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AM views digital innovation in Morriston Hospital

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INNOVATIVE use of digital technology at Morriston Hospital has come under the spotlight as part of a Wales-wide review.

Llanelli AM Lee Waters is leading a digital panel into public service transformation on behalf of the Welsh Government.

He visited Morriston Hospital where the renal unit has made pioneering advances in the use of digital technology.

This has not only improved the way care is delivered but also how people with kidney disease can access it. Mr Waters saw the system in action and was given a presentation explaining how these improvements have been made over the years – and how clinical and IT staff came together to identify issues and find their own solutions.

Mr Waters said: “It’s not just consultant-led or IT-led. It was the whole team coming together and saying, how can we make what we do simpler and how do we develop new processes to make it smoother, for the benefit of patients?
“It’s a simple idea but devilishly complex to do. Yet they’ve been able to do it in Morriston, so if they can do it, others can do it too.

“What’s stopping that from happening is what the panel I’m leading is considering so we can make recommendations to the Welsh Government, hopefully in the next few weeks, of how to bring about change to the whole of Wales.”

Mr Waters met the team that made this happen: Renal Consultant James Chess, Consultant Renal Pharmacist Chris Brown, Senior Renal Pharmacy Technician Dafydd James, Renal IT Engineer Mike Wakelyn, and Renal Sister Debbie Hopkins.

Digital healthcare is vitally important because Morriston provides a regional renal service for thousands of patients across South West Wales. This includes people needing dialysis or who have had a transplant, all of whom require complex and lifelong medication.

The renal unit has its own dedicated Renal Medicines Service, a specialist pharmacy team working with the nephrologists, nurses and the multi-disciplinary renal team to manage these treatments.

Consultant Renal Pharmacist Chris Brown said the scale and complexity of the operation was astonishing, adding: “Making our service digital is key to making high quality care possible. Digital tools are key to making our service and care records accessible to patients.”

The unit electronically prescribes and manages medicines through a module housed within a renal electronic patient record. This e-record integrates every aspect of a patient’s care on a single platform, allowing for a highly efficient medicines management process. It also puts patients at the centre of their own care, allowing them to make decisions about their treatments by giving them digital access to their information through their smartphone or computer.

The most recent development is an Electronic Prescribing and Medicines Administration (EPMA) system. This will digitise the region’s hospital-based dialysis units in Swansea, Aberystwyth, Carmarthen and Haverfordwest. Each week thousands of drugs and dialysis treatments are given in these units. The renal EPMA is fully integrated into the e-record. This allows electronic prescribing and electronic recording of the administration of treatments in a single digital system – placing everything needed to deliver care at the fingertips of health professionals.

Renal Consultant James Chess said: “The renal EPMA was designed in-house. This was not just a lower-cost option than buying a commercial system but also meant it could be developed specifically to meet the renal service’s requirements.”

Understanding what the entire clinical team needed ensured the EPMA met their requirements and was user-friendly – such as incorporating touch-screen technology so nurses can access it quickly at the bedside.

Mr Waters said: “The impressive thing about it is, it comes from the whole team; it has been an organic change driven locally.

“It isn’t some government minister saying I want you to do this.

“This is the people working on the front line saying, we think there’s a better way of doing this and we are going to show, locally, how that can be done.

“It’s real innovation in practice, overcoming all the barriers locally and showing there’s an alternative way to do it.”

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How Wales created 19 new field hospitals in less than 8 weeks…

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Across Wales the Welsh Government is supporting the NHS to create new field hospitals and rapidly increase bed capacity.
Health boards have repurposed existing buildings, including the Principality Stadium, a holiday park and even a television studio to provide an additional 6,000 beds.Field hospitals are designed to support the NHS during the coronavirus pandemic by providing extra bed capacity but they will also help normal hospital services be restarted and support social care services.Last month, the first patients were admitted to Ysbyty Calon y Ddraig at the Principality Stadium, in Cardiff.

Four to six weeks

Here is how Wales almost doubled its bed capacity in less than eight weeks…The time it has taken to nearly double hospital bed capacity in Wales, creating field hospitals across the nation.

19 field hospitals in Wales
This includes the repurposing of Bluestone Holiday Park and Parc y Scarlets in west Wales and Venue Cymru in north Wales.

