Translate the text from English to Welsh.



 
On 30 April 2019 I published the Royal College of Obstetricians and Gynaecologists and 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 was the establishment of an Independent Maternity Services Oversight Panel. At that time I issued a draft Terms of Reference outlining the proposed role of the panel. I also issued a further statement on 23 May 2019 confirming the full panel membership.


Following my meeting on 13 May 2019 with women and families who had been affected by the findings of the review I asked Mick Giannasi, Panel Chair, to consult with families and key stakeholders about the Terms of Reference so that they all had an opportunity to provide their comments on the proposed role and functions. I want to ensure that the voices of the women and families affected are reflected in all of the oversight work. I am grateful to all those who have contributed to the process and for the support that has been offered to help the health board achieve the necessary improvements. Overall individuals and organisations were largely content with what had been proposed but a small number of suggestions have been received. I am today publishing the final Terms of Reference to confirm the key tasks that will be undertaken by the panel over the coming months.


Yesterday I met with the panel and was pleased to hear that a substantial amount of work has already taken place. This includes developing a robust process for undertaking the clinical reviews and look back exercise; ensuring effective engagement with families and staff; and monitoring the health board’s progress in implementing the maternity services improvement plan. I will issue a further statement before summer recess to update Assembly Members on progress.


### Terms of Reference


#### **Independent Maternity Services Oversight Panel – Cwm Taf Morgannwg University Health Board**


##### **Purpose**


To provide the oversight\* which is necessary to enable Cwm Taf Morgannwg University Health Board to implement the recommendations of the Royal Colleges’ report in a timely, open and transparent manner.


##### **Terms of Reference**


* Establish robust arrangements which provide assurance to stakeholders that the recommendations of the Royal Colleges’ review and other associated recommendations are being implemented by the Health Board. Set and agree milestones and deliverables and track progress against them
* Establish and agree an independent multidisciplinary process to clinically review the 2016\-2019 serious incidents identified by the Royal Colleges as requiring further investigation. Conduct a ‘look back’ exercise to 2010 and ensure that anyone who has justified concerns about their care is provided with the opportunity for it to be reviewed. Ensure that any learning which emerges from these reviews is acted upon by the Health Board and others
* Advise the Health Board on the actions it needs to take to establish effective engagement arrangements which actively involve patients and staff in the improvement of maternity and neonatal services and rebuild wider public trust and confidence in the Health Board
* Escalate any wider governance related issues or concerns which emerge to the Health Board and Welsh Government as appropriate
* Advise the minister on any further action which the Panel considers necessary to ensure the provision of safe, sustainable, high quality, patient centred maternity and neonatal services. This should include advice about the need for, and timing of,any follow\-up independent reviews and the identification of any wider lessons for the NHS in Wales.


\*By the term ‘oversight’ we mean an objectively derived blend of measures (including target setting, monitoring, scrutiny, challenge, reality testing, guidance, encouragement and support) which in combination, provide assurance to stakeholders (including patients, staff and the wider public) that the Health Board is delivering the improvements which it is required to deliver.







Translation:


 
Ar 30 Ebrill 2019 cyhoeddais adroddiad Coleg Brenhinol yr Obstetryddion a'r Gynaecolegwyr a Choleg Brenhinol y Bydwragedd yn dilyn eu hadolygiad o wasanaethau mamolaeth cyn Fwrdd Iechyd Prifysgol Cwm Taf. Un o'r camau a gymerais ar unwaith oedd sefydlu Panel Trosolwg Annibynnol ar Wasanaethau Mamolaeth. Bryd hynny, cyhoeddais Gylch Gorchwyl yn amlinellu swyddogaeth arfaethedig y panel. Cyhoeddais hefyd ddatganiad pellach ar 23 Mai 2019 yn cadarnhau aelodaeth lawn y panel.


Yn dilyn fy nghyfarfod ar 13 Mai 2019 gyda menywod a theuluoedd a effeithiwyd gan ddarganfyddiadau'r adolygiad, gofynnais i Mick Giannasi, Cadeirydd y Panel, ymgynghori gyda theuluoedd a rhanddeiliaid allweddol ynglŷn â'r Cylch Gorchwyl er mwyn i bob un ohonynt gael cyfle i roi eu sylwadau ar swyddogaethau arfaethedig y Panel. Rwyf eisiau sicrhau bod lleisiau'r menywod a'r teuluoedd a effeithiwyd yn cael eu hadlewyrchu yn y gwaith trosolwg yn ei gyfanrwydd. Rwy'n ddiolchgar i bawb a gyfrannodd at y broses, ac am y gefnogaeth a roddwyd i helpu'r bwrdd iechyd i gyflawni'r gwelliannau angenrheidiol. Yn gyffredinol, roedd unigolion a sefydliadau yn gymharol fodlon â'r hyn a gynigiwyd, ond cafwyd ychydig o awgrymiadau. Heddiw, rwy'n cyhoeddi'r Cylch Gorchwyl terfynol i gadarnhau'r prif dasgau a fydd yn cael eu gwneud gan y panel dros y misoedd i ddod.


