Job summary

Previous applicants need not apply

Interviews will be held face to face in Warrington week commencing 2nd November 2026.

The GP Assistant will support GPs and the wider multidisciplinary team across Central & West Warrington PCN by carrying out a combination of administrative and basic clinical duties. The role is designed to improve patient access, enhance the efficiency of general practice services, and reduce the administrative burden on clinicians. Responsibilities may include managing patient records, processing clinical correspondence, supporting care coordination, assisting with basic observations and procedures, and ensuring patients receive timely and effective care within a busy primary care environment.

Main duties of the job

A GPA has completed the City and Guilds Certificate. The role is to support the GPs smooth running of clinics by performing the more routine administration and clinical tasks on behalf of the GP freeing up their time to focus on the patient. A summary of duties includes: Phlebotomy Blood pressure monitoring and support in hypertension review clinics Offering patients lifestyle advice in relation to weight, lipid management, alcohol and exercise Information gathering from patients Understanding of clinical indemnity, vicarious liability in relation to personal and professional practice Infection control Maintaining a well-stocked clinical environment Immunisation within PCN vaccination services New patient health checks NHS health checks and enhanced health checks Completion of referral forms to services such as ADHD, autism services, and routine chronic disease referrals such as diabetes eye screening Filing of routine results according to level of training and competency Feno testing

About us

Central and West Warrington PCN is a dynamic team of 7 Practices who have a strong and cohesive relationship:

Causeway Medical Centre

Dallam Lane Medical Centre

Eric Moore Partnership

Folly Lane Medical Centre

Helsby Street Medical Centre

Penketh Health Centre

Westbrook Medical Centre

We are committed to delivering good quality care to our patients.

Our vision is to provide safe, effective and sustainable healthcare for our member practice patient population in partnership with other local healthcare providers

Job summary

Central and West Warrington Primary Care Network (CWW PCN) is seeking to recruit a Lead Practice Pharmacist to develop and support medicines optimisation across our seven GP practices.

This is an exciting opportunity for an experienced and motivated primary care pharmacist to join an established, forward-thinking PCN team. Our pharmacy team includes Clinical Pharmacists, Pharmacy Technicians and a Care Coordinator, supported by a Senior Pharmacist, PCN Clinical Director, and the wider PCN team.

The post will be directly employed by a core practice but will work collaboratively across multiple practices within CWW PCN to support delivery of the Primary Care Network DES and local practice priorities.

We are keen to hear from pharmacists with experience in primary care, who have completed the CPPE Primary Care Pharmacy Education Pathway and Independent prescriber (IP) qualification.

Main duties of the job

The Lead Practice Pharmacist will be committed to improving health outcomes and putting patients first. Key qualities include the ability to build effective relationships with patients, GPs, nurses, community pharmacists, hospital teams, and practice staff, alongside alongside the ability to lead and work effectively within a multidisciplinary team.

The post holder will:

• Work as part of a multidisciplinary team in a patient-facing role, providing leadership to the practice pharmacy function
• Support delivery of Primary Care Network DES specifications
• Conduct and oversee structured medication reviews (SMRs) for patients with complex polypharmacy, including patients in care homes
• Provide expert clinical medicines advice to patients and practice teams
• Lead initiatives to improve prescribing practices across the Practice(s) and PCN
• Drive quality improvement and service development, including audits and implementation of best practice
• Work with community and hospital colleagues to resolve medication-related issues and improve care pathways
• Take overall responsibility for pharmacy governance and patient safety within the Practice(s), including overseeing the timely actioning of safety alerts and ensuring safe drug monitoring processes are in place
• Provide clinical leadership, support, and supervision to junior pharmacy colleagues and trainees

About us

Central and West Warrington PCN is a dynamic team of 7 Practices who have a strong and cohesive relationship:

Causeway Medical Centre

Dallam Lane Medical Centre

Eric Moore Partnership

Folly Lane Medical Centre

Helsby Street Medical Centre

Penketh Health Centre

Westbrook Medical Centre

We are committed to delivering good quality care to our patients.

Our vision is to provide safe, effective and sustainable healthcare for our member practice patient population in partnership with other local healthcare providers.

