Translate the text from English to Welsh.



 
I am pleased to share with Members a copy of a report into the resilience of health and care services over winter 2017/18 that makes key recommendations for the forthcoming winter.  

  

A copy of the report can be found at the link below:


https://gov.wales/topics/health/publications/health/reports/winter/?lang\=en


In light of learning from the review of winter 2017/18, my officials have worked with national clinical leaders and leads from NHS Wales organisation and local authorities to develop five winter delivery priorities for 2018/19\.  

  

The following five priorities were agreed at a national engagement event in May and communicated to LHBs, Local Authorities and the Welsh Ambulance Services NHS Trust by Welsh Government in June:


• Winter delivery priority (WDP) 1: optimising clinical and cross organisational partnerships to develop local winter plans;


• WDP 2: Explicit focus on better management of patients in the community over winter;


• WDP 3: Enhanced operational grip and clinically focussed hospital management to mitigate peaks in activity and manage risk effectively;


• WDP 4: Focus on enabling people to return home from hospital when they are ready; and


• WDP 5: Specific focus on discharge to assess (Home First) approaches to prevent admission or unnecessarily long stays in hospital.


Preparations for winter 2018/19 have been taking place throughout Wales and across organisational boundaries since last winter. Local health boards, the Welsh Ambulance Services NHS Trust and Local Authorities have been working with partners over recent months to develop integrated winter delivery plans for their health and care communities, aligned to these five priorities.    

  

Integrated winter delivery plans have been received from each health board and feedback has been provided to inform further enhancement of their plans ahead of the winter period.  The Welsh Ambulance Services Trust (WAST) has also developed a national plan that has been considered by the Emergency Ambulance Services Committee (EASC).  

  

In support of delivery of these plans, I am pleased to announce I have identified a £20m package for NHS and its partners in Wales for the busy winter period.  

  

Funding of £16m will be allocated to Local Health Boards to support delivery of actions featured in local plans alongside the ambulance service, Local Authority and third sector partners.  

  

This money will help people to access care closer to home, ensure there is sufficient available hospital capacity and to help people to leave hospital for home when they are ready.  

  

The remaining £4m will fund nationally agreed priorities for the winter period. This funding will be targeted at:  

  

• Extending GP access into evenings and weekends, as well as bank holidays in some areas, to help people access care closer to home;


• Supporting older people who have fallen and are not injured to remain in their homes or care homes;


• Increasing the number of paramedics and nurses in the ambulance clinical contact centres plural to provide advice over the phone and help prevent unnecessary journeys to hospital;


• Increasing capacity in Emergency Departments to support patient flow and to help resettle older, frail people at home following assessment in the department;


• Spreading good practice across Wales from an award winning Welsh Ambulance Service pilot to use highly skilled paramedics to help keep people at home;


• Supporting the ‘My Winter Health Plan’ initiative to help clinicians who visit people at home understand more about their long term conditions and prevent admission to hospital where alternative care would better meet their needs.  

  

The funding announced today is on top of the £5m announced last week to help relieve pressure on critical care units and the £10m announced for delivering sustainable social services.  

  

Officials will continue to work alongside NHS Wales and partner organisations to support their understanding of demand and the capacity required to meet the needs of their population, and to identify opportunities for national and local support, as required.  

  

I intend making a further statement about preparations for the forthcoming winter on 13th November.







Translation:


 
Mae’n bleser gen i rannu â’r Aelodau gopi o adroddiad ynghylch cadernid y gwasanaethau iechyd a gofal yn ystod gaeaf 2017/18, sy’n gwneud argymhellion allweddol ar gyfer y gaeaf sydd i ddod.  
  
Mae copi o’r adroddiad i’w weld drwy’r ddolen isod:

 https://gov.wales/topics/health/publications/health/reports/winter/?skip\=1\&lang\=cy  

 Ar sail yr hyn a ddysgwyd wrth adolygu gaeaf 2017/18, mae fy swyddogion wedi bod yn gweithio gydag arweinwyr clinigol cenedlaethol ac arweinwyr o sefydliadau’r GIG a’r awdurdodau lleol i ddatblygu pum blaenoriaeth gyflawni ar gyfer 2018/19\.  
  
Cytunwyd ar y pum blaenoriaeth ganlynol mewn digwyddiad ymgysylltu cenedlaethol ym mis Mai a chawsant eu cyfleu i’r Byrddau Iechyd Lleol, yr Awdurdodau Lleol ac Ymddiriedolaeth Gwasanaethau Ambiwlans GIG Cymru gan Lywodraeth Cymru ym mis Mehefin:  
  
Blaenoriaeth gyflawni’r gaeaf 1: gwneud y gorau o bartneriaethau clinigol a thraws\-sefydliadol i ddatblygu cynlluniau lleol ar gyfer y gaeaf;

 • Blaenoriaeth 2: Ffocws penodol ar reoli cleifion yn well yn y gymuned yn ystod y gaeaf;

 • Blaenoriaeth 3: Gwella’r gafael gweithredol a rhoi ffocws clinigol wrth reoli mewn ysbytai er mwyn lleddfu’r uchafbwyntiau mewn gweithgarwch a rheoli risgiau’n effeithiol; 

 • Blaenoriaeth 4: Canolbwyntio ar alluogi pobl i fynd adref o’r ysbyty pan fyddant yn barod; 

 • Blaenoriaeth 5: Canolbwyntio’n benodol ar ddulliau ‘rhyddhau i asesu’ er mwyn atal derbyniadau i’r ysbyty neu arosiadau diangen o hir yn yr ysbyty. 

