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We benchmarked native WebStream pipeThrough at 630 MB/s for 1KB chunks. Node.js pipeline() with the same passthrough transform: ~7,900 MB/s. That is a 12x gap, and the difference is almost entirely Promise and object allocation overhead."
Responsibility for carrying out the medical assessment work is being taken over by Maximus UK Services Limited - another provider whose parent company is based in the US. The exact date when it will start is yet to be confirmed.