Translate the text from English to Welsh.



 
I committed to providing an update in my response to the debate on support for palliative care during the pandemic held on 3 February 2021\. It provides an update on the key issues raised during the debate and on wider palliative and end of life care progress.


We know that good palliative care can make a huge difference to the quality of life for people facing life limiting illness \- helping them to die with dignity and facilitating a healthy grieving process for those left behind. The Welsh Government is committed to ensuring that anyone requiring palliative and end of life care in Wales should have access to the best possible care.


Hospices are central to this approach and we recognise the enormous contribution that they make to end of life care and the support they provide to patients, families and carers. We know that the pandemic has hit them particularly hard as their ability to fund raise has been significantly reduced through Covid\-19 restrictions such as the ban on mass gatherings and the closure of retail outlets. This is why we have allocated £9\.3m of emergency funding to hospices over the last 12 months to protect their core clinical services and to strengthen bereavement support.


The pandemic has shown, perhaps more clearly than any recent event, the scale and complexity of bereavement and the importance of good care for those experiencing it. This experience has driven the pace and has influenced much of the detail of the draft national framework for bereavement care which includes core principles, minimum standards and a range of actions to support regional and local planning. It also recognises that there will be long lasting effects from the pandemic and includes a section about learning lessons from Covid\-19\. The framework will be published for consultation in March 2021 and will be supported by an additional £1m funding from April 2021\.


During the last decade, there has been undeniable progress in end of life care, such as access for non\-cancer patients and transitional care, however the growing and changing shape of need; e.g. how we address end of life dementia care, progress in the use of advance and future care planning, technological advances and changing public expectation requires the End of Life Care Board to rethink its future priorities.


The extension of the current End of Life Care Delivery Plan until the end of March 2022, along with the £2m funding support, enabled the End of life Care Board to conduct a stocktake to set the future vision for services into the next decade.


The stocktake will establish a baseline capacity across both adult and children’s services and propose service and workforce development to meet future need. To support this work, the Paediatric Palliative Care Needs Assessment will provide robust data on which to plan services for the children and young people of Wales. Health boards and hospices are supporting this work which will be completed by the end of March 2021\.


Welsh Government also remains committed to working with the End of Life Care Board to review funding for hospices. It is likely that the funding review will take approximately three months to complete and should be ready for consideration early into a new Welsh Government administration.


Any successor to the end of life care delivery plan will also need to take advantage of the opportunities set out in ‘A Healthier Wales’, including the concept of Quality Statements underpinned by NHS implementation plans within a NHS Executive function. Some preliminary engagement has been undertaken with stakeholders on the Quality Statements for cancer, heart conditions and stroke and we will be setting out more detail in the coming months.


We note the review by the Department of Work and Pensions into how the benefits system supports terminally ill people such as those with motor neurone disease (MND) has now concluded. Whilst accepting this matter is non\-devolved, we will of course consider the review’s findings. In the meantime, specialist palliative care teams continue to provide care and support to MND patients and their friends and families.


Work is ongoing to roll out enablers from the Neighbourhood District Nursing pilots in urban, valley and rural areas of Wales between 2018 and 2020 to look at ways to improve palliative and end of life care for people in those communities. These include prudent skill mix incorporating administrative support; the introduction of band four health care support workers; and real time scheduling technology for greater flexibility, responsiveness and productivity


A National Nursing Lead has been appointed to take forward the learning from the pilots. The evaluation by University of South Wales can be accessed at: https://wihsc.southwales.ac.uk/prime\-usw/prime\-usw\-research\-portfolio/evaluation\-neighbourhood\-district\-nursing\-pilots\-wales/.


Finally, we remember our health and social care professionals and third sector partners need support too.  We have worked with key partners to make available a multi\-layered wellbeing offer, including a confidential Samaritans listening support helpline dedicated to health and care workers in Wales, as well as a number of free\-to access health and wellbeing support apps such as Mind, Sleepio \& Daylight and SilverCloud.


We have also provided additional funding to enhance and expand the Health for Health Professionals Wales (HHP Wales) service \- a confidential, free, tiered model of psychological and mental health support available to everyone working for the NHS in Wales including students.


