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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 ‘Banksy’: Mayor covers graffiti rat in protective plastic

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LLANELLI Mayor David Darkin believes graffiti found on charity shop wall could potentially be a Banksy.

The piece has been covered with protective plastic by the council while they determine the authenticity of the piece.

David Darkin, Mayor of Llanelli told this newspaper: “I was approached by a local artist Roz Moreton, who believes the artwork is a Banksy in an attempt to preserve the piece.

Roz who studied art in Bristol and lived in London has said she has been exposed to numerous Banksy works including his rats on Westminster Bridge, and spotted the ‘rat’ straight away.

Darkin added “She first spotted the graffiti around ten years ago, but she kept her findings to herself so that she could go back and visit the work.

“It was only after the recent news of the incident in Swansea, where part of a suspected piece of Banksy artwork was stolen, that she decided to approach me to ask for help to protect the piece”.

The art dealer who bought Banksy’s ‘Season’s Greetings’ which appeared on a garage in Port Talbot in December, has met with the mayor in Neath to view images of the artwork.

John Bradner, Essex based gallery owner, paid six figures for the Port Talbot addition, is planning on visiting the site to see the piece for himself.

Mr Darkin added “After showing John Bradner the images he is fairly confident that the piece is Banksy’s work, the fact it was spotted ten years ago ties in with ‘Banksy’s rats’ which was his theme at the time when they appeared across industrial towns.

“Mr Bradner called me yesterday and asked if there was anything else I can do to preserve the piece until he comes to view it in a few weeks to check its authenticity.”

Speaking on the piece Councillor John Jenkins said “Fingers crossed it is a Banksy, but worst-case scenario it isn’t and is still a talking point and people still come and see him.”

Speaking to Mr Darkin he said no attempts have been made yet to contact Banksy to confirm the piece as far as he is aware.

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36 charges relating to chemicals and components for making bombs

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A 33-YEAR-OLD male  is facing 36 charges relating to chemicals and components which can be used to make bombs.

He was remanded in custody at Llanelli Magistrates’ Court on Friday (Feb 15)

The man, from Port Talbot, was arrested in October 2017 in an operation between counter terrorism officers, South Wales Fire and Rescue and The Welsh Ambulance Service.

Detective Superintendent James Hall said no known links to terrorist offences or groups were found. The man will appear in court again at a date to be fixed.

He has also been charged with possessing a taser and manufacturing and possessing class A drugs.

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University makes formal criminal complaint

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A FORMAL criminal complaint has been by made by Swansea University, as part of the ongoing investigation into the issues surrounding the recent suspension of four members of staff.

South Wales Police said: “Dyfed-Powys Police and South Wales Police can confirm that they have received a complaint which is currently subject of consideration by both forces.”

Last November, the university’s Vice-Chancellor Prof Richard B Davies, Dean of the School of Management Prof Marc Clement, as well as two other members of staff, who have not been named, were suspended.

Prof Davies has been suspended for alleged gross negligence whilst Prof Clement was suspended for alleged gross misconduct. Both individuals have denied any wrongdoing. Registrar Andrew Rhodes confirmed at the time that this action was taken after an internal investigation.

In a statement, the university said: “Swansea University has been in regular dialogue with the authorities since November 2018 based on the findings of our initial investigation. A formal criminal complaint has been made and the matter is with South Wales Police and Dyfed Powys Police. We will of course continue to co-operate fully with them. Our processes, which are being carried out by an independent investigating manager, are ongoing.”

The investigation has looked into the academics’ involvement in both the £200m Life Science and Wellbeing Village project in Llanelli, and a £600m plan for a private medical university and hospital in Kuwait.

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