Translate the text from English to Welsh.



 
As Members are aware, in April 2019, I published the Royal College of Obstetricians and Gynaecologists and the Royal College of Midwives joint report, following their review of maternity services at the former Cwm Taf University Health Board. One of my immediate actions following receipt of this report was to place maternity services into special measures and establish the Independent Maternity Services Oversight Panel.


I issued a statement to Members in October providing an update on the progress of the Panel in overseeing the necessary improvements in maternity services. I also published the Panel’s Autumn Quarterly Progress Report as well as their Clinical Review Strategy at this time.


I have recently received the Panel’s Winter Quarterly Progress Report and am publishing this today ahead of providing an Oral Statement tomorrow. This second update from the Panel provides a comprehensive picture of all the work in train and what has been achieved to date. I’m pleased that the Panel has confirmed that the health board has made good progress over the past three months and that they are cautiously optimistic that longer term sustainable improvements will be achieved. They have however made it clear that there is still much to do. The Panel has set out its expectations for the areas needing particular focus over the next few months and I expect the health board to continue to work at pace to achieve this.


As well as looking forward, ensuring improvements are made for future services, the Panel have the dual function of looking back and reviewing previous maternity care to maximise opportunities for learning which can feed into the improvement process. Their Clinical Review Strategy published in October outlines their approach to this.


Over the past three months considerable progress has been made to enable the reviews to get underway. I’m pleased to report that a large team of experienced, independent clinical reviewers has been recruited. This includes midwives, obstetricians, neonatologists and anaesthetists. They began their work in December, attending induction events to familiarise themselves with the proposed process and some have been involved in a successful pilot exercise to test the system that has been put in place. Advocacy support for women and families whose care will be reviewed has also been secured through the Cwm Taf Morgannwg Community Health Council.


As a consequence, the Panel’s clinical review programme is now underway. At the beginning of January the Panel contacted all women whose care will be reviewed during the first phase to explain the process, including how they can be involved if that is their wish, and how they can be supported to do so. It is vital that women and families remain at the heart of these reviews. The first phase of clinical reviews will focus on the care of mothers and babies between 01 January 2016 and 30 September 2018\.


This is a large and very sensitive exercise involving the review of around 140 pregnancies and will take some time to complete in a thorough and inclusive way. Unfortunately, I cannot provide any further timescales at this stage. I am sure all Members agree, it is vital these reviews are completed thoroughly and not quickly.


I look forward to updating Members further on all aspects of the improvements needed in response to the organisation’s escalated status in the Chamber tomorrow.







Translation:


 
Fel y gŵyr yr Aelodau, ym mis Ebrill 2019, cyhoeddais yr adroddiad a luniwyd ar y cyd rhwng Coleg Brenhinol yr Obstetryddion a'r Gynaecolegwyr a Choleg Brenhinol y Bydwragedd yn dilyn eu hadolygiad o wasanaethau mamolaeth yng nghyn\-Fwrdd Iechyd Prifysgol Cwm Taf. Un o’r camau a gymerais ar unwaith, wedi i’r adroddiad hwn ddod i law, oedd rhoi’r gwasanaethau mamolaeth mewn mesurau arbennig a sefydlu’r Panel Trosolwg Annibynnol ar Wasanaethau Mamolaeth.


Cyhoeddais ddatganiad i'r Aelodau ym mis Hydref yn rhoi'r wybodaeth ddiweddaraf ar gynnydd y Panel wrth oruchwylio'r gwelliannau angenrheidiol i wasanaethau mamolaeth. Cyhoeddais hefyd Adroddiad Cynnydd Chwarterol y Panel ar gyfer yr hydref yn ogystal â'i Strategaeth ar gyfer Adolygiadau Clinigol.


Rwyf wedi cael Adroddiad Cynnydd Chwarterol y Panel ar gyfer y gaeaf yn ddiweddar ac rwyf bellach mewn sefyllfa i’w gyhoeddi cyn fy Natganiad Llafar yfory.  Rwy’n falch fy mod wedi cael cyfle, ynghyd â’r Panel, i gyfarfod â merched a theuluoedd yr wythnos ddiwethaf, i glywed drosof fy hun sut y gallwn wneud gwelliannau cynaliadwy i wasanaethau mamolaeth ar gyfer mamau, eu babanod a’u teuluoedd.