Training Support

Most roles in our PCN require a training element. Staff partaking in training that meets certain requirements will be required to sign a Training Agreement that outlines associated costs to the training. Staff may be liable for reimbursing those costs to the Practice / PCN if they leave their PCN role before, during or after the training. Further detail will be provided to you if this applies to you and your role.

Job summary

We are seeking an enthusiastic and experienced Paramedic Practitioner to join our Acute Home Visiting Service, delivering high-quality care to patients in their own homes across the Primary Care Network (PCN).

Working autonomously within a multidisciplinary team, you will assess, diagnose, treat and manage patients with acute illness, frailty and complex health needs who are unable to attend surgery. Using advanced clinical skills, you will develop management plans and facilitate admission, referral or community-based care where appropriate.

This is a part-time role working 10:00am to 6:00pm. Working days will include every Friday, which is fixed due to service demand, together with either Wednesday or Thursday, to be agreed with the successful candidate.

Working closely with GPs, community teams, care homes and secondary care services, you will deliver integrated care, support patients to remain safely at home and help prevent avoidable hospital admissions. You will also contribute to service development, quality improvement and patient education.

The successful candidate will be expected to complete the First Contact Practitioner (FCP) Roadmap to Practice if not already achieved. Full support, supervision and development opportunities will be provided to enable completion of the pathway.

Interviews are expected to be held on the 12th October and 14th October 2026.

Access to a vehicle with business-use insurance is essential for this community-based role.

Main duties of the job

The Paramedic Practitioner will provide autonomous, patient-centred care within the Primary Care Network, delivering acute home visits and supporting patients within both community and practice settings. Working as part of the multidisciplinary team, the postholder will assess, diagnose, treat and manage patients presenting with acute and long-term health needs, developing appropriate management plans and facilitating referral where required. The role includes undertaking urgent home visits, avoiding unplanned admission reviews, prescribing within competence, supporting vaccination programmes and chronic disease management for housebound patients. The postholder will promote self-care and patient education, maintain accurate clinical records, participate in audit and quality improvement activities, and work collaboratively with colleagues to ensure safe, effective, evidence-based care.

About us

Central and West Warrington Primary Care Network (CWW PCN) is a collaboration of seven GP practices serving approximately 68,000 patients across Central and West Warrington. The PCN works closely with GP practices, community services, and multidisciplinary healthcare professionals to provide accessible, high-quality, and integrated care to the local population.

Through a range of additional roles, including Paramedics, Clinical Pharmacists, Physiotherapists, Social Prescribers, Care Coordinators, and Health and Wellbeing Coaches, the PCN aims to improve patient access to services, support the management of long-term conditions, reduce health inequalities, and help patients remain healthy and independent within their communities.

CWW PCN is committed to delivering patient-centred care through collaboration, innovation, and continuous service improvement, ensuring patients receive the right care, from the right professional, at the right time.Training Support

Please Note

Most roles in our PCN require a training element. Staff partaking in training that meets certain requirements will be required to sign a Training Agreement that outlines associated costs to the training. Staff may be liable for reimbursing those costs to the Practice / PCN if they leave their PCN role before, during or after the training. Further detail will be provided to you if this applies to you and your role.

Previous applicants need not apply.

Details

Date posted

11 September 2026

Pay scheme

Other

Salary

£47,810 to £50,840 a year Full Time Equivalent

Contract

Permanent

Working pattern

Part-time

Reference number

A4999-26-0013

Job locations

Medi Centre

Tanners Lane

Warrington

WA2 7NJ

United Kingdom

Helsby Street Medical Centre

2 Helsby Street

WARRINGTON

WA1 3AW

United Kingdom

Dallam Lane Medical Centre

Dallam Lane

WARRINGTON

WA2 7NG

United Kingdom

Causeway Medical Centre

166-170 Wilderspool Causeway

WARRINGTON

WA4 6QA

United Kingdom

Penketh Health Clinic

Honiton Way

Penketh

WARRINGTON

WA5 2EY

United Kingdom

Westbrook Medical Centre

301-302 Westbrook Centre

Westbrook

WARRINGTON

WA5 8UF

United Kingdom

Medical Centre

Folly Lane

WARRINGTON

WA5 0LU

United Kingdom

Job description

Job responsibilities

The Paramedic Practitioner will work as an autonomous clinician within Central and West Warrington Primary Care Network, delivering an Acute Home Visiting Service to patients who are unable to attend their GP practice due to acute illness, frailty, mobility limitations, or complex healthcare needs.

