1. Prosiect Ysbyty Llandudno
Diweddariad gan y Tîm Prosiect Uned Mân Anafiadau Chwefror 2012
Llandudno Hospital Project
Update from Minor Injury Unit Project Team
February 2012

2. Tîm Prosiect Uned Mân Anafiadau Minor Injury Unit Project Team
Tîm Prosiect UMA nawr yn cyfarfod bob pythefnos (misol yn flaenorol) gydag aelodaeth fawr, yn cynrychioli’r holl randdeiliaid
Aelodau newydd o cyllid a phatholeg
Mae ein nod yn parhau i gwblhau’r cynllun busnes erbyn diwedd Mawrth 2012
MIU Project Team is now meeting on a fortnightly basis (was monthly) with a large membership, representing all stakeholders.
New members from finance and pathology
Our aim remains to complete the business case by end of March 2012
16/02/2018

3. Beth mae’r Tîm Prosiect wedi’i wneud ers mis Tachwedd What has the Project Team been doing since November?
Meysydd gwaith allweddol:
Adolygiad parhaus o’r ‘data’: pwy sy’n mynychu; pryd maen nhw’n dod i’r adran, a pham
Diffinio swyddogaeth a sgôp yr UMA
Eglurdeb ynghylch ‘model gwasanaeth’ y dyfodol – pa fath o ofal a ddarperir a phwy fydd yn darparu’r gofal?
Lle dylid lleoli’r UMA newydd ar y safle?
Sut mae cynllun mewnol yr UMA newydd yn edrych?
Key areas of work have been:
On-going review of the ‘data’: who the attenders are; when they come to department; and, why
Defining the role and scope of the MIU
Clarity about future ‘service model’ – what type of care will be delivered and who will provide this care?
Where should the new MIU be located on the site?
What does the internal layout of the new MIU look like?

4. Adolygiad parhaus o’r ‘data’ On-going review of the ‘data’
We now have a good understanding of:
How many people attend the MIU over the whole year, including the summer and winter periods
The times of the day/evening when people attend, including the ‘peak’ times over the week
The reasons people attend
The numbers of people who can be treated at the MIU and those who need to be referred elsewhere
Bellach, mae gennym ddealltwriaeth dda o:
Faint o bobl sy’n mynychu’r UMA dros flwyddyn gyfan, gan gynnwys dros yr haf a’r gaeaf
Amserau’r dydd/nos pan fydd pobl yn mynychu, gan gynnwys yr amserau brig dros yr wythnos
Y rhesymau bydd pobl yn mynychu
Y niferoedd o bobl y gellir eu trin yn yr UMA a’r rhai sydd angen cael eu hatgyfeirio i leoedd eraill

5. Diffiniad o’r UMA Definition of the MIU
We know from the review of the literature that there is no single agreed definition of the role of an MIU.
So, we need to be clear about what the role of the MIU at Llandudno Hospital is and the type of care that can and cannot safely provide.
Gwyddom wrth adolygu’r llenyddiaeth nad oes un diffiniad cytunedig sengl o swyddogaeth UMA.
Felly, mae’n rhaid i ni fod yn glir o ran beth yw swyddogaeth yr UMA yn Ysbyty Llandudno a’r math o ofal y gellir ac na ellir ei ddarparu’n ddiogel.

