NHS Doctors' Pay Scales in England - Explained

  • May 01, 2024
 

Understanding your NHS job's salary or pay is essential for overseas doctors new to the UK.

Doctors play an integral part in delivering high quality patient care in the NHS and as such, they are rewarded with competitive pay rates and benefits. 

NHS pay scales can be confusing, particularly for overseas doctors. Here we hope to provide some clarity to help you understand the NHS grades and how they fit on the various NHS pay scales.

In this article we will take a look at the following topics:  

Skip ahead to the relevant section if you know what you're looking for.

Trust doctor jobs and IMGs' pay

It is important to note that the majority of overseas doctors will start their career in the UK in a fixed term trust doctor role (also known as a service post), before taking up a training position. Doctors across all grades can enter a service post which means to say that they are not in training or entering specialty training. 

As such, most of our adverts for fixed term or permanent posts will be service level jobs, these are usually SAS doctor, consultant, SHO or Trust doctor posts at the equivalent of FY2, ST1/2, ST3+.These can be attractive due to the improved doctor’s salaries that can be negotiated for fixed term contracts, based on experience and demand. 


The salary pay scales that we have included in this article are to be used as a guide or starting point for negotiating your trust doctor role (or service post). 


Typical NHS doctor’s salary in the UK

FY1 & FY2

In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £29,384. In year two this increases to £34,012. 

As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums. 

Specialist Training (ST1 – ST8) 

If you are a doctor starting your specialist training in 2019, your basic salary starts at £40,257 and can progress to £58,398.

As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums. 

Specialty doctors

Specialty doctors currently earn from £51,000 to £80,000 basic pay. 

The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls. 

Specialist Grade

A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist grade, which will provide an opportunity for career progression for highly experienced specialty doctors. Specialist Grade doctors can earn a basic of between £81,500 to £92,500.

Consultants

Consultants currently earn from £99,532  to £131,964 basic pay.

As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week.

If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements. 

So where do I fit on the pay scale?

There are a few key points when considering where you fit on the pay scale: 

  • Job title
  • Experience
  • Hours worked
  • Trusts can be different

Job title:

The first thing to consider is your job title. 

At the Consultant level, it is straight forward, you will be a consultant. However, at the Specialty Doctor level, you could be working as an SAS doctor, a Specialty Doctor or a Trust Grade doctor. As an ST or SHO you could also work across several levels. 

Each could command a different pay scale depending on the level of work and experience required. 

Take some time to check the job title that you are applying and interviewing for, and subsequently the pay scale that you can expect. 

Experience within your chosen field: 

Next, consider the number of years of experience you have in your specialty, this is crucial to identifying your position on the pay scale. 

This is important as an NHS Trust will calculate your pay for a Specialty Doctor in Medicine by deducting two of your years of experience to compensate for the Core Training years in the UK. Please note, for some specialties this does not apply, check with an IMG Consultant for more information. 

Hours you will work: 

The second thing to consider is how many hours you will be working. For both Specialty Doctors and Consultants, the hours are usually established using PAs (programmed activities). Each PA is worth 4 hrs of your week, and a standard week is 40 hrs. A standard salary is based on a full working week of 10 PAs (40 hours). If you work above 10 PAs, then you will gain additional salary on top of your basic pay. 

NHS trusts can be different: 

The last thing to consider before we look at the pay scales, is that some NHS Trusts can interpret the pay scales and a doctor’s experience in different ways. All NHS Trusts should be following the same pay scale structures when recruiting and offering salaries to doctors, but this is not always the case!  

This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account.

Pay scales:

Doctors in training pay scale

Service level jobs are in high demand at all levels of experience, each offering competitive rates of pay. It is also important to remember that once in the UK, you will have the option to apply for training, depending on your entry level. 

The below pay scale reflects the pay at each level depending on the entry points to training, which are FY1, ST1/CT1 and ST3/4. 

The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result. 

As above, use the below as a salary guide for service level posts. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand. 

Specialty Registrar (StR) (Core Training)

Grade

Stage of training 

Grade Code 

Nodal Point 

Value (£) 

Foundation Doctor Year 1

FY1

MF01

1

29,384

Foundation Doctor Year 2

FY2

MF01

2

34,012

Specialty Registrar (StR) (Core Training)

CT1

MC51

3

40,257

CT2

MC52

40,257

CT3

MC53

4

51,017

Specialty Registrar (StR) (Core Training)

ST1 / SpR1

MS01

3

40,257

ST2 / SpR2

MS02

ST3 / SpR3

MS03

 

4

 


 

 

5

 

51,017

 


 

 

58,398

ST4 / SpR4

MS04

ST5 / SpR5

MS05

ST6 / SpR6

MS06

ST7 / SpR7

MS07

ST8 / SpR8

MS08

Full details of total salaries for doctors in full-time training is available to download in the pay circular below including:

  • banding supplements
  • total salaries for trainees working less than 40 hours a week
  • less than full-time trainees pay arrangements.