Working as part of a multidisciplinary team, the postholder will provide high-quality, patient-centred care through comprehensive assessment, diagnosis, treatment, and management of patients within their own homes. The role will support patients to remain safely within the community where appropriate, reduce avoidable hospital admissions, and contribute to proactive population health management across the PCN.

The postholder will also support vaccination programmes and undertake proactive chronic disease reviews for housebound patients, ensuring patients receive timely, holistic, and evidence-based care. Training will be provided where necessary and support will always be available when needed.

Main Duties and ResponsibilitiesClinical Responsibilities

• Undertake urgent and same-day home visits for patients requiring assessment and management within the community.
• Assess, investigate, diagnose, treat, and manage patients presenting with acute and complex health conditions.
• Develop and implement appropriate management plans and facilitate referral, escalation, admission avoidance, or community-based treatment where appropriate.
• Triage and manage acutely unwell patients within the community setting.
• Carry out Avoiding Unplanned Admission (AUA) reviews and support proactive care planning for vulnerable patients.
• Prescribe or issue medications within scope of practice and in accordance with local policies, clinical pathways, and prescribing regulations.
• Discuss patients requiring referral to secondary care with a supervising GP prior to referral where appropriate.
• Maintain accurate, contemporaneous, and comprehensive clinical records.
• Ensure clinical practice remains safe, effective, evidence-based, and within professional boundaries and scope of competence.

Vaccination Programmes

• Support the planning and delivery of vaccination programmes, including seasonal influenza, COVID-19, and RSV vaccination campaigns.
• Undertake vaccination visits for eligible housebound patients.
• Promote vaccine awareness and uptake through patient education and health promotion activities.
• Work collaboratively with practices and PCN colleagues to improve vaccination coverage amongst vulnerable patient groups.
• Ensure vaccines are administered safely and in accordance with national guidance and local protocols.

Chronic Disease Management

• Undertake proactive chronic disease reviews for housebound patients within their own homes.
• Support the assessment, monitoring, and management of long-term conditions including diabetes, COPD, asthma, hypertension, heart failure, and frailty.
• Work alongside GPs, Practice Nurses, Clinical Pharmacists, and community teams to optimise patient care and improve health outcomes.
• Contribute to personalised care planning, medication optimisation, and preventative healthcare interventions.
• Identify clinical deterioration or unmet healthcare needs and initiate appropriate management, referral, or escalation.
• Support delivery of Quality and Outcomes Framework (QOF) objectives and long-term condition management programmes.

Patient Education and Health Promotion

• Provide health education, self-management advice, and support to patients, carers, and families.
• Empower patients to make informed decisions about their treatment and ongoing healthcare needs.
• Promote health prevention initiatives and wellbeing interventions where appropriate.

Multidisciplinary Team Working

• Act as a specialist Paramedic resource for healthcare professionals and service users across the PCN.
• Work collaboratively with GPs, Practice Nurses, District Nurses, Clinical Pharmacists, Care Coordinators, Social Prescribers, Community Services, Care Homes, and Secondary Care Providers.
• Participate in multidisciplinary team meetings and case discussions.
• Communicate effectively with colleagues and external organisations to ensure continuity and coordination of care.

Quality, Governance and Service Development

• Participate in clinical audit, service evaluation, quality improvement initiatives, and implementation of best practice.
• Contribute positively to service development and innovation across the PCN.
• Work within all organisational policies, procedures, and clinical governance frameworks.
• Maintain HCPC registration and fulfil Continuous Professional Development (CPD) requirements.
• Participate in peer review, supervision, appraisal, and mandatory training.
• Support and share knowledge with colleagues to promote learning and continuous improvement.

