AJM Healthcare is a clinically led, client-focused national specialist wheelchair provider, with 99% of our business dedicated to wheelchair services. We truly value the exceptional people who work together to make us the friendly, professional organisation we are today.
We currently employ around 400 people over 14 locations across the UK. We pride ourselves on delivering high-quality customer care and believe that every one of our colleagues contributes to our continued success.
Please check out our other pages below, which give you further insight to our pay and benefits, training and development, company events and work placements or apprenticeships.
Why not hear from our amazing employees in our 'day in the life' section, which gives current and honest accounts on what you might experience in your role and learn move about the company.
Company: AJM Healthcare | Closing date: Fri, 04 Sep 2026
AJM Healthcare
Role: Contract Administrator
Location – Hybrid working but with frequent travel to our Head Office in Milton Keynes at least once a week.
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Employee Assistance Programme, Company sick pay provision with continuous service.
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are seeking an organised and detail‑driven Contract Administrator to support the successful delivery, governance and compliance of AJM Healthcare Group’s NHS contracts. The role involves providing contract management support across the organisation, ensuring contractual obligations are monitored, actions are tracked, documentation is maintained and emerging risks are identified and escalated pro-actively.
In addition, the role will support the bid function through tender administration, document management and maintenance of bid collateral, creating a seamless link between contract delivery and future business development.
The role will contribute to improving consistency across contracts, strengthening commissioner relationships and supporting continuous improvement through effective governance and performance monitoring.
This is an excellent opportunity for someone with strong coordination skills who enjoys working to deadlines and contributing to winning new business.
Key Responsibilities:
What we are looking for -
Are you a Project Assistant or Admin Assistant and looking for a new challenge?
You'll be a confident communicator and comfortable engaging with different levels of internal stakeholders. Strong organisational and administration skills, attention to detail and the ability to manage multiple priorities are essential, along with a calm and professional approach when dealing with changing demands or challenging situations.
Previous experience working on NHS contracts is essential to be considered for this role.
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please complete our application form which is found on our website. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
This position is working in a regulated environment and will therefore be subject to a basic DBS disclosure check. Cost will be covered by the Company.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference: VA1401
Company: Active Design Limited | Closing date: Fri, 04 Sep 2026
Active Design
Role: Clinical Seating Engineer
Benefits: Free on-site parking, Legal and General pension contributions, 27 days annual leave with increase to 29 and 33 days with continuous service, paid sick leave with continuous service, Employee Assistant programme
Active Design is leading manufacturer of wheelchair special seating products and clinical seating services. The company has been involved in the design, development and manufacturer of postural management equipment for over 30 years. Our products are manufactured at our factory in Aston, Birmingham using a wide range of production techniques.
What we are looking for:
We are seeking to recruit an enthusiastic Clinical Seating Engineer that will prescribe seating systems which are shaped individually to service users, most of whom will have complex needs, based on clinical data gathered at assessment and the response of the person to the supporting surface. They will work in conjunction with the wheelchair service clinicians to develop optimised support for the individual.
Key Responsibilities:
The role requires integration of clinical and technical knowledge with practical application, taking account of the service user’s functional needs, which often conflict with their postural requirements, and the fact that people can present differently on different days and that factors beyond their control have an influence on their ability to tolerate/respond to a seating system.
Whilst responsibility for the individual’s episode of care lies with the local clinician, the post holder is responsible for ensuring that the needs of the individual are met in an effective and safe manner. As an autonomous practitioner you will:
The job holder will work in a variety of settings including clinics, community centres, and service users’ homes according to service requirements. In addition, they will participate in clinical governance activity, including CPD and developing and implementing quality improvements within the service.
We are looking for someone to work 40 hours per week Monday to Thursday between 8am to 5pm with a half hour unpaid lunch break and 2 x 15-minute breaks (paid) and Fridays 7am – 1pm. This role can be home based but with the understanding that requirement to attend clinics around the South and South East region and be out in the community plays a big part of the role and therefore you must also hold a valid UK driving license with no more then 6 points on.
For an informal discussion about this role, please contact the Recruitment team at careers@ajmhealthcare.org. To be considered for this role, please click apply now to complete our application form. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
This position is working in a regulated environment and will therefore be subject to a DBS disclosure check. Cost will be covered by the Company.