6. Pa fath o ofal y gellir ei ddarparu’n ddiogel a phriodol yn yr UMA
Pa fath o ofal y gellir ei ddarparu’n ddiogel a phriodol yn yr UMA? What type of care can be safely and appropriately delivered in the MIU?
Toriadau y gellir eu cau gyda thechnegau syml (stripio, gliw, pwythau)
Cleisiau
Corffyn estron
Cyrff estron ocwlar arwynebol anhreiddiol
Dilyn cyngor a roddwyd yn benodol gan MT i fynychu
Yn dilyn anaf diweddar, rhy ddifrifol i’w drin gyda chymorth cyntaf syml yn y cartref
Yn dilyn anaf diweddar lle tybir bydd angen pwythau
Yn dilyn ergydion i’r pen, ond ni chollwyd ymwybyddiaeth
Anaf diweddar i’r llygad
Llosgiadau neu sgaldadiau trwch thermal rhannol gan gynnwys croen a dorwyd (ddim dros 1 modfedd o ddiamedr, heb gynnwys y dwylo, wyneb, gwddf neu rannau cenhedlol)
Cyrff estron a fewnosodwyd yn arwynebol mewn meinwe
Mân drawma i’r dwylo, coesau, breichiau neu draed
Lacerations capable of closure be simple techniques (stripping, gluing suturing)
Bruises
Foreign bodies
Non-penetrating superficial ocular foreign bodies
Following advice to attend specifically given by GP
Following recent injury of a severity not amenable to simple domestic first aid
Following a recent injury where it is suspected stitches may be required
Following blows to the head where there has been no loss of consciousness
Recent eye injury
Partial thickness thermal burns or scalds involving broken skin ( not over 1 inch diameter, not involving hands, feet, face, neck or genital area
Foreign bodes superficially embedded in tissues
Minor trauma to hands, limbs or feet

7. Pwy fydd yn darparu’r gofal? Who will deliver the care?
Adolygwyd ystod o ddewisiadau gan edrych ar y staff a fydd yn darparu gofal mewn UMA. Yn gryno:
Staff meddygol (MT a/neu staff ysbyty) yn darparu gofal, gyda chefnogaeth staff nyrsio
Staff Nyrsio (Nyrsys Ymarferwyr Brys) yn darparu gofal, gyda chefnogaeth staff meddygol (MT a/neu staff ysbyty)
Cytunwyd ar restr o feini prawf i asesu pa opsiynau a fydd yn darparu’r gofal mwyaf priodol i’r math o gleifion y gellir eu trin yn yr UMA
We reviewed a range of options looking at the staff who will provide care in an MIU. In summary, these are:
Medical staff (GPs and/or hospital staff) providing care, supported by nursing staff
Nursing staff (Emergency Nurse Practitioners) providing care, supported by medical staff (GPs and/or hospital staff)
We agreed a list of criteria to assess which of these options will provide the most appropriate care for the types of patients who can be treated in the MIU

8. Pwy fydd yn darparu’r gofal? Who will deliver the care?
Y meini prawf yw:
Ansawdd gwasanaeth
Diogelwch
Hygyrchedd
Y gallu i ddarparu
Tryloywder
Canolwyd ar angen cleifion a theuluoedd
Fforddiadwy
Cynaladwyedd
The criteria are:
Service Quality
Safety
Accessibility
Deliverability
Transparency
Centred on need of patients and families
Affordability
Sustainability

9. Pwy fydd yn darparu’r gofal? Who will deliver the care?
O ganlyniad i’r gwaith hwn:
Darperir gofal yn yr UMA gan Nyrsys Ymarferwyr Brys, gyda chefnogaeth staff meddygol.
Mae’n bosibl bydd staff meddygol ar y safle am rywfaint o amser, ond nid bob amser
Gall Nyrsys Ymarferwyr Brys ddarparu’r math o ofal sydd ei angen yn yr UMA yn ddiogel
Mae hyn yn gyson gydag UMA ar draws y DU
As a result of this work:
Care in the MIU will be delivered by Emergency Nurse Practitioners, supported by medical staff.
Medical staff may be on site for some but not all of the time
Emergency Nurse Practitioners can safely provide the type of care that is needed at the MIU
This is consistent with MIUs across the UK

10. Pwy fydd yn darparu’r gofal? Who will deliver the care?
To achieve this:
We will have an ambitious training and development programme for our nursing staff to ensure that we have sufficient numbers of Emergency Nurse Practitioners to deliver care at the MIU in Llandudno
Emergency Nurse Practitioners are highly trained staff who have a wide range of clinical competencies who are able to provide safe care in an MIU
I gyflawni hyn:
Bydd gennym raglen hyfforddiant a datblygiad uchelgeisiol i’n staff nyrsio, i sicrhau ein bod â nifer ddigonol o Nyrsys Ymarferwyr Brys i ddarparu gofal yn UMA Llandudno
Mae Nyrsys Ymarferwyr Brys yn staff a hyfforddwyd yn helaeth sydd ag ystod eang o alluoedd clinigol ac yn gallu darparu gofal diogel mewn UMA

