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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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Herald publisher ceases operations

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HERALD NEWS UK LTD, the company which prints The Pembrokeshire Herald, The Carmarthenshire Herald and The Llanelli Herald has ceased operations.

Editor of Pembrokeshire Herald, Thomas Sinclair said: “After finalising today’s paper to go to print yesterday, a meeting was held last night. It was confirmed that the expected further investor funding would not be made available for the company.

“This meant that operations need be halted as the businesses was not able to pay its ongoing costs.

“At 10am today the 24 members of staff working at the newspaper have today been given notice of redundancy.

“We are absolutely devastated that after nearly 7 years and hundreds of editions of the paper we can no longer continued.”

“I would like to think that over those years, some of the stories we have written have made a difference to Pembrokeshire and beyond.”

Director of Herald News UK Limited, John Hammond said: “The company accountant could be appointing administrators as soon as next week.”

“The Owners of The Pembrokeshire Herald came to the conclusion last night during a finance meeting that the venture is no longer financially viable.

“Whilst every conceivable effort has been made to improve the financial situation of the business, we have to face the fact that there is no way that we can now continue in a solvent position.

“Whilst there has been a slow decline in readership of local newspapers, our costs for wages, printing and transport have substantially increased.”

“We would like to thank all of our loyal readers and staff.”

Community: Herald titles were campaigning newspapers
Popular: 45,000 people read Herald titles each week in west Wales
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Council announces overnight roadworks

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MOTORISTS face further inconvenience owing to a series of planned night-time closures in Llanelli whilst essential road improvement works are carried out later this month.

Hard-pressed motorists, including Llanelli’s AM Lee Waters (see his column in this newspaper), already experience long delays using routes into and out of the town.

To reduce the level of inconvenience, Carmarthenshire County Council has programmed road surfacing works to take place during the night over the next month at Parc Trostre, Sandy Road, Pembrey Road and Queen Victoria Road, Llanelli, to avoid the busiest periods. Diversions will be in place.

A section of B4304 Parc Trostre Roundabout near ATS will be closed from Wednesday, October 30 between 7 pm and 6 am for up to four nights.
A section of Sandy Road, between its junction with Denham Avenue to the entrance to Coleg Sir Gâr, will be closed between 7 pm and 6 am on November 11-22 for up to nine nights.

A section of Pembrey Road, from its junction of Chapman Street to New Road, will be closed between 7 pm and 6 am on November 3 and 12 for up to nine nights.

Part of Queen Victoria Road and the Murray St crossroads will also be subject to night-time closure between 7 pm and 6 am on November 10 and 15 for up to five nights.

Since April the council has resurfaced 22 sections of road as part of a £2.5million investment in Carmarthenshire roads.

The sections of road being resurfaced have been identified as a priority based on road condition, usage and strategic importance.

Comprehensive traffic management will be in place whilst the works are being carried out and all schemes will be published in advance with full details available on roadworks.org.

The council said the works are unavoidable and have thanked members of the public in advance for their cooperation.

The council’s executive board member for transport, Cllr Hazel Evans said: “This is a significant amount of money that we have secured to improve our roads in the county. All roadworks will be publicised in advance so motorists can plan journeys to avoid the area and take an alternative route. We will minimise as far as possible the impact on road users by careful planning, however, some disruption cannot be avoided, so please bear with us. We thank everyone in advance for their cooperation and patience.”

These dates may vary due to unforeseen conditions or adverse weather. People are being advised to check https://one.network for further updates.

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UK’s top skaters and riders drop in on Llanelli youngsters to celebrate a special birthday

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THE WORLD’S and the UK’s finest skateboarders, BMX and Wheelchair Motocross stars will drop in on young people at a Carmarthenshire Ramps skatepark on Saturday 19 October 2019 from 11 am till 2 pm.

The event was arranged to celebrate the £3 billion National Lottery players have raised for projects which have specifically helped children and young people develop and thrive in the UK over the last 25 years.

£2 million of National Lottery funding has specifically been awarded to support and develop over 47 BMX projects in local communities for young people in Wales to enjoy.

Wales and Pembrokeshire’s own wheelchair sports superstar, Lily Rice; the Olympic BMX freestyler from Swansea, James Jones; Britain’s leading street skateboarder and 2020 Olympic hopeful, Alex Decunha; and YouTube influencer, Jake O’Neill (aka Jake100), visite hundreds of youngsters at Ramps indoor and outdoor skatepark in Llanelli as part of the National Lottery’s celebrations.

More than £340,000 was awarded by the National Lottery in 2013 to develop and build Ramps Skatepark which now provides activities for over 15,000 young people a year.


At 15 years old, Lily Rice from Manorbier, Pembrokeshire, is a World Champion wheelchair motocross (WCMX) star. She was propelled to fame two years ago when she became the first female in Europe to achieve a wheelchair backflip, and only the second girl in the world to pull off the stunt. Since then, Lily has emerged as one of the global leaders of WCMX – wheelchair motocross.

She says: “By contributing towards building amazing facilities such as this indoor and outdoor skate park, National Lottery funding is helping thousands of young people of all abilities to reach their goals and discover new opportunities.

I have trained and practised at numerous National Lottery funded skate parks and there is no doubt that the funding has helped wheeled sports, enthusiasts, to become healthier and more active.”


The National Lottery has inspired millions of people to get active in their local community, as well as supporting individuals and teams from grassroots to elite.


James Jones is a 25-year-old professional BMX rider from Swansea. James, who also celebrated his 25th Birthday this year,  is one of six world-class athletes who make up the Freestyle BMX Team GB for the 2020 Tokyo Olympics. James honed his skills and practised his tricks at the Ramps skate park in Llanelli when he was growing up and highlights the importance of young people having access to facilities like this on their doorstep.


James Jones said: “I practised a lot here growing up and this facility has played a big part in my development as a professional rider and a person. I probably wouldn’t be where I am now without the support I got here. It’s not just about learning to ride or skate, there’s a real family vibe here, a great social aspect and it’s well supported by the community.

The National Lottery must fund parks such as this one so that young people can have a safe space to pursue their hobbies and meet friends.”

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