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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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£121k watersports funding announced for Llanelli beauty spot

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• Welsh Water, Natural Resources Wales, Llanelli Rural Council & Canoe Wales has secured ‘Access to Water’ funding.

• Visitors will be able to enjoy paddlesports (canoeing, kayaking, stand-up paddleboarding), windsurfing and angling.

• Site expected to attract 90k+ visitors a year.

The recent announcement of the development of the Swiss Valley reservoirs in Carmarthenshire has been given a boost with the confirmation of an ‘Access to Water’ grant from Welsh Government, worth £121k, that will enable visitor access to the Lower Lleidi reservoir for paddle sports and angling.

The funding will realise plans to bring back a range of paddlesports to the reservoir, including stand-up paddle boarding, canoeing and kayaking.  It will also enable bank angling through the creation of recreational zones.  A range of improvements to the surrounding infrastructure are also planned to include a boat wash for biosecurity and the creation of paths and a pontoon that allows easy access to water for people of all abilities, and the refurbishment of toilet facilities.

Developing the Swiss Valley Reservoirs is expected to attract 90k+ visitors a year to the site, in line with Covid19 regulations. The ‘Access to Water’ funding is an important milestone in achieving shared ambitions for the site, and to support the funding application, a survey of local canoe clubs, outdoor activity providers and anglers was conducted which found a strong demand for access to the water for their activities. The feedback was that this is likely to generate a huge amount of interest from clubs and providers given it’s ideal geographical location. The community adoption scheme means that local people are offering to invest their own time to help look after this jewel of a community asset, and care for it into the future.

The project is well placed to support the delivery of The Wellbeing of Future Generations Act (Wales) 2015, which requires public bodies in Wales to think about the long-term impact of their decisions, to work better with people, communities and each other, and to prevent persistent problems such as poverty, health inequalities and climate change. Whilst Welsh Water is not a public body, it is committed to working in partnership with Llanelli Rural Council, Natural Resources Wales and Canoe Wales in the spirit of the legislation.

Minister for Environment, Energy and Rural Affairs, Lesley Griffiths, said: “This is an excellent example of a scheme which increases opportunities for outdoor recreation and provides safe access to water for people of all abilities.  The development of these reservoirs will enable local people and visitors to gain more enjoyment from this beauty spot in line with covid19 guidelines and help to support a green recovery in Wales.  I hope the success of this project will encourage development of many more similar opportunities over the coming years.”

Welsh Water Chief Executive Peter Perry said, “Access to blue space is proven to be positively associated with health and wellbeing. Swiss Valley is an important asset for the local community and visitors alike. This funding is a major milestone in our efforts to bring this cherished community asset back to its former glory and make it more accessible, for the health and wellbeing of everyone.”

Jen Browning, Chief Executive of Canoe Wales, the national governing body for paddlesport in Wales, added, “Over the past eight months, we have seen an unprecedented amount of demand for canoeing, kayaking and stand-up paddleboarding, but the limited number of venues in Wales suitable for new paddlers has always been a major obstacle. This funding will ensure that Swiss Valley can play an enormously important role in making it possible for people of all abilities to enjoy the water, and for many to discover a passion for paddlesport and develop a deep connection with the outdoors.”

Dave MacCallum, Specialist Advisor for Water Access & Recreation at Natural Resources Wales and Chairman of NAFW Access to Water Sub-Group said: “We are delighted to have been a part of this important collaboration which will open up these new waters for responsible, inclusive recreation in South West Wales. NRW is committed to doing all we can to enable more people to enjoy Wales’ countryside more easily and responsibly – to take advantage of the many health and wellbeing benefits that getting outside can bring. Benefitting from bespoke disabled paddle-sport access facilities and a Biosecurity station promoting and enabling the Check Clean Dry initiative, the Swiss Valley reservoir project paves the way for future access to Welsh still waters so that current and future generations can continue to enjoy their visits to some of Wales’ most spectacular landscapes”

Llanelli Rural Council Leader, Cllr Tegwen Devichand said “the funding is marvellous news for the community and will enable the council to develop its plans for the reservoir in earnest. Much of the preliminary work associated with the first phase of infrastructure improvements can now get underway, in fact some work has commenced already. The physical adaptations to refurbish the toilet block, visitor car park and access to the water to facilitate paddle sports and the angling fraternity is scheduled to be completed by March 2021, but work won’t stop there. Moreover, the community response to our plans for the reservoir has been overwhelming; the council has received a great deal of local and regional support and a number of interest groups and individuals have come forward to help us deliver our plans as well as to offer their services. This is greatly appreciated and bodes well for the future.”

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Llanelli Yodel colleague celebrates 30-year anniversary

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Beverley Smith, a valued member of the Llanelli depot’s team, is celebrating her 30-year anniversary with UK independent parcel carrier, Yodel.

Beverley joined Yodel in 1990, when it was originally known as Home Shopping Network, as an Inbound Sorter and then moved onto a Customer Service Support role over 28 years ago. Beverly supports the Llanelli Management Team, provides customer service to clients and customers alike and is always on hand to answer any driver queries.

To celebrate her anniversary, Kay Dodd, Service Centre Manager, presented Beverley with £750 of Very vouchers and ordered in a cooked breakfast to celebrate.

Customer Service Support Advisor, Beverley Smith commented: “My time with Yodel has been very fulfilling – constantly challenging – keeping me on my toes. I’ve been with the company so long that I remember having to write with a pen and paper and have to fax documents to the head office daily – I can’t say I miss those days!

“I have made many close friends during the 30 years at the business and I truly have enjoyed the hard working and happy atmosphere at Llanelli every day.”

Kay Dodd, Depot Manager, added: “Bev is a valued member of my team here at Llanelli, she provides excellent customer service to customers, clients and colleagues. She has a courteous and caring attitude and goes beyond her duties to ensure everyone has a positive experience at Yodel Llanelli. Thank you for everything Bev!”

To join Beverley and the team at Yodel’s Llanelli depot, or to find out more about working for Yodel, and the roles and training available, visit www.yodelopportunities.co.uk or text ‘Deliver’ to 84433. 

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Preparatory works to start at key Stepney Street Building

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Preparatory works are due to start on a key building in Llanelli Town Centre ahead of formal planning approval.

Number 49 Stepney Street is being redeveloped as part of a significant investment in the town centre to transform, regenerate and connect its key retails and leisure areas.

Carmarthenshire County Council has submitted plans which could see the former YMCA building retain much of its character whilst providing high quality living space and commercial units

The works would include the restoration of the front façade of the building, along with the retention of the perimeter wall, main internal structural walls and bringing back many original features such as the ornate staircase.

Subject to planning approval the rest of the building would be redeveloped to include two floors of commercial space on the ground and first floors, with eight two-bedroomed living spaces on the upper floors.

There will also be residents parking spaces on the ground floor.

The works currently underway will prepare the building for redevelopment and include stripping and clearance of old materials.

Carmarthenshire County Council leader Cllr Emlyn Dole said: “Many generations of people from Llanelli will have special memories of using this fantastic building over the years and it is such a shame to see it lay empty and falling into disrepair – we’re proud to be leading on this scheme to breathe new life into it once again.”

The council has already spent £4.5million buying empty shop units from private ownership, renovating and bringing them back in to use at affordable rental levels – all of them currently occupied by independent businesses

A Local Development Order has been put in place to simplify the planning process for property owners and potential investors

This project is being procured via the South West Wales Regional Contractors Framework. Carmarthenshire County Council has appointed a regional contractor who will develop the project alongside local supply chains.

For further information on this framework, email TSSWWRCF@carmarthenshire.gov.uk

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