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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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Cllr Kevin Madge elected as new county council Chairman

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THE new chair of Carmarthenshire County Council said he will work tirelessly during his term of office.

Cllr Kevin Madge, member for Garnant, takes the chain of office whilst celebrating 40 years as a councillor.

Taking the chair, Cllr Madge paid tribute to outgoing chairman Cllr Mansel Charles, member for Llanegwad, saying he had fulfilled his duties with passion.

Cllr Madge will chair the council for the next 12 months, with Cllr Ieuan Davies, member for Llanybydder, as his vice chair, and his wife Catrin as his consort.

“I’m very much looking forward to the year ahead, I will do my best for everyone. I will work tirelessly,” he said.

Cllr Madge has chosen the Trussell Trust, which supports a nationwide network of food banks and emergency food provision for people in crisis, as his Chairman’s Charity of the Year.

The Chair is the first citizen of Carmarthenshire County Council, and is elected at the Annual General Meeting.

Duties include chairing full meetings of the council, representing the council at formal and ceremonial occasions, welcoming visitors to the county, and attending and supporting events organised by local people and organisations.

Cllr Madge has been a county councillor since 1996, and a member of Cwmaman Town Council since 1979.

He also serves as chairman of the Royal British Legion Garnant branch, Garnant Family Centre and Cwmaman Meals on Wheels, and is a member of Amman Valley League of Friends.

He represents the county council on the Brecon Beacons National Park Authority, and the Mynydd y Betws Wind Farm Community Fund, and is on the governing body of Ysgol Y Bedol.

A former pupil of Amman Valley School, Cllr Madge has worked in the Amman Valley throughout his life, most recently as agent and researcher to Dr Alan Williams MP until 2001.

A keen football supporter, he has served as chair and president of Cwmaman Football Club and spent 25 years as a Welsh League and Neath and District football referee.

He is married with two children and three grandchildren.

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‘UK Government should work with the Welsh Labour Government on Tata’

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LOCAL Assembly Member Lee Waters and Nia Griffith MP have called on the UK Government to work with the Welsh Labour Government to come up with a deal to protect steel making at Trostre, and across Wales and the UK.

Lee Waters AM met with representatives from Tata Steel on Wednesday to discuss the future for steel making at the plant following the reported collapse of the proposed joint venture with Thyssenkrupp.

During the meeting he stressed the need to protect the entire steel supply chain in Wales, including the high quality jobs at Trostre, and those that depend on its presence in Llanelli.

Lee Waters AM said “It’s clear that the support Welsh Government provided during the crisis of 2016 has been critical in getting extra investment into Port Talbot which will secure the works for years to come. However, Tata is a company run from India, and we simply don’t know what the board will decide about its future strategy. They may well be looking for a new joint venture partner, so we’ll have to vigilant about the implications for our local plants.”

“Tata has said it intends to continue with its existing business plan, and honor commitments made to the Trade Unions, so Nia and I will be keeping a close eye to make sure that happens.”

Welsh Government has been in active discussions with Tata steel following the collapse of the merger with Thyssenkrupp. In a written statement and during questions on Wednesday, the Welsh Government committed to invest in Welsh steel to protect its future and is looking at a range of measures to assist on energy costs, business rates and procurement of steel for public sector contracts.

Lee Waters AM said “The Welsh Government have given significant support to the steel industry here but it can’t do everything, and we now need the UK Government to work with them to ensure a future for skilled work in the steel industry in Llanelli and elsewhere in Wales.”

Nia Griffith AM said ““This latest news from Tata means yet more uncertainty for steelworkers. Their announcement about keeping Port Talbot is a start, but now we need real commitment from Tata on Trostre.

“We also need close cooperation from the company with the Trade Unions. Lee Waters AM and I will be urging the UK Government to follow Welsh Government in doing everything possible to secure the future of our steel industry.”

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MP and AM call for Trostre certainty after merger fails

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LOCAL ASSEMBLY MEMBER Lee Waters and Nia Griffith MP have called on the UK Government to work with the Welsh Labour Government to come up with a deal to protect steel making at Trostre, and across Wales and the UK.

Lee Waters AM met with representatives from Tata Steel on Wednesday to discuss the future for steel making at the plant following the reported collapse of the proposed joint venture with Thyssenkrupp.

During the meeting he stressed the need to protect the entire steel supply chain in Wales, including the high quality jobs at Trostre, and those that depend on its presence in Llanelli.

Lee Waters AM said “It’s clear that the support Welsh Government provided during the crisis of 2016 has been critical in getting extra investment into Port Talbot which will secure the works for years to come. However, Tata is a company run from India, and we simply don’t know what the board will decide about its future strategy. They may well be looking for a new joint venture partner, so we’ll have to vigilant about the implications for our local plants.”

“Tata has said it intends to continue with its existing business plan, and honor commitments made to the Trade Unions, so Nia and I will be keeping a close eye to make sure that happens.”

Welsh Government has been in active discussions with Tata steel following the collapse of the merger with Thyssenkrupp. In a written statement and during questions on Wednesday, the Welsh Government committed to invest in Welsh steel to protect its future and is looking at a range of measures to assist on energy costs, business rates and procurement of steel for public sector contracts.

Lee Waters AM said “The Welsh Government have given significant support to the steel industry here but it can’t do everything, and we now need the UK Government to work with them to ensure a future for skilled work in the steel industry in Llanelli and elsewhere in Wales.”

Nia Griffith AM said “This latest news from Tata means yet more uncertainty for steelworkers. Their announcement about keeping Port Talbot is a start, but now we need real commitment from Tata on Trostre.

“We also need close cooperation from the company with the Trade Unions. Lee Waters AM and I will be urging the UK Government to follow Welsh Government in doing everything possible to secure the future of our steel industry.”

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