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Surface decontamination in the dental surgery

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It’s no secret that surface decontamination is key to protecting patients and staff in the dental practice. But with so many products on the market, it can be difficult to know which ones to use and how to use them properly.

In this blog post, we’ll look specifically at a number of key areas of surface decontamination, which when treated with the right product(s), at the right intervals, with the right contact time will offer you one of the most effective ways to mitigate the potential spread of infection through surface decontamination in your practice.

So, how do you ensure that the risk of infection is minimised and the highest standards of disinfection achieved?

Well, as you’d expect with as wide a ranging and complex subject as infection control, unfortunately, there isn’t a single, simple answer!

There are many areas and workflows within the dental practice which require infection control processes to be regularly and comprehensively employed, from the reprocessing of dental instruments, to all the surfaces in clinical areas, including the dental chair and diagnostic equipment, to the basic hand hygiene of each and every person entering your dental environment.

Cleaning or disinfection?

Before we get our teeth into how to keep those pesky bugs at bay, let’s get one, often confused, fact put to bed: the difference between cleaning and disinfection…

Although often terms used in unison, they are not the same thing.

Cleaning is the removal of dirt and debris, usually in the presence of a detergent. In a dental environment this could well include bodily fluids released as the result of dental treatments, like blood, tissue, tooth and bone fragments or pus.

Disinfection is the inactivation or killing of microorganisms on a surface, using a disinfectant agent which is known to have antimicrobial properties.

Disinfection can only occur on a clean surface, so it is vital that the cleaning step takes place prior to disinfection (although, there are, of course, combination products available, which combine both steps).

So, now that’s sorted, let’s concentrate on disinfection. Surface disinfection to be precise.

We will leave instrument reprocessing and decontamination for another day.

 

Decontamination and disinfection of surfaces in a dental practice

Even by focussing just on surface decontamination within a dental practice, there are still several different areas to consider, all of which should be addressed individually and specifically.

In this blog we’ll take a look at:

·  Surface decontamination in the dental surgery

·  Decontamination of the dental chair

·  Hand Hygiene for patients, visitors and staff

Whichever area you’re looking at, we’ve got bags of experience in at Blueprint Dental, so we’re always on hand (excuse the pun!) to help you out with which product you need for which application, to strike that important balance between efficacy and material compatibility.

A little more on that too…

Efficacy v Material Compatability 

There needs to be a balance between the ability of the disinfectant to inactivate micro-organisms and its effect on the environment around it. It needs to be safe to use in the presence of humans, not leave potentially toxic residues around after use and leave the surfaces and equipment on which it is used unharmed.

Are you familiar with disinfectant rotation?

Disinfectant rotation is an important part of infection control in dental practices. It is the crucial process of regularly switching between different types of disinfectants in order to prevent the development of microbial resistance. Many disinfectant ranges will offer two alternatives, which can be safely rotated, often with colour coded labelling for clarity and ease of use.

Quaternary Ammonium compounds (often referred to as ‘Quats’) are effective disinfectants widely used as part of a rotational infection control plan in a dental setting.  

Disinfection of dental surfaces

So, now we know that infection control of surfaces is a critical activity in every dental practice and it’s important to make sure that all surfaces in the practice are clean and decontaminated regularly with products which are compatible with the surface and to rotate, if necessary, to reduce the risk of microbial resistance.

But, what about the different types of surface disinfectants available? 

Surface disinfectants can be split broadly into non-alcohol based and alcohol-based agents.

The method of applying the disinfectant usually correlates with the size of the area, with larger areas tending to be disinfected using spray-applied agents and smaller areas more likely to be treated with wipes.

Again material compatibility is of prime importance here.

Non-alcohol based disinfectants have excellent material compatibility and can be used is a wide variety of surfaces in the practice, but especially lend themselves to the leather or synthetic upholstery of the dental chair, hoses and handles on the treatment centre and any areas composed of plexi-glass or acrylic, like the dental light.

Dental chairs and treatment centres are a classic example here and are discussed in their own section below.

Non-alcoholic disinfectants have a short action time and when applied properly to a surface will continue to provide a long-lasting effect against the re-establishment of airborne bacteria and viruses.

