qualifications pathway review (qpr) · 2019-02-03 · page 3 the purpose of the qpr this review...

Qualifications Pathway Review (QPR)Summary of findings and recommended changes for the New Zealand Certificate in Health and Wellbeing qualifications from Level 2 to Level 4 Advanced Support January 2019

Executive summaryAs the New Zealand Qualifications Authority (NZQA) appointed qualification developer for Health and Wellbeing qualifications, Careerforce have commenced a major review of a number of qualifications. This is a requirement of the NZQA for all qualifications listed within the New Zealand Qualifications Framework (NZQF), but also good practice to ensure they remain fit for purpose.

The consultation phase took place between July and December 2018. We thank all stakeholders for their active participation and valuable feedback.

We asked stakeholders to indicate the extent to which they agree or disagree to the detailed specifications of the qualifications in relation to their workplace needs, covering the:• Strategic Purpose • Graduate Profile • Employment and Educational Pathways • Other Qualification Conditions

Respondents were also asked the extent to which they agreed or disagreed with three statements that focused on different aspects of the credit values: 1. The total credit value of the qualification meets the

workplace needs 2. The credit value for each Graduate Profile Outcome

(GPO) meets the workplace needs 3. The proportional credit value for each Graduate

Profile Outcome meets the workplace needs.

Note: During the consultation period, comments were made regarding the current programmes offered by Careerforce. These include comments on implementing the programme in the workplace, and the unit standards and topics within the programme. These comments have been noted for future reference. If these comments indicated that an adjustment would be required in the qualification to enable a change in the programme, this has been identified.

The online consultation and the stakeholder engagements demonstrate a strong level of agreement with the current specifications of the New Zealand Certificate in Health and Wellbeing (Level 2) and the New Zealand Certificate in Health and Wellbeing (Level 3). There was some uncertainty on how the qualification meets the needs of Māori and Pasifika.

Careerforce recommends some changes in the qualification specifications for the New Zealand Certificate in Health and Wellbeing (Level 2 and Level 3).

These include the addition of a new Graduate Profile Outcome (GPO) relating to Communication and an increase in the credit value of the Vision Hearing Screening Strand (Level 3).

The findings in relation to the New Zealand Certificate in Health and Wellbeing (Level 4) Advanced Support showed a strong level of agreement with the Strategic Purpose, Pathways, and Conditions of the qualification. Stakeholders expressed a strong need to increase the breadth and depth of competencies for graduates at Level 4.

We recommend changes to the qualification specifications for the New Zealand Certificate in Health and Wellbeing (Level 4) Advanced Support to: reflect the increasingly complex needs of people being supported; and to enhance the level of responsibility for employees at this level providing opportunity to progress in their careers.

These include the addition of two new Graduate Profile Outcomes on Communication and Clinical Support, as well as an increase in the credit value to 120 to reflect the increased breadth and depth of competencies.

Please refer to the detailed changes on pages 5 to 18.

The purpose of the QPRThis review first and foremost represents an opportunity to engage with all stakeholders, and seek feedback. This is essential to ensure that the qualifications are required, remain fit for purpose, and to ensure that any necessary amendments are made to reflect changes happening in the affected sector environments.

Scope of the Review in 2018Careerforce reviewed the following three qualifications listed on the New Zealand Qualifications Framework (NZQF):• New Zealand Certificate in Health and Wellbeing (Level 2)• New Zealand Certificate in Health and Wellbeing (Level 3) with

strands in:o Health Assistanceo Orderly Serviceso Support Worko Newborn Hearing Screeningo Vision Hearing Screeningo Whānau, Kin and Foster Care

• New Zealand Certificate in Health and Wellbeing (Level 4) Advanced Support

Background to the Health and Wellbeing QPR 2018

Stakeholders engaged in the consultation

169Participated in 6-week online consultation

95 Participants in stakeholder workshops across AKL, WLG, and CHCH

11 Webinar participants

Peak bodies consulted and engaged:- NZACA- HCHA- NZDSN- Kaiāwhina Taskforce

13organisation/

employer meetings

34Tertiary provider

participants

145Employer representative participants

New Zealand Certificate in Health and Wellbeing (Level 2)

Summary of findingsThe online consultation responses demonstrated a strong level of agreement with the current specifications of the New Zealand Certificate in Health and Wellbeing (Level 2). This was supported by the feedback gathered during the workshops, face to face meetings and webinar.