Reference - VA1411
Company: Active Design Limited | Closing date: Fri, 04 Sep 2026
Active Design
Role: Clinical Seating Engineer
Benefits: Free on-site parking, Legal and General pension contributions, 27 days annual leave with increase to 29 and 33 days with continuous service, paid sick leave with continuous service, Employee Assistant programme
Active Design is leading manufacturer of wheelchair special seating products and clinical seating services. The company has been involved in the design, development and manufacturer of postural management equipment for over 30 years. Our products are manufactured at our factory in Aston, Birmingham using a wide range of production techniques.
What we are looking for:
We are seeking to recruit an enthusiastic Clinical Seating Engineer that will prescribe seating systems which are shaped individually to service users, most of whom will have complex needs, based on clinical data gathered at assessment and the response of the person to the supporting surface. They will work in conjunction with the wheelchair service clinicians to develop optimised support for the individual.
Key Responsibilities:
The role requires integration of clinical and technical knowledge with practical application, taking account of the service user’s functional needs, which often conflict with their postural requirements, and the fact that people can present differently on different days and that factors beyond their control have an influence on their ability to tolerate/respond to a seating system.
Whilst responsibility for the individual’s episode of care lies with the local clinician, the post holder is responsible for ensuring that the needs of the individual are met in an effective and safe manner. As an autonomous practitioner you will:
The job holder will work in a variety of settings including clinics, community centres, and service users’ homes according to service requirements. In addition, they will participate in clinical governance activity, including CPD and developing and implementing quality improvements within the service.
We are looking for someone to work 40 hours per week Monday to Thursday between 8am to 5pm with a half hour unpaid lunch break and 2 x 15-minute breaks (paid) and Fridays 7am – 1pm. This role can be home based but with the understanding that requirement to attend clinics around the South and South East region and be out in the community plays a big part of the role and therefore you must also hold a valid UK driving license with no more then 6 points on.
For an informal discussion about this role, please contact the Recruitment team at careers@ajmhealthcare.org. To be considered for this role, please click apply now to complete our application form. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
This position is working in a regulated environment and will therefore be subject to a DBS disclosure check. Cost will be covered by the Company.
Reference - VA1412
Company: AJM Healthcare | Closing date: Fri, 04 Sep 2026
AJM Healthcare
Role: Advanced Clinician
Part time position - 18.75 hours per week
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Employee Assistance Programme, Continuation of NHS Pension Scheme*, Blue Light Discount Card, Company sick pay provision with continuous service.
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are seeking to recruit a qualified, registered Clinician to join to join our brand new Integrated Wheelchair Service clinical team. You will be conducting assessments with our NHS Wheelchair users in various settings within the surrounding areas ensuring outstanding customer experience is maintained throughout. You will showcase an empathic and resilient approach when faced with challenging situations with the ability to work collaboratively with our customer service, logistics, and the wider clinical teams. You will be responsible for managing your own caseload of patients with a range of permanent wheelchair mobility, postural, and pressure relief needs. You will ensure best practice is maintained throughout whilst receiving professional guidance from the Clinical and Service Leads.
Key Responsibilities:
To be considered for this role, you must hold a qualification within Occupational Therapy or Physiotherapy and hold HCPC (Healthcare Professional Council) registration. You must also hold a valid UK driving license with no more then 6 points on due to insurance purposes.
Closing Date: 4th September 2026
This position is working in a regulated environment and will therefore be subject to an enhanced DBS disclosure check. Cost will be covered by the Company.
*Continuation of the NHS Pension Scheme is only available to the successful candidates who has been a member of this scheme within the last 12 months and subject to NHS Pensions T&Cs.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference: VA1413
Company: AJM Healthcare | Closing date: Fri, 04 Sep 2026
AJM Healthcare
Role: Rehabilitation Engineering Technician
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Employee Assistance Programme, Continuation of NHS Pension Scheme*, Blue Light Discount Card, Company sick pay provision with continuous service.
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are seeking to recruit a Rehabilitation Engineering Technician to join our integrated clinical team. You will be conducting assessments with our NHS Wheelchair users in various settings within the surrounding areas ensuring outstanding customer experience is maintained throughout. You will showcase an empathic and resilient approach when faced with challenging situations with the ability to work collaboratively with our customer service, logistics, and the wider clinical teams. You will be design, manufacture and assemble the seating and wheelchair to meet the individual’s needs. You will ensure best practice is maintained throughout whilst receiving professional guidance from the Clinical Lead and Rehabilitation Engineers.
Key Responsibilities:
To be considered for this role, you must hold a valid manual driving license with no more then 6 points on for insurance purposes.
