Translate the text from English to Welsh.



 
Earlier this week, we published *Health and Social Care in Wales COVID 19: Looking Forward*, which sets out our approach to drive recovery and planning for the Health and Social Care sector in Wales, by building on new ways of working and opportunities to do things differently following the COVID\-19 pandemic.  


The COVID\-19 pandemic has had a profound effect upon the delivery of urgent and emergency care services and people’s behaviour in how they access these services.  While undoubtedly challenging, the pandemic has demonstrated the ability of our health and social care system to adapt quickly and has acted as a catalyst for testing innovative, outcome\-focused approaches, with a renewed focus on delivering safe, person\-centred services.


*A Healthier Wales* set out our vision for transformation, innovation and delivery, by building on and accelerating our aspirations for our health and social care system.  We now have a unique opportunity to harness the key principles set out in *A Healthier Wales,* alongside learning we have taken from our experience of responding to the COVID\-19 pandemic over the past 12 months, to transform access to urgent and emergency care to improve experience and clinical outcomes and to deliver equitable services across Wales.


I am keen that we take every opportunity to learn and evolve while delivering modern health and care services that matter to people and meet their changing needs.  Through changing the way the urgent and emergency care system is both perceived and accessed by patients, our ambition is to:


* Ensure people receive the appropriate response, in the right setting, at the right time for the benefit of patients and staff;
* Optimise individual and population health outcomes and provide a better experience for all;
* Reduce pressures on key parts of the system to create capacity to focus on our sickest and most vulnerable patients; and
* Reduce risk of harm to patients by minimising avoidable healthcare contacts.


The transformation of access to urgent and emergency care will be supported by £25m recurrent funding from 2021/22 onwards.  This will enable accelerated delivery of a small number of key deliverables that, when taken together and seamlessly linked, form part of a transformed and integrated urgent and emergency care access model.


These key deliverables will focus on:


* Continued implementation of Contact First models to enable people to be signposted to the right place, first time according to their needs;
* Implementation of Urgent Primary Care Centre models to enable people with urgent primary care needs to more easily access advice, assessment and care closer to home;


* Enhancing the clinical response model for ambulance services to ‘hear, treat and refer’ people by providing clinically safe alternatives to transport to Emergency Departments and enable better management of people’s health needs in the community; and
* Effective implementation of same day emergency care services across Wales to enable people to be assessed, diagnosed and start treatment on the same day, improving patient experience and reducing unnecessary admissions to hospital.


While these initiatives have been established with national direction and funding over recent years, recurrent funding will enable longer term transformative and sustainable planning to embed and enhance these services for the future.


This recurrent funding will be managed nationally, with clear direction, expectations and milestones set for progress against the key deliverables.  A national transforming access to urgent and emergency care delivery plan will also be established with timescales, outcomes and outputs that can be measured and monitored.







Translation:


 
Yn gynharach yr wythnos hon cyhoeddwyd *Gwella Iechyd a Gofal Cymdeithasol yng Nghymru \- COVID\-19: Edrych tua’r Dyfodol*, sy'n nodi ein dull gweithredu o ran ysgogi adferiad a chynllunio i'r sector Iechyd a Gofal Cymdeithasol yng Nghymru, trwy weithio ar ffyrdd newydd o weithio a chyfleoedd i wneud pethau yn wahanol yn dilyn pandemig COVID\-19\.  


Mae pandemig COVID\-19 wedi cael effaith ddwys ar ddarparu gwasanaethau gofal brys a gofal mewn argyfwng ac ymddygiad pobl o ran sut y maent yn cael mynediad at y gwasanaethau hyn.  Er bod y pandemig yn heriol, mae wedi dangos gallu ein system iechyd a gofal cymdeithasol i addasu yn gyflym ac mae wedi bod yn sbardun ar gyfer profi Dulliau gweithredu sy'n canolbwyntio ar canlyniadau, gyda ffocws newydd ar darparu gwasanaethau diogel, sy'n canolbwyntio ar yr unigolyn.


