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After "to need" or "to want," BrE (sometimes?) uses the -ing form of the verb where AmE uses the -ed form.
"He wants his head examining" --> "He needs his head examined."
Or, in a real example from series 3 of Cabin Pressure on the subject of airline safety videos:
"Anyone who needs the operation of a whistle explaining to them deserves to drown." --> "Explaining" would be "explained" in AmE.