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Authors
Alotaibi, Abdullah F.
Jinkinson, Matthew
Parmar, Ketan R.
Martin, Glen P.
Morgan, Philip B.
Harper, Robert A.
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Article History
Received: 18 October 2025
Revised: 4 December 2025
Accepted: 6 December 2025
First Online: 6 March 2026
Competing Interests
: The authors declare no competing interests.
: This study involved the evaluation of pre-existing, routinely collected NHS referral data without any patient intervention. In line with The University of Manchester’s Ethical Research guidance, the project was classified as a service evaluation and improvement initiative and therefore did not require formal ethical approval.