The main area of change was the recommendation to make the communication Graduate Profile Outcome (GPO) a mandatory requirement, as well as increasing the number of credits relating to this GPO.

The overall credit value of the qualification remains the same at 40 credits.

Online consultationThe following graph shows the average responses on the level of agreement for each of the section in the qualification.

97%of respondents strongly

agree or agree with the current strategic purpose statements

98%of respondents strongly agree or agree with the current graduate profile

outcomes

88%of respondents strongly agree or agree with the

current credit values


94%of respondents strongly agree or agree that the pathways are relevant

to workplace needs

89%of respondents strongly agree or agree that the conditions are relevant

to workplace needs

61%of respondents strongly agree or agree that the qualification meets the

needs of Māori and Pasifika

Summary of change recommendations• Minor changes in the strategic purpose statements.• Minor changes in the qualification conditions.• Credit adjustments in qualification outcomes 2 and 4. Total credit values remain the same for the other GPOs.• The communication GPO becomes mandatory.• Addition of new knowledge areas that must be included in the programmes leading to this qualification. This is to

reflect the current needs of the workplace.Read the draft qualification document: careerforce.org.nz/nz-cert-health-and-wellbeing-l2-draft-version-2/

Outcome statement/Te tauāki ā-hua

Strategic Purpose Statement/ Te rautaki o te tohuWithin paragraph 2 Original wording:

This qualification is targeted at new or potential entrants into the health and wellbeing sectors….

Replacement wording:

This qualification is targeted at entrants into the health and wellbeing sectors,

Change:

‘new or potential’ has been deleted

Within paragraph 3 Original wording:

Graduates will work as part of a team under general supervision.


Graduates will work under general supervision.

Change:

‘as part of a team’ has been deleted

Qualification Specifications/ Ngā tauwhāititanga o te tohu

Other requirements for the qualification (including regulatory body or legislative requirements)/ Kō ētahi atu here o te tohu (tae atu hoki ki ngā here ā-hinonga whakamarumaru, ki ngā here ā-ture rānei)

Original wording:

Programmes leading to this qualification must adhere to and be consistent with the Privacy Act 1993, the Health and Safety in Employment Act 1992, and any other legislative or contractual requirements the industry or role is subject to


Programmes leading to this qualification must adhere to and be consistent with any ethical, legislative or contractual requirements to which the industry or roles are subject.

Change:

Named legislation has been replaced by umbrella terms.

Additional statement:Programmes that reflect the cultural and social aspirations of Māori and Pasifika learners must include culturally appropriate resources and delivery methods.

Change:

A new condition has been added

http://careerforce.org.nz/nz-cert-health-and-wellbeing-l2-draft-version-2/


“I agree with the assertions. It is a solid foundation for continuing

educational pathways.”

“I think the level two should have only compulsory units and include infection control and manual

handling. I do not think there is a need to have a medication competency in level 2.”

“33% of our workforce identify as Maori and there appears to be positive feedback

about this qualification from many of them.”

General conditions for programme/ Ngā tikanga whānui o te hōtakaOriginal wording:

Competency for this qualification will typically be demonstrated in a workplace environment. It is recommended that programmes include a minimum of 80 hours work experience.


Competency for this qualification will typically be demonstrated in a workplace environment. Programmes to include a minimum of 80 hours work experience.

Change:

Number of hours of work experience now required rather than recommended.

Original wording:

‘Conditions’ were previously included alongside Graduate Outcomes, but NZQA has refined the rules on these conditions.


Programme developers may wish to refer to Careerforce’s website for further information on sector guidance on meeting qualification outcomes.

Change:

‘Must include’ and ‘may include’ guidance has been removed from the qualification document but will be available for guidance to Programme developers from the Careerforce website

Conditions relating to the Graduate Profile /Ngā tikanga e hāngai ana ki nga hua o te tohu (listed in the ancillary Guidance document)Credit distribution Original

Outcome 2 = 23 credits Outcome 4 = 7 credits

Reviewed document:Outcome 2 = 20 credits Outcome 4 = 10 credits

A small adjustment has been made to the distribution of credits in outcomes 2 and 4

All outcome ‘conditions’ The full list of conditions has been taken out of the Qualification documents and now included as a separate ancillary document.Outcome 2 ‘conditions’ ‘Programmes must include …’ list Two expectations have been added

− Manual lifting and handling− Infection control

‘Programmes may include …’ list Two may include conditions have been added− basic first aid− responding to a death in the workplace

Outcome 3 wording Original:

Recognise and report risks and/or changes in a person and/or family/whānau


Recognise and report risks and/or changes in a person and/or whānau and family.

