Translate the text from English to Welsh.



 
Today, I am publishing the Quality Statement for Care in Emergency Departments (ED) which sets out the outcomes and standards people should expect to receive when accessing care in high\-quality, emergency departments throughout Wales. 

This statement complements commitments made in our Six Goals for Urgent and Emergency Care policy handbook and should be read in the context of the wider improvement work already in train, as part of our whole system approach to provide more care closer to people’s home and ensure people are discharged from hospital in a timely manner.

Emergency department staff work tirelessly every day to deliver the best care to seriously ill and injured people, often under incredible pressure and in difficult circumstances. They are there when we need them the most. I am very thankful for their hard work, commitment and expertise. 

This quality statement is the product of engagement with NHS staff and the public and has been developed in collaboration with clinical leaders and is supported by the Royal College of Emergency Medicine. It is shaped around our new Health and Care Quality Standards. 

It provides health boards with clear direction on what good looks likefor care in emergency departments, focusing on a number of key aspects, including timeliness of access and effective communication and the delivery of the right care, in the right place,first time. 

I expect health boards to immediately adopt this quality statement as a framework for enabling optimal care and treatment in emergency departments. Health boards will focus their plans in 2024\-25 on the delivery of small number of clinically\-endorsed priorities: 

* Reduce risk of harm caused by crowding in emergency departments.
* Improve patient experience by better quality facilities and alignment of the right workforce capacity to respond to patient demand.
* Deliver faster triage and assessment processes, which support clinical prioritisation,
* Deliver faster and more effective patient referral and streaming processes to help people receive the right specialist care more quickly.
* Deliver sustainable working practices to support decarbonisation and maximise efficiencies.
* Develop improved data quality to support planning and improve experience and outcomes.
* Review and implement emergency department measures that reflect what matters most to patients and staff.

Health boards will be supported to deliver the quality statement and the priorities by the NHS Executive through the national Six Goals for Urgent and Emergency Care programme, and the strategic clinical network for critical care, trauma and emergency medicine.

To kick\-start progress, we are launching a national “Green ED” accreditation framework across all of emergency departments in Wales, in collaboration with the Royal College of Emergency Medicine. This Welsh Government\-funded programme has been welcomed by clinicians and will embed sustainable working practices in emergency departments and positively impact on the reduction of emissions, waste and costs.

Additionally, a national tool developed by the GIRFT (Getting it Right First Time) programme will be launched to bring together emergency department demand, capacity, outcomes and flow information. This will enable health boards to establish a clear understanding about the emergency care needs of their local population, and the workforce and infrastructure requirements to target improvements in patient care. This year we have provided £2\.7m to enhance environments for better patient and staff experience in emergency departments and minor injury units in Wales.

Members will be aware the Office for National Statistics recently published a report assessing the comparability of emergency department performance statistics across the UK. I welcome the findings, which support our position that statistics for major emergency departments in England, Scotland and Wales are broadly comparable. 

To build on this independent piece of work, I have established a national task group to review emergency department measures. It will consider whether there are better measures of quality, value, experience and outcome for care provided in emergency departments to help inform the Welsh public about what to expect when accessing these services and to help drive improvements. We will focus on what matters most to people and what is clinically meaningful. 

We will report on further progress against all of the priority actions ahead of winter 2024\-25\. 







Translation:


 
Heddiw, rwy'n cyhoeddi’r Datganiad Ansawdd ar gyfer Gofal mewn Adrannau Achosion Brys sy'n nodi'r canlyniadau a'r safonau y dylai pobl eu disgwyl wrth gael gofal mewn adrannau achosion brys o ansawdd uchel ledled Cymru.

Mae'r datganiad hwn yn ategu'r ymrwymiadau a wnaed yn ein llawlyfr polisi Chwe Nod ar gyfer Gofal Brys a Gofal mewn Argyfwng a dylid ei ddarllen yng nghyd\-destun y gwaith gwella ehangach sydd eisoes ar y gweill, fel rhan o'n dull system gyfan ar gyfer darparu mwy o ofal yn nes at gartrefi pobl a sicrhau bod pobl yn cael eu rhyddhau o’r ysbyty yn amserol.

Mae staff adrannau achosion brys yn gweithio'n ddiflino bob dydd i ddarparu'r gofal gorau i bobl ddifrifol wael a phobl sydd wedi’u hanafu, yn aml o dan bwysau anhygoel ac mewn amgylchiadau anodd. Maen nhw yno pan fydd eu hangen fwyaf arnom. Rwy'n ddiolchgar dros ben am eu gwaith caled, eu hymrwymiad a’u harbenigedd.

Mae'r datganiad ansawdd hwn wedi'i gynhyrchu yn dilyn gwaith ymgysylltu â staff y GIG a'r cyhoedd. Cafodd ei ddatblygu mewn cydweithrediad ag arweinwyr clinigwyr ac fe’i cefnogir gan y Coleg Brenhinol Meddygaeth Frys. Mae’n seiliedig ar ein Safonau Ansawdd Iechyd a Gofal newydd.