1,500 beds at the Ysbyty Calon y Ddraig
Making it one of the largest field hospitals in the UK.

Five days
The length of time it took to plan Ysbyty Calon y Ddraig, which overlapped with the build phase.

3,000
The number of planning hours, involving more than 20 different disciplines, it took to plan Ysbyty Calon y Ddraig.

£166m
Welsh Government funding for the set up, construction and equipment for field hospitals in Wales.

138,000
The number of pieces of equipment have been provided to help support field hospitals, including beds, imaging equipment, syringe drivers and medicines.

Three North Wales field hospitals have the name Enfys
Meaning rainbow – the symbol of hope and thank you to the NHS during the pandemic.
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7-year-old Mattie from Pembrey takes on home Pen y Fan-tastic challenge for Action for Children

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Plucky Mattie Denman will climb the equivalent of Pen y Fan in the drive at her family home in Pembrey on Friday 22nd May to raise funds for Action for Children.

Mattie (7), has always wanted to climb the highest mountain in South Wales and is unable to currently because of the coronavirus pandemic.  As the family exercise at home every day, she decided she wanted to do the 6-mile equivalent journey there while she waits for the chance to do it for real.  Mattie chose Action for Children as her mother, Sian, works for the charity in Carmarthenshire.

Mattie said: ‘My Mammy works for Action for Children and I want to help as well because lots of families need help.  My older brother and sister help Action for Children, so I asked Mammy if I could do something. We exercise everyday walking up and down the drive and I have always wanted to climb Pen y Fan, but we have never done it.

‘Mammy said I could pretend I am walking it and people will give money to the charity. I said brilliant, that is what I am going to do and I am super excited to do it. I will use mammy’s step counter and I hope I can help children that need support especially because it is so hard for some families because of coronavirus.’

Proud mum and family support practitioner for Action for Children, Sian, added: ‘Mattie has a lovely heart and really wanted to do something and I’m very proud she chose Pen y Fan as her home challenge.  Action for Children has been going the extra mile during the coronavirus pandemic continuing to support vulnerable families through phone and video sessions as well as food and help with the basics from our Emergency Appeal Fund. 

‘It is a tremendously challenging time for our families and every bit of money will directly help those in our communities who need it most.  I hope as many people as possible will donate to Mattie’s brilliant fundraising effort, it’ll make it even more special when we finally get to climb Pen y Fan for real.’

If you want to support Mattie’s Pen y Fan challenge please go to: https://www.justgiving.com/fundraising/mattiesclimb

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Housebuilder launches Coronavirus move in package

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A South Wales housebuilder has launched new incentives which mean homes are ‘ready to move into’ during the Covid-19 crisis – without the need for tradespeople or delivery people.

People in Wales are allowed to move into new build houses during the lockdown – and many people have successfully done so.

However, the limitations of social distancing can add extra stress when it comes to having things like dishwashers, washing machines and turf installed in the new property.

That’s why Persimmon Homes West Wales has launched a new incentive package which gives purchasers the chance to buy a house with white goods and flooring already in place.

Sharon Bouhali, sales director at Persimmon Homes West Wales, said: “Our sales advisors have done a terrific job in talking with customers and guiding them through the buying process remotely, without the need of face-to-face meetings.

“It’s been a huge challenge, but we’ve risen to it – and Persimmon has sold more than 120 properties in South Wales during the lockdown period. We have customers moving into their new homes every week.

“But, understandably, some people are cautious about having too many tradespeople and contractors enter their home, even if they are doing their utmost to abide by social distancing rules.

“That’s why we have launched these new packages which mean people can turn the key, unpack and get on with enjoying their new home.”

The package includes carpets and vinyl throughout, turf in the back garden, sliding wardrobes, integrated fridge freezer, integrated washer/dryer, integrated dishwasher and £500 discount towards removal fees.

The deal is on offer at Glas Y Felin in Bridgend, Parc Yr Onnen in Carmarthen, The Bridles in Llanelli, Peterson Park in Pontyclun, Parc Brynderi in Llanelli and Allt Y Celyn in Rhos.

Persimmon’s marketing suites in Wales remain closed for the time being. Visit www.persimmonhomes.com or call 01792 229800 for details of homes available.

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