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Authors
Cook, Florence https://orcid.org/0000-0001-7405-6080
Niemann, Amelie
Ambler, Gareth https://orcid.org/0000-0002-5322-7327
Sahovaler, Axel https://orcid.org/0000-0002-5969-0208
Ward, Phillip
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Article History
Received: 9 February 2026
Accepted: 12 September 2026
First Online: 23 September 2026
Declarations
Ethical approval: This project was registered as audit/quality improvement in the clinical support services department (Audit number CSS-64). Ethical approval was not required in accordance with the Health Research Authority decision tool ( ) as this was considered service improvement/audit.
Consent to participate: Informed consent was not required for use of the data in this quality improvement project. Patients who had signed for UK NHS data opt-out were excluded in accordance with data protection regulations.
Competing interests: The authors declare no competing interests.
