ABMU Improvement Good news stories


Improving the Delivery Model for Chemotherapy as part of a Stream-Level Service Redesign using 6M Design®

As part of his Improvement Science Practitioner training Chris Jones, Improvement Science Practitioner Cancer Services, has been working with ABMU’s Chemotherapy team in Improving the Delivery Model for Chemotherapy as part of a Stream-Level Service Redesign using 6M Design®.

He has had the work published in three parts on the Journal of Improvement Science. The essays detail how the team are learning and applying the theory, techniques and tools of health care systems engineering (HCSE) … and delivering significant and sustained improvements on all dimensions – safety, flow quality and productivity.

This work was also shortlisted in the 2016 UK Patient Safety Awards.

Recent Awards

Lymphoedema Network Wales scoops national Patient Safety award

Staff bulletin - 6th July 2016

Mel and her team accepting the Procurement award.

Lymophoedema Network Wales, based in Cimla Hospital, has beaten off competition from across the UK to scoop a national patient safety award.

Clinical lead Melanie Thomas and her team impressed judges at the 2016 Patient Safety Awards for the work they've done in collaboration with NHS Wales Procurement Services, the Surgical Materials Testing Laboratory, clinicians and service users. It has enabled the development of an all Wales compression garment contract and a national formulary for Wales. This has ensured that garments being procured and dispensed are the right products for the best outcome and at the right price. It has also reduced waste, harm and variation and ensured prudent prescribing and procurement.

The work led to the netowrk winning the Procurement patient safety award, with Mel and her team beating off stiff competition from trusts in Derby, Hertfordhsire, Nottingham and the North Midlands.

Four ABMU health board projects were also shortlisted at the awards,  held in Manchester - more than any single health organisation.

The Chemotherapy Day Unit at Singleton Hospital and the Sarcoma team at Morriston were both finalists for the Cancer award category. Princess of Wales Hospital Elderly Care advanced nurse practitioner Wendy Mashlan was a finalist in the Clinical Leadership category and Medical Devices/Infection Control and Morriston Emergency department were also shortlisted for the Procurement award.

Many congratulations to all!


ABMU has four shortlisted schemes in national safety awards

Press release - 8th June 2016

Four ABMU Health Board projects have been shortlisted in the 2016 UK Patient Safety Awards, taking place in Manchester next month.

Two projects have been shortlisted under ‘Cancer Care’, one in ‘Clinical Leadership’ and the fourth under ‘Procurement’. And the Lymphoedema Network Wales, which is based in Cimla Hospital and led by clinical lead Melanie Thomas and her team, has also been shortlisted in the Procurement category.

Now in its eighth year, the Patient Safety Awards recognise and reward outstanding practice within the NHS and independent healthcare organisations.

Cancer Care

The Chemotherapy Day Unit at Singleton Hospital, Swansea, was shortlisted for reducing delays in patients receiving treatment. The team investigated why there were hold-ups in some chemotherapy arriving in time for patients’ appointments and improved the processes to get around this. Now more patients – up to seven more per day – can be treated.

Our Sarcoma team in Morriston Hospital, Swansea, recognised that because soft tissue sarcoma in a rare cancer, a suspected case may take longer to be referred to a specialist. Soft tissue sarcomas are cancers of the supporting tissues of the body, including muscles, fat and blood vessels.

The team set up clinics staffed with specialist sarcoma clinicians. The clinics now run weekly in both ABMU and Hywel Dda university health boards, and patients can be referred by GPs and radiologists. If a lump is suspected of being a sarcoma, patients proceed right to a sarcoma specialist radiology consultant for further investigation. Also, patients whose lumps are diagnosed as benign, now get early reassurance.

Clinical Leadership

Elderly Care Advanced Nurse Practitioner Wendy Mashlan, in the Princess of Wales Hospital in Bridgend was shortlisted for developing a team of 10 advanced nurse practitioners (ANP) specifically to help deliver high standards of care to older, frail, patients.

