Translate the text from English to Welsh.



 
It has been a year since the concept of prudent healthcare was introduced at last year’s Welsh NHS Confederation conference. In just 12 short months, since the Bevan Commission initially defined a set of principles capturing the essence of prudent healthcare, we have moved from talking about what it means in theory to beginning to embed the principles into everyday practice in health and social care in Wales.


The debate surrounding prudent healthcare has surpassed expectations. It has moved from being a concept shared by only a few keenly\-interested individuals to a topic widely discussed and disseminated by the NHS and beyond. It appears in health board papers; features in the work of our Royal Colleges; whole conferences have been devoted to it and it has featured in the pages of the British Medical Journal and The Lancet.


Last week, the latest set of chapters describing how prudent healthcare could work in Wales became available on the Making Prudent Healthcare Happen online resource www.prudenthealthcare.org.uk. The first set of chapters, videos and case studies, which have been available on the website since October, have been read thousands of times by people from around the world.


Wales is at the vanguard of a global movement to redesign health services according to prudent healthcare principles. In Italy, this work is known as slow medicine; in Canada, the Choosing Wisely campaign is leading the way. For health and social services in Wales, it is important that we continue to build on the momentum achieved over the last year.


The Bevan Commission has undertaken a further piece of work to finalise the prudent healthcare principles for Wales, to ensure that everyone involved in securing a healthier future for the population of Wales follows a common set of principles.


The Bevan Commission’s final 4 principles are:


* Achieve health and wellbeing with the public, patients and professionals as equal partners through co\-production;
* Care for those with the greatest health need first, making the most effective use of all skills and resources;
* Do only what is needed, no more, no less; and do no harm.
* Reduce inappropriate variation using evidence based practices consistently and transparently.


However, the prudent healthcare concept of ‘only do what only you can do’ remains a powerful one, especially for a prudent health and social care workforce for the future. It will therefore be important to maintain the concept that no professional should routinely be providing a service, which does not require their level of clinical ability or expertise – only do what only you can do – as Wales continues its prudent healthcare journey.


The Welsh Government and NHS Wales will focus on 4 key areas where putting the prudent healthcare principles into practice will be especially important in the year ahead. Together we will:


1. Continue to put primary care in the driving seat of the NHS in Wales, implementing the commitments in the national primary care plan, and maximising the impact of the £10m primary care fund for 2015\-16 and additional £30m for primary care from the autumn Budget statement;
2. Re\-design the workforce for the future and redeploy our most precious resource \- the people who work in healthcare. This will include launching a national primary care workforce strategy; publishing and responding to the Mel Evans review of healthcare education in Wales and commissioning an independent review of the workforce of the future;
3. Maintain the impetus in remodelling the relationship between the people who use health services in Wales and those who provide them, with continued support for the Academy of Royal Colleges of Wales in exploring the development of a Choosing Wisely Cymru campaign for Wales.
4. Supported by the Bevan Commission, we will mobilise our thinking about the way we provide care for people, engaging in a debate initiated by the British Medical Journal about over\-treatment and over\-diagnosis, especially for people towards the end of their lives.


These areas alone will not make prudent healthcare happen, which is why I am keen to do everything possible to maintain the energy and debate of the last 12 months.


To support this, the Welsh Government will host its first prudent healthcare conference this summer, which will be opened by the First Minister. It will have an international reach and involve key partners who are furthering the prudent healthcare movement, including health boards and NHS trusts, the Royal Colleges, the National Institute for Health and Care Excellence and the British Medical Association.







Translation:


 
Mae blwyddyn wedi mynd heibio ers cyflwyno’r cysyniad o ofal iechyd darbodus yng nghynhadledd Cydffederasiwn GIG Cymru y llynedd. Mewn 12 mis yn unig, ers i Gomisiwn Bevan ddiffinio am y tro cyntaf set o egwyddorion sy’n cydio yn hanfod gofal iechyd darbodus, rydym wedi symud ymlaen o siarad am beth mae’n ei olygu mewn theori i ddechrau cynnwys yr egwyddorion yn arferion bob dydd iechyd a gofal cymdeithasol yng Nghymru.


Mae’r ddadl ynghylch gofal iechyd darbodus wedi rhagori ar y disgwyliadau. Mae wedi symud o fod yn gysyniad a rennir gan ychydig o unigolion sydd â diddordeb mawr ynddo i bwnc sy’n cael ei drafod yn eang a’i ddosbarthu gan y GIG a thu hwnt. Mae’n ymddangos mewn papurau bwrdd iechyd; yn ymddangos yng ngwaith ein Colegau Brenhinol; neilltuwyd cynadleddau cyfan i’w drafod ac mae wedi ymddangos yn nhudalennau y British Medical Journal a’r Lancet.


Ers yr wythnos ddiwethaf mae’r set ddiweddaraf o benodau sy’n disgrifio sut y gallai gofal iechyd darbodus weithio yng Nghymru wedi bod ar gael ar adnodd ar\-lein Making Prudent Healthcare Happen  www.prudenthealthcare.org.uk. Darllenwyd y set gyntaf o benodau, fideos ac astudiaethau achos, sydd wedi bod ar y wefan ers mis Hydref, filoedd o weithiau gan bobl o bob cwr o’r byd.


