Total 272 Health / Beauty / Fitness job vacancies in Northwich, Cheshire

About the Support Worker role:

Hourly Rate; £13.50 per hour (Enhanced hourly rate on all Bank Holidays)

Location: Sandbach

Shifts Available: 0800- 2000 Days, 2000 - 0800 Waking nights

Speciality: Autism and Learning Disabilities

Here at Sugarman Health and Wellbeing we are currently recruiting a Support Worker based in Sandbach. We are we are looking for outgoing staff who want to make a difference to the people we support. This role is Supporting a young male who is moving into his first home who has autism non-communicative but can make his needs known he can display behaviours that challenge and signs of anxiety and distress and requires staff to support him with this. he is unaware of some risks and requires support to meet this need. he has a good sense of humour and very much enjoys Mcdonalds, KFC, water play, watching TV, going to school and walking. The young male will need support with maintaining his own home, promoting independence and supporting with aspects of his daily living. Staff will need to be able to drive his motability car.

#SHSAND

About the Support Worker role:

Hourly Rate: £13.50 per hour (Enhanced hourly rate on all Bank Holidays)

Location: Sandbach

Shifts Available: Days 0800-2000 Nights 2000 - 0800

Speciality: Autism and Learning Disabilities
Here at Sugarman Health and Wellbeing we are currently recruiting a Support Worker based in Sandbach. We are we are looking for outgoing people who want to make a difference to the people we support. This role is Supporting a female with autism who is non-verbal. She can display behaviours that challenge and signs of anxiety and distress. She has a good sense of humour and very much enjoys company.She will need support with maintaining his own home, promoting independence and supporting to health appointments.

Applicant requirements:
Looking for outgoing people who want to make a difference to the people we support
Knowledge in positive behaviour support, LD, autism and behaviours that challenge would be an advantage, but all training will be given
The enthusiasm to learn and experience new things
To be willing to embrace the goals he wants to achieve
Someone who will go above and beyond for the Service User and staff involved in the package
The role is subject to an enhanced DBS check

#SHSAND

About the Support Worker role:

Hourly Rate: £13.50 per hour (Enhanced hourly rate on all Bank Holidays)

Location: Sandbach

Shifts Available: Days 0800-2000 Nights 2000 - 0800

Speciality: Autism and Learning Disabilities
Here at Sugarman Health and Wellbeing we are currently recruiting a Support Worker based in Sandbach. We are we are looking for outgoing people who want to make a difference to the people we support. This role is Supporting a male with autism who is non-verbal, has a learning disability and is epileptic. He can display behaviours that challenge and signs of anxiety and distress. He is unaware of danger and requires support in most aspects of his life. He has a good sense of humour and very much enjoys company. He also enjoys 'people watching', swimming, baking, indoor activities, bowling, going to a 4DX cinema and being a bit of an adrenaline junkie likes going on fairground 'waltzers'! He goes on the occasional walk as long as it's not too far. He will need support with maintaining his own home, promoting independence and supporting to health appointments.

Applicant requirements:
Looking for outgoing people who want to make a difference to the people we support
Knowledge in positive behaviour support, LD, autism and behaviours that challenge would be an advantage, but all training will be given
The enthusiasm to learn and experience new things
To be willing to embrace the goals he wants to achieve
Someone who will go above and beyond for the Service User and staff involved in the package
The role is subject to an enhanced DBS check

#SHSAND

About the Support Worker role:

Hourly Rate: £13 per day hours

(Enhanced hourly rate on all Bank Holidays)

Location: Macclesfield

Shifts Available: Days 8am-10pm and sleep in

Speciality: Autism

Here at Sugarman Health and Wellbeing we are currently recruiting a Support Worker based in Macclesfield to support a male on a 1-1 basis in his own home. He enjoys going into the local area and exploring, he enjoys going to the local coffee shop and spending time people watching. This young man enjoys chatting, getting to know people, and wanting to explore more activities since being discharged from hospital. The young man wants to build on his independence skills and we are looking for staff who can support in this area and have a 'can do attitude' He will need support with maintaining his own home, and supporting with appointments.