Ddoe, cynhaliais gyfarfod gyda'r panel ac roeddwn yn falch o glywed bod llawer iawn o waith eisoes wedi'i wneud. Mae hyn yn cynnwys datblygu proses gadarn ar gyfer cynnal adolygiadau clinigol ac ymarfer edrych yn ôl; sicrhau meithrin cysylltiadau effeithiol â theuluoedd a staff; a monitro cynnydd y bwrdd iechyd wrth weithredu cynllun gwella'r gwasanaethau mamolaeth. Byddaf yn cyhoeddi datganiad pellach cyn toriad yr haf i roi'r wybodaeth ddiweddaraf i Aelodau'r Cynulliad ar ddatblygiadau.


### **Cylch gorchwyl**


#### **Panel Trosolwg Annibynnol ar Wasanaethau Mamolaeth \- Bwrdd Iechyd Prifysgol Cwm Taf Morgannwg**


##### **Diben**


Rhoi'r trosolwg\* angenrheidiol i alluogi Bwrdd Iechyd Prifysgol Cwm Taf Morgannwg i weithredu argymhellion adroddiad y Colegau Brenhinol yn brydlon, yn agored ac yn dryloyw.


##### **Cylch gorchwyl**


* Sefydlu trefniadau cadarn sy'n rhoi sicrwydd i randdeiliaid bod argymhellion adolygiad y Colegau Brenhinol ac argymhellion cysylltiedig eraill yn cael eu gweithredu gan y Bwrdd Iechyd. Gosod a chytuno ar gerrig milltir a phethau i'w cyflawni, ac olrhain cynnydd yn erbyn y rhain;
* Sefydlu a chytuno ar broses amlddisgyblaeth annibynnol i gynnal adolygiad clinigol o ddigwyddiadau difrifol 2016\-2019 a nodwyd gan y Colegau Brenhinol fel rhai sydd angen eu harchwilio ymhellach. Cynnal ymarfer 'edrych yn ôl' i 2010 a sicrhau bod unrhyw un sydd â phryderon cyfiawn ynglŷn â’u gofal yn cael cyfle i gael adolygiad ohono. Sicrhau bod y Bwrdd Iechyd ac eraill yn gweithredu ar unrhyw beth a ddysgwyd o'r adolygiadau hyn;
* Cynghori'r Bwrdd Iechyd ynglŷn â'r camau y mae angen iddo eu cymryd i sefydlu trefniadau meithrin cysylltiadau effeithiol sy'n cynnwys cleifion a staff yn y broses o wella gwasanaethau mamolaeth a newyddenedigol ac ailadeiladu ymddiriedaeth a hyder y cyhoedd yn gyffredinol yn y Bwrdd Iechyd;
* Uwchgyfeirio unrhyw faterion neu bryderon a ddaw i'r amlwg yn ymwneud â llywodraethu yn ehangach i'r Bwrdd Iechyd ac i Lywodraeth Cymru fel sy'n briodol;
* Cynghori'r Gweinidog ynglŷn ag unrhyw gamau pellach y mae'r Panel yn eu hystyried yn angenrheidiol i sicrhau darpariaeth gwasanaethau mamolaeth a newyddenedigol sy'n ddiogel, yn gynaliadwy, o ansawdd uchel ac yn canolbwyntio ar y claf. Dylai hyn gynnwys cyngor am yr angen am unrhyw adolygiadau annibynnol dilynol, ac amseru'r rhain, ac adnabod unrhyw wersi ehangach ar gyfer y GIG yng Nghymru.


\*Yr hyn a olygir gennym gyda'r term 'trosolwg' yw cyfuniad o fesurau sy'n deillio yn wrthrychol (gan gynnwys gosod targedau, monitro, craffu, herio, profion realiti, arweiniad, anogaeth a chymorth) sydd o'u cyfuno yn rhoi sicrwydd i'r rhanddeiliaid (gan gynnwys cleifion, staff a'r cyhoedd) bod y Bwrdd Iechyd yn cyflawni'r gwelliannau y mae angen iddo eu cyflawni.