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please complete our application form which is found on our website. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
This position is working in a regulated environment and will therefore be subject to an enhanced DBS disclosure check. Cost will be covered by the Company.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference: VA1423
Company: AJM Healthcare | Closing date: Fri, 28 Aug 2026
AJM Healthcare
Role: Credit Controller
Working hours – Hybrid role working 30 hours per week across 4 or 5 days.
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Employee Assistance Programme, Company sick pay provision with continuous service.
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are looking to recruit a Credit Controller to be based at our Corporate Office based in Milton Keynes. This role is responsible for managing the company's accounts receivable ledger, ensuring customer payments are collected in line with agreed credit terms, minimising overdue debt, and maintaining positive customer relationships. The role supports the wider finance function by improving cash flow, reducing bad debt exposure, and providing accurate reporting on outstanding balances.
Key Responsibilities:
We are looking for someone that has previous credit control experience within a finance department with preferably a few years experience within a similar accounting role.
Please note that there will be a requirement to travel to our Head Office in Milton Keynes and travel to our site in Birmingham on occasion so own transport will be required.
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please click apply now to complete our application form. No stand-alone CVs will be accepted.
Closing Date: 28th August 2026
This position is working in a regulated environment and will therefore be subject to an basic DBS disclosure check. Cost will be covered by the Company.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference: VA1425
Company: Active Design Limited | Closing date: Fri, 04 Sep 2026
Active Design
Role: Workshop Technician
Benefits: Free on-site parking, Legal and General pension contributions, 27 days annual leave with increase to 29 and 33 days with continuous service, paid sick leave with continuous service, Employee Assistant programme
Active Design is leading manufacturer of wheelchair special seating products and clinical seating services. The company has been involved in the design, development and manufacturer of postural management equipment for over 30 years. Our products are manufactured at our factory in Aston, Birmingham using a wide range of production techniques.
What we are looking for:
We are seeking to recruit an enthusiastic Workshop Technician that would work within our factory based in Birmingham assembling all seating systems depending on drawings and specifications provided.
Key Responsibilities:
We are looking for someone to work 40 hours per week Monday to Thursday between 8am to 5pm with a half hour unpaid lunch break and 2 x 15-minute breaks (paid) and Fridays 7am – 1pm.
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please click apply now to complete our application form. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
Reference: VA1427
Company: AJM Healthcare | Closing date: Fri, 28 Aug 2026
AJM Healthcare
Role: Clinical Lead
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Employee Assistance Programme, Blue Light Card, Pension Scheme, Company sick pay provision with continuous service
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are seeking to recruit a qualified, registered Clinical Lead to join our integrated clinical team. You will be responsible for leading and developing the clinical team ensuring clinical competency and high standards are maintained throughout. You will showcase an empathic and resilient approach when faced with challenging situations with the ability to work collaboratively with our customer service, logistics, and the wider clinical teams. You will support in the implementation of clinical policies and procedures and document local protocols for clinical working practices in partnership with the clinical improvement manager.
Key Responsibilities:
To be considered for this role, you must hold either an Occupational Therapy or Physiotherapy degree and hold HCPC (Healthcare and Professional Council) registration. You must also hold a valid UK manual driving license with no more than 6 points on for insurance purposes.
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please click apply now to complete our application form. No stand-alone CVs will be accepted.
Closing Date: 28th August 2026
This position is working in a regulated environment and will therefore be subject to an enhanced DBS disclosure check. Cost will be covered by the Company.
The continuation of NHS Pensions Scheme is only available to the successful candidates who has been a member of this scheme within the last 12 months.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference: VA1428
Company: AJM Healthcare | Closing date: Fri, 04 Sep 2026
AJM Healthcare
Role: Rehabilitation Engineer
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Employee Assistance Programme, Blue Light Discount Card, NHS Pension Contributions*, Company sick pay provision with continuous service.
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are seeking to recruit a qualified, registered Rehabilitation Engineer to join our integrated clinical team. You will be conducting assessments with our NHS Wheelchair users in various settings within the surrounding areas ensuring outstanding customer experience is maintained throughout. You will showcase an empathic and resilient approach when faced with challenging situations with the ability to work collaboratively with our customer service, logistics, and the wider clinical teams. You will be responsible for managing your own caseload of patients with a range of permanent wheelchair mobility, postural, and pressure relief needs. You will ensure best practice is maintained throughout whilst receiving professional guidance from the Clinical and Service Leads.