Applicant requirements:
Looking for outgoing people who want to make a difference to the people we support
Knowledge in positive behaviour support, autism, but all training will be given
The enthusiasm to learn and experience new things
To be willing to embrace the goals he wants to achieve
Someone who will go above and beyond for the Service User and staff involved in the package
The role is subject to an enhanced DBS check

#SHNWREC

Specialty Doctor in Palliative Medicine
Location: Chester
Position: Lead Clinician/Responsible Clinician
Specialty: Palliative Medicine
Type: Part-time (2 days, 6 PAs; Monday essential and other day negotiable)

Duration: 3-6 months with option on temp to perm aswell if any interest

Job Summary
An exciting opportunity has arisen for a qualified and enthusiastic Lead Clinician/Responsible Clinician in Palliative Medicine to join our multidisciplinary team at the Hospice of the Good Shepherd. We seek a professional leader to ensure our medical team operates in line with GMC guidelines and supports our strategic objectives. You will represent the medical team to the Hospice Senior Management Team and embody our values.

Main Duties

You will contribute to the care of patients in our ten-bedded inpatient unit and Living Well Centre, providing medical input for a wide variety of conditions. Your responsibilities will include:

• Overall coordination of medical care for inpatients.
• Medical input into the Living Well Centre.
• Communication with colleagues in the hospital and community.
• Attendance at multidisciplinary meetings.

You will play a vital role in supporting our dedicated team of specialty doctors and contribute to the professional development of staff through teaching, research, and quality improvement activities.

About You

To apply, you will need:

• Full GMC registration with a licence to practise.
• At least 6 years of postgraduate experience, including a minimum of 4 years in palliative medicine or equivalent experience as a Responsible Clinician.
• Experience working within a multidisciplinary team.
• Experience with audit and quality improvement projects in palliative medicine.

What skills and experience we're looking for

We have an exciting opportunity to recruit a Mental Health and Wellbeing Manager, a role working within our exceptionally committed and supportive Pastoral Team. The successful applicant will report to the Designated Mental Health Lead and work closely with the Pastoral Team to provide effective one to one/group mentoring, guidance and coaching for pupils with emotional, social and mental health needs.

This role exists within the School Pastoral Team due to recognising the significant need for emotional wellbeing support for young people in this current climate. This role is an exciting opportunity to make a difference to the lives of our pupils and enhance their overall school experience through creating and leading tailored emotional wellbeing programmes and interventions. We welcome applicants from all areas of expertise, and look forward to seeing the successful candidate develop this role with guidance from the Designated Mental Health Lead to create an exciting and effective intervention programme for our pupils.

Please see our website for further details. If you cannot find all the information you need to help you decide whether we are the kind of school you would be happy working in, please do let us know and we would be happy to arrange a visit. Contact recruitment@lymmhigh.org.uk with any queries.

This school is committed to safeguarding and promoting the welfare of children and young people and expects all staff and volunteers to share this legal requirement.

The successful applicant's appointment will be subject to satisfactory pre-employment clearances including a Disclosure and Barring Service check (formally CRB).

At Lymm High School we recognise the positive value of diversity, promoting equality and celebrating inclusion. We welcome applications from people of all backgrounds.

What the school offers its staff

Lymm High School is a large high performing secondary school with exceptional resources including a swimming pool and leisure complex.

Commitment to safeguarding

Our organisation is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. We expect all staff, volunteers and trustees to share this commitment. Our recruitment process follows the keeping children safe in education guidance. Offers of employment may be subject to the following checks (where relevant): childcare disqualification Disclosure and Barring Service (DBS) medical online and social media prohibition from teaching right to work satisfactory references suitability to work with children You must tell us about any unspent conviction, cautions, reprimands or warnings under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975.

Search are currently recruiting for Advance Nurse Practitioners to work in an urgent care centre based in Widnes. Long days or splits shifts. Ideally they want someone who can commit to 3-5 shifts a week.


