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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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Cold temperatures likely to lead to icy conditions

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A YELLOW weather warning is in place over Wales from 10pm tonight (Jan 16) and 11am tomorrow morning (Jan 17).

As temperatures drop, there is a strong chance of ice patches causing dangerous conditions for motorists.

Icy patches developing with wintry showers also affecting some areas.

What to expect

  • Some injuries from slips and falls on icy surfaces
  • Probably some ice on some untreated roads, pavements and cycle paths
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Police target burglary suspects in dawn raids

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SIXTEEN addresses have been raided by police in an operation responding to a spate of high-value burglaries in the south Wales area.

Officers targeted locations in Fforest-Fach, Clase, Morrison, Brynhyfryd and Bonymaen following a year of thefts in the city and Neath Port Talbot.

Operation Timmia also saw locations in Swansea citry centre targeted by South Wales Police.

Six people have been arrested and remain in custody, The Llanelli Herald has been told.

The large scale operation used the police helicopter, forensics teams, financial investigators and cash-detecting dogs.

Police seized three caravans, a cannabis cultivation, large amounts of cash and jewellery, and a number of other items believed to be linked to crimes.

Detectives said those arrested are being held on suspicion of several offences, including conspiracy to commit burglary.

They have also issued an appeal to trace a further four suspects: Daniel Casey, 27; Terrence Casey, 19; Michael Casey, 18; and Patrick Joyce, 20.

All four men have links with the travelling community and are known to travel throughout the UK, said police.

“We know the recent spates of burglaries and car thefts across the division has been of real concern in our local communities and I hope the scale of this morning’s enforcement action reassures the public that we do take the matter seriously and that we are fully committed to bringing those responsible to justice,” said Det Insp Dave Peart.

“We now have a number of individuals in custody and enquiries are ongoing to locate a number of outstanding suspects.”

As part of the raids, officers searched an industrial unit in the Fforestfach area of the city, and nine caravans on Millstream Way traveller site.

The force said the investigation follow what has been described as a “high number of burglaries and aggravated burglaries in the past year”.

In some instances, homeowners were confronted by armed gangs who either threatened or inflicted violence.

Supt Cath Larkman added: “During some of the recent burglaries we’ve seen an increasing use of, or willingness to use, violence, so today’s action was absolutely proportionate and necessary to protect the public from further criminality and potential harm.”

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Band leader sexually assaulted 14-year-old cadet

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THE LEADER of an Army cadet band turned a kitchen into a sauna and sexually assaulted a naked teenage boy.

And Philip Pryor, now 65, used a British Legion computer to download child pornography.

Pryor, of Llys y Llyfgell, Burry Port, has been jailed for two and a half years.

Swansea Crown Court heard how Pryor had been the leader of an Army cadet band in Burry Port, which attracted members from across west Wales, as well as being a branch secretary for the British Legion.

Robin Rouch, prosecuting, said the Army had a hut in Burry Port which the band used for rehearsals and some cadets slept there, as did Pryor, before a concert.

A man who was a 14-year-old cadet at the time told police how Pryor would boil pans of water and place towels around doors and windows and turn the kitchen into a sauna.

Boys were encouraged to take off their clothes, as did Pryor.

On at least three occasions he touched the boy indecently, said Mr Rouch.

The victim did not complain until many years later after he had seen a television news item about young footballers being abused and confided in a friend about what had happened to him.

He later told police that at the time Pryor, who had played in a military band while serving in the Army, had told him that because of his standing in the community there was no point in complaining as no-one would believe him.

Mr Rouch said a police investigation began and officers removed a British Legion computer used by Pryor and found he had downloaded a small number of indecent images of schoolboys.

Pryor admitted three offences of indecent assault and one of possessing child pornography.

His barrister, Frank Phillips, said Pryor was now remorseful and ashamed and had lived as a recluse since his arrest.

Judge Geraint Walters told Pryor he had been in a position of trust.

“You targeted him and abused him more than once.

“The fact that he went to the police so many years later demonstrates the long lasting effect of what you did to him. It has never left him.

“It shows the wickedness of an adult taking advantage of a youngster.

“There was some grooming here in that you allowed him to have alcohol and cigarette.

“I accept you have led a blameless life since the offending but it is not possible for me to pass a sentence that could be suspended,” he added.

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