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hi um thank you for joining us we i have did the um webinars and thanks for everyone who joined us on those webinars they were a huge success and we got great feedback so thank you everyone um we wanted to release our um pathway and theres been a few questions and feedback so thats great and we also um wanted to get through the questions that we didnt manage to get through in the quest on the webinars so im really pleased that tonight weve been joined by some real experts in called requirement syndrome um to go through those last few questions and then hopefully finalize everything as far as the flowcharts concern and so id like to introduce the panel who are with us tonight um firstly is mr john leach who is a consultant nearest um spinal neurosurgeon at salford royal um and the outgoing uh regional spinal network chair um whos going to give us a surgical perspective so uh welcome mr sleech um chris mercer who you all know from the webinars whos consultant physio um and exper