Main Responsibility

Wound management
Routine injections as prescribed
Minor Injuries and Minor Illness
CVD risk assessments and Q risk interpretation and assessments.
Home visits for Housebound patients - to include routine checks (eg Diabetic) and flu vaccines.
Referrals - Podiatry, Counselling, Audiology, etc
Ensuring all specimens are checked and sent to laboratory as required
You will be fully conversant in QOF, read coding and uphold strategies to provide a holistic combined healthcare for the patient and demonstrate a willingness to participate in research/audit within the practice team.
You will be aware of DES/LES policies and apply and produce, alongside the Practice Manager, protocols that reflect the guidelines that are workable in the practice.
You will be aware of KPIs and work alongside the clinical and managerial team to meet these targets.
Participate in the education of students of all disciplines.
To be responsible for the efficient running of the treatment room and equipment and to ensure the clinical areas are at all times safe for staff and patients.
To lead on Infection Control in line with guidelines and policies.
Advise patients and relatives/carers on general health care and ailments with referral to GP's as necessary.
The Ideal Candidate


Essential

Regulated Health Care professional with current registration
Relevant Master's level modules including Advanced Clinical Assessment & Management and Consultation Skills (or equivalent skills and experience)
Registered as a non-medical prescriber with the relevant regulator or have access to PGD (V300)
Experience of treating minor injury and minor illness


Desirable

Leadership modules/ experience
Paediatric experience with the ability to recognising the sick child
Long term conditions

Search is an equal opportunities recruiter and we welcome applications from all suitably skilled or qualified applicants, regardless of their race, sex, disability, religion/beliefs, sexual orientation or age.

Registered Nurse
Location: Crewe (CW1)
Salary: £21.50 per hour + Excellent Benefits
Hours: Days or Nights Available

Time Recruitment is searching for a Registered Nurse for an award-winning care group who won the top 20 mid-size care home group and operate over 22 homes nationwide specialising in luxurious care for the elderly and those with dementia nursing needs.

This service is the newest acquisition to the group and is a state-of-the-art service just minutes from Crewe town centre; the service is 80 beds in total spread across 2 floors with several individual units.

Offering largely residential care alongside having a specialist dementia unit and a general nursing/palliative care unit; the units are small in size and the service is staffed adequately with several nurses on each shift whether its days or nights with an array of long-standing auxiliary staff.

Benefits for the Registered Nurse role include:

* Discounts on Shopping, Fashion, Days out, Travel, Entertainment, and lots more!
* Cycle Scheme - up to 39% savings on your bike purchase
* FREE face-to-face counselling, for you and your family!
* Staff recognition award ceremonies
* £30 voucher available every month for the nominated 'Employee of the month'
* Clear Pathways and opportunities for training and career progression
* Salary Sacrifice Pension scheme
* Blue Light Card - up to 50% discount across 100's of retailers
* Access to a FREE eye test and discounted glasses
* Cashback card - save up to £500 annually, can be used at over 80 big brands.
* Wellbeing portal
* FREE meditation series
* FREE wellbeing podcasts & live virtual events
* FREE mental health support programmes
* FREE workout plans
* FREE Live digital gym classes
* FREE mindset and wellbeing series
* Seasonal Company events, competitions, and incentives
* Refer a friend scheme - earn up to £250 when referring a friend
* On-site parking

Alongside the above benefits you will be endorsed as a Registered Nurse here to upskill and obtain all of your clinical skills; if you are new to elderly care, need some updates or are transitioning from a different clinical environment you can be guaranteed support.

Apply today for the Registered Nurse role or contact Jack at Time Recruitment!

Time Recruitment Solutions Ltd is acting as an Employment Agency in relation to this vacancy.

About The Role
What was it that made you decide to become a nurse?
• Did you want to provide Kind Care and make a difference to people in need?
• Was it your love of learning, and the opportunity to work closely with multi-professional teams in a field that is constantly evolving?
Whatever your reason, at HC One, the Kind Care Company, we can offer you a career where your kindness will be truly rewarded.
Whether you are at the start of your exciting career journey, or have years of experience as a registered nurse, working within a care home environment can be incredibly rewarding
It embodies the practice of nursing, all while building meaningful, long-lasting relationships with Residents and their loved ones.
We are looking for kind nurses to join our dedicated care home teams across the country, offering enhanced rates of pay that progress with your experience alongside a wide range of attractive company benefits.

About you

As a nurse at HC-One, you will build on your existing skill set, practicing in a nurse-led environment, developing complex decision making and collaborative skills - to name but a few! You will make a difference to our Residents at a time of their life when they may feel the most vulnerable, and they will look to you to guide and support them in life-changing decisions, which is a humbling and unbelievably rewarding part of the role.

