Translate the text from English to Welsh.



 
A Healthier Wales (AHW) was launched in the summer of 2018 along with 40 actions to focus activity on the transformation required to achieve our vision of an integrated whole system approach to health and social care. 


A Cabinet Paper *‘**A Healthier Wales Two Years On**’* was presented in September 2020 to provide a progress update. Cabinet agreed that it was important to take the time to reflect on AHW and ensure it was relevant in the current climate and as we move forward with the stabilisation and recovery of services. It was acknowledged that the foundation of AHW had strengthened partnerships and collaboration across both organisational and geographical boundaries, which was a testament to the collective commitment of public services to respond to community needs. 


COVID\-19 has accelerated transformational change in how health and social care services are being delivered and the response to the pandemic has brought forward the implementation of a number of long term plans. As we move forward, AHW will continue to be our strategic framework for developing and implementing new ways of working.    


The original vision for AHW has been validated and remains relevant for the Wales of today.  We now have the opportunity to restate the AHW priorities, lock in the progress we have made and ensure that we learn from the pandemic response whilst maintaining the innovative practices and new ways of working introduced. 


New models of care supported through the Transformational Fund and Integrated Care Fund have been important to the regional response to COVID\-19, including rapid discharge from hospital to home and admission avoidance models. Significant and accelerated investment in digital technology has enabled rapid service transformation and the continuation of essential services in a safe environment.


Following support from Cabinet, we have now critically reviewed the actions set out in AHW.  We have closed some actions and drafted new actions where these are required to support the stabilisation and recovery of services following COVID\-19 and to reflect priorities that have been brought to the forefront by the pandemic.


These new actions look to build resilient communities in Wales and focus on health inequities, prevention, mental health, children and young people and decarbonisation. The new actions list contains 26 actions; 19 of the original AHW actions and 7 new ones, and we have focused on the following key themes:


* Determinants of Health
* Digital and Technology
* Engagement
* Evaluation
* Funding
* Incentivising the System
* New Models
* Planning
* System Governance
* Workforce


Specifically, the new actions are:




| Revised action | Theme |
| --- | --- |
| Decarbonisation \- Encourage and support health and social care delivery organisations to reduce energy use and carbon emissions to mitigate and adapt to the impact of climate change in line with our commitment to be a globally responsible Wales. | Determinants of Health |
| Inequities \- Drive good practice to reduce health inequities and outcomes with a focus on those brought to the forefront during the COVID\-19 pandemic. | Determinants of Health |
| Prevention – Build on the behaviours and personal responsibility demonstrated during the COVID\-19 pandemic to help people stay well through an integrated approach to improving the nation’s health and wellness. With a focus on rehabilitation, re\-ablement and recuperation, provide active support to keep people healthy, maximise recovery and maintain independent living. | Determinants of Health |
| Children and Young People \- Ensure our transformation to a system of seamless health and care provision promotes the wider adoption of integrated and effective interventions for children, resulting in greater positive health and wellbeing outcomes over time. | Determinants of Health |
| Mental Health \- Health and social care partners to work with Welsh Government to respond to the impacts of COVID\-19 and ensure that all people in Wales have access to appropriate mental health support. | Determinants of Health |
| Capture innovative practices and new ways of working achieved during COVID\-19 and ensure benefits are maintained in the Health \& Social Care system | New Models |
| Community based care \- Develop value based, whole system care pathways for prevention, detection, treatment and ongoing care as close to home as possible, and ensure that relevant measures are developed to capture the outcomes that matter to patients. | New Models |


This review will ensure that our long term plan for an integrated health and care system remains relevant as we deal with the challenges ahead.







Translation:


 
Lansiwyd Cymru Iachach yn haf 2018 ynghyd â deugain o gamau gweithredu i ganolbwyntio gweithgarwch ar y trawsnewid sydd ei angen er mwyn cyflawni ein gweledigaeth o gael dull system gyfan integredig o ymdrin ag iechyd a gofal cymdeithasol. 


Cyflwynwyd Papur Cabinet *‘**Cymru Iachach: Ddwy Flynedd yn Ddiweddarach**’* ym mis Medi 2020 i roi'r wybodaeth ddiweddaraf ar y cynnydd a wnaed. Cytunodd y Cabinet ei bod yn bwysig cymryd yr amser i edrych ar Cymru Iachach a sicrhau ei fod yn berthnasol yn yr hinsawdd bresennol ac wrth i ni symud ymlaen gyda’r gwaith o sefydlogi ac adfer gwasanaethau. Cydnabuwyd bod sylfeini Cymru Iachach wedi cryfhau partneriaethau a chydweithio ar draws ffiniau sefydliadol a daearyddol, sy’n glod i ymrwymiad cyfunol ein gwasanaethau cyhoeddus i ymateb i anghenion y gymuned. 


Mae COVID\-19 wedi cyflymu’r trawsnewidiad yn y ffordd y mae gwasanaethau iechyd a gofal cymdeithasol yn cael eu darparu, a thrwy’r ymateb i'r pandemig mae nifer o gynlluniau hirdymor wedi cael eu rhoi ar waith. Wrth i ni symud ymlaen, bydd Cymru Iachach yn parhau i fod yn fframwaith strategol inni ar gyfer datblygu a gweithredu ffyrdd newydd o weithio.    


