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Mae Llywodraeth Cymru wedi ymrwymo i wella canlyniadau canser. Er mwyn cyflawni hyn, mae'n hanfodol bod gan y Gwasanaeth Iechyd Gwladol (GIG) yng Nghymru y seilwaith angenrheidiol i ddarparu triniaeth canser o ansawdd uchel. Ein tair canolfan ganser yng Nghymru yw'r canolfannau hanfodol ar gyfer ein gwasanaethau canser a ddarperir ar draws y Gogledd, y De\-orllewin a’r De\-ddwyrain.


Ymrwymodd Llywodraeth Cymru yn ei Rhaglen Lywodraethu i ddatblygu cynigion ar gyfer canolfan ganser newydd yn y De\-ddwyrain. Roedd yr ymrwymiad hwn yn cydnabod bod cynllun y Ganolfan Ganser Felindre bresennol wedi dyddio, ac nad yw o’r safon uchaf posibl, a bod angen cael cyfleuster modern, addas at y diben yn ei lle. Mae'r prosiect hwn yn un o dri phrosiect arfaethedig sydd i'w cyflawni gan ddefnyddio Model Buddsoddi Cydfuddiannol Llywodraeth Cymru a ariennir gan refeniw, a fydd yn cefnogi buddsoddiad ychwanegol mewn prosiectau seilwaith cymdeithasol ac economaidd i helpu i wella gwasanaethau cyhoeddus yng Nghymru. Mae'r cynlluniau eraill yn cynnwys gorffen gwaith i ddeuoli'r A465 o Dowlais Top i Hirwaun, a buddsoddiad ychwanegol ym Mand B rhaglen ysgolion yr 21ain ganrif.


Mae Ymddiriedolaeth GIG Prifysgol Felindre wedi gweithio gyda chomisiynwyr ei Fwrdd Iechyd dros nifer o flynyddoedd i ddatblygu cynigion ar gyfer Canolfan newydd, fel rhan o'i rhaglen ehangach ar gyfer newid rhanbarthol, Trawsnewid Gwasanaethau Canser. Mae datblygu'r Achos Busnes Amlinellol a'r gwaith cysylltiedig ar gyfer paratoi’r safle wedi galw am amrywiaeth o gyngor ymgysylltu, cymorth a thechnegol. Hoffem ddiolch i bawb sydd wedi cyfrannu at ddatblygu'r achosion busnes.


Mae'r cynigion a gyflwynwyd i Lywodraeth Cymru wedi bod yn destun proses graffu hir a manwl gan swyddogion. Derbyniodd Gweinidogion Cymru gyngor ar 1 Mawrth 2021 ac ar ôl ystyried hyn a’r ystod o ddyletswyddau statudol a roddwyd arnom ni fel Gweinidogion, rydym yn falch o gadarnhau ein bod yn cefnogi’r achosion busnes amlinellol ar gyfer y Ganolfan Ganser Felindre newydd a'r gwaith o baratoi’r safle. Mae rhagor o bwyntiau penderfynu o flaen Gweinidogion Cymru o hyd ond mae'r cyhoeddiad hwn yn cadarnhau ein bwriad i adeiladu ysbyty canser newydd y bwriedir iddo fod yn weithredol yn 2025\.


Rydym ni’n dau yn ymwybodol bod y cynigion a gyflwynwyd wedi ysgogi cryn ddiddordeb ymhlith aelodau’r cyhoedd a gweithwyr gofal iechyd proffesiynol yn y De\-ddwyrain. Cafodd safbwyntiau cryf o blaid ac yn erbyn y cynnig eu rhannu â'r Aelodau a dadleuwyd yn eu cylch yn y Senedd. Rydym yn cydnabod cryfder y farn a fynegwyd a'r pryderon sydd wedi cael eu codi. Mae llawer wedi cwestiynu effaith amgylcheddol a model clinigol y ganolfan ganser. Mae'r pryderon hyn yn rhai cwbl ddilys i fod wedi eu codi ac maen nhw wedi galw am ystyriaeth ofalus. O ran effaith amgylcheddol datblygu'r safle hwn, yr awdurdod cynllunio lleol sy'n gyfrifol am y penderfyniad hwn. Fel Gweinidogion, rydym hefyd wedi cael ein sicrhau gan y cynlluniau a nodir yn yr achosion busnes dros gynnal y safonau uchaf o ran adeiladu cynaliadwy wrth godi’r ganolfan ganser a mynd ati mewn modd sensitif wrth leoli’r ysbyty a datblygu ar safle Dolau’r Gogledd.


Mae'r model clinigol a gefnogir gan y datblygiad hwn yn fater cymhleth iawn ac rydym wedi ystyried y dadleuon niferus o blaid cyd\-leoli'r ganolfan ar safle ysbyty acíwt, gan gynnwys cyngor gan Ymddiriedolaeth Nuffield. Y bwriad yw datblygu’r Ganolfan Ganser Felindre newydd fel canolfan a fydd yn cynnig triniaeth ddewisol ar gyfer canser, a bydd yn rhan o rwydwaith ehangach o ddarpariaeth gofal canser. Mae’r pwyslais yn y ganolfan ar ddarparu'r profiad gorau posibl i gleifion yn ystod y cyfnod mwyaf anodd i unigolion sydd wedi cael eu heffeithio gan ganser. Nid cynigion ar gyfer canolfan ganser sy'n rheoli cleifion sy’n ddifrifol wael ydynt, felly. Yn ein hysbytai cyffredinol dosbarth y gofalwyd am y cleifion hyn bob amser, a bydd hynny yn parhau. Mae Byrddau Iechyd yn y De\-ddwyrain yn gweithio gydag Ymddiriedolaeth Felindre i gryfhau ymhellach y trefniadau ar gyfer rheoli cleifion canser sy’n ddifrifol wael yn ein hysbytai cyffredinol dosbarth. Bydd hyn yn cynnwys datblygu ‘hybiau’ Felindre a fydd yn darparu lle pwrpasol ar gyfer oncolegwyr o Felindre a chlinigwyr arbenigol o Fyrddau Iechyd eraill i gydweithio i reoli cleifion sy'n ddifrifol wael neu wrth ddarparu therapïau risg uwch neu arbrofol.