11. Lle bydd yr UMA yn cael ei lleoli? Where will the MIU be located?
Mae’r Tîm Prosiect wedi nodi tri lleoliad posibl ar gyfer yr UMA newydd ar safle’r ysbyty
Rydym nawr yn asesu bob un o’r safleoedd posibl er mwyn penderfynu pa safle fydd orau o ran maint, hygyrchedd a chynllun
The Project Team have identified three possible locations for the new MIU on the hospital site
We are now assessing each of these potential sites to determine which will be the best site in terms of size, access and layout

12. Sut bydd cynllun mewnol yr UMA yn edrych
Sut bydd cynllun mewnol yr UMA yn edrych? What will the internal layout of the new MIU look like?
I’n helpu i benderfynu pa gynllun fyddai orau ar gyfer yr UMA newydd, rydym yn ystyried:
Awgrymiadau gan staff sydd eisoes yn gweithio yn yr UMA presennol a wnaed ynghylch sut gellir gwella’r adeilad
Unrhyw gwynion am yr adeilad gan gleifion/gofalwyr
Unrhyw sylwadau am yr adeilad a godwyd mewn arolygon a ymgymerwyd gan Iechyd Cymunedol
Gofyn i gleifion am eu barn am yr adeilad presennol (cyfnod o bythefnos)
Nifer o bobl sy’n dod i’r adran; amserau’r dydd/wythnos mae’r adran brysuraf; a’r rheswm bydd pobl yn dod i’r adran
To help us determine the best layout for the new MIU, we are taking account of:
Suggestions that staff working in the current MIU have made about how the building could be improved
Any complaints about the building that have come from patients/carers
Any comments about the building that have been raised in surveys undertaken by the Community Health
Asking patients for their views about the current building (2 week period)
Number of people who come to the department; the times of the day/week when the department is busiest; and the reasons people come to the department

13. Sut bydd cynllun mewnol yr UMA yn edrych
Sut bydd cynllun mewnol yr UMA yn edrych? What will the internal layout of the new MIU look like?
Gyda’i gilydd, bydd hyn yn dweud wrthym:
Pa faint dylai’r UMA newydd fod?
Pa ystafelloedd/mannau mae angen i’r UMA newydd eu cael?
Lle dylid lleoli’r UMA newydd ar safle’r ysbyty?
Sut gellir ‘sicrhau dyfodol’ yr adran orau?
Together, this will tell us:
What size does the new MIU need to be?
What rooms/areas does the new MIU need to have?
Where should the new MIU be located on the hospital site?
How can we best ‘future proof’ the department?

14. Beth sy’n digwydd nesaf? What happens next?
Bydd y Tîm Prosiect yn parhau i weithio ar yr holl feysydd gyda’r nod o gynhyrchu cynllun busnes ar gyfer yr UMA newydd erbyn diwedd Mawrth
Bydd y cynllun busnes hwn yn mynd o flaen y Bwrdd Prosiect i’w adolygu
Bydd yr achos busnes wedyn yn cael ei anfon i Gyfarfod Bwrdd BIPBC cyn ei gyflwyno i Lywodraeth Cymru
Dechrau ar y gwaith ar y safle yn ystod 2012/13, yn ddibynnol ar dderbyn cyllid cyfalaf
The Project Team will continue to work on all these areas with the aim of producing a business case for the new MIU by the end of March
This business case will then go to the Project Board for review
The business case will then be taken to a Board meeting of the BCUHB prior to being submitted to Welsh Government
Work on site to commenced during 2012/13 subject to receipt of capital funding

15. Diolch
Unrhyw gwestiynau?
Thank you
Any questions?