Glangwili General Hospital, Hywel Dda University Health Board

Contact Details
  • Address: Glangwili General Hospital, Hywel Dda University Health Board, Dolgwili Road, Carmarthen, Carmarthenshire, Wales, SA31 2AF
  • ICU Department Contact Details - 01267248702
  • Faculty Tutor Name: Dr Peter Havalda - peter.havalda@wales.nhs.uk 
Unit Structure
  • Number of Beds: 14 (8 level 3 and 6 level 2)               
  • Number of Admissions per year: Total: 437

Level 3:250 (57.2%)     Level 2:169 (38.7%)

  • Percentage of Elective vs Emergency Admissions: 

92.7% unplanned admissions vs 7.3% planned admissions

Overview of Case Mix within the Unit:
  • Non-invasive ventilatory support: 93/437 (21.3 %)
  • Invasive ventilatory support: 205/437 (46.9%)
  • Advanced cardiovascular support: 125/437 (28.6%)
  • Renal support: 79/437 (18.1%)

Source of admissions:

A&E: 167 (38%) admissions; Theatres- planned: 21 admissions (4.8%); Theatres- unplanned: 6 admissions (1.4%); Theatres- emergency surgery: 82 (18.8%); Ward admissions: 91 (20.8%); Repatriation: 10 (2.3%); Transfers from other ICU: 52 (11.9%); other hospital-not from ICU: 8 (1.8%)

Based on ICNARC CMP data 04/23-03/24

  • There is no split site working within this Unit
Research projects being undertaken within this Unit:

Unit participated/ participating/ setting up on TRIAL 65, ISARIC-CCP-UK, GENOMICC, REGAIN, REMAP-CAP, UK-ROX, PROTECT trial, MORF-UK

QIP- Sodium load in ICU (completed with outcome)

QIP- Review of citrate as a regional anticoagulation for RRT (completed with outcome)

QIP- blood glucose management in ICU (completed with outcome)

QIP- review of invasive ventilation in theatres and ICU

Regular participations on WICNARC, national projects and studies.

Projects and studies are involving SAS, trainees and AHP
Overview of the staffing for the Unit (including medical, ACCP, AHPs)
  • Split Consultant’s rota for ICM and Anaesthetics
  • Two Consultants during a working day on unit, one out of hours
  • Two on call doctors covering unit during 24 hrs (12hrs shifts), mix of staff grade doctors, Anaesthetic and ICM trainees.
  • Day time FY Doctors helping in unit
  • IMT trainees joining unit during their block
  • SAS from other specialties during their placement

Training

Training opportunities when working at this Unit:
  • Training in point of care ultrasound 
  • Opportunity to attend theatre for airway experience 
  • Exposure to paediatric emergencies
  • Interhospital transfers 
  • Acting up as an ICM Consultant (for Stage 3 trainees) 
Departmental Teaching:
  • - Regular local FRCA and FICM teaching (provided monthly)
  • - 1/12 regional ICM teaching across Wales
  • - FUSIC heart supervisor available in hospital
  • - Frequent informal bedside teaching by consultants
  • - teaching WR
  • - MDT simulation meetings

Details of clinical governance meeting days and/or M & M:                             

  • Departmental CG are monthly, M&M and JC are currently incorporated into it.
  • In process of setting up separate ICM-M&M meetings and JC.
The medical specialties and subspecialties it is possible to complete within the Trust/Health Board:
  • Stage 1: Medicine & Anaesthesia   

Which SSYs are offered in your unit:                     

  • Transfer Medicine           
Other facilities: 

  • Staff parking place available

  • On call room provided

  • Trainees room with relevant IT system

  • Canteen available plus candy machines

  • Doctors office directly in ICU with relevant IT system in place