Translate the text from English to Welsh.



 
Good health education and training is essential to maintain and improve the standards of service provided to patients across the UK. 


In recent years, a number of reports about medical education have led to changes being introduced to the education and training programs, these include the independent inquiry into Modernising Medical Careers, led by Sir John Tooke in 2007\. It called for a more flexible and broad based approach to medical training; integrating both training and service objectives into workforce planning. Other inquiries highlighted the need to further develop the current structure of postgraduate medical education and training to ensure it supports and responds to society’s changing needs.


In 2011 it was agreed further work was necessary and that this work should led by an independent chair, Professor David Greenaway Vice Chair of Nottingham University, who was appointed in February 2012\.


Building on earlier work the key tasks were to consider and make recommendations in relation to the following areas


 


* **Workforce needs: Specialists or generalists** \- The current model of medical training is based on a high degree of specialisation and sub\-specialisation of medical practice. There are currently more than 60 specialties and over 35 sub\-specialties.
* **Breadth and scope of training** – Consideration of how trainees can be better supported in gaining the right mix of knowledge, skills and behaviours to prepare them for the different environments and contexts in which care is provided.
* **Training and service needs** – Consideration of the  role trainees should have within the service and how the competing needs of the service and training can be addressed.
* **Patient needs** – Developing training structures that provide clarity about the competencies attained by individuals and the roles and responsibilities of trainees and trained doctors.
* **Flexibility of training** – Exploring ways that trainees and trained doctors  can  move into another specialty to which they may be better suited or when the nature of medical practice, or patient or service needs, have changed.


 


On 29th October the culmination of this work was published:   Shape of Training: Securing the future of Excellent Patient Care was published. 


This review is set against the backdrop of the changing needs of patients across the UK and the consequent need to address more chronic illness and with patients presenting with multiple and complex conditions. This is a result of unhealthy lifestyles and an ageing population. The Report makes a number of recommendations aimed at ensuring doctors have the appropriate skills, competences and aptitudes to meet these changing needs. It also focusses on the need to redress the balance between doctors trained to provide generalist care and those trained for more specialist care. The background and aims of the report are consistent with the requirements of NHS Wales that the workforce be flexible enough to adapt to change with patient safety, continual improvement and dignity and respect at the heart of the service provided.


The full report can be found at:  

http://www.shapeoftraining.co.uk/reviewsofar/1732\.asp


I welcome the broad thrust of the report and the collaborative approach with which it has been developed. All four countries across the UK have been involved in the discussions, workshops and wider evidence gathering exercises which informed this final Report.  

It is now for Governments across the UK to consider these proposals in detail and agree which will be confirmed and taken forward. The Welsh Government is currently in discussion with the UK Government and the other devolved administrations to agree how this work will be taken forward. I made it clear when I met with Professor Greenaway earlier this year that I welcome opportunities for Wales to be involved in any pilot programmes to inform these developments.


I am keen that this Report is acted upon quickly, but we must ensure the new arrangements we agree to put in place are appropriate and longlasting. In the coming months there will be opportunities for Members to become involved in awareness sessions about what the Report might mean in practice and further details of these opportunities will be made available shortly.I am also conscious that while this Report focusses on postgraduate training for doctors it must be set in the wider health education agenda.  For example, there has been a call from the Royal College of General Practitioners for an increase in the duration of their training. This must now be considered against the proposal in the Greenaway Report for a wider focus on generalist training, 


Increasingly there are new roles being created which enable doctors to be freed up to focus on those things for which they have received extensive training, while others are able to undertake some of the duties they have traditionally undertaken.  Any shift in responsibilities must of course be driven by the need to ensure patient safety but there are many examples of good innovative practice being undertaken across Wales. We need to harness these efforts and share ideas across the NHS.


It is important that discussions around workforce planning, role design and education commissioning are undertaken in a multi professional way and not in isolation because there are inevitable dependencies which exist across the workforce.


In order to promote this approach I have decided to explore how these functions can be brought together across all aspects of the health education agenda without the need to negotiate separate organisational boundaries and agendas. In the coming months work will begin to agree a way forward on this and I will keep Members informed of progress.


