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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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Gigabit broadband voucher scheme boost for Wales

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THE UK’s Gigabit Broadband Voucher Scheme is to be given a boost in Wales thanks to a new partnership between the Welsh and UK Governments. Ministers from both Governments are now urging Welsh businesses and communities to apply for the funding to get gigabit speeds.

The announcement follows an agreement between the UK and Welsh Governments, and reflects the higher costs of deploying fibre infrastructure in Wales, as a result of the country’s topography and the location of premises.

The UK Government’s Gigabit broadband vouchers – worth up to £2500 – are currently available to small businesses and surrounding local communities to contribute to the installation costs of a gigabit-capable broadband connection.

Under the new arrangements, the Welsh Government will provide an additional £3,000 for businesses up to a certain size and an additional £300 per residential property. This means that for group* projects in Wales up to £5,500 is available per business, compared with £2,500 elsewhere in the UK. Up to £800 will now be available per residential property in Wales, compared with £500 elsewhere.

Deputy Minister for Economy Lee Waters said: “Although the vast majority of premises in Wales can now access superfast broadband, we are working hard on assisting the remaining five per cent that cannot access it and where commercial companies have no plans to reach. There is no one size fits all solution to reach the final premises, and the Gigabit Broadband Voucher scheme is an important part of a suite of measures to achieve this.

“This voucher scheme can provide a vital funding source for group connectivity projects, and could be of great benefit to communities currently without access.
I’m pleased we’ve been able to work with the UK Government to provide an enhanced scheme for Wales, taking into account the particular challenges we face here with geography and the location of premises.”

UK Minister for Digital Margot James said: “This exclusive scheme for Welsh businesses and communities is a vital part of our modern Industrial Strategy and build a Britain that is fit for the future. Working with the Welsh Government, together we can make sure that everyone in Wales has the connectivity they need for the digital age.”

The voucher scheme forms part of a package aimed at improving connectivity in Wales. The Welsh and UK Government funded £200 million Superfast Cymru programme has already taken superfast broadband speeds to more than 733,000 Welsh homes and businesses commercial companies had no plans to cover. The Welsh Government is also investing a further £22.5 million to reach an additional 26,000 premises and the UK Government is introducing a Universal Service Obligation** that will make fast broadband a legal right for every home and business in Wales by 2020.

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Rescuers attend to injured construction workers in New Dock Street

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A MULTI AGENCY rescue operation is underway in Llanelli involving all three emergency services after an incident at a construction site.

Workers have been at the New Dock Street site, working for around three years, The Herald understands.

The Herald has been told that a piece of plant malfunctioned causing the emergency, which happened earlier this evening (Mar 19).

Four fire engines and three ambulances are at the scene, our reporter said.

A specialist line rescue team is involved in the recovery operation.

An eye-witness told the press that three workers have been affected.

The source said: “Concrete had just been mixed and had been poured into a skip which was then lifted using a machine. The concrete was being lowered into the hole, it’s probably about 20ft and then the machine toppled over.”

He added: “Two men climbed out of the hole on their own and as a precaution the third man was told to stay down there. The workers were told to leave the site as a precaution.”

At least one person has been seen being taken away in an ambulance.

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Llanelli: Met Bar incident investigated

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AN INCIDENT which resulted in a 51-year old man having to go hospital is being investigated by Dyfed-Powys Police.

The man has been discharged from Glangwili Hospital but police are looking in to how the incident happened and how the man fell down some steps.

The incident happened outside the Met Bar in Llanelli on Saturday night (Mar 16).

A spokeswoman for Dyfed-Powys Police told the Herald: “At approximately 10.55pm on Saturday March 16, officers responded to reports of an injured man outside The Met Bar, Station Road, Llanelli, after he’d fallen down some steps at the location.

“Ambulance was at scene, and the 51 year old man was conveyed to Glangwili Hospital with what was thought to have been a serious head injury. He was then later discharged from hospital, and the head injury was no longer believed to be serious.”
Anyone who witnessed the incident is asked to contact police by calling 101 and quoting DPP/3011/16/03/2019/02/C. If you are deaf, hard of hearing or speech impaired text the non-emergency number on 07811 311 908

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