Change:

Family/whānau replaced by whānau and family

Outcome 3 ‘conditions’ ‘Programmes may include …’ list One may include condition has been added

− understanding and using workplace technology

New Zealand Certificate in Health and Wellbeing (Level 3) with strands




to workplace needs


to workplace needs

Online consultationThe following graph shows the average responses on the level of agreement for each section in the qualification.

Summary of findingsThe online consultation responses demonstrated a strong level of agreement with the current specifications of theNew Zealand Certificate in Health and Wellbeing (Level 3). This was supported by the feedback gathered during theworkshops, face to face meetings and webinar.

Communication as a key outcome at Level 3 came through strongly as well as the importance of having workexperience as part of the requirement to achieving this qualification.

The overall credit value of the qualification remains at 70 credits, however the Vision Hearing Screening strand overallcredit value increases from 60 to 70.

All strands remain to include the following: Health Assistance, Orderly Services, Newborn Hearing Screening, VisionHearing Screening, Support Work, and Whānau, Kin & Foster Care.


Summary of change recommendations• Addition of communication as a graduate profile outcome.• Number of hours of work experience now required rather than recommended.• Minor changes in the qualification conditions.• Credit distribution in the individual strand outcomes has changed. The total credits for each strand remains unchanged EXCEPT for Vision Hearing

Screening where the strand total has increased from 60 credits to 70 credits.• Addition of new knowledge areas that must be included in the programmes leading to this qualification. This is to reflect the current needs of the

workplace.Read the draft qualification document: careerforce.org.nz/nz-cert-health-and-wellbeing-l3-draft-version-2/Outcome statement/Te tauāki ā-hua

Graduate profile/ Ngā hua o te tohuNew outcome added for all specialisations

(The wording of strand specific outcomes remains unchanged)

Original wording:

Graduates of this qualification will be able to:

– Recognise and respond to signs of vulnerability and abuse in a health or wellbeing setting.

– Demonstrate ethical and professional behaviour in a health or wellbeing setting.


Graduates of this qualification will be able to:

– Demonstrate ethical and professional behaviour in a health or wellbeing setting.

– Recognise and respond to signs of vulnerability and abuse in a health or wellbeing setting.

– Demonstrate communication skills

Change:

Communication skills added



Original wording:

Programmes leading to this qualification must adhere to and be consistent with the Health and Disability Commissioner (Code of Health and Disability Services Consumers’ Rights) Regulation 1996, the Privacy Act 1993, the Health and Safety in Employment Act 1992, and any other legislative or contractual requirements to which the industry or role is subject.



Change:


http://careerforce.org.nz/nz-cert-health-and-wellbeing-l3-draft-version-2/

New Zealand Certificate in Health and Wellbeing (Level 3) with strandsGeneral conditions for programme/ Ngā tikanga whānui o te hōtaka

Original wording:

It is recommended that programmes include a minimum of 100 hours of work experience


Programmes to include a minimum of 100 hours of work experience

Change:

Number of hours of work experience now required rather than recommended.

Original wording:




Change:

‘Must include’ and ‘may include’ guidance has been removed from the qualification document but will be available for guidance to Programme developers from the Careerforce website

Conditions relating to the Graduate Profile /Ngā tikanga e hāngai ana ki nga hua o te tohuCredit distribution Original

For all specialisations 10 credits

Ethical & professional behaviour 5 credits

Recognise and respond to signs of vulnerability and abuse 5 credits

Additional credit for strands

Healthcare Assistance 60 credits

Newborn Hearing Screening 50 credits

Orderly Services 40 credits

Support Work 60 credits

Vision & Hearing Screening 50 credits

Whānau, Kin and Foster Care 50 credits

Reviewed document:

For all specialisations 15 credits

Ethical & professional behaviour 5 credits

Recognise and respond to signs of vulnerability and abuse 5 credits

Communication skills 5 credits

Additional credit for strands

Healthcare Assistance 55 credits

Newborn Hearing Screening 45 credits

Orderly Services 35 credits

Support Work 55 credits

Vision & Hearing Screening 55 credits

Whānau, Kin and Foster Care 45 credits

Change:

With the addition of the Communication skills outcome, the distribution of credits has changed.

