Translate the text from English to Welsh.



 
The NHS in Wales has been under significant pressure over this winter period. It is a credit to all health service staff in Wales that despite these pressures, they have been able to continue to deliver vital services. I would like to thank staff for their hard work and dedication, over what has been a very difficult period for them.


Every winter the NHS expects to see an increase in demand on its services and plans accordingly in an effort to meet that demand. However, this year particularly severe periods of extremely cold weather and snow have put more pressure on services. This is on top of the usual health problems associated with winter which staff have had to deal with. 


Today, ambulance performance statistics for December have been published.


These figures need to be seen in the context of the pressure that services were under in December. As a result of their efforts, planning, and coordination, services were maintained in very difficult circumstances.


The ambulance service receives more than 25,000 emergency calls every month. December saw a significant increase in those emergency and life\-threatening calls. 


There were more than 35,600 emergency calls in December 2010 – up 18% on December 2009 and up 23% compared with November 2010\.  


Naturally ambulance response times will have been affected as crews needed to reduce speeds on the snow and icy roads  \- with many of the minor and side roads impassable for more than a week \- and as a result the 8 minute response time standard was difficult to achieve. So severe were the road conditions that in some instances the Fire Service were called out to assist. Let us be clear, these were difficult conditions for all involved.


The figures on accident and emergency also demonstrate just how much pressure health services have been under.


To put this in context, 70,000 people attended emergency departments or minor injuries units across Wales in December 2009\. In December 2010, this rose significantly to over 74,400 attendances.


Nearly 84 per cent of patients were seen, treated, transferred or discharged within 4 hours. While we accept that some patients will have waited longer – and we are working to improve performance – staff would have treated patients in order of clinical priority.


In addition to the slips, trips and falls associated with cold weather, emergency departments have also seen an increase in admissions for heart attacks, stroke and pneumonias. Coupled with that, a number of people attended emergency departments with concerns over seasonal flu. All hospitals have reported an increase in patients with severe respiratory symptoms which required a longer than average stay in hospital as a result, including an increase in those who required critical care.


Every winter we also see an increase in norovirus – which is also known as the winter vomiting disease – circulating in the community. A number of wards had to be closed across Wales to limit the spread of infection. This of course also had an impact on services and added to the severe pressure the NHS has been under.


The NHS has plans in place for managing winter pressures and we have been working with Health Boards and the Ambulance Trust to monitor demand and bed capacity, in order to coordinate and manage services through daily senior management conference calls.


We have also launched a campaign, Choose Well, to help people understand where to go if they are unwell.







Translation:


 
Mae’r GIG yng Nghymru wedi bod o dan bwysau mawr dros y gaeaf. Mae’n glod i holl staff y gwasanaeth iechyd yng Nghymru eu bod wedi llwyddo i barhau i ddarparu gwasanaethau hanfodol er gwaethaf y pwysau hyn. Hoffwn ddiolch i’r staff am eu gwaith caled a’u hymroddiad dros gyfnod anodd iawn.  

Bob gaeaf, mae’r GIG yn disgwyl gweld mwy o alw am ei wasanaethau ac mae’n paratoi ymlaen llaw mewn ymdrech i fodloni’r galw hwnnw. Fodd bynnag, eleni, mae cyfnodau arbennig o arw o dywydd aruthrol o oer ac eira wedi rhoi mwy o bwysau ar wasanaethau. Mae hyn wedi dod ar ben y problemau iechyd arferol sy’n gysylltiedig â’r gaeaf ac y mae’n rhaid i’r staff fynd i’r afael â hwy.      

Heddiw, cyhoeddwyd yr ystadegau am berfformiad y gwasanaeth ambiwlans ym mis Rhagfyr.

Mae angen edrych ar y ffigurau hyn yng nghyd\-destun y pwysau a roddwyd ar wasanaethau ym mis Rhagfyr. O ganlyniad i’w hymdrechion, a’u gwaith cynllunio a chydgysylltu, llwyddwyd i gynnal gwasanaethau o dan amgylchiadau anodd iawn.   