Job description Job responsibilities The Paramedic Practitioner will work as an autonomous clinician within Central and West Warrington Primary Care Network, delivering an Acute Home Visiting Service to patients who are unable to attend their GP practice due to acute illness, frailty, mobility limitations, or complex healthcare needs.Working as part of a multidisciplinary team, the postholder will provide high-quality, patient-centred care through comprehensive assessment, diagnosis, treatment, and management of patients within their own homes. The role will support patients to remain safely within the community where appropriate, reduce avoidable hospital admissions, and contribute to proactive population health management across the PCN.The postholder will also support vaccination programmes and undertake proactive chronic disease reviews for housebound patients, ensuring patients receive timely, holistic, and evidence-based care. Training will be provided where necessary and support will always be available when needed.Main Duties and ResponsibilitiesClinical ResponsibilitiesUndertake urgent and same-day home visits for patients requiring assessment and management within the community.Assess, investigate, diagnose, treat, and manage patients presenting with acute and complex health conditions.Develop and implement appropriate management plans and facilitate referral, escalation, admission avoidance, or community-based treatment where appropriate.Triage and manage acutely unwell patients within the community setting.Carry out Avoiding Unplanned Admission (AUA) reviews and support proactive care planning for vulnerable patients.Prescribe or issue medications within scope of practice and in accordance with local policies, clinical pathways, and prescribing regulations.Discuss patients requiring referral to secondary care with a supervising GP prior to referral where appropriate.Maintain accurate, contemporaneous, and comprehensive clinical records.Ensure clinical practice remains safe, effective, evidence-based, and within professional boundaries and scope of competence.Vaccination ProgrammesSupport the planning and delivery of vaccination programmes, including seasonal influenza, COVID-19, and RSV vaccination campaigns.Undertake vaccination visits for eligible housebound patients.Promote vaccine awareness and uptake through patient education and health promotion activities.Work collaboratively with practices and PCN colleagues to improve vaccination coverage amongst vulnerable patient groups.Ensure vaccines are administered safely and in accordance with national guidance and local protocols.Chronic Disease ManagementUndertake proactive chronic disease reviews for housebound patients within their own homes.Support the assessment, monitoring, and management of long-term conditions including diabetes, COPD, asthma, hypertension, heart failure, and frailty.Work alongside GPs, Practice Nurses, Clinical Pharmacists, and community teams to optimise patient care and improve health outcomes.Contribute to personalised care planning, medication optimisation, and preventative healthcare interventions.Identify clinical deterioration or unmet healthcare needs and initiate appropriate management, referral, or escalation.Support delivery of Quality and Outcomes Framework (QOF) objectives and long-term condition management programmes.Patient Education and Health PromotionProvide health education, self-management advice, and support to patients, carers, and families.Empower patients to make informed decisions about their treatment and ongoing healthcare needs.Promote health prevention initiatives and wellbeing interventions where appropriate.Multidisciplinary Team WorkingAct as a specialist Paramedic resource for healthcare professionals and service users across the PCN.Work collaboratively with GPs, Practice Nurses, District Nurses, Clinical Pharmacists, Care Coordinators, Social Prescribers, Community Services, Care Homes, and Secondary Care Providers.Participate in multidisciplinary team meetings and case discussions.Communicate effectively with colleagues and external organisations to ensure continuity and coordination of care.Quality, Governance and Service DevelopmentParticipate in clinical audit, service evaluation, quality improvement initiatives, and implementation of best practice.Contribute positively to service development and innovation across the PCN.Work within all organisational policies, procedures, and clinical governance frameworks.Maintain HCPC registration and fulfil Continuous Professional Development (CPD) requirements.Participate in peer review, supervision, appraisal, and mandatory training.Support and share knowledge with colleagues to promote learning and continuous improvement.

Person Specification

Experience

Essential

• Significant post-registration experience as a Paramedic.
• Experience of autonomous clinical practice and decision-making.
• Experience assessing and managing patients with acute presentations.
• Experience working within multidisciplinary teams.
• Experience undertaking comprehensive clinical assessment, diagnosis, treatment, and management planning.
• Experience maintaining accurate and contemporaneous clinical records.
• Experience communicating effectively with patients, carers, and healthcare professionals.