The BMA has also produced pay tables which estimate pay for full-time doctors in training, based on your own working patterns, which you can find here.


Specialty Doctor pay scale: 

Service level specialty doctor jobs are in high demand in England at all levels of experience, each offering competitive rates of pay. 

It is important to note that your pay will reflect your experience within your chosen field. 

The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you. 

Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years. 

In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years. 

The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result. 

As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand. 

Pay Scale Code

Years' Experience

Basic Salary (£)

Period before eligibility for next pay point

MC75-01

0

52,530

3 years

MC75-02

1

52,530

2 years

MC75-03

2

52,530

1 year

MC75-04

3

60,519

2 years

MC75-05

4

60,519

1 year

MC75-06

5

60,519

1 year

MC75-07

6

67,465

3 years

MC75-08

7

67,465

2 years

MC75-09

8

67,465

1 year

Threshold

MC75-10

9

74,675

3 years

MC75-11

10

74,675

2 years

MC75-12

11

74,675

1 year

MC75-13

12

82,400

5 years

MC75-14

13

82,400

4 years

MC75-15

14

82,400

3 years

MC75-16

15

82,400

2 years

MC75-17

16

82,400

1 year

MC75-18

17

82,400

-


Specialist Grade: 

The introduction of a new Specialist grade will provide an opportunity for progression for highly experienced specialty doctors. The introduction of the role will help to recruit, motivate and retain senior doctors and contribute to SAS grades being a positive and fulfilling career choice. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings.

Pay Scale Code

Years' Experience

Basic Salary (£)

Period before eligibility for next pay point

MC70–01

0

83,945

3 years

MC70-02

1

83,945

2 years

MC70-03

2

83,945

1 year

MC70-04

3

89,610

3 years

MC70-05


MC70-06

4


5

89,610


89,610

2 years


1 year

MC70-07

6 95,275 -


Consultant pay scale: 

Service level consultant doctor jobs are in high demand in England at all levels of experience, each offering competitive rates of pay. 

At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant. 

On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position. 

Like the above, the salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result. 

Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand. 

Years completed as a consultant:

Threshold

Years complete as a consultant

Basic Salary (£)

Period of eligibility for next threshold

Pay scale code

1

0

99,532 

1 year

YC72 Point 00

2

1

99,532 

1 year

YC72 Point 01

3

2

99,532

1 year

YC72 Point 02

4

3

105,390 

1 year

YC72 Point 03

5

4

108,390

5 years

YC72 Point 04

 

5

108,390

4 years

YC72 Point 05

 

6

108,390

3 years

YC72 Point 06

 

7

108,390

2 years

YC72 Point 07

 

8

118,884 

1 year

YC72 Point 08

6

9

118,884 

5 years

YC72 Point 09

 

10

118,884 

4 years

YC72 Point 10

 

11

118,884 

3 years

YC72 Point 11

 

12

118,884 

2 years

YC72 Point 12

 

13

118,884 

1 year

YC72 Point 13

7

14

131,964 

5 years

YC72 Point 14

 

15

131,964 

4 years

YC72 Point 15

 

16

131,964 

3 years

YC72 Point 16

 

17

131,964 

2 years

YC72 Point 17

 

18

131,964 

1 year

YC72 Point 18

8

19

131,964

-

YC72 Point 19


Additional pay, benefits, pensions and terms & conditions

Current national salary scales for medical and dental staff are published in pay and conditions circulars on the NHS Employers website. 

You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits. 

Sources

https://www.nhsemployers.org/system/files/2023-02/Pay%20and%20Conditions%20Circular%20%28MD%29%202-2023.pdf 


Getting started 

NHS Trusts can interpret the NHS consultant pay scales above and an international doctor’s experience in different ways, so use this blog as a guideline for understanding what you may be eligible for when coming to work in the NHS. 

Your IMG Consultant is happy to assist with any negotiations related to your job plan to ensure your experience is taken into account. 

For more information on NHS doctor benefits and pay arrangements in the UK, take a look at our IMG Resources library. 

