Translate the text from English to Welsh.



 
I wish to outline steps I have taken to enhance the arrangements in Wales for protecting our front line health and social care staff who are caring for suspected or confirmed COVID\-19 patients. 


We are in a rapidly changing situation as we move from efforts to contain a ‘high consequence infection’ to the need to delay the community transmission of the COVID\-19 pandemic. This development has resulted in the need for new revised guidance on Personal Protective Equipment (PPE), which has been agreed across all UK nations and which is consistent with guidance from the World Health Organisation. It is important now we all share the same understanding of this guidance and that we procure and provide the PPE that our staff require for their protection.


To support the use of this equipment, Public Health Wales has provided advice on infection prevention and control for healthcare settings and advice on the correct use of personal protective equipment has also been issued to specific groups of healthcare workers.


I must stress the importance of following the guidance in order to protect staff and also to ensure that the appropriate PPE is used for each healthcare setting.


Let me again make clear that this personal protective equipment is for the use of front line health and social care staff, specifically as they deal with confirmed or suspected COVID\-19 patients.


Turning now to some specific measures I have authorised:


1. Personal protective equipment from the pandemic stockpile has been released to the NHS and to social care to reinforce the regular NHS supply routes that have come under substantial pressure.


2. Health Boards have continued to be able to draw on supplies through Shared Services. However, as a result of a significant increase in demand for Type 11 R fluid resistant facemasks and FFP3 respirators, I have authorised a significant push of PPE to the 7 Health Boards, Welsh Ambulance Service and Velindre.


3. I know that it isn’t normal for GPs to hold large stocks of PPE at their clinics other than for business as usual. That is why I also authorised from the pandemic stockpile a distribution of PPE (facemasks, gloves and aprons) to all 640 GP clinics and the 40 GP out of hours services in Wales.


4. Since that first GP distribution took place, the guidance for GPs has changed and there is now the need for GPs to wear eye protection when dealing with a suspected or confirmed COVID\-19 patients. I have, therefore authorised a second distribution of PPE to all GPs clinics, to take place this week.


5. Pharmacies are often the first point of contact for people looking for advice on treatments before going to their GP. It was essential that we took steps to protect these key front line healthcare workers dealing every day with people who may be unwell. I authorised a distribution of PPE for all pharmacies in Wales and all 715 pharmacies will have received this equipment.


6. Social care has an essential role in our response to COVID\-19\. I have authorised PPE to also be released for use by social care providers. Health Boards have been providing PPE to support care centres dealing with suspected or confirmed COVID\-19 cases. This week we will be enhancing those arrangements by putting in place a contingency plan for social care access to PPE through local authorities’ Directors of Social Services and also put in place arrangements to monitor the use of PPE and top up these supplies when needed.


I appreciate that there are and will be continuing issues concerning personal protective equipment and healthcare supplies. I want to make three further points:


1. The re\-supply timeframe in respect of some of our PPE is uncertain. We must, therefore, use the stock we have efficiently and appropriately until resupplies become more certain. We have a health countermeasures group in place, including Shared Services that is networking at a UK level to ensure that these essential supplies continue to be accessed.


2. We also do need to ensure that the access to this PPE stock is reserved for the use of our frontline healthcare staff and that those staff have the appropriate infection control guidance to provide the personal protection that provides the fundamental basis for the use of PPE. Where voluntary bodies are helping the NHS or social services in caring for suspected or confirmed COVID\-19, those bodies should be able to access the appropriate PPE by making contact with the NHS or local authority organisation they are supporting.


3. Finally, to provide re\-assurance and support our healthcare organisations, I have asked that a hotline telephone and email contact is provided to the Welsh Government Emergency Co\-ordination Centre. This can be used in an emergency where PPE supplies have been disrupted or there has been an unplanned and unforeseen surge in use. This line should not be needed but will be put in place and operate 7 days a week.






Translation:


 
Rwyf am amlinellu’r camau rwyf wedi’u cymryd i wella'r trefniadau yng Nghymru ar gyfer diogelu ein staff iechyd a gofal cymdeithasol rheng flaen sy'n gofalu am gleifion lle mae COVID\-19 wedi ei dybio neu wedi ei gadarnhau. 


