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                                    "rationale": "Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee: \"Urgent circumstances provision was applied in line with the regulations due to increasing additional, unprecedented, demand and activity within the urgent care system, which is over and above forecast modelling and the commissioned services' capacity.\nAdditional bed capacity and provision of enhanced observations was required to support timely hospital discharges and enable flow within, which has led to an increased spend against the original contract value.\nThe decision to modify the contract was made by the ICB Chief Delivery Officer and the Deputy Chief Delivery Officer.\nDeclarations of interest were sought and none were declared.\""
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