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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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Antisocial behaviour falls as police operation continues

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POLICE said that they saw a reduction in antisocial behaviour involving young people in Carmarthenshire over the weekend, following weeks of increased activity.

Dyfed-Powys Police officers proactively patrolled areas which have recently become hot spots for teenagers to gather and drink alcohol as part of an ongoing operation.

A police presence was also maintained on trains between Llanelli and Carmarthen to identify how many youngsters were travelling in the area and where they were getting off.

Sergeant Gemma Davies said: “Over the weekend we continued our work to target, deter and deal with antisocial behaviour and underage drinking in hot spots identified primarily in Llanelli and Burry Port.

“Section 34 dispersal orders had been put in place ahead of the weekend, meaning we could move on anyone likely to cause antisocial behaviour, but thankfully they were not required. This is an improvement on previous weekends when we have had to exercise these powers.

“A significant number of young people were spoken to, with the vast majority being pleasant, not under the influence of alcohol, and not causing any trouble.

“Members of the public acknowledged the high police presence, as did the young people, and this might have deterred underage drinking.

“We are very pleased to have seen the change in attitudes and behaviour this weekend.”

The force received just one call reporting youngsters gathering at Burry Port harbour, with no offences or antisocial behaviour identified by attending officers.

Of the young people spoken two over the weekend, two were found with alcohol which was seized. Follow-up antisocial behaviour letters will be issued, and home visits will take place shortly.

Groups were also reminded of the dangers of swimming near the harbour and were encouraged to take their rubbish home.

Officers on the rail network removed one drunk adult from a train.

Sgt Davies said: “I would like to thank all officers involved in the operation over the weekend, as well as the young people who made sure they stayed within the law while enjoying the weather.

“We will be out and about again next weekend and throughout the summer, making sure the area is enjoyable for all who visit.”

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Lord Lieutenant visits Mass Vaccination Centre

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Her Majesty’s Lord Lieutenant of Dyfed, Miss Sarah Edwards, has paid tribute to all those involved in the COVID-19 vaccination programme during a visit to the Y Ffwrness Mass Vaccination Centre in Llanelli.

During the visit on Wednesday 9th June she was joined by the Vice Lord-Lieutenant, Lt Col David Mathias, and the High Sheriff of Dyfed, Mr.Jonathan Gravell. They met and spoke to the centre’s vaccinators, NHS staff, security staff and volunteers.

To date, the collective efforts of mass vaccination centres, GP practices and community pharmacies in Carmarthenshire, Ceredigion and Pembrokeshire, have resulted in the Hywel Dda University Health Board delivering over 431,850 vaccinations. This means 266,785 of the eligible population have now received a first vaccine, and 165,056 have received both doses.

The Lord-Lieutenant of Dyfed said: “It was wonderful to see first-hand the incredible work being undertaken by the vaccinators, NHS staff and volunteers. They have played a crucial role in the success of the vaccine rollout programme. I would also pay tribute to the public for their overwhelmingly positive response to getting vaccinated.”

Maria Battle, Chair of Hywel Dda University Health Board, added: “On behalf of the health board, I was delighted to welcome Her Majesty’s Lord-Lieutenant of Dyfed, Miss Sara Edwards, the Vice Lord-Lieutenant, Lt Col David Mathias, and the High Sheriff of Dyfed, Mr Jonathan Gravell. I am deeply proud of everyone involved in the vaccination programme and I’m glad they got to see for themselves the incredibly work being undertaken to help get us through this pandemic.”

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Alcohol seized and teenager arrested as police deal with antisocial behaviour

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POLICE seized large amounts of alcohol and arrested a teenager as they continued to deal with antisocial behaviour over the weekend.

Dyfed-Powys Police had proactive plans in place to deal with ongoing issues of groups of youngsters gathering in Carmarthenshire following rising reports of alcohol-related antisocial behaviour over the past two months.

Dispersal orders were in place across Llanelli and Burry Port, giving police the powers to move anyone believed to be causing a nuisance, harassment or distress out of the area.

Officers patrolling the rail network in Carmarthenshire on Saturday noticed a large amount of young people getting off the train at Ferryside, where an additional dispersal order was put in place and alcohol was seized.

Officers were also required to deal with children trespassing on the railway tracks.

Sergeant Gemma Davies said: “We had received reports of children with alcohol running across the tracks, which posed a huge danger to themselves and others, and had to be stopped as a priority.

“One boy who was detained became abusive towards officers and could not be reasoned with. Officers had no choice but to arrest him for his own safety and to prevent further offences from being committed.

“This incident goes to show that the kind of behaviour we are dealing with goes beyond groups of young people meeting to have a good time, and is putting people in highly dangerous situations.”

A 17-year-old boy was arrested on suspicion of trespassing on the railway and using threatening, abusive or insulting words or behaviour to cause harassment, alarm or distress.

He has been released under investigation pending further enquiries by British Transport Police.

Early intervention was taken in the Trostre area of Llanelli, where officers noticed groups of children meeting on Saturday.

Sgt Davies said: “More than 60 young people were moved on from both locations and a large amount of alcohol was seized.

“Out of these groups, four notices were issued to those causing the most trouble in the Trostre area which prevented them from returning, and each of these youngsters were taken home.

“This swift action was a deterrent to other young people who were planning on joining the groups and were still travelling to the area.”

“We will continue to put plans in place each weekend and over the summer holidays to deal with antisocial behaviour, using all powers available to us to put a stop to it.”

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