Rydym mewn sefyllfa sy’n newid yn gyflym wrth i ni symud o ymdrechion i gynnwys ‘haint o ganlyniad uchel’ i’r angen i oedi trosglwyddiad cymunedol o’r pandemig COVID\-19\. Mae’r datblygiad hwn wedi creu’r angen am ganllawiau diwygiedig newydd ar Gyfarpar Diogelu Personol, rhai sydd wedi cael eu cytuno ar draws holl wledydd y DU ac sydd yn gyson â chanllawiau Sefydliad Iechyd y Byd. Mae’n bwysig ein bod ni i gyd yn rhannu'r un ddealltwriaeth o'r canllawiau hyn a'n bod yn caffael ac yn darparu y Cyfarpar Diogelu Personol sydd ei angen ar ein staff er mwyn eu diogelu.


Er mwyn cefnogi’r defnydd o’r cyfarpar hwn, mae Iechyd Cyhoeddus Cymru wedi darparu cyngor ar atal a rheoli heintiau ar gyfer lleoliadau gofal iechyd ac mae cyngor ar ddefnyddio offer diogelu personol yn gywir wedi’i roi hefyd i grwpiau penodol o weithwyr gofal iechyd.


Rhaid i mi bwysleisio pwysigrwydd dilyn y canllawiau er mwyn diogelu staff a hefyd i sicrhau bod y Cyfarpar Diogelu Personol priodol yn cael ei ddefnyddio ar gyfer pob lleoliad gofal iechyd.


Gadewch i mi ei gwneud yn eglur unwaith eto bod yr offer diogelu personol hwn ar gyfer staff rheng flaen iechyd a gofal cymdeithasol, yn benodol wrth iddynt ddelio â chleifion sydd wedi’u cadarnhau neu eu hamau o fod yn glaf i COVID\-19\.


Gan droi nawr at rai mesurau penodol rwyf wedi awdurdodi:


1. Mae Cyfarpar Diogelu Personol o’r stoc pandemig wedi cael ei ryddhau i’r Gwasanaeth Iechyd Gwladol (GIG) ac i’r sector gofal cymdeithasol i atgyfnerthu llwybrau cyflenwi rheolaidd y GIG sydd wedi dod o dan bwysau sylweddol.


2. Mae Byrddau Iechyd wedi parhau i allu defnyddio cyflenwadau drwy’r Cydwasanaethau. Fodd bynnag, o ganlyniad i gynnydd sylweddol yn y galw am fygydau wyneb gwrth\-hylif Math 11 R ac anadlyddion FFP3, rwyf wedi awdurdodi cynnydd sylweddol o Gyfarpar Diogelu Personol i’r 7 Bwrdd Iechyd, i’r gwasanaeth ambiwlans Cymru ac i Felindre.


3. Rwy’n gwybod nad yw’n arferol i feddygon teulu ddal stociau mawr o Gyfarpar Diogelu Personol yn eu clinigau oni bai am ar gyfer busnes cyffredin. Dyna pam yr wyf hefyd wedi awdurdodi dosbarthu Cyfarpar Diogelu Personol (masgiau wyneb, menig a ffedogau) i bob un o’r 640 clinig meddygon teulu a’r 40 o wasanaethau meddygon teulu y tu allan i oriau yng Nghymru.


4. Ers gwneud y dosbarthiad cyntaf hwnnw i feddygon teulu, mae’r canllawiau i feddygon teulu wedi newid ac erbyn hyn mae angen i feddygon teulu wisgo cyfarpar diogelwch llygaid wrth ymdrin â chleifion mewn achosion lle mae COVID\-19 wedi ei amau neu ei gadarnhau. Felly rwyf wedi awdurdodi ail ddosbarthiad o Gyfarpar Diogelu Personol i bob clinig meddygon teulu, a bydd hynny’n digwydd yr wythnos hon.