Mae Cymru ar flaen y gad yn fyd\-eang o ran ail\-ddylunio gwasanaethau iechyd yn unol ag egwyddorion gofal iechyd darbodus. Yn yr Eidal, gelwir y gwaith hwn yn feddyginiaeth araf; yng Nghanada, mae’r ymgyrch Choosing Wisely yn arwain y ffordd. I iechyd a gwasanaethau cyhoeddus yng Nghymru, mae’n bwysig ein bod yn parhau i adeiladu ar fomentwm y flwyddyn ddiwethaf.


Mae’r Comisiwn Bevan wedi ymgymryd â darn pellach o waith i gadarnhau egwyddorion gofal iechyd darbodus i Gymru, er mwyn sicrhau bod pawb sy’n ymwneud â sicrhau dyfodol iachach i bobl Cymru yn dilyn set gyffredin o egwyddorion.


Pedair egwyddor derfynol y Comisiwn Bevan yw:


* Sicrhau iechyd a llesiant, gydag aelodau’r cyhoedd, cleifion a gweithwyr proffesiynol yn bartneriaid cyfartal drwy gyd\-gynhyrchu;
* Gofal i’r rheini â’r angen iechyd mwyaf yn gyntaf, gan wneud y defnydd mwyaf effeithiol o’r holl sgiliau ac adnoddau;
* Gwneud dim ond beth sydd ei angen a gwneud dim niwed, dim mwy, dim llai;
* Lleihau amrywiaeth amhriodol gan ddefnyddio arferion yn seiliedig ar dystiolaeth yn gyson ac yn dryloyw.


Fodd bynnag, mae’r cysyniad gofal iechyd darbodus o wneud dim ond beth allwch chi ei wneud yn parhau i fod yn un grymus, yn enwedig o ran gweithlu iechyd a gofal cymdeithasol darbodus i’r dyfodol. Felly bydd yn bwysig cynnal y cysyniad na ddylai unrhyw weithwyr proffesiynol fod yn darparu gwasanaeth fel mater o drefn nad yw’n gofyn am eu lefel o allu neu arbenigedd clinigol – dim ond gwneud yr hyn allant – wrth i Gymru barhau â’i thaith gofal iechyd darbodus.    

   

Bydd Llywodraeth Cymru a GIG Cymru yn canolbwyntio ar bedwar maes allweddol lle bydd rhoi egwyddorion gofal iechyd darbodus ar waith yn arbennig o bwysig yn y flwyddyn i ddod. Gyda’n gilydd byddwn yn:


1. Parhau i roi gofal sylfaenol wrth y llyw yn GIG Cymru, gan roi’r ymrwymiadau yn y cynllun gofal sylfaenol cenedlaethol ar waith, a gwneud y mwyaf o’r gronfa gofal sylfaenol gwerth £10m ar gyfer 2015\-16 a £30m ychwanegol ar gyfer gofal sylfaenol o ddatganiad Cyllideb yr hydref;
2. Ail\-ddylunio’r gweithlu ar gyfer y dyfodol ac adleoli ein hadnodd mwyaf gwerthfawr \- y bobl sy’n gweithio ym maes gofal iechyd. Bydd hyn yn cynnwys lansio strategaeth genedlaethol ar gyfer y gweithlu gofal sylfaenol; cyhoeddi ac ymateb i adolygiad Mel Evans o addysg gofal iechyd yng Nghymru a chomisiynu adolygiad annibynnol o weithlu’r dyfodol;
3. Cynnal yr ysgogiad wrth ailfodelu’r berthynas rhwng y bobl sy’n defnyddio gwasanaethau iechyd yng Nghymru a’r rheini sy’n eu darparu nhw, gyda chefnogaeth barhaus i Academi Colegau Brenhinol Cymru i ddatblygu ymgyrch Choose Wisely Cymru;
4. Gyda chefnogaeth y Comisiwn Bevan, byddwn yn agored yn y ffordd rydym yn meddwl am ddarparu gofal i bobl, yn cymryd rhan mewn dadl a symbylwyd gan y British Medical Journal ynghylch gor\-driniaeth a gor\-ddiagnosis, yn enwedig i bobl sy’n agosáu at ddiwedd eu hoes.


Ni fydd y meysydd hyn yn unig yn gwneud i ofal iechyd darbodus ddigwydd. Dyma pam rwy’n awyddus i wneud popeth o fewn fy ngallu i gynnal egni a thrafodaeth y 12 mis diwethaf.


I gefnogi hyn, bydd Llywodraeth Cymru yn cynnal ei chynhadledd gofal iechyd darbodus gyntaf yn ystod yr haf, a bydd yn cael ei hagor gan y Prif Weinidog. Bydd gan y gynhadledd gyrhaeddiad rhyngwladol ac yn ymwneud â phartneriaid allweddol sy’n hybu twf gofal iechyd darbodus, gan gynnwys byrddau iechyd ac ymddiriedolaethau GIG, y Colegau Brenhinol, Sefydliad Cenedlaethol dros Ragoriaeth mewn Iechyd a Gofal a Chymdeithas Feddygol Prydain.