 

Alcohol-based surface disinfectants are also widely available, cost-effective and have a broad spectrum of microbiological action. Again they can be sprayed directly onto the surface or applied using an impregnated wipe. Just make sure the material is compatible with alcohol before going ahead!

Is your dental chair decontaminated properly?

The dental chair is often the main touch point for patients during their visit, presenting the opportunity both to contaminate and be contaminated.

Disinfecting the chair between patients is a sure way of protecting your patients and staff, reducing the risk of cross-contamination, but with the possibility of many patients taking a seat in the chair each day, it is also important to ensure the upholstery and any other parts which are disinfected are not damaged by harsh chemicals constantly being used on their surfaces.

A non-alcohol based disinfectant is ideal here and provides excellent material compatibility which, as well as disinfecting, helps to maximise the longevity of the chair’s upholstery.

Hand Hygiene in the dental practice

Hand hygiene is one of the most important ways to protect yourself and your patients

Our hands are constantly coming into contact with micro-organisms, some of which have pathogenic capabilities.

Many scientific studies prove that hands are THE primary transmission path for pathogens.

Hand disinfection is therefore considered crucial for the prevention of nosocomial infections. In Europe alone, up to 5 million patients in hospitals and other healthcare facilities are infected annually with dangerous pathogens. A major reason for this is inadequate or even lack of hand hygiene. Comprehensive hand hygiene can reduce the rate of “acquired” infections by up to 40%.

But proper hand hygiene should also help to prevent skin problems and maintain the natural protective function of the skin. So, be sure to take this into consideration when selecting hand hygiene products for your practice.

As a result hand hygiene products often include a range of products including hand lotions and creams, as well as disinfectants themselves to ensure the natural balance of the skin in maintained. Alternatively, hand disinfectants may achieve this by incorporating additional soothing or lubricating ingredients into their formulation.

The method of dispensing may differ according to the location in the practice and the user of the hand hygiene products. For example, product in a public area of the practice intended primarily for patients and non-clinical staff may be a wall dispenser with automatic dosing, whereas a more specialist surgical hand wash with a broader range of efficacy for hand and forearm preparation prior to surgery would be in an area only accessible to clinical staff and bottle-based.

So, we have seen that regular and robust decontamination processes using the right product for the right surface should be right at the heart of every dental surgery’s infection prevention policy and procedures. When best practices are adopted the risk of cross-contamination will be minimised and the safety of patients, staff and visitors alike maximised.

We’d love to help you ensure you have the highest possible standards of hygiene in your practice and we’re pretty confident that we can sort you out with the right surface disinfection product for each and every area in your practice

You can get in touch to discuss further using the form below….

 

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Maximising hygiene and disinfection behind the scenes in the dental surgery

By Blog

Dental professionals are in a unique position to prevent the spread of infection.

The very nature of invasive dental work means there is an increased risk of infection and biological contamination. In addition to contamination caused by touching surfaces and equipment, dental procedures themselves can also generate contamination, both in the form of airborne aerosols and micro-organisms entering waste systems whilst remaining viable.

These factors create a constant need to maintain high standards of hygiene even ‘behind the scenes’ to protect patients, staff and visitors. It is these perhaps unseen areas we will focus on in this blog post.

So, how do you ensure that the highest standards of disinfection are achieved?

As you’d expect with a subject as complex as infection prevention, the answer is not simple!

One size doesn’t fit all.

There are many areas and workflows within the dental practice which require infection control processes to be regularly and comprehensively employed, from the reprocessing of dental instruments, to all the surfaces in clinical areas, including the dental chair and diagnostic equipment, to the basic hand hygiene of each and every person entering your dental environment.

Cleaning or disinfection?

Before we get our teeth into how to keep those pesky bugs at bay, let’s get one, often confused, fact put to bed: the difference between cleaning and disinfection…

Although often terms used in unison, they are not the same thing.

Cleaning is the removal of dirt and debris, usually in the presence of a detergent. In a dental environment this could well include bodily fluids released as the result of dental treatments, like blood, tissue, tooth and bone fragments or pus.