You will be a Registered Nurse with a valid Pin number and will understand your commitment to your profession through the standards of practice set by the NMC.
You will have a passion to mentor and share your knowledge with your Colleagues, along with providing support as a practice supervisor and assessor to students. You will understand the importance of effective communication, both verbally and written, and role model professional behaviours.
You will advocate and deliver a person-centred approach to care for the people living in our care home and their families.
Safeguarding is everyone’s responsibility and therefore it is important that you are able to recognise the signs which may indicate possible abuse, harm or neglect in its different forms and know what to do if there are any concerns. All colleagues are required to attend safeguarding training appropriate to their role and to undertake additional training in associated areas. You also have the ability to seek appropriate advice and report concerns, including escalation if action is not taken.

About HC-One

At HC-One, our purpose is to support those in our care to lead their best lives. As the Kind Care Company, it is our mission to provide the kindest support and care to Residents living in our care homes, as we strive to be the first-choice care provider for Families, our Colleagues and Commissioners in each of the communities that we serve.
We are passionate about ensuring that our current and future Colleagues can be their true selves, and that our workforce represents the communities we serve. We prioritise inclusive working practices and invite applicants from all backgrounds into our HC-One family.
We have a dedicated and professional workforce that strives to always deliver outstanding nursing care. We care about our talented teams and support them in their professional and personal growth.
We are committed to developing people that work for us through robust career pathways, CPD and post graduate programmes.
At HC-One, we ensure that your career is fulfilling and varied so that you feel empowered in your practice and delivery of evidence-based Kind Care.
We are a diverse and inclusive company and we focus on learning from and with each other.
Rewards and benefits
Are you ready to start your rewarding journey as a nurse at one of our HC-One care homes?
We are here to support you through every step of your career and are committed to providing you with a quick and clear process from offering you a position to your very first working day.
To compliment your salary, we offer paid NMC PIN renewal and access to a huge variety of benefits and services to support your physical and psychological wellbeing. Benefits include:
• Paid Enhanced DBS/PVG
• Pay rate is subject to experience and qualifications
• Free uniform
• Homemade meals whilst on shift
• Company pension scheme
• 28 days annual leave inclusive of bank holidays (contract dependent)
• Group life Assurance cover
Wagestream - financial wellbeing and flexible access to pay as you need it
• Award-winning learning and development opportunities, with dedicated support to achieve additional qualifications.
• GP online - a service providing around the clock GP consultation via an interactive app - available to you and your children under 16.
• An opportunity to learn from experienced Colleagues as part of an outstanding and committed team.
• Colleague discounts – access to over 1600 high street discounts including carefully selected discount partners.
• Wellbeing - free of charge access to an independent and confidential Employee Assistance Programme. This gives Colleagues and their families access to 24/7 365 support for a whole range of issues including physical, mental, and financial issues
• Excellent Colleague recognition schemes such as Kindness in Care and Long Service Awards
• An attractive refer a friend scheme of up to £1000 per referral, depending on the role
We want you to have an amazing experience working at HC-One, starting with our commitment to providing the quickest possible turnaround from the point of making you a job offer to you starting with us on day one.

We are passionate about ensuring that our current and future Colleagues can be their true selves, and that our workforce represents the communities we serve. We prioritise inclusive working practices and invite applicants from all backgrounds into our HC-One family.

''

About the Support Worker role:

Hourly Rate: £13 per day hours

(Enhanced hourly rate on all Bank Holidays)

Location: Macclesfield

Shifts Available: Days 8am-10pm and sleep in

Speciality: Autism

Here at Sugarman Health and Wellbeing we are currently recruiting a Support Worker based in Macclesfield to support a male on a 1-1 basis in his own home. He enjoys going into the local area and exploring, he enjoys going to the local coffee shop and spending time people watching. This young man enjoys chatting, getting to know people, and wanting to explore more activities since being discharged from hospital. The young man wants to build on his independence skills and we are looking for staff who can support in this area and have a 'can do attitude' He will need support with maintaining his own home, and supporting with appointments.

