Translate the text from English to Welsh.



 
I am sure you were as concerned as I was to read the recent report by the Health Service Ombudsman in England. Care and Compassion described 10 cases in NHS England where the older people concerned did not receive even the most basic levels of care. I am worried about the message this gives to the public about what they should expect from NHS Wales.


I wish to emphasis that quality, patient safety and ensuring all individuals are treated with dignity and respect are at the heart of everything we do in NHS Wales. There is no room for complacency when caring for the health and well being of individuals.


It is an unfortunate truth that we see good and bad practices in all areas of society.  Where levels of care are seen to fall short, I expect organisations to rigorously investigate and address the issues identified as failings. We have a number of robust structures and arrangements in place to drive up standards, and root out and deal with any failures in care in NHS Wales.


All NHS Wales organisations must comply with Doing Well, Doing Better – the Healthcare Standards for Wales. The focus of the standards is "doing the right thing, at the right time, for the right patient, in the right place and with the right staff".


Healthcare Inspectorate Wales (HIW) rigorously inspects and externally assures how well organisations meet these standards, including undertaking investigations into serious incidents and making unannounced cleanliness spot checks.


We have retained Community Health Councils in Wales and their programme of visiting, inspecting and monitoring services has continued to safeguard the public’s interests. I was pleased to note that the 2010 Hospital Patient Environment review, which is conducted annually by the CHC, showed a general trend of improvement sustained over the last 2\-3 years. It also highlights areas that still need attention, and I expect all NHS organisations to use this valuable feedback in their drive to improve services.


In addition to these quality assurance arrangements, I have introduced a wide range of initiatives designed to help organisations deliver consistent high quality person\-centred care:


* The Free to Lead, Free to Care initiative that enhances the powers for hospital ward sisters to manage their wards, which affects every aspect of the patient’s experience, such as protected mealtimes and ensuring cleanliness. There are now Fundamentals of Care audits of every ward in Wales.
* 1000 Lives Plus is making significant improvements in patient safety and reduction in harm across Wales. Some hospital wards have reduced and in some cases eliminated pressure ulcers, which is a remarkable achievement.  

 The Transforming Care at the Bedside programme is seeing significant increases in the amount of time healthcare staff spend on direct patient care, and also reductions in adverse incidents.


In addition to programmes that focus on processes and behaviours, I have also looked at how we recruit and train staff and how we ensure all staff understand their responsibilities to patients:


* Uniquely in the UK, all applicants for nursing and midwifery education programmes in Wales must submit a Character Reference, which provides evidence about the individual’s attitudes to caring and ability to communicate with people.
* In January, I introduced a Code of Conduct for Healthcare Support Workers, who provide a large portion of hands\-on patient care.  This sets out how they should behave and do the right thing at all times.


In addition to the programmes that improve services for all patients, I have also focused developments and funding for specific parts of the population, such as the National Dementia Vision for Wales, launched on 16 February 2011\.


In the last 3 years, significant work has been driven through the Dignity in Care programme, set up to examine issues related to dignity and respect for older people in health and social care settings.


This extensive programme of work has involved engagement with staff at all levels, users and carers, to raise awareness of issues related to dignity and respect in caring for older people. It has seen the introduction of staff training programmes; ‘listening’ events with front line staff, users and carers; support for specific projects aimed at improving care; focused NHS inspections by HIW; and development of specific questions on dignity and respect in the Fundamentals of Care Audit Tool (now used on every ward in Wales).


Work is underway to consider creating a network of Dignity in Care Champions. Proposals include identifying individuals who are committed to taking action, however small, to create a care system that has compassion and respect for those using its services.


We have also been successful in restructuring overnight hospital accommodation to provide single rooms and/or single sex bay accommodation in ward areas. Moving to single accommodation is not without its detractors. Some patients have expressed a wish to be in shared accommodation, as this provides companionship and a feeling of safety from having other people around them.


To date, the gains in terms of privacy and improved dignity of patients, and the positive benefits in reducing Healthcare Associated Infection, have been the deciding factors when re\-designing acute hospital environments to date. Perhaps now is the time to undertake some evaluation of the patient’s experience to explore these issues further.


When things do go wrong, people need to know that their concerns will be properly investigated and that the organisation will do everything it can to deal with them honestly and fairly. It is also important that people feel that the organisation has genuinely learnt from any mistakes that have been made.


I have only this week taken the NHS (Concerns, Complaints and Redress Arrangements) (Wales) Regulations 2011 through the Assembly and they will come into force on 1 April. These new arrangements will improve the way in which the NHS in Wales handles concerns. 


The new arrangements will provide a single, integrated process for dealing with concerns raised about treatment and care, whether through a complaint, claim or clinical incident. They will put the person raising the concern at the heart of the process, provide proportionate investigation and a thorough response. The new Regulations also introduce the concept of redress, which will allow lower value claims for clinical negligence to be settled without legal action. 