A range of national and local resources are available to staff and can be accessed through a helpful playlist on HEIW’s webpages along with signposting to help individuals identify the appropriate type and level of support for themselves, whether that is self\-led, guided or direct one\-on\-one intervention. . https://heiw.nhs.wales/covid\-19/health\-and\-wellbeing\-resources/







Translation:


 
Yn fy ymateb i ddadl y Ceidwadwyr Cymreig, Cymorth ar gyfer gofal lliniarol yn ystod y pandemig, a gynhaliwyd ar 3 Chwefror 2021, ymrwymais i ddarparu diweddariad. Dyma felly’r wybodaeth ddiweddaraf am y materion allweddol a godwyd yn ystod y ddadl ac ar gynnydd ehangach o ran gofal lliniarol a gofal diwedd oes.


Gwyddom y gall gofal lliniarol da wneud gwahaniaeth enfawr i ansawdd bywyd pobl sy'n wynebu salwch sy'n cyfyngu ar fywyd \- gan eu helpu i farw gydag urddas a chan hwyluso proses alaru iach i'r rhai sy'n cael eu gadael ar ôl. Mae Llywodraeth Cymru wedi ymrwymo i sicrhau y dylai unrhyw un y mae arno angen gofal lliniarol a gofal diwedd oes yng Nghymru gael mynediad at y gofal gorau posibl.


Mae hosbisau'n ganolog i'r dull gweithredu hwn ac rydym yn cydnabod eu cyfraniad enfawr at ofal diwedd oes a'r cymorth y maent yn ei ddarparu i gleifion, teuluoedd a gofalwyr. Gwyddom fod y pandemig wedi eu bwrw'n arbennig o galed gan fod eu gallu i godi arian wedi gostwng yn sylweddol oherwydd  gyfyngiadau Covid\-19 megis y gwaharddiad ar gynulliadau torfol a chau siopau manwerthu. Dyna pam yr ydym wedi dyrannu £9\.3m o gyllid brys i hosbisau dros y 12 mis diwethaf i ddiogelu eu gwasanaethau clinigol craidd ac i gryfhau cymorth profedigaeth.  


Mae'r pandemig wedi dangos, yn gliriach o bosibl nag unrhyw ddigwyddiad diweddar, raddfa a chymhlethdod profedigaeth a phwysigrwydd gofal da i'r rhai sy'n mynd trwyddi. Mae'r profiad hwn wedi ysgogi a dylanwadu ar lawer o fanylion y fframwaith cenedlaethol drafft ar gyfer gofal profedigaeth sy'n cynnwys egwyddorion craidd, safonau gofynnol ac ystod o gamau gweithredu i gefnogi cynllunio rhanbarthol a lleol. Mae hefyd yn cydnabod y bydd effeithiau hirhoedlog yn sgil y pandemig ac yn cynnwys adran am ddysgu gwersi o Covid\-19\. Cyhoeddir y fframwaith at ddibenion ymgynghori ym mis Mawrth 2021 ac fe gaiff ei gefnogi gan gyllid ychwanegol o £1m o fis Ebrill 2021\.


Yn ystod y degawd diwethaf, bu cynnydd digamsyniol o ran gofal diwedd oes, megis mynediad ar gyfer cleifion nad ydynt yn gleifion canser a gofal trosiannol, ond mae'r math o angen, sy'n cynyddu ac yn newid o hyd;  e.e. mae sut yr ydym yn mynd i'r afael â gofal dementia diwedd oes, cynnydd o ran defnyddio cynllunio gofal ymlaen llaw a chynllunio gofal yn y dyfodol, datblygiadau technolegol a disgwyliadau newidiol y cyhoedd yn ei gwneud yn ofynnol i'r Bwrdd Gofal Diwedd Oes ailystyried ei flaenoriaethau ar gyfer y dyfodol.


Roedd ymestyn y Cynllun Darparu Gofal Diwedd Oes presennol tan ddiwedd mis Mawrth 2022, ynghyd â'r £2m o gymorth ariannol, yn galluogi'r Bwrdd Gofal Diwedd Oes i gynnal archwiliad i osod gweledigaeth y dyfodol ar gyfer gwasanaethau yn ystod y degawd nesaf.  


Bydd yr archwiliad yn sefydlu capasiti sylfaenol ar draws y gwasanaethau i oedolion a'r gwasanaethau i blant ac yn cynnig datblygiadau i’r gwasanaethau a'r gweithlu i ddiwallu anghenion yn y dyfodol. I gefnogi'r gwaith hwn, bydd yr Asesiad o Anghenion Gofal Lliniarol Pediatrig yn darparu data cadarn i gynllunio gwasanaethau ar gyfer plant a phobl ifanc Cymru. Mae byrddau iechyd a hosbisau yn cefnogi'r gwaith hwn a fydd yn cael ei gwblhau erbyn diwedd mis Mawrth 2021\.