Disinfection is the inactivation or killing of micro-organisms on a surface, using a disinfectant agent which is known to have antimicrobial properties.

Disinfection can only occur on a clean surface, so it is vital that the cleaning step takes place prior to disinfection (although, there are, of course, combination products available, which combine both steps).

So, now that’s sorted, let’s concentrate on disinfection. We’re just going to look at three areas here:

 

  • Preventing contamination in dental water lines
  • Removing contamination from suctions lines and amalgam separators
  • Disinfection of dental Impressions

We’ll leave instrument reprocessing and decontamination for another day, as it’s a big topic in its own right.

Decontamination and disinfection in the dental practice

But, whichever area you’re looking at, rest assured that we’ve got bags of experience in at Blueprint Dental and are always here to help you out with which product you need for which application, to strike that important balance between efficacy and material compatibility.

A little more on that too…

Efficacy v Material Compatibility

There needs to be a balance between the ability of the disinfectant to inactivate micro-organisms and its effect on the environment around it. It needs to be safe to use in the presence of humans, not leave potentially toxic residues around after use and leave the surfaces and equipment on which it is used unharmed.

Disinfection of non patient-facing areas of the dental practice

Infection control is a critical activity in every dental practice. It’s important to make sure that all areas of the practice are clean and decontaminated regularly. This includes areas and equipment which is not necessarily patient facing, but nonetheless could present a serious biohazard if not incorporated into your decon processes.

The importance of ensuring dental water lines are decontaminated regularly

You’ve probably heard that dental water lines need to be decontaminated on a regular basis.

But what does that actually mean?

Left to their own devices there are a number of potential hazards which can be associated with water lines in and around the dental treatment centre. In this article, we’ll concentrate on the removal and prevention of biofilms and biological decontamination, but process water quality and the prevention of limescale deposits are also areas which need addressing. Again, perhaps another blog post for another day.

A broad spectrum anti-microbial agent, such as Hydrogen peroxide (H2O2) offers long lasting protection against the build up of a biofilm and microbial contamination in water lines, whether these are associated with hand piece operation and cooling or bottle systems and spittoon operation. Some will even act as a limescale inhibitor too, which is an added benefit.

Some disinfectants are specifically tuned for continuous dosing of water lines in specific manufacturer’s treatment centres, some are used at regular interval according to your own decontamination protocols and others can be used as a biofilm removal agent. These are often slightly more concentrated solutions used in situations where a biofilm has built up within the water lines, following some maintenance procedures or before the treatment centre is first commissioned for patient use.

What about contamination in suction lines and amalgam separators?

Equipment which creates contamination as a result of particles and biological debris from the patient poses an immediate and constant contamination threat if left untreated.M2

Suction lines and amalgam separators should be decontaminated on an at least daily basis with a broad spectrum disinfectant effective against bacteria, fungi, viruses and mycoplasma (tuberculosis).

A word here also about disinfectant rotation…

As with many anti-microbial treatments, both inside and outside of the patient, consistent dosing with just one product can lead to the emergence of microbial resistance, which in turn increases the risk of contamination and/or decreased efficacy of your chosen disinfectant. For this reason, it is considered best practice to rotate the products used for disinfecting. For example on a weekly rotational basis. This will significantly reduce the risk of microbial resistance to the products used. Often the two rotational products will differ in pH. Look out for a manufacturer who can provide you will both products which are clearly labelled to show which rotational product is which in your regime.

These areas are also prone to the build up of odours, so a product with an integral deodoriser is also advantageous, as is one with enzymatic properties to break down proteinaceous material removed from the patient.

That said, care should also be taken to ensure that any disinfectant used in these areas and then discharged to drain are environmentally friendly and do not cause ecological damage after their release.

Some products used in this area can also be used to decontaminate spittoons, although specialist products are also available for this purpose.

Disinfecting dental impressions

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Dental impressions remain an important part of many patient procedures still carried out using non-digital technologies. Every day, dentists take impressions to create dental prosthetics such as crowns and bridges. However, these impressions can also be a breeding ground for micro-organisms if not disinfected correctly. In order to ensure the safety of patients, staff and technicians at the dental laboratory, it is important to properly disinfect these impressions before they are sent out for fabrication.