Total credit

The total credits for each strand remains unchanged EXCEPT for Vision & Hearing Screening where the strand total has increased from 60 credits to 70 credits

New Zealand Certificate in Health and Wellbeing (Level 3) with strandsAll outcome ‘conditions’ The full list of conditions has been taken out of the Qualification documents and now included as a separate ancillary document.

Cultural safety has been changed to cultural safety and awareness throughout.

Safety and risk management has been changed to safety, risk assessment and risk management throughout, and has been added to the ‘may include’ conditions for all strands.

Outcome 3

Communication Skills

‘Programmes may include …’ list Six may include conditions have been added

− communication


− leadership skills relevant to the role

− self-reflection

− report writing

− challenging conversationsOutcome 4

Provide person-centred care

‘Programmes may include …’ list Five may include conditions have been added

− Risk management

− Palliative and end of life care

− Dementia

− Stock management (for any Health Assistance programmes designed for an Acute Care context)

− Deaf disability and deaf community (‘hearing impairment’, or ‘deafness’?)Outcome 6

Carry out hearing screening for newborns

‘Programmes may include …’ list Two may include conditions have been added

− Risk assessment

− Deaf disability and deaf community (as above)

Outcome 7

Orderly Services


− Safety, risk assessment and risk management

− waste management

− laundry management

− security in a health and wellbeing setting

− management of cross-infection


“Great array of topics for the papers- which tend to build on each other.”

“I do not believe that the qualifications should be gained without a lot more experience than minimum of 100 hours work experience. I believe that there needs to be effective in-house orientation and at least 250 hours work experience before the qualification can be meaningfully and SAFELY awarded.”

“100hrs ‘only’ amounts to 2.5 weeks full time work which is not that long for learning and becoming confident in practical applications. May well be ok at 100 hrs if the learner has completed a Level 2 and can show practical experience.”

“In general, the qualification does allow for staff to achieve and progress through the levels, supporting the registered staff by giving confidence that they can complete delegated tasks.”

Outcome 8

Provide person-centred support to maximise independence



− palliative and end of life care

− dementia

− spinal care

− Deaf disability and deaf community (as above)Outcome 10

Carry out vision and hearing screen-ing for children

‘Programmes may include …’ list Two may include conditions have been added


− Deaf disability and deaf community (as above)Outcome 11

Carry out vision and hearing screen-ing for children

‘Programmes may include …’ list One may include conditions have been added


Summary of findingsThe online consultation responses demonstrated a strong level of agreement with the current Strategic Purpose, Pathways, and Conditions of the qualification. This was supported by the feedback gathered during the workshops, face to face meetings and webinar.

Stakeholders expressed the need to review the graduate profile outcomes to increase the breadth and depth of competencies of graduates’ at Level 4 to include supporting clinical tasks and communication. With the addition of new outcomes, the overall qualification credit value would be increased from 70 credits to 120 credits.

Concern around the intent and meaning of leadership have been addressed.

New Zealand Certificate in Health and Wellbeing (Level 4) Advanced Support



81%of respondents strongly agree or agree with the current graduate profile

outcomes

73%of respondents strongly agree or agree with the

current credit values

Online consultationThe following graph shows the average responses on the level of agreement for each section in the qualification.



to workplace needs


to workplace needs

60%of respondents strongly agree or agree that the qualification meets the

needs of Māori and Pasifika

Summary of changes• New graduate profile outcomes were added to increase the breadth and depth of competencies of graduates at

Level 4. The new graduate profile outcomes include:o Graduates of this qualification will be able to support clinical tasks and responsibilitieso Graduates of this qualification will be able to demonstrate communication skills in a health or wellbeing setting

• The GPO on Leadership has been re-defined and further guidance provided and the credit value increased.• With the addition of new outcomes, the overall qualification credit value increased from 70 credits to 120 credits. • Number of hours of work experience now required rather than recommended.• Addition of new knowledge areas that must be included in the programmes leading to this qualification. This is to

reflect the current needs of the workplace. Read the draft qualification document: careerforce.org.nz/nz-cert-health-and-wellbeing-l4-draft-adv-support-version-2/

Outcome statement/Te tauāki ā-hua

Strategic Purpose/Te rautaki o te tohuWithin paragraph 1 Original wording:

The purpose of this qualification is to recognise the skills and knowledge required to provide advanced person-centred support to a person with complex needs, and their family/whānau


The purpose of this qualification is to recognise the skills and knowledge required to provide advanced person-centred/relationship-centred support to a person with complex needs, and their whānau and family.