Applicant requirements:
Looking for outgoing people who want to make a difference to the people we support
Knowledge in positive behaviour support, autism, but all training will be given
The enthusiasm to learn and experience new things
To be willing to embrace the goals he wants to achieve
Someone who will go above and beyond for the Service User and staff involved in the package
The role is subject to an enhanced DBS check

#SHNWREC

You will be based within a general office environment, in Hollins Park House, you will be motivated, flexible and committed to being part of a team that is dedicated to providing the best possible outcomes for the patients in our care. This full time post requires the successful candidate to work on site to support the inpatient and outpatient services. You will act as a main point of contact for the Consultant Forensic Psychiatrists and Junior Doctors. You will be required to support the smooth administration function supporting the Auden Unit and SCFT. You will have experience of using Microsoft Office, inputting to clinical information systems and the ability to prepare presentations using PowerPoint. The post holder should be competent in the use of Excel, you will be required to develop and maintain spreadsheets to collect activity data on behalf of the Service. You will need to ensure that clinical information is up to date, the post holder will also need to keep audits of clinical information to ensure that information is completed in a timely manner. The post holder will be required to undertake general secretarial duties such as typing (including case notes), photocopying, dealing with telephone enquiries, booking rooms and arranging hospitality, stationery stock control, reporting repairs and any project work as required for other disciplines as required.

Are you a passionate and dedicated pharmacy professional looking to join a dynamic and forward-thinking team? Look no further!

Our pharmacy is seeking a highly skilled and motivated individual to join us as a Healthcare Partner. In this role, you will have the opportunity to make a real difference in the lives of our patients while advancing your career and expanding your skillset.

We offer a supportive and collaborative work environment, as well as ongoing training and development opportunities. If you are ready to take your career to the next level, we encourage you to apply for this exciting opportunity.

Total Working Hours: 40
Working Pattern: Monday to Friday 08:30-17:30
Rate of Pay: £ 11.83ph

Branch Name: Bollington
Branch Address: Bollington Medical Centre, The Waterhouse, Wellington Road, Bollington, Macclesfield, SK10 5JH

About our company

At Rowlands, we strive for excellence in everything we do, and put our customers' needs at the forefront of our priorities. Our network of over 400 community pharmacies work tirelessly to support the health and well-being of our communities, every day. By providing accessible and comprehensive health services, we strive to empower individuals to lead longer, healthier, and happier lives. We take great pride in the positive impact we make in the communities we serve.

What your working day will look like:

• Participating in all branch processes
• Building positive relationships with customers, patients, and healthcare professionals
• Assisting in the delivery of pharmacy services
• Serving as an ambassador for Rowlands Pharmacy, representing the company and interacting with the community on a daily basis

To be considered for this role, you must have an NVQ2 in Pharmacy Services or an accredited equivalent course, as well as a Medicine Counter Assistant (MCA) qualification. Additionally, we are looking for candidates with experience working in a customer-focused environment, a strong understanding of confidentiality, and the ability to handle medications accurately.

The ideal candidate will be

• Self-motivated
• Proactive
• Excellent interpersonal skills
• Ability to prioritize workload
• Ability to meet deadlines
• Previous customer service training (optional)

INDRL

Client Name: Mid Cheshire Hospitals NHS Trust

Role: Band 5 A&E Nurse

Rates: £23.55 - £39.60

Shifts: Flexible hours, with shifts available throughout the day, night and at weekends.

Benefits:

• Access to Care4Carers - our support service to help support your mental health and wellbeing and enable you to deliver outstanding care.
• Competitive pay rates
• First sight of agency nursing shifts across multiple trusts
• Next-day payroll
• Block bookings in your favourite locations
• Excellent support from your own dedicated consultant
• Revalidation support
• 24/7/365 service - we're available when you need us

Working alongside a friendly, welcoming team of dedicated healthcare professionals, you will be using some of the most advanced medical equipment in the country to provide constant monitoring and care for patients in a seriously ill or unstable condition.

Your clinical knowledge and experience will help you to support seriously ill patients and their families throughout what can be a stressful and uncertain time. You will be carrying out essential tasks such as taking blood and undertaking patient observations for emergency admissions. Your calm, reassuring nature and empathy will help ensure patients feel safe in your hands.

