in particular provision—]E+W+S
(a)with respect to the qualifications of persons who may be employed as officers of an authority;
(b)requiring an authority to employ [F5a chief officer and officers of such other descriptions as may be prescribed and to employ], for the purpose of performing prescribed functions of the authority or any other body, officers having prescribed qualifications or experience; and
(c)as to the manner in which any officers of an authority are to be appointed.
[F6(1A)Regulations or directions under sub-paragraph (1) above may provide for approvals or determinations to have effect from a date specified in them [F7and a direction under that sub-paragraph may relate to a particular officer or class of officer specified in the direction].
(1B)The date may be before or after the date of giving the approvals or making the determinations but may not be before if it would be to the detriment of the officers to whom the approvals or determinations relate.]
(2)Regulations may provide for the transfer of officers from one authority to another . . . F8, and for arrangements under which the services of an officer of an authority are placed at the disposal of another authority or a local authority.
[F9(2A)Where the registration of a dental practitioner in the dentists register is suspended—
(a)by an order under [F10section 32 of the M1Dentists Act 1984] (interim suspension); or
(b)by a direction or [F10an order of the Health Committee under] that Act (health cases),
the suspension shall not terminate any contract of employment made between him and an authority but a person whose registration is suspended under that Part of that Act shall not perform any duties under a contract made between him and an authority which involves the practice of dentistry within the meaning of [F10the M2Dentists Act 1984.]]
(3)Directions may be given—
(a)by the Secretary of State to an authority to place services of any of its officers at the disposal of another authority,
F11(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c)by the Secretary of State to any authority . . . F12 to employ as an officer of the authority any person who is or was employed by another authority and is specified in the direction,
F11(d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
F13. . .
(4)Regulations made in pursuance of this paragraph shall not require that all consultants employed by an authority are to be so employed whole-time.
Textual Amendments
F1Words substituted by Health and Social Services and Social Security Adjudications Act 1983 (c. 41, SIF 113:3), s. 14, Sch. 6 para. 3(1)
F2Words repealed by Health and Social Security Act 1984 (c. 48, SIF 113:1), ss. 5, 24, Sch. 3 para. 14, Sch. 8 Pt. I
F3Words in Sch. 5 Pt. III para. 10(1) substituted (1.10.2001 for E. and otherwise prosp.) by 2001 c. 15, ss. 6(1)(a), 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3294, art. 2
F4Words in Sch. 5 Pt. III para. 10(1) substituted (1.10.2001 for E. and otherwise prosp.) by 2001 c. 15, ss. 6(1)(b), 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3294, art. 2
F5Words in Sch. 5 Pt. III para. 10(1)(b) inserted (28.6.1995 for specified purposes and otherwise 1.4.1996) by 1995 c. 17, ss. 2(1)(3), 8(1), Sch. 1 Pt. I para. 60(c)(i) (with Sch. 2 para. 6)
F6Para. 10(1A)(1B) inserted by Health and Social Services and Social Security Adjudications Act 1983 (c. 41, SIF 113:3), s. 14, Sch. 6 para. 3(2)
F7Words added by National Health Service and Community Care Act 1990 (c. 19, SIF 113:2), ss. 1(3), 2, Sch. 1 para. 8
F8Words repealed by S.I. 1985/39, art. 7(22)(a)(i)
F9Para. 10(2A) inserted by Health and Social Services and Social Security Adjudications Act 1983 (c. 41, SIF 113:3), s. 15(b)
F10Words substituted by Dentists Act 1984 (c. 24, SIF 83:1), s. 54(1), Sch. 5 paras. 8, 10
F11Sch. 5 Pt. III para. 10(3)(b)(d) omitted (28.6.1995 for specified purposes and otherwise 1.4.1996) and repealed (1.4.1996) by 1995 c. 17, ss. 2(1)(3), 5(1), 8(1), Sch. 1 Pt. I para. 60(c)(ii), Sch. 3 (with Sch. 2 para. 6)
F12Words repealed by S.I. 1985/39, art. 7(22)(a)(ii)
F13Words in Sch. 5 Pt. III para. 10(3) omitted (1.9.1999 for E. and 1.12.1999 for W.) and repealed (1.4.2000) by 1999 c. 8, s. 65, Sch. 4 para. 39(3), Sch. 5; S.I. 1999/2342, art. 2(1), Sch. 1; S.I. 1999/3184, art. 2(2), Sch. 2; S.I. 2000/1041, art. 2(d), Sch.
Marginal Citations
M11984 c. 24(83:1).
M21984 c. 24(83:1).
11(1)It shall be the duty of the Secretary of State, before he makes regulations in pursuance of paragraph 10 above, to consult such bodies as he may recognise as representing persons who, in his opinion, are likely to be affected by the regulations.E+W+S
(2)Subject to sub-paragraph (3) below, it is the Secretary of State’s duty, F14. . . before he F14. . . gives directions to an authority in pursuance of sub-paragraph (3) of paragraph 10 above in respect of any officer of an authority—
(a)to consult the officer about the directions; or
(b)to satisfy himself. . .that the authority of which he is an officer has consulted the officer about the placing or employment in question; or
(c)to consult, except in the case of a direction in pursuance of paragraph (c) F14. . .of paragraph 10(3), with respect to the directions such body as he F14. . .may recognise as representing the officer.
(3)If the Secretary of State F15. . .—
(a)considers it necessary to give directions in pursuance of paragraph (a) F15. . .of paragraph 10(3) for the purpose of dealing temporarily with an emergency, and
(b)has previously consulted bodies recognised by him F15. . .as representing the relevant officers about the giving of directions for that purpose,
the Secretary of State F15. . .shall be entitled to disregard sub-paragraph (2) above in relation to the directions.
Textual Amendments
F14Words in Sch. 5 Pt. III para. 11(2) omitted (28.6.1995 for specified purposes and otherwise 1.4.1996) and repealed (1.4.1996) by 1995 c. 17, ss. 2(1)(3), 5(1), 8(1), Sch. 1 Pt. I para. 60(d)(i), Sch. 3 (with Sch. 2 para. 6)
F15Words in Sch. 5 Pt. III para. 11(3) omitted (28.6.1995 for specified purposes and otherwise 1.4.1996) and repealed (1.4.1996) by 1995 c. 17, ss. 2(1)(3), 5(1), 8(1), Sch. 1 Pt. I para. 60(d)(ii), Sch. 3 (with Sch. 2 para. 6)
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