Change:

‘person-centred support’ has been updated to ‘person-centred/relationship-centred’ support; ‘family/whānau’ has been changed to ‘whānau and family’ (throughout).

Within paragraph 3 Original wording:

This qualification is targeted at individuals who have some experience in a health or wellbeing setting and are looking to gain additional knowledge and skills required to provide advanced person-centred support to a person with complex needs and to take a leadership role in the workplace.


This qualification is targeted at individuals who have significant experience in a health or wellbeing setting and are looking to gain additional knowledge and skills required to provide person-centred/relationship-centred support to a person with complex needs and have the leadership capabilities and technical skills to be deployed in a more challenging role in the workplace.

Change:

‘some experience’ has been updated to ‘significant experience’; ‘and to take a leadership role in the workplace’ has been updated to ‘and have the leadership capabilities and technical skills to be deployed in a more challenging role in the workplace’.

http://careerforce.org.nz/nz-cert-health-and-wellbeing-l4-draft-adv-support-version-2/

New Zealand Certificate in Health and Wellbeing (Level 4) Advanced SupportGraduate profile/Ngā hua o te tohuTwo new outcomes have been added and two of the original outcomes have been clarified

Original wording:Outcome 1:

Graduates of this qualification will be able to work collaboratively to support the health and wellbeing of a person with complex needs


– same

Change:

No change

Replacement wording:Outcome 2:

Graduates of this qualification will be able to provide support with carrying out delegated clinical tasks

Change:

This is a new outcome


Graduates of this qualification will be able to implement person-centred approaches to support a person with complex needs


Graduates of this qualification will be able to implement person-centred/relationship-centred approaches to support a person with complex needs

Change:

‘person-centred support’ has been updated to ‘person-centred/relationship-centred’


Graduates of this qualification will be able to demonstrate communication skills in a health or wellbeing setting

Change:

This is a new outcome


Graduates of this qualification will be able to take a leadership role in a health or wellbeing setting


Graduates of this qualification will be able to demonstrate leadership skills in a health or wellbeing setting

Change:

‘take a leadership role’ updated to ‘demonstrate leadership skills’

Education Pathway/Nag huarahi mātaurangaOriginal wording:This qualification builds on the New Zealand Certificate in Health and Wellbeing (Level 3) [Ref: 2470] Health Assistance or Support Work strands, and may lead to further study in related health and wellbeing settings, or in leadership and management.

Replacement wording:This qualification builds on the New Zealand Certificate in Health and Wellbeing (Level 3) [Ref: 2470 and may lead to further study in related health and wellbeing settings, or in leadership and management.

Change:Reference to specific strands has been removed, to indicate that the Advanced Support qualification can staircase from more than just Health Assistance or Support Work

New Zealand Certificate in Health and Wellbeing (Level 4) Advanced SupportEmployment, Cultural, Community Pathway/ Ko ngā huarahi ā-mahi, ā-ahurea, ā-whānau, ā-hapū, ā-iwi, ā-hapori anō hoki

Original wording:Graduates of this qualification may be employed as a health care assistant, senior caregiver, senior health care assistant or senior support worker in hospices or specialised dementia units, aged residential care or home and community support settings.

Replacement wording:Graduates of this qualification may be employed in a role as a senior health care worker or a role with similar responsibilities in hospices or specialised dementia units, aged residential care or home and community support settings.

Change:The employment pathway is now descriptive to future proof the qualification for additional possible roles.



Original wording:

Programmes leading to this qualification must adhere to and be consistent with the Health and Disability Commissioner (Code of Health and Disability Services Consumers’ Rights) Regulation 1996, the Privacy Act 1993, the Health and Safety in Employment Act 1992, and any other legislative or contractual requirements to which the industry or role is subject.



