Translate the text from English to Welsh.



 
Following recent media coverage of the national reporting of emergency department data, I am taking this opportunity to clarify and confirm how clinical exceptions are applied in performance monitoring.


Media coverage has suggested that official statistics on emergency department waiting times for Wales have been under\-reported since 2011, when a category called “clinical exceptions” was introduced. The media coverage is incorrect. We have received assurances from health boards that exceptions are included in their figures.


Clinical exceptions (or breach exemptions) refer to when emergency department clinicians have deemed that patients require an additional, extended period of observation or treatment.


Nationally agreed guidance states that clinical exceptions should be included in the data reported by health boards to Digital Health and Care Wales (DHCW), with an agreed process for how waiting times for these patients are calculated and considered in performance monitoring.


Following the concerns raised, we sought immediate assurance from health boards that the data they submit to DHCW is in line with the guidance on reporting clinical exceptions.


Health boards have confirmed they are compliant with the guidance issued in 2011, which states clinical exceptions should be included in their monthly data.


An assessment of the Freedom of Information request submitted to health boards by the Royal College of Emergency Medicine (RCEM), and the information obtained, shows that the college has misinterpreted our guidance. We have seen no evidence to support the suggestion made by RCEM or the BBC that there has been under\-reporting or that our data is not comparable with England in the way we have previously claimed.


To clarify, Welsh Government statisticians do not exclude clinical exceptions from the data received from DHCW.


Welsh Government statisticians have worked with colleagues from the four UK nations to properly understand the basis of the respective emergency department statistics. Based on the guidance we have in place in Wales, we believe Wales’ statistics for major emergency departments are comparable to the statistics for England’s Type 1 A\&E departments.


That does not mean we are where we or the public would like to be in terms of emergency department performance. We are actively engaging clinical leaders and service users on how we can improve the quality of care in emergency departments, and this includes exploring more meaningful ways of measuring patient experience and outcomes.


We have also provided funding for the design and implementation of a ‘Summary Emergency Department Information Table (SEDIT)’ – used elsewhere in the UK – to enable clinicians to evaluate their department’s current demand, capacity, flow and outcomes, to understand why problems are occurring, and to target the root causes.


I am grateful to RCEM for continuing to fight for the best possible care for patients in our emergency departments and I hope we can continue closely working together to drive whole system improvements through our Six Goals for Urgent and Emergency Care national programme.







Translation:


 
Yn dilyn sylw diweddar yn y cyfryngau i adroddiadau cenedlaethol am ddata adrannau argyfwng, rwy'n manteisio ar y cyfle hwn i egluro a chadarnhau sut y defnyddir eithriadau clinigol wrth fonitro perfformiad.


Mae’r sylw yn y cyfryngau wedi awgrymu bod ystadegau swyddogol ynghylch amseroedd aros yn adrannau argyfwng Cymru wedi bod yn cael eu tangofnodi ers 2011, pan gyflwynwyd categori o'r enw "eithriadau clinigol". Mae'r wybodaeth yn y cyfryngau yn anghywir. Rydym wedi cael sicrwydd gan y byrddau iechyd bod eithriadau yn cael eu cynnwys yn eu ffigurau.


Mae eithriadau clinigol (neu ‘breach exemptions’) yn cyfeirio at adegau pan fydd clinigwyr mewn adrannau argyfwng wedi barnu bod angen i gleifion gael cyfnod ychwanegol ac estynedig o arsylwi neu driniaeth.


Mae’r canllawiau y cytunwyd arnynt yn genedlaethol yn nodi y dylid cynnwys eithriadau clinigol yn y data y mae byrddau iechyd yn eu hadrodd i Iechyd a Gofal Digidol Cymru, a chytunwyd ar broses ar gyfer cyfrifo ac ystyried amseroedd aros y cleifion hyn wrth fonitro perfformiad.


Ar ôl i’r pryderon gael eu codi, fe wnaethom ofyn am sicrwydd ar unwaith gan y byrddau iechyd bod y data y maent yn eu cyflwyno i Iechyd a Gofal Digidol Cymru yn unol â'r canllawiau ar adrodd am eithriadau clinigol.


Mae’r byrddau iechyd wedi cadarnhau eu bod yn cydymffurfio â'r canllawiau a gyhoeddwyd yn 2011, sy'n nodi y dylid cynnwys eithriadau clinigol yn eu data misol.  


Mae asesiad o'r cais Rhyddid Gwybodaeth a gyflwynwyd i fyrddau iechyd gan y Coleg Brenhinol Meddygaeth Frys (RCEM), a'r wybodaeth a gafwyd, yn dangos bod y coleg wedi camddehongli ein canllawiau. Nid ydym wedi gweld unrhyw dystiolaeth i gefnogi'r awgrym a wnaed gan yr RCEM na'r BBC bod tanadrodd wedi digwydd, na tystiolaeth ychwaith nad oes modd i’n data gael eu cymharu â data Lloegr fel yr ydym wedi bod yn datgan.


Er mwyn bod yn glir, nid yw ystadegwyr Llywodraeth Cymru yn hepgor eithriadau clinigol o'r data a geir gan Iechyd a Gofal Digidol Cymru.


Mae ystadegwyr Llywodraeth Cymru wedi gweithio gyda chydweithwyr ym mhedair gwlad y Deyrnas Unedig i ddeall sylfaen ystadegau'r adrannau argyfwng perthnasol yn iawn. Ar sail y canllawiau sydd gennym ar waith yng Nghymru, rydym o’r farn bod ystadegau Cymru ar gyfer prif adrannau argyfwng yn debyg i'r ystadegau ar gyfer adrannau damweiniau ac argyfwng Math 1 Lloegr.


Nid yw hynny'n golygu bod y sefyllfa o ran perfformiad adrannau argyfwng fel y byddem ni a chleifion yn dymuno iddi fod. Rydym wrthi'n trafod gydag arweinwyr clinigol a defnyddwyr gwasanaethau sut y gallwn wella ansawdd y gofal mewn adrannau argyfwng, ac mae hyn yn cynnwys archwilio ffyrdd mwy ystyrlon o fesur profiad a chanlyniadau cleifion.


Rydym hefyd wedi darparu cyllid ar gyfer dylunio a gweithredu 'Tabl Crynhoi Gwybodaeth Adrannau Argyfwng (SEDIT)' – a ddefnyddir mewn mannau eraill yn y DU – i alluogi clinigwyr i werthuso galw, capasiti, llif a chanlyniadau presennol eu hadran, er mwyn deall pam mae problemau'n digwydd a thargedu’r hyn sydd wrth wraidd y problemau.


Rwy'n ddiolchgar i’r RCEM am barhau i frwydro am y gofal gorau posibl i gleifion yn ein hadrannau argyfwng ac rwy’n gobeithio y gallwn barhau i gydweithio'n agos i sicrhau gwelliannau i'r system gyfan drwy ein rhaglen genedlaethol Chwe Nod ar gyfer Gofal Brys a Gofal mewn Argyfwng.