 Mae’r paratoadau ar gyfer gaeaf 2018/19 wedi bod yn digwydd drwy Gymru ac ar draws ffiniau sefydliadau ers gaeaf y llynedd.  Mae’r byrddau iechyd lleol, Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru ac awdurdodau lleol wedi bod yn gweithio gyda’u partneriaid dros y misoedd diwethaf i ddatblygu cynlluniau cyflawni integredig ar gyfer y gaeaf yn eu cymunedau iechyd a gofal, ar sail y pum blaenoriaeth hyn.  
  
Cafwyd cynlluniau cyflawni integredig ar gyfer y gaeaf gan bob bwrdd iechyd a rhoddwyd adborth iddynt i’w galluogi i fireinio’u cynlluniau ymhellach cyn y gaeaf. Mae Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru hefyd wedi llunio cynllun cenedlaethol sydd wedi’i ystyried gan y Pwyllgor Gwasanaethau Ambiwlans Brys.   
  
I helpu i roi’r cynlluniau hyn ar waith, rwy’n falch o gyhoeddi pecyn ariannol o £20m ar gyfer y GIG a’i bartneriaid ar gyfer cyfnod prysur y gaeaf.   
  
Bydd £16 miliwn o gyllid yn cael ei ddyrannu i’r Byrddau Iechyd Lleol i’w helpu i roi’r camau sydd wedi’u nodi yn y cynlluniau cyflawni lleol ar waith, ar y cyd â’r gwasanaeth ambiwlans, awdurdodau lleol a phartneriaid yn y trydydd sector.

 Bydd yr arian hwn yn helpu pobl i gael gofal yn nes at eu cartrefi. Bydd hefyd yn helpu i sicrhau bod digon o gapasiti ar gael mewn ysbytai a bod pobl yn gallu gadael yr ysbyty a mynd adref pan fyddant yn barod.

 Bydd y £4 miliwn  arall yn ariannu blaenoriaethau y cytunwyd arnynt yn genedlaethol ar gyfer cyfnod y gaeaf. Bydd yr arian yn cael ei dargedu at y meysydd canlynol:

 • Ehangu’r mynediad at feddygon teulu fel bod gwasanaeth ar gael fin nos ac ar benwythnosau, yn ogystal ag ar wyliau banc mewn rhai ardaloedd, i helpu pobl i gael gofal yn nes at eu cartrefi;

 • Helpu pobl hŷn sydd wedi cwympo, ond heb gael anaf, i aros gartref neu mewn cartrefi gofal;

 • Cynyddu nifer y parafeddygon a’r nyrsys sydd ar gael yng nghanolfannau cyswllt clinigol y gwasanaeth ambiwlans, i roi cyngor dros y ffôn a helpu i atal pobl rhag teithio i’r ysbyty yn ddiangen;

 • Cynyddu capasiti yn yr Adrannau Brys i hwyluso llif cleifion a helpu i adsefydlu pobl hŷn yn eu cartrefi ar ôl iddynt gael eu hasesu yn yr adran;

 • Lledaenu arferion da drwy Gymru ar sail cynllun peilot llwyddiannus gan Wasanaeth Ambiwlans Cymru i ddefnyddio parafeddygon medrus iawn i helpu i gadw pobl gartref;

 • Cefnogi’r fenter ‘Fy Iechyd y Gaeaf Hwn’ er mwyn helpu clinigwyr sy’n ymweld â phobl yn eu cartrefi i ddeall mwy am eu cyflyrau hirdymor a’u hatal rhag gorfod mynd i’r ysbyty pan fyddai gofal o fath arall yn diwallu eu hanghenion yn well.  
  
Daw’r cyllid a gyhoeddir heddiw ar ben y £5 miliwn a gyhoeddwyd yr wythnos diwethaf i helpu i leddfu’r pwysau ar unedau gofal critigol a’r £10 miliwn i ddarparu gwasanaethau cymdeithasol cynaliadwy.  
  
Bydd swyddogion yn parhau i weithio law yn llaw â GIG Cymru a’r sefydliadau sy’n bartneriaid iddo i’w cynorthwyo i ddeall y galw ac i wybod faint o gapasiti sydd ei angen i ddiwallu anghenion eu poblogaeth, gan nodi cyfleoedd ar gyfer cymorth cenedlaethol a lleol yn ôl yr angen.  
  
Rwy’n bwriadu gwneud datganiad arall ar 13 Tachwedd am y paratoadau ar gyfer y gaeaf sydd i ddod.