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The full blood count test will also include a level called the mean cell volume (MCV), which is raised with vitamin B12 deficiency but also in some other conditions

The first-stage methodology update is a narrow but focused transitional step that limits hospitals to a maximum of four out of five stars (based on at least three Safety of Care measure scores) if they performed in the lowest quartile of the Safety of Care measure group in the 2026 Overall Hospital Quality Star Rating

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