Translate the text from English to Welsh.



 
Today, I am publishing the findings of the independent review of neonatal services at Prince Charles Hospital, in Merthyr Tydfil.


I would like to thank the Independent Maternity Services Oversight Panel and its neonatal deep dive team for the significant amount of work undertaken over the last eight months to provide such a comprehensive picture of services and improvements needed. I also want to thank all the families who gave their time to share their experiences and contributed to this important review.


The review has involved a family listening exercise; conversations with staff and stakeholders; a documentary evidence review and a review of the clinical care provided to a number of babies admitted to the Prince Charles Hospital neonatal unit during 2020\.


Members will be aware the panel raised concerns about the unit in September 2021\. It advised Cwm Taf Morgannwg University Health Board of its interim findings so immediate and short\-term action could be taken while the review continued.


Improvement action taken to date includes the recruitment of two additional consultants and revised arrangements to ensure the timely transfer of pregnant people who need to be referred to specialist services. Closer working relationships have also been built with tertiary centres to regularly support clinical decision making where necessary.


The review has now concluded – it has explored all elements of the neonatal service in depth and provides a rich source of learning for the health board and other NHS organisations in Wales.


The panel has identified some strengths for the service and the health board to build on, not least the dedicated and caring staff at all levels who are committed to the neonatal service and its ongoing development.


The panel has also outlined wide ranging recommendations relating to:


* Family engagement and support
* Workforce
* Data collection, analysis, audit and reporting
* Governance and assurance mechanisms
* Clinical practice and learning from incidents
* Culture and team relationships
* Reflective practice


These recommendations have been accepted and welcomed by the health board to support the considerable improvement activity which is already underway and to help it achievable sustainable change.


The report makes it clear the neonatal service at Prince Charles Hospital cannot be considered in isolation. As well as being inextricably linked to maternity services and the wider health board, it must function effectively within the wider maternal and neonatal networks as well as working with neighbouring health boards.


The report also makes some all\-Wales recommendations. The Maternity and Neonatal Safety Support programme, which I launched on 24 January, will take these important recommendations forward. It will ensure clear and consistent approaches to maternity and neonatal safety in all services in Wales and will build on previous work undertaken, such as the peer reviews completed by the All\-Wales Maternity and Neonatal Network and the independent reviews of neonatal transport services commissioned by the Welsh Health Specialised Services Committee.


We will continue to work with the NHS to improve services to ensure all pregnant people, their babies and families experience high\-quality maternity and neonatal care across Wales.







Translation:


 
Heddiw, rwy’n cyhoeddi canfyddiadau’r adolygiad annibynnol o wasanaethau newyddenedigol yn Ysbyty’r Tywysog Siarl ym Merthyr Tudful.


Hoffwn ddiolch i’r Panel Trosolwg Annibynnol ar Wasanaethau Mamolaeth a’r tîm sy’n cynnal adolygiad manwl o’r gwasanaethau newyddenedigol am y gwaith sylweddol a gwblhawyd ganddynt yn ystod yr wyth mis diwethaf er mwyn sicrhau darlun mor gynhwysfawr o’r gwasanaethau, a’r gwelliannau sydd eu hangen. Hoffwn hefyd ddiolch i’r holl deuluoedd am roi o’u hamser gan rannu eu profiadau a chyfrannu at yr adolygiad pwysig hwn.


Roedd yr adolygiad yn cynnwys ymarferion gwrando ar deuluoedd, sgyrsiau â staff a rhanddeiliaid, adolygiad o dystiolaeth ddogfennol, ac adolygiad o’r gofal clinigol a roddwyd i nifer o fabanod a dderbyniwyd i’r uned newyddenedigol yn Ysbyty’r Tywysog Siarl yn ystod 2020\.


Bydd Aelodau yn ymwybodol bod y panel wedi codi pryderon ynghylch yr uned ym mis Medi 2021\. Rhoddwyd gwybod i Fwrdd Iechyd Prifysgol Cwm Taf Morgannwg am ganfyddiadau interim y panel er mwyn sicrhau bod camau gweithredu yn cael eu rhoi ar waith yn syth ac yn y tymor byr wrth i’r adolygiad barhau.