Change:


Original wording:

The application of person-centred, goal-centred and strengths-based approaches is inherent in the performance of the outcomes and should be considered as part of the assessment process.


The application of person-centred/relationship-centred, goal-centred and strengths-based approaches is inherent in the performance of the outcomes and should be considered as part of the assessment process.

Change:

‘Relationship-centred’ has been included.

Original wording:

Programmes must consider, respect and honour the history of Māori as tangata whenua by embedding a commitment to bicultural principles

Original wording:

Programmes must include culturally appropriate resources and delivery methods, to reflect the cultural and social aspirations of Māori and Pasifika learners

Change:

Change in focus from ‘embedding a commitment to bicultural principles’ to including ‘culturally appropriate resources and delivery methods, to reflect the cultural and social aspirations of Māori and Pasifika learners’.

New Zealand Certificate in Health and Wellbeing (Level 4) Advanced SupportOriginal wording:Applicants for this qualification will need to provide evidence of the following:

New Zealand Certificate in Health and Wellbeing (Level 3) [Ref: 2470] in Health Assistance or Support Work strandOR

An equivalent qualification or experience in the health and wellbeing sectors.


Applicants for this qualification will need to provide evidence of the following:

New Zealand Certificate in Health and Wellbeing (Level3) [Ref: 2470]

OR

An equivalent qualification or experience in the health and wellbeing sectors.

Change:

Named strands of the New Zealand Certificate in Health and Wellbeing (Level3) have been removed, opening the level 4 qualification up to graduates of all strands.

General conditions for programme/ Ngā tikanga whānui o te hōtakaOriginal wording:

Competency should be typically demonstrated in a workplace environment. It is recommended that programmes include a minimum of 200 hours of work experience.


Competency should be demonstrated in a workplace environment. Programmes to include a minimum of 200 hours of work experience

Change:

‘typically’ has been removed; the number of hours of work experience now required rather than recommended.

Original wording:




Change:

‘Must include’ and ‘may include’ guidance has been removed from the qualification document but will be available for guidance to Programme developers via the Careerforce website

Conditions relating to the Graduate Profile /Ngā tikanga e hāngai ana ki nga hua o te tohuCredit distribution Original

•Work collaboratively 10 credits

Reviewed document:

•Work collaboratively 10 credits

Change

No change•Provide support with carrying out delegated

clinical tasks 25 credits New Outcome

•Person-centred approaches 45 credits •Person-centred/relationship-centred approaches 55 credits

Increase of 10 credits

•Communication skills 10 credits New Outcome•Take a leadership role 15 credits •Demonstrate leadership skills 20 credits Increase of 5 creditsTotal 70 credits Total 120 credits Increase of 50 credits

All outcome ‘conditions’ The full list of conditions has been taken out of the Qualification documents and now included as a separate ancillary document.Cultural safety has been changed to cultural safety and awareness throughout.

Safety and risk management has been changed to safety, risk assessment and risk management throughout, and has been added to the ‘may include’ conditions for all strands.


“I believe that the existing qualification is very broad in its outcomes and this is good as it can be contextualised to a wide range of roles currently within the health and disability sector that are more than working in aged care.”

“Far more practical clinical skills needed like, wound dressing, blood pressure, sugar levels, basic assessment.”

“Need considerable time and experience within the industry before doing this.”

Outcome 2 (new)

Provide support with carrying out delegated clinical tasks


− conditions

− pain management

− Spinal care

− Monitoring blood pressure, blood sugar levels and dressings

− Medication management

− Neurological conditionsOutcome 3

Implement person-centred/relationship-centred approaches to support a person with complex needs.

‘Programmes may include …’ list Four may include conditions have been added

− safety, risk assessment, risk management.

− observing and responding to the needs of the disabled community

− observing and responding to the needs of the deaf community

− behavioural support

Outcome 4 (new)

Demonstrate communication Skills


− adapting own behaviour and communication styles

− using tools for self-reflection

− time management

− challenging conversations


− conflict managementOutcome 5

Demonstrate Leadership skills

‘Programmes may include …’ list Three may include conditions have been added

− Critical thinking, consequences and solutions

− Effective feedback

− Working unsupervised

qualifications pathway review (qpr) · 2019-02-03 · page 3 the purpose of the qpr this review...

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