Key Responsibilities:
To be considered for the role, you must hold a HNC, HND or degree in engineering or equivalent, must hold registration with either RCT or AHCS and hold a manual full UK driving license.
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please complete our application form which is found on our website. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
This position is working within a regulated environment and will therefore be subject to an enhanced DBS disclosure check. Cost will be covered by the Company.
*Continuation of the NHS Pension Scheme is only available to the successful candidates who has been a member of this scheme within the last 12 months and subject to NHS Pensions T&Cs.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference: VA1429
Company: AJM Healthcare | Closing date: Fri, 04 Sep 2026
AJM Healthcare
Role: Logistics Manager
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Employee Assistance Programme, Blue Light Card, Pension Scheme, Company sick pay provision with continuous service.
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are seeking to recruit an enthusiastic Logistics Manager to join our team in the day-to-day running of the warehouse whilst ensuring great customer experience is maintained to our NHS wheelchair users in conjunction with the operational performance measures. The successful candidate will be an experienced technical engineering professional with the ability to coordinate with our clinical and customer service teams with empathy and resilience. You will be responsible for managing a team of Workshop Technicians, Stores Operatives and Mobile Engineers and will have oversight of the Logistics and stock function.
Key Responsibilities:
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please click apply now to complete our application form. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
This position is working in a regulated environment and will therefore be subject to an enhanced DBS disclosure check. Cost will be covered by the Company.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference: VA1433
Company: AJM Healthcare | Closing date: Fri, 04 Sep 2026
AJM Healthcare
Role: Field Service Engineer
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Company sick pay provision with continuous service, Employee Assistance Programme, Blue Light Discount Card
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are seeking to recruit an enthusiastic Field Service Engineer to join our logistics team in the maintenance of wheelchairs for our NHS wheelchair users within the surrounding areas whilst ensuring great customer experience is maintained throughout. The successful candidate will be an experienced maintenance/mechanical professional who will demonstrate an empathic and resilient manner when faced with challenging situations. They will showcase willingness to always go the extra-mile for all of our patients.
Key Responsibilities:
To be considered for this role, you must hold a valid UK driving license with no more then 6 valid points on for insurance purposes.
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please click apply now to complete our application form. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
This position is working in a regulated environment and will therefore be subject to an enhanced DBS disclosure check. Cost will be covered by the Company.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference: VA1434
Company: AJM Healthcare | Closing date: Fri, 04 Sep 2026
AJM Healthcare
Role: Service Technician - Fixed Term untill the 18th December 2026
Benefits: 27 days annual leave plus bank holidays with accrual to 29 and 33 days with continuous service, Employee Assistance Programme, Blue Light Card, Company sick pay provision with continuous service.
AJM Healthcare is a leading provider of wheelchair & community equipment services to the NHS and the Private Sector. We have over 35 years’ experience in these sectors and see ourselves as innovators helping increase independence, offering choice and personalisation, while delivering better outcomes. Our team provide a caring, user-centric and holistic approach that is tailored to each individual.
What we are looking for:
We are seeking to recruit an enthusiastic Service Technician to join our logistics team in the maintenance of wheelchairs for our NHS wheelchair users within the surrounding areas whilst ensuring great customer experience is maintained throughout. They will also be required to participate in the on emergency on call rota. The successful candidate will be an experienced maintenance/mechanical professional who will demonstrate an empathic and resilient manner when faced with challenging situations. They will showcase willingness to always go the extra-mile for all of our patients. They will also hold a valid manual driving license with no more then 6 points.
Key Responsibilities:
To be considered for this role, you must hold a valid driving license with no more than 6 valid points on for insurance purposes.
For an informal discussion about this role, please contact the HR Department at careers@ajmhealthcare.org. To be considered for this role, please click apply now to complete our application form. No stand-alone CVs will be accepted.
Closing Date: 4th September 2026
This position is working in a Regulated environment and will therefore be subject to a DBS disclosure check. Cost will be covered by the Company.
AJM Healthcare is an equal opportunities employer who is committed to equality in the workplace and does not discriminate based on race, gender, religion, marital status, age, physical or mental disabilities, medical condition. AJM will generally offer an interview to any applicant that declares they have a disability and meets the minimum criteria for the job as defined by the employer. Please note, during certain high volume recruitment times, AJM may wish to limit the overall number of interviews offered to both disabled people and non-disabled people.
Reference - VA1437