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Dydd Gwener diwethaf (11 Chwefror 2022\) cynhaliwyd cyfarfod teirochrog rhwng Llywodraeth Cymru, Arolygiaeth Gofal Iechyd Cymru a Archwilio Cymru i drafod statws uwchgyfeirio cyrff iechyd GIG Cymru.


Rhoddwyd ystyriaeth arbennig i’r lefel uwchgyfeirio ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr, yn dilyn cyhoeddi rhan dau o adolygiad y gwahoddwyd Coleg Brenhinol Llawfeddygon Lloegr (RCS) i’w gynnal ar y gwasanaeth fasgwlaidd (yma). Cyhoeddwyd rhan gyntaf yr adolygiad hwn ym mis Mai y llynedd. Gellir dod o hyd i gopi o’r adroddiad hwnnw yma (tudalen 456 o bapurau Bwrdd Iechyd Prifysgol Betsi Cadwaladr o’r cyfarfod a gynhaliwyd ar 20 Mai 2021\).


Bydd aelodau eisoes yn gwybod y rhoddwyd camau Ymyriad wedi’i Dargedu ar waith ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr ym mis Tachwedd 2020, a hynny mewn pedwar maes:


* Iechyd Meddwl (oedolion a phlant)
* Strategaeth, cynllunio a pherfformiad
* Arweiniad (gan gynnwys llywodraethu, trawsnewid a diwylliant)
* Ymgysylltu (cleifion, y cyhoedd, staff a phartneriaid)


Mae ymyriad wedi’i dargedu yn lefel uwchgyfeirio uchel sy’n gofyn am gamau gweithredu sylweddol ar ran y sefydliad ac yn cynnwys lefel o oruchwyliaeth barhaus gan fy swyddogion.


Yn dilyn y cyfarfod teirochrog yr wythnos diwethaf ac o ganlyniad i’r wybodaeth a gefais gan y bwrdd iechyd, rwyf wedi penderfynu rhoi rhybudd clir y bydd canlyniadau os na fydd yr argymhellion o Adolygiadau’r Coleg Brenhinol yn cael eu datblygu’n ddigonol o fewn tri mis.


Gadewch imi nodi’n glir fy rhesymau dros hyn.


Mae’r bwrdd iechyd wedi ymateb yn gyflym i’r ail ran o adolygiad yr RCS ac wedi rhoi nifer o gamau gweithredu ar waith yn syth gan gynnwys sefydlu cysylltiadau gyda Lerpwl, sefydlu Panel Ansawdd a fydd yn cael ei gadeirio’n annibynnol a chymryd camau i gryfhau arweinyddiaeth glinigol yn lleol. Rwyf wedi cael cynllun gweithredu manwl a fydd yn cael ei roi ar waith yn syth a byddaf yn cael adroddiadau misol gan y Cadeirydd.


Rwy’n credu mai’r peth cywir i’w wneud yw caniatáu amser i’r bwrdd iechyd brofi bod y mesurau hyn yn gwneud gwahaniaeth. Fodd bynnag, rwyf wedi nodi’n glir i’r bwrdd iechyd os nad wyf yn teimlo’n hyderus bod y camau a gynlluniwyd ganddynt yn cael eu rhoi ar waith, neu os nad wyf wedi fy argyhoeddi bod y gwasanaeth ar y trywydd cywir o fewn y tri mis nesaf, y byddaf yn cynnull cyfarfod teirochrog ychwanegol i ystyried cyngor ar fesurau uwchgyfeirio pellach.







Translation:


 
Last Friday (11 February 2022\) a tripartite meeting took place between Welsh Government, Healthcare Inspectorate Wales and Audit Wales to discuss the escalation status of health organisations in NHS Wales.


Particular consideration was given to the escalation level in Betsi Cadwaladr University Health Board, following the publication of part two of an invited service review into vascular services by the Royal College of Surgeons. The first part of this review reported in May of last year (page 456 of the Betsi Cadwaladr University Health Board papers from the meeting held on 20 May 2021\).


Members will already be aware that Betsi Cadwaladr University Health Board was placed in Targeted Intervention in November 2020 for four areas:


* Mental Health (adult and children)
* Strategy, planning and performance
* Leadership (including governance, transformation and culture)
* Engagement (patients, public, staff and partners)


Targeted intervention is a heightened level of escalation that requires significant action on the part of the organisation and is accompanied by a level of continued oversight from my officials.


Following last week’s tripartite meeting and in light of information provided to me by the health board, I have decided to give a clear warning that if the recommendations from the Royal College Reviews are not sufficiently progressed within 3 months there will be consequences.


Let me make clear my reasons for this.


The health board has responded swiftly to the second part of the RCS review and has taken a number of immediate actions including establishing links with Liverpool, setting up a Quality Panel which will be independently chaired and taking steps to strengthen clinical leadership locally. I have received a detailed action plan for immediate implementation and will be receiving monthly reports from the Chair.


I believe it is correct to allow the health board team some time to prove that these measures are making a difference. However, I have made it very plain to the health board that if I do not feel confident that their planned actions are being implemented or if I am not convinced the service is heading in the right direction within the next 3 months, then I will ask the tripartite to convene an additional meeting to consider advice on further escalation measures.