Mae’r adroddiad unwaith eto yn rhoi darlun cynhwysfawr o’r cynnydd y mae’r gwasanaethau mamolaeth wedi’i wneud hyd yma. Mae’n rhoi amlinelliad clir o waith y Panel hyd yma ac yn cynnwys y camau arfaethedig nesaf. Rwy’n falch fod y bwrdd iechyd wedi gwneud cynnydd da ers yr adroddiad diwethaf a bod cynnydd pellach wedi’i wneud wrth ymateb i’r tri argymhelliad diogelu sy’n weddill.  Mae tystiolaeth hefyd ei fod wedi cyflawni 25 o argymhellion eraill yn llwyddiannus. Er bod hyn yn galonogol, mae’n amlwg o’r adroddiad bod llawer iawn o waith i’w wneud o hyd, er enghraifft ynghylch trafod cwynion a phryderon. Rwy’n disgwyl i’r bwrdd iechyd sicrhau bod y strwythurau perthnasol yn cael eu rhoi ar waith er mwyn iddo allu parhau i wella ar y cyflymdra gofynnol, gan ddangos y ddisgyblaeth sydd ei hangen.


Yn ogystal ag edrych ymlaen a sicrhau bod gwelliannau'n cael eu gwneud i  wasanaethau yn y dyfodol, mae’r Panel yn gyfrifol hefyd am edrych yn ôl ar ofal mamolaeth yn y gorffennol a’i adolygu er mwyn sicrhau’r cyfleoedd gorau posibl i ddysgu a chyfrannu at y broses o wella’r gwasanaethau. Mae'r Strategaeth ar gyfer Adolygiadau Clinigol yn rhoi amlinelliad o fethodoleg arfaethedig y Panel ar gyfer cynnal adolygiadau clinigol amlddisgyblaethol o ofal mamolaeth. Bydd cam cyntaf yr adolygiadau clinigol yn canolbwyntio ar ofal mamau a babanod rhwng 1 Ionawr 2016 a 30 Medi 2018\. Mae meini prawf cynhwysiant eang wedi cael eu datblygu a’u mabwysiadu er mwyn gallu nodi meysydd o arferion da yn ogystal ag enghreifftiau o ofal a oedd islaw'r safonau disgwyliedig.


Mae cynnydd sylweddol wedi’i wneud dros y tri mis diwethaf er mwyn sicrhau bod modd dechrau cynnal yr adolygiadau. Mae'n bleser gennyf ddweud bod tîm mawr o adolygwyr clinigol profiadol, annibynnol wedi cael ei recriwtio. Mae’r tîm hwn yn cynnwys bydwragedd, obstetregwyr, neonatolegwyr ac anesthetyddion. Dechreuasant eu gwaith ym mis Rhagfyr drwy fynychu digwyddiadau sefydlu i ymgyfarwyddo â'r broses arfaethedig ac mae rhai wedi cymryd rhan mewn cynllun peilot llwyddiannus i brofi'r system sydd wedi’i sefydlu.


Mae’n hanfodol bod merched a theuluoedd yn parhau i fod yn ganolog i’r adolygiadau hyn. Mae cymorth eirioli wedi cael ei drefnu gan Gyngor Iechyd Cymuned Cwm Taf Morgannwg ar gyfer merched a theuluoedd y bydd eu gofal yn cael ei adolygu. O ganlyniad, mae rhaglen adolygiadau clinigol y Panel bellach wedi dechrau. Cysylltodd y Panel â'r holl ferched y bydd eu gofal yn cael ei adolygu yn ystod y cam cyntaf ddechrau mis Ionawr, i egluro'r broses, gan gynnwys sut y gallent gymryd rhan os ydynt yn dymuno gwneud hynny, yn ogystal â'u cyfeirio at ffynonellau gwybodaeth a chymorth.


Mae hwn yn ymarfer mawr a sensitif iawn sy'n cynnwys adolygu oddeutu 140 beichiogrwydd a bydd yn cymryd amser i'w gwblhau yn drylwyr ac mewn modd cynhwysol. Yn anffodus, ni allaf ddarparu unrhyw amserlenni pellach ar hyn o bryd. Rwy'n siŵr bod yr holl Aelodau'n cytuno ei bod yn hanfodol bod yr adolygiadau hyn yn cael eu cwblhau'n drylwyr yn hytrach nag yn gyflym.


Bydd fy niweddariad yfory yn cynnwys gwybodaeth ynglŷn â chynnydd yr holl agweddau ar statws ymyrraeth wedi’i thargedu a mesurau arbennig Bwrdd Iechyd Prifysgol Cwm Taf Morgannwg.