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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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Llanelli High Street shortlisted for prize

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LLANELLI HIGH STREET has been shortlisted in the Government’s Great British High Street Awards, in proud partnership with Visa, putting them in the running for up to £15,000.

After a rigorous selection process led by a panel of independent judges, the high street has been shortlisted for the Rising Star category, which celebrates high streets which are taking the lead to adapt and diversify.

The bid by Ymlaen Llanelli follows research commissioned by Visa in April 2019 demonstrating the positive impact that the local high street has on communities. The research found that nearly three quarters of consumers (71%) in Wales say that shopping locally makes them feel happy, with nearly half (45%) citing supporting local shops and knowing where their money is going as the main reason. Spending time with friends and family (25%) and offering a sense of community (18%) were other reasons cited for why high streets make people feel happier. The research also reveals that half of consumers (50%) feel that their high street gives them a sense of pride in their local community.

High Streets Minister Jake Berry MP said: “Congratulations to Llanelli for being shortlisted for the Rising Star Award for this year’s Great British High Street Awards.

“Llanelli high street is a hive of activity, with food festivals, childrens’ days and community get-togethers all part of the local calendar. A great example of how high streets can bring a renewed energy to communities.

“People are happier when they can see their hard-earned cash support local businesses. That is why we are celebrating those that go above and beyond to keep their high streets thriving for generations to come.”

Sundeep Kaur, Head of UK & Ireland Merchant Services at Visa, added: “We’ve seen some fantastic entries for this year’s Great British High Street Awards across both the Champion High Street and Rising Star categories. In particular, the desire to innovate stands out amongst this year’s entries, with high streets adapting to the challenges presented by a rapidly changing retail environment to find ways to thrive at a local level.

“As our research shows, high streets play a vital role at the heart of communities, so this is a great opportunity for those communities with shortlisted high streets to show their support by placing their votes on the Great British High Street website.”

Llanelli High Street is one of the 28 high streets that have been shortlisted for the Rising Star category, identifying high streets which are taking the lead to adapt and diversify. 12 high streets have been shortlisted in the Champion High Street category, which recognises the UK’s best high streets. All 40 high streets are now in the running to win a prize of up to £15,000 to be dedicated to a local high street initiative.

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Head Teacher at Primary school in Llanelli suspended

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THE HEAD TEACHER of a Welsh primary school has been suspended, it has been confirmed.

Catherine Lloyd-Jenkins, who is head at Ysgol Gymraeg Ffwrnes in Llanelli, has been suspended from her duties at the school with immediate effect.

Governors at the school have been unavailable for comment, but Carmarthenshire Council confirmed the news this morning.

It is understood that the chair of the governing body is currently out of the country, and the council would not comment further on the circumstances surrounding the suspension.

The council’s director of education, Gareth Morgans, said: “School staffing is a matter for the Governing Body, however, we can confirm the headteacher of Ysgol Ffwrnes has been suspended.

“It is not appropriate to comment further.”

Mrs Lloyd-Jenkins has worked at Ysgol Gymraeg Ffwrnes for 23 years, taking up a post at the school in 1996.

She has been the headteacher there for almost 20 years, taking over the role in 2000. She has also worked as a peer inspector at Estyn, the education and training inspectorate for Wales confirmed.

According to one local councillor, ‘serious concerns’ have been raised about the school in recent months.

“Local residents and parents have approached us raising serious concerns about the school in question,” said Carmarthenshire councillor Rob James.

“We are in dialogue with senior council officers to assert whether the allegations are credible and what action the council and governors have taken in response to these allegations.”

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Dyfed-Powys Police numbers at record low, say Labour

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POLICE officers based across the Dyfed-Powys area are now at their lowest levels in the last decade, with over 300 officers being lost across the region, claim Carmarthenshire Labour.

According to a freedom of information request by Carmarthenshire Labour, police officers based across Carmarthenshire, Pembrokeshire and Ceredigion are down 42% and are at record lows in both Carmarthenshire and Ceredigion.

The figures published by Dyfed-Powys Police show that Carmarthenshire has lost 160 officers in the last ten years, Pembrokeshire is down 107 officers and Ceredigion has lost 56 bobbies on the beat.

These figures come off the back of a poor report by Her Majesty’s Inspectorate of Constabulary that shows the force has gone backwards in the last year, with crime also on the increase.

HMIC’s recent PEEL (Police effectiveness, efficiency and legitimacy) report noted concerns about Dyfed-Powys Police’s performance in keeping people safe and reducing crime and specifically warned of failures to assess all incidents of domestic abuse.

Carmarthenshire Labour Leader Cllr Rob James claims that the figures show that the current Police and Crime Commissioner is now performing worse than their predecessor.

Rob James stated: “These figures that show a dramatic decrease in police numbers are extremely worrying and reinforce what communities are saying across Dyfed Powys – there are simply not enough police officers in our areas.

“The fact that we now have lower police numbers in the three counties compared to the end of the last Police and Crime Commissioner’s term with crime now on the rise illustrates that the Plaid Cymru Commissioner is failing in his duty to protect our communities.

“We need urgent action to make our communities safe once more, as there is a clear link between the loss of youth provision and cuts to officer numbers, and the rise of crime in our communities.

“There is little evidence that our Commissioner has grasped the nettle over the last three years in tackling this important issue.”

These claims however, have been slapped down by Police and Crime Comissioner, Dafydd Llewellyn. He said that said that Cllr James had misunderstood or misrepresented the information provided to him.
The Carmarthen data have a significant rider attached to them.

The explanatory note reads: ‘It should be noted that the figures for Carmarthenshire police division between 2008 and 2018 are not comparable as the structure of Carmarthenshire division in 2018 has altered to that of 2008 which has impacted upon the figures provided’.

That explanation is expanded upon concerning the Ceredigion data. Regarding them, an explanatory note warns that: ‘[T]he structures between 2008 and 2019 are not comparable as some sections that were recorded divisionally now come under the HQ remit, e.g. the Road Policing Unit, CID, etc.’.

Dafydd Llewelyn pointed out that note in his response to The Herald: “As outlined in the response to the Freedom of Information request, structures between 2008 and 2019 are not comparable as some sections that were recorded as divisionally based are now recorded under the HQ remit, for example, Roads Policing Unit, CID.”

Dafydd Llewelyn continued: “Since taking up my role as the elected person to represent the many communities across the four counties served by the force, I have increased the overall resource available by 4%. I have ploughed funding into dedicated teams to support front line officers and have invested in resources to support the most vulnerable in our communities.

“I have commissioned services specific to their needs – be that as victims of domestic abuse or young people choosing to leave their homes for reasons unknown to authorities. I will continue to do this. I will not be held to account by numbers on paper alone, but by the difference I can make to individuals’ quality of life.

“I will also use the opportunity I have to campaign for services appropriate to the very specific needs an area the size of Dyfed-Powys Police has and will work with the force to adapt according to those needs.”

He concluded by pointing out: “Carmarthenshire, Ceredigion, Pembrokeshire and Powys remain the safest counties nationally and I’m proud to be driving a service that is willing and able to flex and respond, despite the financial challenges faced day-in-day-out.”

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