Ideally find yourself a ready-to-use solution with a short action time, which can be used on alginates, silicones and poly-ether rubber, as well as the impression trays themselves. That way you’ll be able to disinfect a wide range prosthetics, worn dentures and dental impressions.

Choose a formaldehyde-free and phenol-free product which is bactericidal, fungicidal, virucidal and, ideally, tuberculocidal too.

So, in summary, it’s clear to see that maintaining consistent and robust disinfection protocols are of utmost importance for all dental professionals. In this post, we’ve explored areas which are often not in direct patient contact, but which still form a vital part of the practice’s overall infection prevention and decontamination routines. Not only is this crucial for patient safety and that of your staff, but it also helps maintain the quality, reputation and longevity of your practice as a whole.

We’d love to help you ensure you have the highest possible standards of hygiene in your practice and we’re pretty confident that we can sort you out with the right disinfection product for the right application.

You can get in touch to discuss further using the form below….

 

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10 Top Tips For Starting Your Dental Squat Practice

By Blog, NEWS, What's New

For any ambitious dentist, the idea of opening a dental squat practice is an intriguing and exciting one. To get started you will need to take some steps that may seem daunting at first, but that can be broken down into manageable tasks which will see you well on the road to realising your dream practice in no time.

So, we’ve put together these 10 Top Tips to help you get started setting up your own Dental Squat Practice:

Top Tip #1 – Create a watertight business plan

Not the most thrilling place to start, huh? You just want to get on with the exciting stuff. Maybe, but sitting down and creating a comprehensive business plan doesn’t have to be like pulling teeth.

Setting yourself clear, achievable objectives will be key to your success AND prove invaluable if you need to obtain finance or attract business partners to your venture. Think about the business and personal goals you want to achieve over the short, medium and long term and write them down. It doesn’t need to be a weighty tome, but a little bit of upfront thought and planning now will save you time and money in the long run.

Top Tip #2  – Location, location, location!

Perhaps one of the most important and biggest decisions you’ll have to make is where to physically set your practice up.

Your surgery is nothing without patients, so think about how easily they can get to the practice. Ideally it needs to be easy to find and accessible. If the majority of your patients will travel by car, consider how easy it is to park nearby and whether there are parking charges. If patients travel by public transport, how good are the links? Where’s the nearest bus stop or train station?

The location of your dental surgery will also define your footfall from the surrounding area and passers-by. You’re more likely to get noticed on a busy road than a quiet side road or rural location.

Your patients should be front and centre of your location choice, but don’t forget your staff and even your own journey. How easy and far is your commute and is it easy for your team to get to and from work as well?

Also, it’s worth a quick scout around the area to see how close your competition is too. Are there other dental surgeries in the vicinity and how will you stand out from the crowd and differentiate your surgery?

Which leads us on nicely to…

Top Tip #3 – Your brand and identity

Here’s one of those exciting bits!

But there’s a serious element at stake here too. Everything from the way your surgery looks from the outside, the ambience of the reception area and waiting room, to the calmness and comfort of the treatment rooms will influence patient experience and their likelihood to recommend you to others. More on this later, but don’t underestimate word of mouth (No pun intended!)

Having a clever, funky logo and painting the practice your favourite colour is all well and good, but how the surroundings make the patient feel and the consistency of how you apply your brand are hugely important.

Some careful consideration upfront and consistent application of your brand from the start will go a long way to establishing you in your new neighbourhood.

Top Tip #4 – Choosing your equipment & fit out

Another area we all get excited about!

But this one really is of utmost importance and will affect the efficiency of how your practice runs, your workflows and patient experience. Ask yourself what equipment you really need to get your practice up and running.

Are you going to be offering chairside restorations and digital dentistry? Is space limited, so a knee-break dental chair may work better for patient access? What about decontamination workflows and the ‘unseen’ suction equipment every dental practice needs?

Do you need every piece of kit on your shopping list from the outset or can some be added or upgraded as your patient base expands?