Mae ein penderfyniad yn seiliedig ar gydbwyso’r holl ystyriaethau hyn. Gall yr achos a gyflwynir wireddu llawer o fanteision amlwg cyd\-leoli’r ganolfan gan gynnal hefyd yr hyn sy’n gynhenid i amgylchedd unigryw Canolfan Ganser Felindre ar gyfer darparu gofal canser. Rydym hefyd yn glir na allwn aros mwy na degawd am safle arall a all ddarparu ar gyfer model clinigol gwahanol. Byddai goblygiadau o ran gwytnwch ac ansawdd y gwasanaethau canser a gynigir yn y dyfodol pe benderfynir peidio â pharhau â’r cynnig hwn.


Gan fod penderfyniad wedi'i wneud yn awr, gobeithiwn y gall y gymuned leol a'r gymuned glinigol ddod at ei gilydd a pharhau i fynegi diddordeb yn y datblygiad hwn a fydd yn darparu gwasanaethau canser rhagorol, o ansawdd uchel y gallwn ymfalchïo ynddynt. Rydym yn deall cryfder y teimladau mewn perthynas â’r materion hyn ond, yn y pen draw, rydym i gyd yn rhannu'r un awydd i wella canlyniadau canser a sicrhau bod y gwasanaethau hanfodol hyn ar gael i ardal y De\-ddwyrain a'i chymunedau am ddegawdau i ddod.







Translation:


 
The Welsh Government is committed to improving cancer outcomes. In order to achieve this, it is vital that the NHS in Wales has the necessary infrastructure to deliver high quality cancer treatment. Our three cancer centres in Wales are the vital hubs for our cancer services delivered across North, South West and South East Wales.


The Welsh Government made a commitment in its Programme for Government to develop proposals for a new cancer centre in South East Wales. This commitment recognised the ageing and suboptimal layout of the current Velindre Cancer Centre and the need to replace it with a modern, fit for purpose facility. This project is one of three pipeline projects to be delivered using the Welsh Government’s revenue funded Mutual Investment Model, which will support additional investment in social and economic infrastructure projects to help improve public services in Wales. The other schemes include work to complete the dualling of the A465 from Dowlais Top to Hirwaun, and additional investment in Band B of the 21st century schools programme.


Velindre University NHS Trust has worked with its Health Board commissioners over a number of years to develop proposals for a replacement Centre, as part of its broader regional change programme Transforming Cancer Services. The development of the Outline Business Case and its associated enabling works has required a range of engagement, support and technical advice. We would like to thank everyone who has contributed to the development of the business cases.


The proposals submitted to the Welsh Government have been subject to a long and detailed scrutiny process by officials. Advice was received by Welsh Ministers on 1 March 2021 and  following consideration of this and the range of statutory duties placed on us as Ministers we are pleased to confirm our support for the outline business cases for the new Velindre Cancer Centre and the site enabling works. There are still further decision points ahead for Welsh Ministers but this announcement confirms our intention to build a new cancer hospital that is planned to be operational in 2025\.


We are both aware that the proposals submitted have created significant interest among the public and healthcare professionals in South East Wales. Strongly held views in favour and against the proposal have been shared with Members and debated in the Senedd. We recognise the strength of views expressed and the concerns that have been raised. Many have questioned the environmental impact and the clinical model of the cancer centre. These are perfectly legitimate concerns to have raised and have required careful consideration. In terms of the environmental impact of developing this site, the local planning authority is responsible for this determination. As Ministers we are also reassured by the plans set out in the business cases for the cancer centre to have the highest standards of sustainable construction and for a sensitive approach to be taken to the siting and development on the Northern Meadows site.


The clinical model supported by this development is a very complex matter and we have considered the many arguments for co\-location of the centre on an acute hospital site, including the advice from the Nuffield Trust. The new Velindre Cancer Centre is intended as an elective hub for cancer treatment that will sit within a wider network of provision for cancer care. Its emphasis is on delivering the best possible patient experience during the most difficult time for people affected by cancer. The proposals are therefore not for a cancer centre that manages acutely unwell patients. These patients have always been cared for in our district general hospitals and this will continue to be the case. Health Boards in South East Wales are working with Velindre Trust to further strengthen the arrangements for the management of acutely unwell cancer patients in our district general hospitals. This will involve the development of Velindre hubs that will provide dedicated space for Velindre oncologists and other Health Board specialist clinicians to work together in the management of acutely unwell patients or when delivering higher risk or experimental therapies.


Our decision is based on a balance of all these considerations. The case presented can achieve many of the clear benefits of co\-location while preserving the essence of Velindre Cancer Centre’s unique environment for delivering cancer care. We are also clear that we cannot wait more than a decade for another site that can accommodate a different clinical model. A decision not to go ahead would have important implications for the resilience and quality of cancer services.


Now that a decision has been made, we hope that the local community and the clinical community can come together and continue to engage with this development which will deliver excellent, high quality cancer services of which we can be proud. We understand the strength of feeling around these matters but ultimately we all share the same desire to improve outcomes for cancer and ensure that these vital services are there for South East Wales and its communities for decades to come.