5. Yn aml, fferyllfeydd yw'r pwynt cyswllt cyntaf i bobl sy'n chwilio am gyngor ar driniaethau cyn mynd at eu meddyg teulu. Roedd yn hanfodol ein bod yn cymryd camau i ddiogelu’r gweithwyr gofal iechyd rheng flaen allweddol hyn sy’n delio bob dydd â phobl a allai fod yn sâl. Rhoddais ganiatâd i ddosbarthu Cyfarpar Diogelu Personol i bob fferyllfa yng Nghymru a bydd pob un o’r 715 fferyllfa wedi derbyn yr offer hwn.


6. Mae gan ofal cymdeithasol rôl hanfodol i’w chwarae yn ein hymateb i COVID\-19\. Rwyf wedi awdurdodi bod ddarparwyr gofal cymdeithasol hefyd yn derbyn Cyfarpar Diogelu Personol. Mae Byrddau Iechyd wedi bod yn darparu Cyfarpar Diogelu Personol er mwyn cefnogi canolfannau gofal sy'n ymdrin ag achosion lle mae COVID\-19 wedi’i dybio neu ei gadarnhau. Yr wythnos hon byddwn yn ehangu’r trefniadau hynny drwy weithredu cynllun wrth gefn i alluogi bod y sector gofal cymdeithasol yn cael gafael ar Gyfarpar Diogelu Personol, a hynny drwy Gyfarwyddwyr Gwasanaethau Cymdeithasol yr awdurdodau lleol. Hefyd bydd trefniadau yn cael eu rhoi ar waith i fonitro'r defnydd o Gyfarpar Diogelu Personol ac i ychwanegu at y cyflenwadau hyn yn ôl yr angen.


Rwy’n sylweddoli fod yna broblemau o ran offer diogelu personol a chyflenwadau gofal iechyd, ac y bydd y rhain yn parhau. Hoffwn wneud tri phwynt pellach:


1. Mae’r amserlen ail\-gyflenwi mewn perthynas â rhai o'n Cyfarpar Diogelu Personol yn ansicr. Felly, rhaid inni ddefnyddio'r stoc sydd gennym yn effeithlon ac yn briodol nes bod ailgyflenwadau yn dod yn fwy sicr.  Mae gennym grŵp gwrth\-fesurau iechyd ar waith, gan gynnwys Cydwasanaethau sy'n rhwydweithio ar lefel y DU i sicrhau bod y cyflenwadau hanfodol hyn yn parhau i gael eu defnyddio.


2. Mae angen i ni hefyd sicrhau bod y mynediad i’r stoc Cyfarpar Diogelu Personol hwn yn cael ei gyfyngu at ddefnydd ein staff gofal iechyd rheng flaen. Mae angen sicrhau bod gan y staff hynny y canllawiau priodol ar reoli heintiau er mwyn darparu’r diogelwch personol sy’n sail i ddefnyddio’r Cyfarpar Diogelu Personol.  Pan fo cyrff gwirfoddol yn helpu'r GIG neu’r gwasanaethau cymdeithasol i ofalu am gleifion lle mae COVID\-19 wedi ei amau neu ei gadarnhau, dylai’r cyrff hynny allu cael gafael ar y Cyfarpar Diogelu Personol priodol drwy gysylltu â’r GIG neu’r sefydliad awdurdod lleol y maent yn cynorthwyo.


3. Yn olaf, i ddarparu sicrwydd a chymorth i’n sefydliadau gofal iechyd, rwyf wedi gofyn fod llinell ffôn gymorth a system gymorth e\-bost yn cael eu darparu i Ganolfan Cydgysylltu Argyfyngau Llywodraeth Cymru. Gellir defnyddio’r rhain mewn argyfwng lle amharwyd ar gyflenwadau Cyfarpar Diogelu Personol neu lle bu ymchwydd nas cynlluniwyd ac nas rhagwelwyd o ran ei ddefnyddio. Ni ddylai fod angen y llinell hon ond bydd yn cael ei rhoi ar waith 7 diwrnod yr wythnos.