Improvements have included an ANP inpatient referral system which identifies patients across the hospital who need to be assessed elderly specialist care; identifying patients early on and the development of an ANP-led community hospital frailty clinic.


Our Medical Devices department, Infection Control team and staff at Morriston Hospital Emergency Department worked together to improve the way IV cannulation is given to patients.

Intravenenous cannulae are used to give patients drugs, fluids and blood products. In ABMU in 2015,over 300,000 cannula were bought; and one in three patients will have one in place at any one time. However there can be problems with these common devices, including infections and medication leaking into surrounding tissue.

This project developed safer and more effective ways of inserting and monitoring IV cannulae, and an all-Wales contract is now out to tender for a dedicated insertion pack, which will result in a national minimum standard for NHS Wales.

Compression garments are the mainstay of lymphoedema treatment. The Welsh Government Lymphoedema Strategy 2009 recommended central purchasing of compression garments ensuring best outcome for patients and value for money.

Since the development of Lymphoedema Network Wales in 2011, collaboration between NHS Wales Procurement Services, the Surgical Materials Testing Laboratory (SMTL), clinicians and most importantly service users, have enabled the development of an all Wales compression garment contract and a national formulary for Wales.

This has ensured that garments being procured and dispensed are the right products for the best outcome and at the right price. It has also reduced waste, harm and variation and ensured prudent prescribing and procurement.

Trio of ABMU projects shortlisted for NHS Wales Awards

Press Release – 6th May 2016

ABMU Health Board is celebrating after three of its projects made the finals of this year’s NHS Wales Awards.

The health board is up for the following awards:

  • Citizens At The Centre Of Service Re-Design And Delivery (supported by Wales Council for Voluntary Action) for work developing ‘Soothing Patient Anxiety’ (SPA) - a unique approach to co-production in meeting the needs of complex patients requiring surgical interventions. Princess of Wales Hospital operating department practitioner Paul Harris and his team try to take the fear out of dental work for patients of all ages by playing their favourite film or music as they go under general anaesthetic. He also has an array of props including disco lights to help make patients feel at ease. 
  • Promoting Clinical Research and Application to Practice (supported by BMA Cymru Wales) for establishing a dedicated team to increase research activity in the Women and Child Health Directorate. ABMU’s first research midwife Sharon Jones, who is based at Singleton Hospital, and a multi-disciplinary collaboration have succeeded in building up knowledge and expertise to help improve outcomes and the experience of mums-to-be and their children.
  • Students Improving Patient Safety and Quality (supported by 1000 Lives Improvement Student and Educator Community) for a joint project to develop a digital data collection platform for Wales. 

Staff nurse Rose Edwards, Paul Harris and consultant anaesthetist Shakeel Moideen, part of the Spa – Soothing Patient Anxiety- team making each patient’s hospital visit a pleasant one.

Director of Human Resources Beverley Edgar said: “We are delighted our staff will be once again be recognised at the awards.

Research midwives (from left) Helen Davies, Sharon Jones andTrudy Smith at Singleton Hospital.

“The competition is fierce, so to secure three finalist applications is a huge success and reflects the hard work and determination of these teams. We hope they get the recognition they deserve at the ceremony.”

The annual NHS Wales Awards celebrate the work of organisations and teams across Wales in delivering excellent care and the winners will be announced in a ceremony on 23rd September.

This year the Awards received 167 entries and the judging panel of NHS experts had the tough task of selecting the 24 finalists in eight award categories.

The next stage is for the judging panels to visit each finalist to find out more and see first-hand the benefits they’ve brought to patients.

The NHS Wales Awards are organised by 1000 Lives which is the national improvement service for NHS Wales delivered by Public Health Wales. They were launched in 2008 to celebrate the 60th anniversary of the NHS.

For a full list of finalists please visit www.nhswalesawards.wales.nhs.uk