Nododd *Cymru Iachach* ein gweledigaeth ar gyfer trawsnewid, arloesi a darparu, trwy adeiladu ar ein dyheadau ar gyfer ein system iechyd a gofal cymdeithasol a rhoi sbardun iddynt. Mae gennym gyfle unigryw bellach i fanteisio ar yr egwyddorion allweddol a nodir yn *Cymru Iachach,* ochr yn ochr â'r gwersi a ddysgwyd o'n profiad o ymateb i bandemig COVID\-19 dros y flwyddyn ddiwethaf, i drawsnewid mynediad at ofal brys a gofal mewn argyfwng i wella profiad a chanlyniadau clinigol ac i ddarparu gwasanaethau teg ledled Cymru.


Rwyf yn awyddus inni achub pob cyfle i ddysgu ac esblygu wrth ddarparu gwasanaethau iechyd a gofal modern sy'n bwysig i bobl ac sy'n diwallu eu hanghenion newidiol. Trwy newid y ffordd y mae cleifion yn gweld y system gofal mewn argyfwng ac yn cael mynediad ati, ein huchelgais yw:


* Sicrhau bod pobl yn cael yr ymateb priodol, yn y lle iawn, ar yr adeg iawn er budd cleifion a staff;
* Manteisio ar ganlyniadau iechyd yr unigolyn a'r boblogaeth a darparu profiad gwell i bawb;
* Lleihau'r pwysau ar rannau allweddol o'r system i greu capasiti i ganolbwyntio ar ein cleifion mwyaf sâl a mwyaf agored i niwed; a
* Lleihau'r risg o niwed i gleifion trwy gadw cyswllt y gellir ei  osgoi â gofal iechyd i'r lleiaf posibl.


Caiff y gwaith o drawsnewid mynediad at ofal brys a gofal mewn argyfwng ei gefnogi gan gyllid cylchol o £25m o 2021/22 ymlaen.  Bydd hyn yn hwyluso'r gwaith o gyflawni nifer bach o ganlyniadau allweddol sydd, o'u cymryd gyda'i gilydd a'u cysylltu’n ddi\-dor, yn ffurfio rhan o fodel integredig a fydd yn trawsnewid mynediad at ofal brys a gofal mewn argyfwng.


Bydd y canlyniadau allweddol hyn yn canolbwyntio ar y canlynol:


* Parhau i roi modelau Cysylltu’n Gyntaf ar waith i alluogi pobl i gael eu hatgyfeirio at y lle iawn y tro cyntaf yn ôl eu hanghenion;
* Rhoi modelau Canolfannau Gofal Sylfaenol Brys ar waith i alluogi pobl ag anghenion gofal sylfaenol brys i gael mynediad haws at gyngor, asesiad a gofal yn agosach at y cartref;


* Gwella'r model ymateb clinigol i wasanaethau ambiwlans 'glywed, trin ac atgyfeirio' pobl trwy ddarparu dewisiadau amgen i drafnidiaeth i Adrannau Argyfwng a galluogi anghenion iechyd pobl i gael eu rheoli'n well yn y gymuned; a
* Rhoi gwasanaethau gofal mewn argyfwng ar waith yn effeithiol ledled Cymru i alluogi pobl i gael asesiad, diagnosis, a dechrau triniaeth ar yr un diwrnod, gan wella profiad y claf a lleihau derbyniadau diangen i'r ysbyty.


Er bod y mentrau hyn wedi'u sefydlu gyda chyfeiriad a chyllid dros y blynyddoedd diwethaf, bydd cyllid cylchol yn hwyluso cynllunio trawsnewidiol a chynaliadwy tymor hwy i sefydlu a chryfhau'r gwasanaethau hyn yn y dyfodol.


Caiff y cyllid cylchol hwn ei reoli'n genedlaethol, gyda chyfeiriad, disgwyliadau a cherrig milltir yn cael eu pennu ar gyfer cynnydd yn erbyn y canlyniadau allweddol. Caiff cynllun cyflawni cenedlaethol ar gyfer trawsnewid mynediad at ofal brys a gofal mewn argyfwng ei sefydlu gydag amserlenni, canlyniadau ac allbynnau y gellir eu mesur a'u monitro.