Mae’r camau gweithredu sydd wedi’u cwblhau hyd yma er mwyn sicrhau gwelliant yn cynnwys penodi dau ymgynghorydd ychwanegol, a rhoi trefniadau diwygiedig yn eu lle er mwyn sicrhau bod pobl beichiog yn cael eu symud yn brydlon pan fyddant angen cael eu cyfeirio at wasanaethau arbenigol. Yn ogystal, mae cysylltiadau gwaith agosach wedi’u datblygu â chanolfannau trydyddol er mwyn cefnogi penderfyniadau clinigol yn rheolaidd pan fo angen.


Mae’r adolygiad wedi’i gwblhau erbyn hyn. Mae’r gwaith wedi archwilio holl elfennau’r gwasanaeth newyddenedigol yn fanwl gan sicrhau ffynhonnell ddysgu werthfawr i’r bwrdd iechyd, a sefydliadau eraill y GIG yng Nghymru.


Mae’r panel wedi adnabod rhai cryfderau i’w datblygu gan y gwasanaeth a’r bwrdd iechyd, yn arbennig y staff gofalgar ac ymroddedig ar bob lefel sydd wedi ymrwymo i’r gwasanaeth newyddenedigol a’i ddatblygiad parhaus.


Mae’r panel hefyd wedi amlinellu ystod eang o argymhellion mewn perthynas â:


* Meithrin cysylltiadau â theuluoedd a’u cefnogi;
* Y gweithlu;
* Casglu, dadansoddi, archwilio ac adrodd ar ddata;
* Prosesau llywodraethu a sicrwydd;
* Ymarfer clinigol a dysgu o ddigwyddiadau;
* Diwylliant a chysylltiadau tîm;
* Ymarfer myfyriol.


Mae’r argymhellion hyn wedi’u derbyn ac wedi’u croesawu gan y bwrdd iechyd er mwyn cefnogi’r gweithgareddau gwelliant helaeth sy’n mynd rhagddynt eisoes, ac er mwyn cynorthwyo’r bwrdd i gyflawni newidiadau cynaliadwy.


Mae’r adroddiad yn nodi’n glir na ellir ystyried y gwasanaeth newyddenedigol yn Ysbyty’r Tywysog Siarl ar ei ben ei hun. Yn ogystal â’r ffaith bod y gwasanaeth wedi’i gysylltu’n anorfod â’r gwasanaethau mamolaeth a’r bwrdd iechyd ehangach, mae’n rhaid i’r gwasanaeth weithredu’n effeithiol o fewn y rhwydweithiau mamolaeth a newyddenedigol ehangach, yn ogystal â chydweithio â byrddau iechyd cyfagos.


Mae’r adroddiad hefyd yn cynnig ychydig o argymhellion Cymru gyfan. Bydd y rhaglen Cefnogi Diogelwch mewn Gofal Mamolaeth a Newyddenedigol a lansiais ar 24 Ionawr yn mynd ati i weithredu ar yr argymhellion pwysig hyn. Bydd y rhaglen yn sicrhau dulliau clir a chyson ar gyfer diogelwch mamolaeth a newyddenedigol ymhob gwasanaeth yng Nghymru. Bydd y rhaglen hefyd yn adeiladu ar waith blaenorol a gwblhawyd, er enghraifft adolygiadau gan gymheiriaid a gwblhawyd gan y Rhwydwaith Mamolaeth a Newyddenedigol Cymru Gyfan, a’r adolygiadau annibynnol o wasanaethau cludo babanod newydd\-anedig a gomisiynwyd gan Bwyllgor Gwasanaethau Iechyd Arbenigol Cymru.


Byddwn yn parhau i gydweithio â’r GIG er mwyn gwella gwasanaethau a sicrhau bod pob person beichiog, eu babanod a’u teuluoedd yn cael gofal mamolaeth a gofal newyddenedigol o ansawdd uchel ledled Cymru.