General key skills

In addition to your qualifications, as a Band 5 A&E Nurse, you will have:

• quick thinking abilities
• patience and the ability to remain calm in stressful situations
• excellent attention to detail
• a methodical approach to tasks
• excellent timekeeping
• the ability to work well and under pressure
• empathy and understanding
• a flexible attitude
• a desire to learn and improve
• active listening skills
• the ability to use a computer competently

Main Duties/Responsibilities

As a Band 5 A&E Nurse with Mid Cheshire Hospitals NHS Trust, you will:

• Provide constant monitoring and care for patients in a seriously ill or unstable condition.
• Actively supporting emergency admissions and their families, communicating clinical information using a variety of methods, to ensure effective understanding.
• Assess and prioritise patient/client requirements, delegating effectively to others.
• To recognise, review and report patients/clients' condition and any changes to it to senior members of staff within the multidisciplinary team.
• Responsible for adhering to the NMC professional Code of Conduct.
• Taking blood/fitting a canula, undertake patient observations (blood pressure, temperature, pulse, respiration rate and oxygen level) as patient need dictates throughout the shift.
• Treatment of resus patients and Triage

Qualifications/Licenses/Certifications

Essential

• Be a registered nurse.
• At least 2 years post-graduate experience.
• 6 months recent NHS experience within the last 3 years.
• You will need to pass an enhanced background check.

So, if you can combine empathy and understanding with fast-paced critical care, we want to hear from you. Apply today.

Client Name: East Cheshire NHS Trust

Role: Band 5 A&E Nurse

Rates: £19.52 - £42.19

Shifts: Flexible hours, with shifts available throughout the day, night and at weekends.

Benefits:

• Access to Care4Carers - our support service to help support your mental health and wellbeing and enable you to deliver outstanding care.
• Competitive pay rates
• First sight of agency nursing shifts across multiple trusts
• Next-day payroll
• Block bookings in your favourite locations
• Excellent support from your own dedicated consultant
• Revalidation support
• 24/7/365 service - we're available when you need us

Working alongside a friendly, welcoming team of dedicated healthcare professionals, you will be using some of the most advanced medical equipment in the country to provide constant monitoring and care for patients in a seriously ill or unstable condition.

It is essential that you can work calmly in this high-pressure environment. You will be drawing on your quick-thinking abilities as well as your clinical knowledge to assess and prioritise patient requirements alongside carrying out your clinical care tasks.

General key skills

In addition to your qualifications, as a Band 5 A&E Nurse, you will have:

• quick thinking abilities
• patience and the ability to remain calm in stressful situations
• excellent attention to detail
• a methodical approach to tasks
• excellent timekeeping
• the ability to work well and under pressure
• empathy and understanding
• a flexible attitude
• a desire to learn and improve
• active listening skills
• the ability to use a computer competently

Main Duties/Responsibilities

As a Band 5 A&E Nurse with East Cheshire NHS Trust, you will:

• Provide constant monitoring and care for patients in a seriously ill or unstable condition.
• Actively supporting emergency admissions and their families, communicating clinical information using a variety of methods, to ensure effective understanding.
• Assess and prioritise patient/client requirements, delegating effectively to others.
• To recognise, review and report patients/clients' condition and any changes to it to senior members of staff within the multidisciplinary team.
• Responsible for adhering to the NMC professional Code of Conduct.
• Taking blood/fitting a canula, undertake patient observations (blood pressure, temperature, pulse, respiration rate and oxygen level) as patient need dictates throughout the shift.
• Treatment of resus patients and Triage

Qualifications/Licenses/Certifications

Essential

• Be a registered nurse.
• At least 2 years post-graduate experience.
• 6 months recent NHS experience within the last 3 years.
• You will need to pass an enhanced background check.

So, if you can combine empathy and understanding with fast-paced critical care, we want to hear from you. Apply today.

About the Support Worker role:

Hourly Rate; £13.50 per hour (Enhanced hourly rate on all Bank Holidays)

Location: Crewe

Shifts Available: 0800- 2000 Days, 2000 - 0800 Waking nights

Speciality: Autism and Learning Disabilities

Here at Sugarman Health and Wellbeing we are currently recruiting a Support Worker based in Sandbach. We are we are looking for outgoing staff who want to make a difference to the people we support. This role is Supporting a Female in her own home who has autism non-communicative but can make her needs known he can display behaviours that challenge and signs of anxiety and distress and requires staff to support her with this. She is unaware of some risks and requires support to meet this need. She has a good sense of humour and very much enjoys water play, watching TV and walking. The young female will need support with maintaining her own home, promoting independence and supporting with aspects of her daily living.

#SHSAND