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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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Welsh Conservatives pay tribute to murdered MP, Sir David Amess

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THE WELSH CONSERVATIVES have released a statement following the murder of serving Member of Parliament, Sir David Amess on Friday (Oct 15).

Paul Davies MS said: “We are horrified by the death of Sir David Amess.

“Sir David was a much-respected and well-liked MP who cared deeply about serving his constituents, something he had done with distinction for nearly four decades.

“One of the longest-serving Members of Parliament, his contribution to public life was vast and he will be sorely missed by those in Southend and in the Conservative Party.

Paul Davies MS said: “We are horrified by the death of Sir David Amess (Pictured)

“Sadly, this shocking and abhorrent incident once again highlights the dangers that public servants can face, all of whom should be able to conduct such duties helping those they represent in safety.

“Our thoughts are with his family and friends. May he rest in peace.”

Stephen Crabb MP took to social media to say: “Love and prayers for the family of Sir David Amess MP this afternoon. Just devastating. Funny, wise, compassionate, and such a good friend to so many of us.

“It was a delight to interview Sir David Amess back in May for a virtual book launch for his autobiography. So much warmth, humanity and love of the job he did so assiduously for almost 40 years. Parliament has lost one of its finest today.”

The MP for Southend West was stabbed at Belfairs Methodist Church in Leigh-on-Sea, in Essex. He was there for one of his regular Friday meetings with his constituents.

Just 15 minutes before the attack, the 69-year-old was standing on the church steps, chatting and laughing with locals.

At around 12:05 PM, Sir David walked into the church alongside two female members of his staff to meet some more constituents.

Local councillor John Lamb said that it was then that the attacker emerged from a small group of waiting constituents and attacked Sir David, stabbing him several times.

“I’m told that when he went in for his surgery there were people waiting to see him, and one of them literally got a knife out and just began stabbing him,” Mr Lamb said.

Police arrived at the scene in Eastwood Road North within minutes where they found the MP with multiple injuries and arrested a man.

“We knew it must be very serious because the paramedics had been working on Sir David for over two and a half hours and they hadn’t got him on the way to hospital,” Mr Lamb told the PA news agency.

At 14:13 an air ambulance arrived at a nearby sports ground to move him to hospital. However, members of his team began to fear the worst as paramedics remained at the scene.

Shortly before 15:00, Essex Police said Sir David had died.

At a press conference later Chief Constable BJ Harrington said officers and paramedics had worked extremely hard to save the MP.

Questions are now being raised about security arrangements for politicians working in their constituencies.

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Family of property developers sentenced for fifteen counts of fraud

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Four property developers were sentenced on Friday (October 15) at Swansea Crown Court to two years imprisonment suspended for 12 months each for multiple counts of mortgage and investment fraud worth over £1m.

Audrey Osborne, 65, and her sons Gary Moore, 43, Clayton Moore, 46 and Ian Moore, 44 pleaded guilty to fifteen counts of fraud, including conspiracy to commit fraud, obtaining money transfers by deception and fraud, following an investigation by South Wales Police Economic Unit.

Osborne ran a mortgage brokerage business, Credence Finance Limited operating all over Wales. This company was used as a vehicle to submit multiple false declarations of income in support of mortgage applications.

In addition to the mortgage frauds, the family secured a number of investors in Dreamscape Homes, including family friends, employees and Credence customers. The investors provided amounts of around £25k, some re-mortgaging their own homes to do so. They received Share Certificates in return. None of the investors received a return as the land was never developed.

John Sheehan of the CPS said: “Between them, Audrey Osborne and her sons committed 15 offences of dishonesty, misleading mortgage providers and betraying the trust placed in them by friends, employees and customers. They did so for their own personal benefit and only admitted their wrongdoing late in the proceedings.

“The CPS will now pursue confiscation proceedings against them to ensure they have not benefitted from their criminal conduct and, if possible, to compensate the victims.”

The CPS is committed to working alongside the government and law enforcement to provide a multi-agency response to combat all types of fraud.

Specialist Fraud Prosecutors work to seek justice in a variety of cases including those that cause the greatest harm to the public, particularly involving vulnerable victims.

The prosecution of the case was led by the CPS Specialist Fraud Division, a dedicated CPS team playing a leading role in the fight against serious and complex economic crime and the financial exploitation of the public, using specialist legal expertise to deliver justice.

The full sentences imposed at Swansea Crown Court are as follows:

Audrey Osborne was sentenced to two years imprisonment suspended for 12 months.

Gary Moore was sentenced to two years imprisonment suspended for 12 months.

Clayton Moore sentenced to two years imprisonment suspended for 12 months.

Ian Moore was sentenced to two years imprisonment suspended for 12 months.

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Parents’ tribute to ‘perfect baby girl’ following fatal collision in Llanelli

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THE PARENTS of a six-month-old baby killed in a collision in Llanelli on Friday (8 October) have paid tribute to their “perfect baby girl” who they say was “a gift from God”.

Eva Maria Nichifor died following a collision involving a blue 3 series BMW and a blue Vauxhall Vectra at the Heol Goffa crossroads in Llanelli at around 9pm.

Eva Maria’s parents Florin and Carmen, who originate from Romania, but now live in Llanelli, have issued the below tribute in English and Romanian.

“We are distraught by our loss. Eva Maria, only six months old, will be missed by us all.

“She was our miracle, our perfect baby girl, a gift from God. She will always be in our hearts.

“We would like to thank everyone for their support at this horrific time. It has meant so much to the whole family.

“We would now like time to grieve and would ask to be given privacy in which to do so.”

Romanian translation:

Suntem foarte supărați pentru pierderea noastră. Eva Maria, avea doar 6 luni si cu toții ii vom simți lipsa.

Ea a fost minunea noastră, un copil perfect și un dar dat de Dumnezeu. Va fi in inimile noastre pentru totdeauna.

Va mulțumim tuturor pentru susținerea voastră in aceste vremuri dificile, înseamnă foarte mult pentru noi.

Am vrea acum puțin timp sa ne adunam in liniște alături de familia noastră.

A woman has been charged with causing Eva Maria’s death by dangerous driving.

Lucy Dyer, aged 23, of Heulwen Terrace, Llanelli, was remanded in custody following the court hearing at Llanelli Magistrates’ Court on Monday (11 October). 

She is due to appear before Swansea Crown Court on Friday, 12 November.  She was also charged with drink-driving.

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