Desirable

• Experience within Primary Care, Community Services, Urgent Care, or Acute Home Visiting Services.
• Experience undertaking home visits and managing housebound patients.
• Experience supporting patients with long-term conditions and complex health needs.
• Experience of prescribing within a primary care or community setting.
• Experience participating in clinical audit, quality improvement, or service development projects.
• Experience supporting vaccination programmes.

Skills

Essential

• Excellent clinical assessment, diagnostic reasoning, and risk management skills.
• Ability to work autonomously within professional scope of practice.
• Sound knowledge of evidence-based practice and clinical governance principles.
• Ability to recognise limitations and seek appropriate clinical support when required.
• Excellent interpersonal, communication, and organisational skills.
• Ability to build effective working relationships across multidisciplinary teams.
• Commitment to delivering high-quality, patient-centred care.
• Proficient IT skills, including use of electronic clinical record systems.
• Understanding of safeguarding principles for children and vulnerable adults.
• Access to a vehicle with appropriate business-use insurance and willingness to travel across the PCN locality.

Desirable

• Knowledge of Primary Care Network (PCN) objectives and integrated care systems.
• Understanding of Quality and Outcomes Framework (QOF) and long-term condition management.
• Experience in population health management and admission avoidance initiatives.
• Experience providing clinical education, mentorship, or supervision to colleagues.
• Ability to lead or contribute to service development and innovation projects.
• Experience using System One or other primary care clinical systems.

Clinical knowledge and skills

Essential

• Advanced clinical assessment and examination skills.
• Ability to formulate differential diagnoses and implement appropriate management plans.
• Knowledge of evidence-based practice and clinical guidelines.
• Ability to assess and manage patients presenting with acute illness in a community setting.
• Ability to recognise deteriorating patients and initiate appropriate escalation.
• Competence in requesting and interpreting relevant investigations within scope of practice.
• Understanding of long-term condition management and proactive care planning.
• Knowledge of safeguarding responsibilities for children and vulnerable adults.
• Excellent clinical reasoning, risk assessment and decision-making skills.

Desirable

• Knowledge of primary care pathways and community services.
• Experience in chronic disease management, including frailty and complex care.
• Knowledge of vaccination programmes, including influenza, COVID-19 and RSV.
• Understanding of Quality and Outcomes Framework (QOF) and population health management.
• Independent prescribing skill

Personal qualities

Essential

• Polite and confident
• Flexible and cooperative
• Motivated, forward thinker
• Problem-solver with the ability to process information accurately and effectively, interpreting data as required
• High levels of integrity and loyalty
• Sensitive and empathetic in distressing situations
• Ability to work under pressure / in stressful situations
• Effectively able to communicate and understand the needs of the patient
• Commitment to ongoing professional development
• Effectively utilises resources
• Punctual and committed to supporting the team effort

Other requirements

Essential

• Flexibility to work outside core office hours
• Disclosure Barring Service (DBS) check
• Occupational Health clearance
• HCPC registration

Qualifications

Essential

• Registered Paramedic with the Health and Care Professions Council (HCPC).
• Degree or Diploma in Paramedic Science or equivalent professional qualification.
• Evidence of ongoing Continuing Professional Development (CPD).
• Current UK driving licence.

Desirable

• Primary Care Experience
• Clinical Examinations Level 7
• Non Medical Prescribing Level 7
• Additional relevant training