Our golden nugget of advice here is to partner with a dental equipment supplier who has the experience and expertise of guiding you through setting up your first dental practice from its first inception to the day you open the doors to your first patients.

You’ll need someone who can help you with everything from dental surgery design & workflows, project management to make sure everything happens at the right time, in the right order and on budget to someone with the technical skills and expertise to execute on-site installation, commissioning and training, with the minimum amount of fuss and mess.

And, yes, here at Blueprint Dental, that’s right up our street and we’d love to discuss your project with you from an early stage.

Top Tip #5 – Financing your dream

 So, you’ve created that business plan, found your premises, thought about what equipment you need and even have some ideas about that funky logo…

Now it’s time for the really serious stuff…how are you going to pay for it all?

Well, the good news is there are some awesome specialist finance companies out there who can help you make the right financial choices as you start your business. They can provide you with illustrations and choices for lease purchase and rental options that will provide clarity for your payment plans and options as your business grows.

But, be sure to find yourself a good, reputable finance company, who understand the dental business as well as they do money matters.

In our eyes, you’d do well to find anyone better than Vector Finance, who we’ve worked with on many projects and will also be able to provide guidance on tax planning and efficiencies, as well as any government grants and schemes which you can take advantage of.

Cash flow is also an important consideration in the control of your finances. Make sure you are registered with all the right patient insurance providers and keep up to date with your treatment claims, as well as ensuring patients who pay for treatment do so before leaving the practice. That way, you’ll be in good financial health to make sure you’ve always got the cash to keep well stocked of the consumable items you need to run your practice and before you know it there’ll be enough left over to be drawing a decent income from the practice yourself too.

Top Tip #6 – Who’s in your dream team?

You’ll need to decide what your staffing structure should be from the start and how you might look to add to it as the practice becomes more established.

As tempting as it may be from a financial perspective to minimise wage costs and go it alone from the start, you should consider whether that works on a practical level. You are a skilled clinician, highly trained to perform intricate dental procedures on patients, not a jack of all trades also managing patient appointments, payments and rotas.

We’re assuming you’ll need a dental assistant, but also consider whether some administrative support in the shape of a Practice Manager or reception team would be prudent. With the greatest respect, we all know some superb dental surgeons who freely admit that admin is not their forte. And that’s not to mention that it can be pretty lonely managing all elements of the business on your own.

Maybe you just need some part time help when you first start, building up to a bigger and possibly full time team as time goes by.

Are you offering hygienist services? Do you have a spare surgery you can rent out to other dental professionals who may want to treat patients in your area? These are all things which are good to consider and discuss with your dental equipment supplier from the outset.

Top Tip #7 – Marketing Matters

Marketing your dental squat practice can be difficult, but it’s worth the effort and will pay dividends.

Research the best channels to reach your potential patients. This is likely to be a combination of digital channels like a website and social media, together with non-digital channels like advertising in local newspapers, leaflet drops and word of mouth (we said we’d come back to that and here we are!)

Make sure you make it easy for people to contact you. It might sound obvious, but make sure the telephone number and email address are easily seen. Check, recheck and then check again for spelling mistakes and typos (…we’re back to that brand and patient experience again)

And keep it simple. You don’t have to spend thousands on the swankiest website in town, but you should tie everything in with your brand and keep at it. Regular postings and contact with your potential clients will get people through the door. And as soon as you can get patient testimonials, do so,  and don’t be afraid to ask your satisfied patients to spread the word and recommend you to their own friends and family. Word of mouth really is a hugely powerful and wholly under-rated form of marketing.

Top Tip #8 – Get the legal stuff sorted

Taking on premises open to the public, whether you’re renting or buying, entering into financial agreements and potentially employing staff all come with legal implications.

Make sure you’re clear from the start what your legal obligations are and take legal advice to make sure you have everything in order. You don’t want any nasty shocks or surprises further down the line.

The same goes for any building regulations you may need to have in place before starting work on your practice, indemnities and liability policies when dealing with the public and dental-specific legalities around treatments and hazardous waste disposal.

Top Tip #9 – Keep your equipment in tip top working order

The smooth running of your practice once opened will be vital to your reputation and stress levels. The last thing you need is to have to cancel dental procedures due to faulty or unreliable equipment.

