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When asked by the BBC about the formulation of the deal and whether mistakes had been made, an NHS spokesperson said there were "several factors which influence a procurement strategy and construct of the contract", without elaborating further.

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"Cloning streams in Node.js's fetch() implementation is harder than it looks. When you clone a request or response body, you're calling tee() - which splits a single stream into two branches that both need to be consumed. If one consumer reads faster than the other, data buffers unbounded in memory waiting for the slow branch. If you don't properly consume both branches, the underlying connection leaks. The coordination required between two readers sharing one source makes it easy to accidentally break the original request or exhaust connection pools. It's a simple API call with complex underlying mechanics that are difficult to get right." - Matteo Collina, Ph.D. - Platformatic Co-Founder & CTO, Node.js Technical Steering Committee Chair

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