Despite all the things that have been put in place, there is still work to be done. There must be a zero tolerance to poor care. It is never acceptable for patients and users of our services to receive anything less than the best possible level of service \- which must at all times be respectful, safe and compassionate.







Translation:


 
Rwy’n siwr bod darllen yr adroddiad diweddar gan Ombwdsmon y Gwasanaeth Iechyd yn Lloegr wedi peri cymaint o bryder i chi ag i mi. Roedd Care and Compassion yn disgrifio 10 achos yn y GIG yn Lloegr lle na wnaeth y bobl hŷn dan sylw dderbyn y lefelau gofal mwyaf sylfaenol. Rwy’n poeni ynghylch y neges y mae hyn yn ei roi i’r cyhoedd am yr hyn y dylent ei ddisgwyl oddi wrth GIG Cymru.

Hoffwn bwysleisio bod ansawdd, diogelwch cleifion a sicrhau bod pob unigolyn yn cael eu trin ag urddas a pharch yn ganolog i bopeth a wnawn yn GIG Cymru. Nid oes unrhyw le i laesu dwylo wrth ofalu am iechyd a lles unigolion.

Mae’n wirionedd anffodus ein bod yn gweld arferion da a drwg ym mhob rhan o gymdeithas. Lle gwelir bod lefelau gofal yn syrthio’n brin, rwy’n disgwyl i sefydliadau ymchwilio’n drwyadl i’r materion a nodir fel methiannau a mynd i’r afael â hwy. Mae gyda ni nifer o strwythurau a threfniadau cadarn i godi safonau ac i gael gwared ag unrhyw fethiannau gofal yn GIG Cymru.

Mae’n rhaid i holl sefydliadau GIG Cymru gydymffurfio â Gwneud yn Dda, Gwneud yn Well – Safonau Gofal Iechyd Cymru. Ffocws y safonau yw “gwneud y peth iawn, ar yr adeg iawn, i'r claf iawn, yn y lle iawn gyda’r staff iawn".

Mae Arolygiaeth Gofal Iechyd Cymru yn arolygu’n drwyadl ac yn darparu sicrwydd ansawdd allanol ynghylch i ba raddau mae sefydliadau yn bodloni’r safonau hyn, gan gynnwys cynnal ymchwiliadau i achosion difrifol a chynnal hap\-archwiliadau dirybudd o lendid.

Rydym wedi cadw Cynghorau Iechyd Cymuned yng Nghymru ac mae eu rhaglen o ymweld, arolygu a monitro gwasanaethau wedi parhau i warchod buddiannau’r cyhoedd. Roedd yn bleser gennyf nodi bod adolygiad 2010 o amgylchedd cleifion mewn ysbytai, a gynhelir bob blwyddyn gan y Cynghorau Iechyd Cymuned, yn dangos gwelliant cyffredinol a gynhaliwyd dros y 2\-3 mlynedd diwethaf. Mae’n tynnu sylw hefyd at y meysydd y mae angen rhoi sylw iddynt o hyd, ac rwy’n disgwyl i holl sefydliadau’r GIG ddefnyddio’r adborth gwerthfawr hwn yn eu hymgyrch i wella gwasanaethau.

Yn ogystal â’r trefniadau hyn i sicrhau ansawdd, rwyf wedi cyflwyno amrywiaeth eang o fentrau i helpu sefydliadau i sicrhau gofal o ansawdd uchel cyson sy’n canolbwyntio ar yr unigolyn:

* Menter Rhyddid i Arwain, Rhyddid i Ofalu sy’n cynyddu pwerau prif nyrsys wardiau ysbyty i reoli eu wardiau, sy’n effeithio ar bob agwedd ar brofiad y claf, megis amseroedd bwyta a glendid. Erbyn hyn mae archwiliadau Hanfodion Gofal yn cael eu cynnal ar bob ward yng Nghymru.
* Mae 1000 o Fywydau a Mwy yn gwneud gwelliannau sylweddol o ran diogelu cleifion a lleihau niwed ledled Cymru. Mae rhai wardiau ysbyty wedi lleihau ac, mewn rhai achosion, wedi cael gwared yn llwyr â briwiau pwyso, sy’n gryn gyflawniad.
* Mae rhaglen Transforming Care at the Bedside yn gweld cryn gynnydd yn yr amser y mae staff gofal iechyd yn ei dreulio ar ofal cleifion uniongyrchol, a hefyd yn y gostyngiadau mewn achosion niweidiol.

Yn ogystal â rhaglenni sy’n canolbwyntio ar brosesau ac ymddygiad, rwyf hefyd wedi edrych ar sut rydym yn recriwtio ac yn hyfforddi staff a sut rydym yn sicrhau bod yr holl staff yn deall eu cyfrifoldebau i gleifion:

* Yn y DU, ac yma’n unig, rhaid i bob ymgeisydd am raglenni addysg nyrsio a bydwreigiaeth yng Nghymru gyflwyno Geirda Cymeriad, sy’n rhoi tystiolaeth am agweddau’r unigolyn i ofalu a’i allu i gyfathrebu â phobl.
* Ym mis Ionawr, cyflwynais God Ymddygiad ar gyfer Gweithwyr Cymorth Gofal Iechyd, sy’n darparu cyfran fawr o ofal cleifion ymarferol. Mae hwn yn nodi sut dylent ymddwyn a gwneud y peth iawn bob amser.