            

 

 

 

Relevant Jobs

£80,693

A fantastic opportunity awaits Histopathologists seeking a fixed-term position. This Pathology Services provides support for CESR accreditation and facilitates entry into specialty training within the NHS. The department is both high-performing and supportive, particularly welcoming overseas doctors new to the NHS or UK-based doctors seeking career advancement. They deliver pathology services to their acute hospitals and local GPs, with some laboratories offering specialized services to the wider NHS and engaging in research studies. Serving 1.76 million patients and conducting 60 million tests, the partnership has resulted in 27,000 additional community phlebotomy appointments, improved turnaround times, and streamlined workflows.

The Pathology Service thrive on a dedicated workforce leveraging cutting-edge technologies, delivering exceptional clinical services centered on patient care.

What is the Pathology Service like?

The Pathology Services comprises four pathology laboratories. These laboratories are responsible for providing pathology services to both acute hospitals and local general practitioners. Additionally, certain laboratories within the network offer specialized services to the broader NHS and engage in research studies and trials. As part of a significant initiative within the NHS, pathology services in England are undergoing reorganization, transitioning into larger local network models. This restructuring has led to the establishment of 29 pathology units nationwide.

This development positions the pathology service as an exceptionally appealing workplace, situated at the forefront of NHS innovation and digitalization in pathology. Despite these advancements, this pathology service remains committed to delivering the latest tests and services, incorporating cutting-edge clinical science into modern patient care. Currently, they manage approximately 120,000 cases with a team of 36 consultants (augmented by some outsourcing), with the capacity to expand its consultant team to 40 full-time positions.

What is the department & team like? 

The Pathology Service was established following the Lord Carter review of Pathology services in England, aiming to reduce overtesting, enhance resilience, and lower costs. amalgamates staff, services, and IT platforms from four trusts to enhance pathology quality in the Black Country, serving 1.4 million individuals and conducting 60 million tests annually. It underwent a comprehensive IT system overhaul to facilitate integrated services, embrace new technologies, and expedite laboratory results.

The pathology service operates three laboratories offering nationally accredited consultant-led pathology services. With state-of-the-art facilities and IT systems, they garnered commendation from Lord Carter for its efficiency and innovation in pathology. Notably, innovations showcased during Lord Carter\'s visit in 2021 included pre-barcoded tubes for sample tracking and digital automation in microbiology labs.

Lord Carter praised the service as a model of service integration and technological advancement, emphasizing the importance of technology, including artificial intelligence, in expediting diagnostics. He commended the leadership and dedication of the staff, highlighting their achievements and commitment to patient care. The evidence is there to be seen, as latest figures show they scored 92 per cent compliance on a dashboard provided by NHS Improvement, ranking it one of the best performing services in the country 

Career Development & Opportunities Available 

Career development opportunities are aplenty. The Centre is one of the highest performing centres in the UK, with excellent CQC scores, a fantastic leadership team, and highly advanced specialist reporting functions. All of this provides an excellent platform for anyone to excel and develop, whether it\'s a step towards specialisation in one anatomical area, or whether it\'s advancing yourself in the world of digital pathology, the right individual can really flourish here.

Digital Pathology and AI is a massive part of what the Group are doing, and part of what makes this opportunity so exciting. Working from home, working abroad, or taking on additional workload out of hours - digital pathology is taking off. They are the most advanced Digital Pathology Service in the UK, and this provides everyone with huge opportunity to grow and develop in a really exciting global field of pathology.

Life in the West Midlands

Based is a modern industrial city situated on the midlands. It is compact, with no boundary more than four miles from the centre and is approximately a 30-minute drive to Birmingham (15 miles), 1 hour 20 minutes to Manchester (60 miles). The city is an urban, multi-ethnic city with a population of around 250,000. The wider hospital catchment area has a population of in excess of 350,000. With more than 600 shops, bars, café and restaurants, the city is not only a great place to work but also somewhere to relax and enjoy. The city centre is just a 10-minute bus ride from the Hospital. 

The nearby countryside of Staffordshire and Shropshire is delightful. To the north is Cannock Chase and to the west the Shropshire borders with attractions of Bridgnorth, the Clee Hills, the Long Mynd, Wenlock Edge, and the Severn Valley. South of Wolverhampton, the City of Worcester is easily accessible, and to the west north-Wales can be reached in just over an hour. The area has a large network of canals, the majority renovated, offering adjacent housing and popular for narrow boat holidays.

Am I eligible for this role?