Talk to your dental equipment supplier about on-going maintenance routines early on when you’re specifying and choosing your kit.

Get an understanding of what the preventative maintenance schedules are, choose a supplier who has experienced and factory-trained engineers and maximise the uptime of your key pieces of equipment by choosing a dental maintenance team who can service your kit around your schedules to minimise the impact on your working day.

You may even be able to factor in maintenance costs to any lease purchase agreements, but however you’re financing your kit, don’t overlook this element and be sure to include it in any cashflow forecasts you create.

We’re pretty confident at Blueprint Dental that we tick all the boxes when it comes to keeping your squat practice in tip top working order too.

Top Tip #10 – Take time to enjoy your dream

So, you’ve done it! Your very own dental practice, all set up and running; a steady stream of patients coming through the door, some even recommended by their friends and families.

It’s been hard work, you’ve learned so much and you’ve worked incredibly long hours to get to this point, but we hope that with the help of an experienced and reputable dental equipment company, it’s been worth it.

Stop. Look around you and give yourself a minute to take in all that you’ve created, all that you’ve achieved for your patients, your team, your family and yourself.

Congratulations!

At Blueprint Dental, we’d love to be part of your journey to realise the dream of your squat practice. 

Drop us a line to discuss your dream today.

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Dr Soni discusses his decision to partner with Blueprint & Planmeca

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Dr Soni, Implantologist & co-founder of the Practical Implantology courses takes us through why he chose to partner with Blueprint Dental & Planmeca as he introduced digital workflows to his Simply Dental, Twickenham implantology practice.

Watch the video to see how with the experience and expertise of Sharaz and the Blueprint team, together with Jonathan Hampton, the Planmeca technical team and a trip to the surgery with the Plan Demo van, Dr Soni was able to choose the right equipment to increase the number of referrals made to him and ultimately the quality of the treatment offered to patients.

The knowledge was phenomenal. He’s accelerated my digital experience, otherwise I probably wouldn’t have gone digital.

Dr Mukesh Soni, Simply Dental, Twickenham

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Dr Sam Mohamed tells us why he chose Blueprint Dental & Planmeca on his journey to digital dentistry

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Dr Sam Mohamed, Principal Dentist at Wolds Dental Studio tells us the reasons he chose to partner with Blueprint Dental and Planmeca when he embarked on his digital dentistry journey.

Watch the video to see how our own Sharaz and Chaz, along with Jonathan and the Planmeca team, helped and guided him to the best equipment and workflow choice for his practice and patients.

 

 

When I started thinking about Digital Dentistry, I took Sharaz’s advice and, to tell you the truth, it was the best advice ever.

Dr Sam Mohamed, Wolds Dental Studio

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Real World Testimonials with Blueprint Dental & Planmeca – Here’s what you say about the ProMax 3D Classic!

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We’re excited to share the first of our ‘Real World Testimonial’ videos with you!

We’ve had such great feedback from our recent installations of the Planmeca ProMax 3D Classic imaging unit, that we thought we’d make a new series of videos so that everyone can see what dentists who use it really think.

VIDEO 1 - Dr Sundeep Photay introduces us to his first unit and tells us why he's installing a second one!

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Step into Digital Dentistry with Blueprint Dental – Our new video series is here!

By Blog, NEWS, What's New

We are excited to launch our brand new series of ‘Step Into Digital Dentistry’ videos!

Designed to give you an insight into the benefits of digital dentistry, with the help of the highly acclaimed Medit apps, the videos focus on just a few of the treatment possibilities now available with a streamlined digital workflow.

VIDEO 4 'Biteguards, Retainers & Aligners' - in the final video in this series we take a look at the digital workflow needed to create Biteguards, Retainers & Aligners

VIDEO 3 'Surgical Guide' - here we take a look at creating and fitting surgical guides

VIDEO 2 'Same Day Crown' - see the advantages of single visit treatment for both patient and dentist.

VIDEO 1 'Image Acquisition' - the vital first step whatever your speciality or treatment plan...

If you’d like to find out more, please complete the form below and we’ll be in touch:

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