Mae'r weledigaeth wreiddiol ar gyfer Cymru Iachach wedi'i dilysu ac mae'n parhau i fod yn berthnasol i Gymru heddiw. Mae gennym nawr y cyfle i ailddatgan blaenoriaethau Cymru Iachach, cadw’r cynnydd rydym wedi'i wneud a sicrhau ein bod yn dysgu o'r ymateb i’r pandemig gan gynnal yr arferion arloesol a'r ffyrdd newydd o weithio a ddangoswyd. 


Mae modelau gofal newydd a gefnogir drwy'r Gronfa Trawsnewid a'r Gronfa Gofal Integredig wedi bod yn bwysig i'r ymateb rhanbarthol i COVID\-19, gan gynnwys rhyddhau cleifion yn gyflym o'r ysbyty i'r cartref a modelau osgoi derbyniadau i’r ysbyty. Mae buddsoddiad sylweddol a chyflymach mewn technoleg ddigidol wedi galluogi gwasanaethau i gael eu trawsnewid yn gyflym a pharhau â gwasanaethau hanfodol mewn amgylchedd diogel.


Yn dilyn cefnogaeth gan y Cabinet, rydym bellach wedi adolygu'n feirniadol y camau gweithredu a nodir yn Cymru Iachach. Rydym wedi dod â rhai camau gweithredu i ben ac wedi drafftio camau gweithredu newydd y mae eu hangen i gefnogi’r gwaith o sefydlogi ac adfer gwasanaethau yn dilyn COVID\-19, ac i adlewyrchu blaenoriaethau sydd dod i’r amlwg yn sgil y pandemig.


Mae'r camau gweithredu newydd hyn yn ceisio adeiladu cymunedau gwydn yng Nghymru a chanolbwyntio ar anghydraddoldebau iechyd, atal, iechyd meddwl, plant a phobl ifanc a datgarboneiddio. Mae'r rhestr o gamau gweithredu newydd yn cynnwys 26 o gamau gweithredu; 19 o gamau gweithredu gwreiddiol Cymru Iachach a 7 o rai newydd, ac rydym wedi canolbwyntio ar y themâu allweddol canlynol:


* Penderfynyddion Iechyd
* Digidol a thechnoleg
* Ymgysylltu
* Gwerthuso
* Cyllid
* Cymell y System
* Modelau Newydd
* Cynllunio
* Llywodraethu yn y System
* Gweithlu


Dyma'r camau gweithredu:




| Cam Gweithredu Diwygiedig | Thema |
| --- | --- |
| Datgarboneiddio \- Annog a chefnogi sefydliadau sy’n darparu gwasanaethau iechyd a gofal cymdeithasol i leihau'r defnydd o ynni ac allyriadau carbon er mwyn lliniaru ac addasu i effaith newid yn yr hinsawdd yn unol â'n hymrwymiad i fod yn Gymru sy'n gyfrifol yn fyd\-eang. | Penderfynyddion Iechyd |
| Annhegwch \- Ysgogi arfer da i leihau annhegwch iechyd a sicrhau canlyniadau sy’n canolbwyntio ar y rhai a ddaeth i'r amlwg yn sgil pandemig COVID\-19\. | Penderfynyddion Iechyd |
| Atal – Adeiladu ar yr ymddygiadau a'r cyfrifoldeb personol a ddangoswyd yn ystod pandemig COVID\-19 i helpu pobl i gadw'n iach drwy ddull integredig o wella iechyd a lles y genedl. Gan ganolbwyntio ar adsefydlu, ailalluogi ac adfer, darparu cymorth gweithredol i gadw pobl yn iach, sicrhau'r adferiad mwyaf posibl a pharhau i fyw'n annibynnol. | Penderfynyddion Iechyd |
| Plant a Phobl Ifanc \- Sicrhau bod ein trawsnewidiad i system o ddarpariaeth iechyd a gofal di\-dor yn hyrwyddo mabwysiadu ymyriadau integredig ac effeithiol i blant ar lefel ehangach, gan arwain at fwy o ganlyniadau iechyd a lles cadarnhaol dros amser. | Penderfynyddion Iechyd |
| Iechyd Meddwl \- Partneriaid iechyd a gofal cymdeithasol i weithio gyda Llywodraeth Cymru i ymateb i effeithiau COVID\-19 a sicrhau bod pawb yng Nghymru yn gallu cael gafael ar gymorth iechyd meddwl priodol. | Penderfynyddion Iechyd |
| Cadw’r arferion arloesol a’r ffyrdd newydd o weithio a gyflawnwyd yn ystod COVID\-19 a sicrhau bod y manteision yn parhau yn y system Iechyd a Gofal Cymdeithasol. | Modelau Newydd |
| Gofal yn y gymuned \- Datblygu llwybrau gofal system gyfan sy'n seiliedig ar werthoedd ar gyfer atal, canfod, trin a gofal parhaus mor agos i’r cartref â phosibl, a sicrhau bod mesurau perthnasol yn cael eu datblygu i gasglu'r canlyniadau sy'n bwysig i gleifion. | Modelau Newydd |


Bydd yr adolygiad hwn yn sicrhau bod ein cynllun hirdymor ar gyfer system iechyd a gofal integredig yn parhau'n berthnasol wrth i ni ddelio â'r heriau sydd o'n blaenau.