Mae'n rhoi cyfarwyddyd clir i fyrddau iechyd ar yr hyn a olygir wrth daar gyfer gofal mewn adrannau achosion brys, gan ganolbwyntio ar nifer o agweddau allweddol – yn eu plith amseroldeb mynediad, cyfathrebu effeithiol a darparu'r gofal iawn, yn y lle iawn, y tro cyntaf.

Rwy'n disgwyl i fyrddau iechyd fabwysiadu'r datganiad ansawdd hwn ar unwaith fel fframwaith ar gyfer galluogi darparu'r gofal a'r driniaeth orau posibl mewn adrannau achosion brys. Bydd byrddau iechyd yn canolbwyntio eu cynlluniau yn 2024\-25 ar gyflawni nifer bach o flaenoriaethau a gymeradwywyd yn glinigol:

* Lleihau'r risg o niwed a achosir gan brysurdeb mewn adrannau achosion brys.
* Gwella profiad cleifion drwy ddarparu cyfleusterau o ansawdd uwch a sicrhau'r capasiti gweithlu cywir i ymateb i’r galw gan gleifion.
* Darparu prosesau brysbennu ac asesu cyflymach sy'n cefnogi blaenoriaethu clinigol.
* Darparu prosesau ar gyfer atgyfeirio cleifion a'u rhoi ar lwybrau uniongyrchol yn gyflymach ac yn fwy effeithiol i helpu pobl i gael y gofal arbenigol cywir yn gyflymach.
* Darparu arferion gwaith cynaliadwy i gefnogi datgarboneiddio a bod mor effeithlon â phosibl.
* Datblygu gwell ansawdd data i gefnogi gwaith cynllunio a gwella profiad a chanlyniadau.
* Adolygu a gweithredu mesurau mewn adrannau achosion brys sy'n adlewyrchu'r hyn sydd bwysicaf i gleifion a staff.

Bydd Gweithrediaeth y GIG yn cefnogi byrddau iechyd i gyflawni'r datganiad ansawdd a'r blaenoriaethau drwy'r rhaglen genedlaethol Chwe Nod ar gyfer Gofal Brys a Gofal mewn Argyfwng, a'r rhwydwaith clinigol strategol ar gyfer gofal critigol, trawma a meddygaeth frys.

Er mwyn sbarduno cynnydd, rydym yn lansio fframwaith achredu 'Adrannau Brys Gwyrdd' cenedlaethol ar draws yr holl adrannau achosion brys yng Nghymru, mewn cydweithrediad â'r Coleg Brenhinol Meddygaeth Frys. Mae'r rhaglen hon, a ariennir gan Lywodraeth Cymru, wedi cael ei chroesawu gan glinigwyr a bydd yn ymgorffori arferion gwaith cynaliadwy o fewn adrannau achosion brys ac yn cael effaith gadarnhaol ar leihau allyriadau, gwastraff a chostau.

Yn ogystal, bydd offeryn cenedlaethol a ddatblygwyd gan y rhaglen GIRFT (Cael Pethau’n Iawn y Tro Cyntaf) yn cael ei lansio i ddod â gwybodaeth am alw, capasiti, canlyniadau a llif gwybodaeth adrannau achosion brys ynghyd. Bydd hyn yn galluogi i fyrddau iechyd sicrhau bod ganddynt ddealltwriaeth glir o anghenion gofal brys eu poblogaeth leol, a gofynion y gweithlu a’r seilwaith i dargedu gwelliannau i ofal cleifion. Eleni, rydym wedi darparu £2\.7m i wella amgylcheddau i sicrhau gwell profiad i gleifion a staff mewn adrannau achosion brys ac unedau mân anafiadau yng Nghymru.

Bydd yr Aelodau yn ymwybodol bod y Swyddfa Ystadegau Gwladol wedi cyhoeddi adroddiad yn ddiweddar yn asesu sut mae ystadegau perfformiad adrannau achosion brys yn cymharu ar draws y DU. Rwy'n croesawu’r canfyddiadau sy'n cefnogi ein safbwynt bod ystadegau adrannau achosion brys mawr yng Nghymru, Lloegr a'r Alban yn gymharol debyg. 

Er mwyn adeiladu ar y darn annibynnol hwn o waith, rwyf wedi sefydlu grŵp gorchwyl cenedlaethol i adolygu mesurau adrannau achosion brys. Bydd y grŵp yn ystyried a oes gwell ffyrdd o fesur ansawdd, gwerth, profiad a chanlyniadau’r gofal a ddarperir mewn adrannau achosion brys i helpu i hysbysu'r cyhoedd yng Nghymru am yr hyn y gallant ei ddisgwyl wrth ddefnyddio'r gwasanaethau hyn ac i helpu i gymell gwelliannau. Byddwn yn canolbwyntio ar yr hyn sydd bwysicaf i bobl a'r hyn sy'n ystyrlon yn glinigol. 

Byddwn yn adrodd ar gynnydd pellach yn erbyn yr holl gamau blaenoriaeth cyn gaeaf 2024\-25\.