 


 


 







Translation:


 
Mae addysg a hyfforddiant iechyd da yn hanfodol er mwyn cynnal a gwella safonau’r gwasanaeth a ddarperir i gleifion ar draws y DU. 

Yn ystod y blynyddoedd diwethaf, mae nifer o Adroddiadau am addysg feddygol wedi arwain at gyflwyno newid i raglenni addysg a hyfforddiant, ac mae’r rhain yn cynnwys yr ymchwiliad annibynnol i Foderneiddio Gyrfaoedd Meddygol, dan arweiniad Syr John Tooke yn 2007\. Roedd yn galw am ddull mwy hyblyg ac eang o hyfforddiant meddygol, gan integreiddio hyfforddiant ac amcanion gwasanaeth i gynllunio’r gweithlu. Roedd ymchwiliadau eraill wedi tynnu sylw at yr angen i ddatblygu strwythur addysg a hyfforddiant meddygol ôl\-raddedig cyfredol ymhellach er mwyn sicrhau ei fod yn cefnogi ac yn ymateb i anghenion cyfnewidiol cymdeithas.

Yn 2011 cytunwyd bod angen gwneud rhagor o waith ac y dylai cadeirydd annibynnol arwain y gwaith hwn, a phenodwyd yr Athro David Greenaway, Is\-gadeirydd Prifysgol Nottingham, ym mis Chwefror 2012\.  

Gan adeiladu ar waith cynharach, y prif dasgau oedd ystyried a gwneud argymhellion mewn perthynas â’r meysydd canlynol

* Anghenion y gweithlu: Arbenigwyr neu gyffredinolwyr – Mae’r model cyfredol o hyfforddiant meddygol yn seiliedig ar lefel uchel o arbenigedd ac is\-arbenigedd mewn ymarfer meddygol.  Ar hyn o bryd mae mwy na 60 o arbenigeddau a dros 35 o is\-arbenigeddau.
* Hyd a lled yr hyfforddiant – Ystyriaeth o sut y gall hyfforddeion gael cefnogaeth well wrth ennill y cymysgedd iawn o wybodaeth, sgiliau ac ymddygiadau i’w paratoi nhw ar gyfer gwahanol amgylcheddau a chyd\-destunau darparu gofal.
* Anghenion hyfforddiant a gwasanaeth – Ystyriaeth o rôl hyfforddeion o fewn y gwasanaeth a sut y gellir ymdrin ag anghenion gwasanaeth a hyfforddiant sy’n cystadlu â’i gilydd.
* Anghenion y claf – Datblygu strwythurau hyfforddi sy’n egluro’r cymwyseddau a gyflawnir gan unigolion a rolau a chyfrifoldebau hyfforddeion a meddygon hyfforddedig.
* Hyblygrwydd yr hyfforddiant – Dod o hyd i ffyrdd y gall hyfforddeion a meddygon hyfforddedig symud ymlaen at faes arbenigol arall sy’n fwy addas ar eu cyfer neu pan fydd natur yr ymarfer meddygol, neu anghenion y cleifion neu’r gwasanaethau, wedi newid.

Ar 29 Hydref cyhoeddwyd penllanw’r gwaith hwn, sef ‘Datblygu Hyfforddiant: Sicrhau dyfodol Gofal Rhagorol i Gleifion’ (Shape of Training: Securing the future of Excellent Patient Care).Yn gefndir i’r adolygiad hwn mae’r anghenion cyfnewidiol gan gleifion ar draws y DU, ac yn sgil hynny yr angen i ymdrin â salwch mwy cronig, gyda chleifion yn dioddef o gyflyrau niferus a chymhleth. Mae hyn yn ganlyniad ffyrdd o fyw afiach a phoblogaeth sy’n heneiddio. Ceir nifer o argymhellion yn yr adroddiad sy’n anelu at wneud yn siŵr fod y sgiliau, y cymwysterau a’r doniau priodol gan feddygon i ddiwallu’r anghenion cyfnewidiol hyn. Mae’r adroddiad hefyd yn canolbwyntio ar yr angen i unioni’r cydbwysedd rhwng meddygon sydd wedi’u hyfforddi i ddarparu gofal cyffredinol a’r rheini sydd wedi’u hyfforddi i roi gofal mwy arbenigol. Mae cefndir ac amcanion yr adroddiad yn gyson â gofynion GIG Cymru fod y gweithlu’n ddigon hyblyg i addasu ar gyfer newid, gyda diogelwch, gwelliant parhaus, urddas a pharch at gleifion wrth wraidd y ddarpariaeth honno.