Mae’r gwasanaeth ambiwlans yn cael dros 25,000 o alwadau brys bob mis. Gwelwyd cynnydd sylweddol ym mis Rhagfyr yn nifer y galwadau brys hynny ac yn nifer y galwadau lle’r oedd bywyd yn y fantol. 

Cafwyd dros 35,600 o alwadau brys ym mis Rhagfyr 2010 – 18 y cant yn fwy nag ym mis Rhagfyr 2009 a 23 y cant yn fwy nag ym mis Tachwedd 2010\.   

Wrth reswm, bydd yr angen i griwiau yrru’n arafach ar yr eira ac ar ffyrdd rhewllyd wedi effeithio ar yr amser yr oedd ambiwlansys yn ei gymryd i ymateb i alwadau \- roedd llawer o’r is\-ffyrdd a’r ffyrdd ymyl ar gau am fwy nag wythnos \- o ganlyniad, roedd hi’n anodd cyrraedd y safon o ran ymateb o fewn 8 munud. Yn wir, mewn rhai achosion, roedd yr amodau ar y ffyrdd mor ddifrifol fel bod angen gofyn am gymorth y Gwasanaeth Tân. Gadewch i ni fod yn glir, roedd yr amodau hyn yn rhai anodd i bawb.

Mae’r ffigurau ar gyfer damweiniau ac achosion brys hefyd yn dangos faint o bwysau sydd wedi bod ar y gwasanaethau iechyd.

I roi hyn yn ei gyd\-destun, aeth 70,000 o bobl i adrannau achosion brys neu i unedau mân anafiadau yng Nghymru ym mis Rhagfyr 2009\. Ym mis Rhagfyr 2010, cododd y ffigur hwn yn sylweddol i dros 74,400\.

Cafodd bron 84 y cant o’r cleifion eu gweld, eu trin, eu trosglwyddo neu eu rhyddhau ymhen pedair awr. Er ein bod yn derbyn y bydd rhai o’r cleifion wedi aros yn hirach na hynny \- ac rydym wrthi’n gweithio i wella perfformiad yn hyn o beth \- byddai’r staff wedi trin cleifion yn nhrefn blaenoriaeth glinigol.

Yn ogystal â’r llithro, y baglu a’r cwympo sy’n gysylltiedig â thywydd oer, mae adrannau achosion brys wedi gweld cynnydd hefyd yn nifer y cleifion sy’n cael eu derbyn i’r ysbyty am eu bod wedi cael trawiad ar y galon neu strôc neu am eu bod yn dioddef o niwmonia. Yn ogystal â hynny, aeth nifer o bobl i adrannau achosion brys am eu bod yn pryderu am y ffliw tymhorol. Mae pob ysbyty wedi cyfeirio at y ffaith iddynt weld cynnydd y nifer y cleifion a oedd yn dioddef o symptomau anadlol difrifol. O ganlyniad, roedd angen iddynt aros yn yr ysbyty am gyfnod hirach nag arfer, ac roedd cynnydd hefyd yn nifer y cleifion yr oedd angen gofal critigol arnynt.

Bob gaeaf, rydym hefyd yn gweld mwy o achosion o norofeirws – sy’n cael ei alw hefyd yn glefyd chwydu’r gaeaf – ar led yn y gymuned. Bu’n rhaid cau nifer o wardiau ar draws Cymru er mwyn ceisio atal yr haint rhag lledaenu. Wrth reswm, effeithiodd hyn ar wasanaethau hefyd, gan ychwanegu at y pwysau difrifol ar y GIG. 

Mae gan y GIG gynlluniau yn eu lle i reoli pwysau’r gaeaf ac rydym wedi bod yn cydweithio â’r Byrddau Iechyd a’r Ymddiriedolaeth Ambiwlans i fonitro’r galw ac i gadw llygad ar faint o welyau sydd ar gael, er mwyn cydgysylltu a rheoli gwasanaethau drwy gyfrwng galwadau cynadledda dyddiol ar lefel uwch\-reolwyr. 

Rydym hefyd wedi lansio ymgyrch, Dewis Doeth, i helpu pobl i ddeall lle y dylent fynd os ydynt yn anhwylus.