To be eligible for this vacancy you will need the following: 

EEA candidates: 

  • Recognised European Medical Degree
  • Specialist Qualification in Histopathology
  • IELTS or OET 

Non-EEA candidates: 

  • FRCPath
  • IELTS or OET 

UK-based candidates: 

  • Within six months of CCT or CCT Holder

This is a great opportunity for any experienced histopathologist interested in specialisation, and with interest in digital pathology. 

93,666-126,281

An excellent opportunity to join the dynamic team at an esteemed organization recognized for its excellence by the CQC. This is an opportune moment to become part of the Acute Medicine and Medicine Specialties Teams. With a strong history of achievements, they are committed to delivering exceptional patient-centered care. They are seeking dynamic and motivated specialists histopathologists to become part of their welcoming and enthusiastic gastroenterology team. This presents a chance to join a dedicated histopathology team committed to delivering the highest quality comprehensive service.

This is a great opportunity for overseas consultants or specialists who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

What is the NHS Foundation Trust like?

The NHS Foundation Trust stands as one of the nation\'s largest integrated healthcare organizations, delivering both hospital and community services to a populace exceeding 650,000 individuals. Renowned for their ambition and innovation, they boast a skilled workforce comprising over 7,000 dedicated colleagues. Operating across two acute sites for hospital services and encompassing centers and community hospitals in six towns for planned care, they extend their services even to patients\' residences.

Recognized as a high-performing entity with a history of accomplishments, the Trust has functioned as an integrated acute and community services provider since 2011 and achieved foundation trust status in 2007. Guided by their strategic framework \"Our Patients Matter,\" they articulate their short- and long-term objectives and delineate the path to their realization. This framework underscores their commitment to providing the safest, most compassionate, and seamlessly coordinated care to the communities they serve.

Within this NHS Foundation Trust, medical professionals are presented with a plethora of career prospects and exposure to diverse care settings rarely encountered elsewhere. Additionally, they have the opportunity to reside and practice in some of the most culturally rich and picturesque locations across the country!

What is the Department & Team like?

The Histopathology department is dedicated to delivering precise diagnostic services crucial for patient care. Led by a team of experienced consultants and supported by junior doctors and skilled laboratory personnel, the department handles a wide array of cases across various medical disciplines. This includes examining tissue specimens for cancer diagnosis, assessing surgical margins, and identifying infectious diseases.

Equipped with advanced technology and instrumentation such as microscopes, tissue processing equipment, and digital imaging systems, the department ensures accurate diagnosis. The team collaborates closely with other departments like surgery, oncology, and radiology to ensure seamless patient care.

The department processes a significant volume of histopathology and cytology cases, providing essential information to clinicians for treatment planning and patient management. Committed to excellence and precision, the Histopathology team plays a pivotal role in delivering top-notch healthcare to the community.

What is life like in the area?

The North East of the UK offers a diverse mix of rural and urban settings, providing doctors with a range of living options. Residents can explore stunning coastal areas like Northumberland\'s beaches or venture inland to scenic national parks such as the North Pennines. The region is home to respected schools and universities, including Newcastle University. Transportation links are robust, with efficient road and rail networks connecting residents to major cities like Newcastle, Durham, and Sunderland, as well as international airports. Housing options range from quaint cottages in picturesque villages to modern apartments in vibrant city centers, catering to various lifestyles.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Histopathology
  • Specialist Qualification in Histopathology

Non-EEA Candidates:

  • FRCPath
  • Experience of working in Histopathology

UK based applicants

  • Experience of working in Histopathology
99,532 - 131,964

An exciting opportunity for a Consultant Breast Radiologist with expertise in breast and general radiology to work for a health board that aims to provide the best services to their patients. Ideal for overseas consultants looking to establish themselves in the NHS. The health board serves a population of 384,000 in several towns. They aim to improve healthcare by collaborating with local government and the third sector.

You will be a part of the Breast Radiology Department, which is a vital part of the healthcare service in the area, providing comprehensive diagnostic and interventional breast radiology services. Their team includes experienced consultants and junior doctors, ensuring high-quality care. The facility is well-equipped, and the successful candidate will lead and enhance the department\'s services. You will have a lot of growth opportunities as the Health Board is involved in education and research, with strong links to other universities. They aim to engage emerging clinicians in addressing Prudent Health Cares. Their Clinical Research Facility and initiatives in BioBanking and telemonitoring demonstrate their commitment to research and advancement.

