Translate the text from English to Welsh.



 
The 2014 independent review into the care of frail older people at the Princess of Wales and Neath Port Talbot Hospitals within Abertawe, Bro Morgannwg University Health Board identified a number of concerns about the quality of care on some of the wards in these hospitals and about some clinical and managerial processes.  A follow up review during 2015 confirmed the health board had made considerable progress against the original 14 recommendations and importantly the public could be reassured that the care of frail older people had much improved. The reviewers identified some areas where further progress was required. The health board has worked with and listened to its local communities and staff to address these and embed improvements across the entire health board.  

  

For instance a values and behaviours framework has been developed with the public and stakeholders, as well as establishing a mechanism where concerns can be raised anonymously and action is taken promptly.  Better engagement and support of staff is now in place across disciplines.  For example pharmacists’ roles have been strengthened to support nursing and medical staff regarding medicines management. Staff training has been enhanced on key areas including dementia awareness.   Leadership and governance arrangements have also been scrutinised and improvements made, including the roles of respective committees being revised to ensure reporting from ‘ward to board’ is clearly incorporated within their remits. This is just a small snapshot of the work taken forward to address the Trusted to Care recommendations.  More detailed information is available on the health board’s website.  

  

My officials have been working closely with the Health Board executive team throughout the process to monitor improvements following the Trusted to Care report.  I am satisfied sufficient progress has been made against all Trusted to Care recommendations.  

  

  

Going forward the Health Board recognises it needs to continue to build on what it has achieved and this should now continue through mainstream Health Board monitoring arrangements.          

  

More generally and importantly NHS Wales has learnt from this. Much work has been undertaken over the last two years leading to a range of improvements. The programme of unannounced independent spot checks to all district general hospitals across Wales provided an opportunity to identify a number of wider system improvements. This was captured in the report published in September 2015 Learning from Trusted to Care – One Year On, which made further recommendations at a national level.  Those recommendations continue to help inform our approach in delivering the high quality care that the public expect.







Translation:


 
Roedd yr adolygiad annibynnol yn 2014 ar y gofal ar gyfer pobl hŷn ac eiddil yn Ysbytai Tywysoges Cymru a Chastell\-nedd Port Talbot ym Mwrdd Iechyd Prifysgol Bro Morgannwg yn codi sawl pryder ynghylch ansawdd y gofal ar rai o wardiau'r ysbytai hyn ynghyd â rhai gweithdrefnau clinigol a rheoli. Cadarnhaodd yr adolygiad dilynol yn 2015 fod y Bwrdd Iechyd wedi gwneud cynnydd sylweddol o ran yr 14 o argymhellion ac, yn bwysicach oll, y gellid sicrhau'r cyhoedd bellach bod y gofal ar gyfer pobl hŷn ac eiddil wedi gwella. Nododd yr adolygwyr rai meysydd lle'r oedd angen cynnydd pellach. Mae'r Bwrdd Iechyd wedi gweithio gyda'r gymuned leol a'i staff ac wedi gwrando arnynt er mwyn mynd i'r afael â’r meysydd hyn a sicrhau gwelliannau ar draws y Bwrdd.  
  
Er enghraifft mae fframwaith gwerthoedd ac ymddygiad wedi’i ddatblygu ar y cyd â'r cyhoedd a rhanddeiliaid, yn ogystal â sefydlu system lle gellir lleisio pryderon yn ddienw sy’n sicrhau y bydd camau'n cael eu cymryd yn brydlon. Mae’r gwaith o ymgysylltu â staff a'u cefnogi yn well erbyn hyn a hynny ar draws nifer o ddisgyblaethau. Er enghraifft mae gan y fferyllwyr rôl gryfach wrth gefnogi staff nyrsio a staff meddygol mewn perthynas â rheoli meddyginiaeth. Mae hyfforddiant staff hefyd yn cael mwy o bwyslais mewn meysydd allweddol gan gynnwys codi ymwybyddiaeth o ddementia. Yn ogystal, craffwyd ar drefniadau arwain a llywodraethu a gwnaed gwelliannau yn sgil hyn, gan gynnwys adolygu swyddogaethau'r pwyllgorau perthnasol er mwyn sicrhau bod yr hyn gaiff ei adrodd o'r wardiau i'r byrddau’n rhan amlwg o'u cylch gorchwyl. Dim ond cip cyflym ar y gwaith sydd wedi’i wneud wrth roi argymhellion Ymddiried mewn Gofal ar waith yw hyn. Mae rhagor o fanylion i'w gweld ar wefan y Bwrdd Iechyd.  
  
Mae fy swyddogion wedi bod yn gweithio'n agos gyda thîm gweithredol y Bwrdd Iechyd drwy gydol y broses i fonitro'r gwelliannau yn sgil adroddiad Ymddiried mewn Gofal. Rwyf yn fodlon bod cynnydd digonol wedi'i wneud o ran yr argymhellion hyn.  
  
Wrth symud ymlaen, mae'r Bwrdd Iechyd yn cydnabod bod angen iddo barhau i weithio ar yr hyn y mae wedi'i gyflawni, a'r ffordd orau i hyn ddigwydd yw drwy drefniadau monitro prif ffrwd y Bwrdd ei hun.           
  
Yn fwy cyffredinol ac yn bwysicach hefyd, mae GIG Cymru wedi dysgu o'r profiad hwn. Mae llawer o waith wedi'i wneud dros y ddwy flynedd ddiwethaf sydd wedi arwain at amryw o welliannau. Roedd cynnal y rhaglen o wiriadau dirybudd annibynnol yn holl ysbytai cyffredinol Cymru'n gyfle i nodi nifer o welliannau i'r system yn ehangach. Cofnodwyd hyn yn yr adroddiad a gyhoeddwyd ym mis Medi 2015 Gwersi yn sgil Ymddiried mewn Gofal – Blwyddyn yn Ddiweddarach, a wnaeth argymhellion pellach ar lefel genedlaethol. Mae’r argymhellion hynny’n parhau i ddylanwadu ar ein dull o ddarparu’r gofal o ansawdd uchel y mae’r cyhoedd yn ei ddisgwyl.