Person Specification Experience Essential Significant post-registration experience as a Paramedic. Experience of autonomous clinical practice and decision-making. Experience assessing and managing patients with acute presentations. Experience working within multidisciplinary teams. Experience undertaking comprehensive clinical assessment, diagnosis, treatment, and management planning. Experience maintaining accurate and contemporaneous clinical records. Experience communicating effectively with patients, carers, and healthcare professionals. Desirable Experience within Primary Care, Community Services, Urgent Care, or Acute Home Visiting Services. Experience undertaking home visits and managing housebound patients. Experience supporting patients with long-term conditions and complex health needs. Experience of prescribing within a primary care or community setting. Experience participating in clinical audit, quality improvement, or service development projects. Experience supporting vaccination programmes. Skills Essential Excellent clinical assessment, diagnostic reasoning, and risk management skills. Ability to work autonomously within professional scope of practice. Sound knowledge of evidence-based practice and clinical governance principles. Ability to recognise limitations and seek appropriate clinical support when required. Excellent interpersonal, communication, and organisational skills. Ability to build effective working relationships across multidisciplinary teams. Commitment to delivering high-quality, patient-centred care. Proficient IT skills, including use of electronic clinical record systems. Understanding of safeguarding principles for children and vulnerable adults. Access to a vehicle with appropriate business-use insurance and willingness to travel across the PCN locality. Desirable Knowledge of Primary Care Network (PCN) objectives and integrated care systems. Understanding of Quality and Outcomes Framework (QOF) and long-term condition management. Experience in population health management and admission avoidance initiatives. Experience providing clinical education, mentorship, or supervision to colleagues. Ability to lead or contribute to service development and innovation projects. Experience using System One or other primary care clinical systems. Clinical knowledge and skills Essential Advanced clinical assessment and examination skills. Ability to formulate differential diagnoses and implement appropriate management plans. Knowledge of evidence-based practice and clinical guidelines. Ability to assess and manage patients presenting with acute illness in a community setting. Ability to recognise deteriorating patients and initiate appropriate escalation. Competence in requesting and interpreting relevant investigations within scope of practice. Understanding of long-term condition management and proactive care planning. Knowledge of safeguarding responsibilities for children and vulnerable adults. Excellent clinical reasoning, risk assessment and decision-making skills. Desirable Knowledge of primary care pathways and community services. Experience in chronic disease management, including frailty and complex care. Knowledge of vaccination programmes, including influenza, COVID-19 and RSV. Understanding of Quality and Outcomes Framework (QOF) and population health management. Independent prescribing skill Personal qualities Essential Polite and confident Flexible and cooperative Motivated, forward thinker Problem-solver with the ability to process information accurately and effectively, interpreting data as required High levels of integrity and loyalty Sensitive and empathetic in distressing situations Ability to work under pressure / in stressful situations Effectively able to communicate and understand the needs of the patient Commitment to ongoing professional development Effectively utilises resources Punctual and committed to supporting the team effort Other requirements Essential Flexibility to work outside core office hours Disclosure Barring Service (DBS) check Occupational Health clearance HCPC registration Qualifications Essential Registered Paramedic with the Health and Care Professions Council (HCPC). Degree or Diploma in Paramedic Science or equivalent professional qualification. Evidence of ongoing Continuing Professional Development (CPD). Current UK driving licence. Desirable Primary Care Experience Clinical Examinations Level 7 Non Medical Prescribing Level 7 Additional relevant training

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Central and West Warrington PCN

Address

Medi Centre

Tanners Lane

Warrington

WA2 7NJ

United Kingdom

Employer's website

https://www.centralandwestwarringtonpcn.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Central and West Warrington PCN

Address

Medi Centre

Tanners Lane

Warrington

WA2 7NJ

United Kingdom

Employer's website

https://www.centralandwestwarringtonpcn.nhs.uk/ (Opens in a new tab)

Job summary

* Thank you for your interest in Westbrook Medical Centre *

* Previous applicants need not apply *

Due to continued practice development, increasing patient demand, and to replace positions, we are looking to recruit a motivated and enthusiastic Salaried GP to join our friendly and supportive team at Westbrook Medical Centre.

This is an exciting opportunity to become part of a well-established, forward-thinking practice caring for approximately 10,000 patients. We pride ourselves on delivering high-quality patient-centred care within a collaborative and welcoming environment.

Main duties of the job

The successful applicant will undertake the full range of general practice duties, including:

• Routine GP consultations
• Telephone and online consultations
• Home visits where appropriate
• Participation in practice meetings and clinical governance activities
• Supporting the ongoing development of high-quality patient services

About us

Westbrook Medical Centre is a supportive practice with a strong team ethos. We value continuity of care, clinician wellbeing, and collaborative working. We are about to undergo internal improvements to increase our room capacity.

Our team includes:

• Experienced GP partners and salaried GPs
• Advanced practitioners and nursing team
• Clinical pharmacist support
• First contact physiotherapy and wider ARRS team
• Dedicated reception and administrative staff

We are committed to creating a positive working environment where all staff feel valued and supported.