Yn ogystal â’r rhaglenni sy’n gwella gwasanaethau i bob claf, rwyf hefyd wedi canolbwyntio datblygiadau a chyllid ar gyfer rhannau penodol o’r boblogaeth, megis Gweledigaeth Demensia Genedlaethol Cymru, a lansiwyd ar 16 Chwefror 2011\.

Yn y 3 blynedd ddiwethaf, mae cryn waith wedi’i ysgogi gan raglen Urddas mewn Gofal, a sefydlwyd i ystyried materion sy’n ymwneud ag urddas a pharch i bobl hŷn mewn lleoliadau iechyd a gofal cymdeithasol.

Mae’r rhaglen waith helaeth hon wedi golygu ymgysylltu â staff ar bob lefel, defnyddwyr a gofalwyr, i godi ymwybyddiaeth o faterion sy’n ymwneud ag urddas a pharch wrth ofalu am bobl hŷn. Gwelwyd cyflwyno rhaglenni hyfforddi staff; digwyddiadau ‘gwrando’ gyda staff y rheng flaen, defnyddwyr a gofalwyr; cymorth i brosiectau penodol i wella gofal; arolygiadau o’r GIG gan AGIC; a datblygu cwestiynau penodol ar urddas a pharch yn y Pecyn Archwilio Hanfodion Gofal (a ddefnyddir ar bob ward yng Nghymru erbyn hyn).

Mae gwaith ar y gweill i ystyried creu rhwydwaith o Hyrwyddwyr Urddas mewn Gofal. Ymhlith y cynigion mae nodi unigolion sydd wedi ymrwymo i gymryd camau, pa mor fach bynnag, i greu system ofal sy’n dangos tosturi a pharch at y rhai sy’n defnyddio ei gwasanaethau.

Rydym hefyd wedi bod yn llwyddiannus wrth ailstrwythuro llety ysbyty dros nos i ddarparu ystafelloedd sengl a/neu ardaloedd un rhyw mewn rhannau o wardiau. Nid yw symud i lety sengl yn fêl i gyd. Mae rhai cleifion wedi mynegi dymuniad i fod mewn llety a rennir, gan fod hyn yn rhoi cwmni iddynt ac ymdeimlad o ddiogelwch gan fod pobl eraill o’u cwmpas.

Hyd yn hyn, y preifatrwydd a’r urddas mwy i gleifion, a’r manteision yn sgil lleihau Heintiau sy’n Gysylltiedig â Gofal Iechyd, fu’r ffactorau a benderfynodd pryd i ailddylunio ysbytai aciwt. Efallai mai nawr yw’r amser i gynnal gwerthusiad o brofiad y claf i ymchwilio i’r materion hyn ymhellach.

Pan aiff pethau o le, mae angen i bobl wybod yr ymchwilir yn briodol i’w pryderon ac y gwnaiff y sefydliad bopeth o fewn ei allu i ddelio â hwy mewn ffordd onest a theg. Mae’n bwysig hefyd bod pobl yn teimlo bod y sefydliad wir wedi dysgu o unrhyw gamgymeriadau a wnaed.

Yr wythnos hon, rwyf wedi mynd â Rheoliadau’r GIG (Pryderon, Cwynion a Threfniadau Unioni Cam) (Cymru) 2011 drwy’r Cynulliad a dônt i rym ar 1 Ebrill. Bydd y trefniadau newydd hyn yn gwella’r ffordd y mae’r GIG yng Nghymru yn delio â phryderon.

Bydd y trefniadau newydd yn darparu un broses integredig ar gyfer delio â phryderon a godwyd am driniaeth a gofal, boed drwy gŵyn, hawliad neu achos clinigol. Byddant yn rhoi lle canolog i’r person sy’n codi’r pryder, yn darparu ymchwiliad cymesur ac ymateb trwyadl. Mae’r Rheoliadau newydd hefyd yn cyflwyno’r cysyniad o unioni cam, a fydd yn caniatáu i hawliadau gwerth is am esgeulustod clinigol gael eu setlo heb weithredu cyfreithiol.

Er gwaethaf yr holl bethau hyn sydd wedi’u sefydlu, mae yna waith eto i’w wneud. Mae’n rhaid inni ddatblygu agwedd o wrthod goddef gofal gwael. Nid yw byth yn dderbyniol i gleifion a defnyddwyr ein gwasanaethau gael unrhyw beth yn llai na’r lefel gwasanaeth gorau posibl – a dylai bob amser ddangos parch a thosturi a sicrhau diogelwch.