It is situated in a town that offers a tranquil lifestyle with access to scenic coastal areas. It is a blend of rural and urban living. The region features quality schools and links to the University of Wales Trinity Saint David. Transportation connections are strong, and housing options are diverse, catering to different preferences. It\'s a balanced location for professionals and families.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Radiology
  • Board Certified Specialist in Radiology

Non-EEA Candidates:

  • Experience of working in Radiology
  • FRCR

UK based applicants

  • Experience of working in Radiology
  • Within 6 - 12 months of completing CCT
101382

An excellentHealth Board is actively seeking a Consultant Interventional Radiologist to join their innovative team. The role involves enhancing radiological services across the Health Board, reflecting their commitment to exceptional patient care. This opportunity is well-suited for overseas Consultants looking to establish themselves in the NHS or experienced IMGs seeking to complete CESR requirements.

The Health Board caters to 384,000 residents across several towns, delivering a wide spectrum of healthcare services. Their dedication to patient well-being includes a focus on continuous improvement, achieved through collaboration with local government and the third sector. The Health Board actively promotes education and research, fostering multi-profession teaching and supporting the development of up-and-coming clinicians. Their Clinical Research Facility and initiatives like BioBanking and telemonitoring reflect their commitment to advancing healthcare.

The Interventional Radiology Department is well-equipped and managed by experienced consultants and junior doctors. They provide comprehensive care, specializing in minimally invasive treatments for various conditions. Their advanced imaging technology ensures accurate diagnoses, and they handle a significant caseload of interventional radiology cases.

The hospital sits within a town that offers a balanced lifestyle with both urban conveniences and access to scenic rural areas. The region is known for its beautiful landscapes, high-quality schools, and strong transportation links to major cities and airports. Housing options are diverse, accommodating various preferences. This opportunity presents a holistic and enriching professional and personal life for healthcare professionals.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Radiology
  • Board Certified Specialist in Radiology

Non-EEA Candidates:

  • Experience of working in Radiology
  • FRCR

UK based applicants

  • Experience of working in Radiology
  • Within 6 - 12 months of completing CCT
99,532 - 131,964

This is a good opportunity for any FRCPath or European-qualified histopathologists to join a friendly, high calibre department in the North East of England. The department are looking for experienced but hungry histopathologists to join them for a long-term post, and the trust will support candidates working on the Portfolio Pathway in Histopathology (formerly known as CESR). The trust will consider both UK and overseas applicants.

What is the NHS Foundation Trust like?

The NHS Foundation Trust serves as a district general hospital, providing essential healthcare services to the local population. Under its management, various healthcare facilities in the region. Consistent positive evaluations from the Care Quality Commission (CQC) underscore its commitment to delivering high-quality patient care, safety, and efficiency. The catchment area of this trust encompasses the north east, ensuring residents have access to comprehensive healthcare close to home. Through its services, the trust plays a vital role in promoting community health and well-being, contributing to a stronger, healthier population.

What is the department & team like?

The department have been centralized at a state-of-the-art Pathology Centre located at the NHS Foundation Trust\'s main hospital. These services cater to the local population in the North East. The consolidation of Cellular Pathology Services, completed in 2014, marks an innovative reorganization in pathology services. Satellite hot lab facilities are available at the NHS Foundation Trust\'s other sites. The NHS Foundation Trust leads this service, and the appointed individual will be contracted.

Pathologists are equipped with high-quality IT infrastructure to facilitate remote attendance at Multidisciplinary Team Meetings (MDTs). In cases where physical presence is required, a departmental electric car or a hopper service is available for transportation. Digital pathology implementation is underway progressively for pathologists interested in participation.

Career Development & Further Opportunities Available

The department will in time be moving towards a specialist reporting model and there will be opportunity to carve out your lead role in either the GI, head & neck, and urology sub-specialties. 

Life in North East

The North East of England offers a diverse mix of rural landscapes and urban centers, providing doctors with a range of living options. Residents can explore historic sites like Hadrian\'s Wall or enjoy scenic walks along the Northumberland coast. The area boasts reputable schools and universities such as Durham University. Transportation links are efficient, connecting the region to major cities like Newcastle and Sunderland, as well as airports for convenient travel. Housing options vary from picturesque villages to modern city apartments, accommodating different preferences and lifestyles.

AM I ELIGIBLE FOR THIS ROLE?

Non-EEA candidates: 

  • FRCPath
  • Experience in Histopathology

EEA candidates: 

  • Specialist certification in Histopathology
  • Experience in Histopathology 

UK candidates: 

  • CCT, CESR or within 6-12 months of specialist registration 
  • Experience in Histopathology

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