Mae’r Adroddiad llawn i’w weld yma:

http://www.shapeoftraining.co.uk/reviewsofar/1732\.asp

Rwy’n croesawu byrdwn cyffredinol yr Adroddiad a’r dull cydweithredol o’i ddatblygu. Mae pedair gwlad y DU wedi bod yn cymryd rhan yn y trafodaethau, y gweithdai a’r ymarferion casglu tystiolaeth ehangach a lywiodd yr adroddiad terfynol hwn.

Mater i’r Llywodraethau ar draws y DU nawr yw ystyried y cynigion hyn yn fanwl a chytuno ar y rhai i’w cadarnhau a’u datblygu ymhellach. Mae Llywodraeth Cymru ar hyn o bryd yn cynnal trafodaethau â Llywodraeth y DU a’r gweinyddiaethau datganoledig eraill er mwyn cytuno ar sut y caiff y gwaith hwn ei ddatblygu. Wrth gyfarfod â’r Athro Greenaway yn gynharach eleni eglurais fy mod yn croesawu cyfleoedd i Gymru gymryd rhan mewn unrhyw raglenni peilot i lywio’r datblygiadau hyn.

Rwy’n awyddus bod yr argymhellion yn yr Adroddiad yn cael eu gweithredu’n fuan, ond rhaid inni sicrhau bod y trefniadau newydd yr ydym yn cytuno arnynt yn rhai priodol a pharhaol. Yn y misoedd nesaf bydd cyfleoedd i Aelodau gymryd rhan mewn sesiynau codi ymwybyddiaeth am yr hyn y gall yr Adroddiad ei olygu’n ymarferol, Bydd rhagor o fanylion am y cyfleoedd hyn ar gael cyn bo hir. Rwyf hefyd yn ymwybodol bod yn rhaid i’r Adroddiad hwn fod yn berthnasol i’r agenda addysg iechyd ehangach er ei fod yn canolbwyntio ar hyfforddiant ôl\-raddedig i feddygon. Er enghraifft, mae Coleg Brenhinol yr Ymarferwyr Cyffredinol wedi galw am fwy o amser ar gyfer yr hyfforddiant. Rhaid ystyried hyn nawr yng ngoleuni’r cynnig yn Adroddiad Greenaway i ganolbwyntio’n fwy ar hyfforddiant cyffredinol.

Yn gynyddol mae rolau newydd yn cael eu creu sy’n galluogi meddygon i gael eu rhyddhau er mwyn canolbwyntio ar y pethau hynny y cawsant hyfforddiant dwys ar eu cyfer, tra bydd meddygon eraill yn gallu ymgymryd â rhai o’r dyletswyddau y maen nhw wedi’u gwneud yn draddodiadol. Wrth gwrs, rhaid i unrhyw newid mewn cyfrifoldebau fodloni’r angen i sicrhau diogelwch y claf, ond ceir llawer o enghreifftiau o ymarfer arloesol da yn digwydd ledled Cymru. Mae angen inni wneud yn fawr o’r ymdrechion hyn a rhannu syniadau ar draws y GIG.

Mae’n bwysig fod trafodaethau am gynllunio’r gweithlu, dylunio rolau a chomisiynu addysg yn digwydd mewn modd aml\-broffesiynol, ac nid ar wahân, gan fod dibyniaethau anochel yn bodoli ar draws y gweithlu.

Er mwyn hyrwyddo’r dull hwn rwyf wedi penderfynu edrych ar sut y gellir dod â’r swyddogaethau ynghyd ar draws yr holl agweddau ar yr agenda addysg iechyd heb fod angen negodi ffiniau ac agendâu sefydliadol ar wahân. Yn y misoedd nesaf bydd gwaith yn mynd rhagddo i gytuno ar y ffordd ymlaen, a byddaf yn rhoi’r wybodaeth ddiweddaraf am unrhyw gynnydd i’r Aelodau.