Mae Llywodraeth Cymru hefyd wedi ymrwymo o hyd i weithio gyda'r Bwrdd Gofal Diwedd Oes i adolygu cyllid ar gyfer hosbisau. Mae'n debygol y bydd yr adolygiad ariannu yn cymryd tua thri mis i'w gwblhau ac y dylai fod yn barod i'w ystyried yn gynnar yng ngweinyddiaeth newydd Llywodraeth Cymru.


Bydd angen i unrhyw olynydd i'r cynllun darparu gofal diwedd oes hefyd fanteisio ar y cyfleoedd a nodir yn 'Cymru Iachach', gan gynnwys y cysyniad o Ddatganiadau Ansawdd a ategir gan gynlluniau gweithredu'r GIG o fewn un o swyddogaethau Gweithrediaeth y GIG. Gwnaed rhywfaint o ymgysylltu rhagarweiniol â rhanddeiliaid ar y Datganiadau Ansawdd ar gyfer canser, cyflyrau'r galon a strôc a byddwn yn nodi mwy o fanylion yn ystod y misoedd nesaf.  


Nodwn yr adolygiad gan yr Adran Gwaith a Phensiynau o sut mae'r system fudd\-daliadau'n cefnogi pobl sydd â salwch terfynol megis y rhai sydd â chlefyd niwronau motor (MND) bellach wedi dod i ben. Er ein bod yn derbyn nad yw’r mater hwn wedi'i ddatganoli, byddwn, wrth gwrs, yn ystyried canfyddiadau'r adolygiad.Yn y cyfamser, mae timau gofal lliniarol arbenigol yn parhau i ddarparu gofal a chymorth i gleifion MND a'u ffrindiau a'u teuluoedd.


Mae gwaith yn mynd rhagddo i gyflwyno hyrwyddwyr o gynlluniau peilot Nyrsio Ardal seiliedig ar Gymdogaeth mewn ardaloedd trefol, cymoedd ac ardaloedd gwledig yng Nghymru rhwng 2018 a 2020 i edrych ar ffyrdd o wella gofal lliniarol a gofal diwedd oes i bobl yn y cymunedau hynny. Mae'r rhain yn cynnwys cymysgedd darbodus o sgiliau sy'n cynnwys cymorth gweinyddol;  cyflwyno gweithwyr cymorth gofal iechyd band pedwar;  a thechnoleg amserlennu amser real ar gyfer mwy o hyblygrwydd, ymatebolrwydd a chynhyrchiant


Penodwyd Arweinydd Nyrsio Cenedlaethol i fwrw ymlaen â'r hyn a ddysgwyd o'r cynlluniau peilot. Gellir gweld y gwerthusiad gan Brifysgol De Cymru yn: https://wihsc.southwales.ac.uk/prime\-usw/prime\-usw\-research\-portfolio/evaluation\-neighbourhood\-district\-nursing\-pilots\-wales/.


Yn olaf, cofiwn fod angen cymorth ar ein gweithwyr iechyd a gofal cymdeithasol proffesiynol a phartneriaid yn y trydydd sector hefyd.  Rydym wedi gweithio gyda phartneriaid allweddol i sicrhau bod cynnig llesiant amlhaenog ar gael, gan gynnwys llinell gymorth gyfrinachol gan y Samariaid i weithwyr iechyd a gofal yng Nghymru, yn ogystal â nifer o apiau cymorth iechyd a lles am ddim fel Mind, Sleepio a Daylight a SilverCloud.  


Rydym hefyd wedi darparu cyllid ychwanegol i wella ac ehangu gwasanaeth Iechyd i Weithwyr Iechyd Proffesiynol Cymru (HHP Cymru) \- model cyfrinachol, di\-dâl, haenog o gymorth seicolegol ac iechyd meddwl sydd ar gael i bawb sy'n gweithio i'r GIG yng Nghymru gan gynnwys myfyrwyr.


Mae ystod o adnoddau cenedlaethol a lleol ar gael i staff a gellir eu cyrchu drwy restr chwarae ddefnyddiol ar dudalennau gwe AaGIC ynghyd â chyngor i helpu unigolion i nodi'r math a'r lefel briodol o gymorth iddynt hwy eu hunain, boed hynny'n ymyriad hunanarweiniad, dan arweiniad neu ymyriad un\-i\-un uniongyrchol. https://aagic.gig.cymru/covid\-19/adnoddau\-iechyd\-a\-lles/