Translate the text from English to Welsh.



 
On 3 February 2022, I issued a Written Statement highlighting the Royal College of Surgeons’ (RCS) report relating to vascular services at Betsi Cadwaladr University Health Board (BCUHB). I announced in in May 2022, the extension of targeted intervention arrangements to include vascular services and provided Members with a statement on progress in August 2022\.


When the RCS report was published, I expressed my disappointment and concern at its findings. I know local people and Senedd Members shared my concerns and wanted them addressed along with the future of this service.


Today, a further report, commissioned by BCUHB, has been published by the independent Vascular Quality Review Panel. The Panel was constructed to ensure a mixed membership of individuals both internal and external to BCUHB; with an independent Chair, an external vascular surgical expert, and an external vascular specialist nurse who has no previous affiliation to BCUHB and is not working within NHS Wales.


The Panel aimed to be objective in its approach to the reviews of patient notes, with an intention to reflect both identified concerns, and good practice. The Panel’s deliberation was solely in relation to the review of the forty\-seven cases, and examining for each the following two questions:


* Whether the patient records contain the information expected for the patient episodes of care;
* Whether the necessary and appropriate follow up and aftercare plans were put in place.


The findings of the Vascular Quality Review Panel are mainly consistent with the Royal College of Surgeons’ review findings, although in some instances, the Panel was privy to further identified information, and members’ local knowledge provided additional context.


The report makes 27 recommendations, in relation to effectiveness of clinical pathways; clinical governance, including consent and decision\-making, accountability and professional practice; person\-centred care; team working, including the multi\-disciplinary team; complex pain management; palliative care; education and learning; discharge, and necessary and appropriate follow up and aftercare plans.


I do not underestimate how challenging it has been for the health board to address these issues, but they must provide assurance that they are addressing, or have already addressed, the recommendations within this report as a matter of urgency. The people in North Wales must be assured that BCUHB have rectified the issues identified, improved pathways and outcomes.







Translation:


 
Ar 3 Chwefror 2022, cyhoeddais Ddatganiad Ysgrifenedig yn tynnu sylw at adroddiad Coleg Brenhinol y Llawfeddygon ar wasanaethau fasgwlaidd ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr. Ym mis Mai 2022, cyhoeddais fod y trefniadau ar gyfer ymyriadau wedi'u targedu yn cael eu hymestyn i gynnwys gwasanaethau fasgwlaidd a rhoddais ddatganiad i'r Aelodau ar y cynnydd ym mis Awst 2022\.


Pan gyhoeddwyd adroddiad Coleg Brenhinol y Llawfeddygon, mynegais fy siom a'm pryder ynghylch ei ganfyddiadau. Rwy'n gwybod bod y bobl leol ac Aelodau’r Senedd yn rhannu fy mhryderon ar y pryd ac roeddent am weld camau yn cael eu cymryd i ymateb iddynt, yn ogystal â dyfodol y gwasanaeth ei hun.


Heddiw, mae adroddiad arall, a gomisiynwyd gan Fwrdd Iechyd Prifysgol Betsi Cadwaladr, wedi cael ei gyhoeddi gan y Panel Ansawdd Gwasanaethau Fasgwlaidd annibynnol. Cafodd aelodau’r Panel eu dewis i sicrhau bod iddo gynrychiolaeth o’r tu allan a’r tu mewn i Fwrdd Iechyd Prifysgol Betsi Cadwaladr; gyda Chadeirydd annibynnol, arbenigwr allanol ar lawfeddygaeth fasgwlaidd, a nyrs fasgwlaidd arbenigol allanol nad yw wedi dod i gysylltiad cyn hyn â’r Bwrdd Iechyd ac nad yw ychwaith erioed wedi gweithio yn GIG Cymru.


Roedd yn nod gan y Panel i fynd ati’n wrthrychol i adolygu nodiadau cleifion, gyda’r bwriad o gyfeirio at y pryderon a nodwyd, yn ogystal ag arferion da. Yr adolygiad o’r pedwar deg saith o achosion oedd yr unig fater a drafodwyd gan y Panel, ac, yng nghyd\-destun pob un o’r achosion hynny, ystyriwyd y ddau gwestiwn canlynol:


* A ydy cofnodion y claf yn cynnwys yr wybodaeth y byddai disgwyl ei gweld ar gyfer cyfnodau gofal y claf
* A gafodd y cynlluniau dilynol ac ôl\-ofal angenrheidiol a phriodol eu rhoi ar waith


Ar y cyfan, mae canfyddiadau'r Panel Ansawdd Gwasanaethau Fasgwlaidd yn gyson â chanfyddiadau adolygiad Coleg Brenhinol y Llawfeddygon. Serch hynny, yng nghyd\-destun rhai o’r achosion, roedd y Panel yn ymwybodol o wybodaeth bellach a nodwyd, ac roedd gwybodaeth leol yr aelodau yn golygu bod ganddynt fwy o gyd\-destun.


Mae'r adroddiad yn gwneud 27 o argymhellion, mewn perthynas ag effeithiolrwydd llwybrau clinigol; llywodraethu clinigol, gan gynnwys cydsyniad a gwneud penderfyniadau, atebolrwydd, ac, ymarfer proffesiynol; gofal sy'n canolbwyntio ar unigolion; gweithio fel tîm, gan gynnwys y tîm amlddisgyblaethol; rheoli poen gymhleth; gofal lliniarol; addysg a dysgu; rhyddhau cleifion, ac unrhyw gynlluniau dilynol ac ôl\-ofal angenrheidiol a phriodol.


Rwy’n llwyr werthfawrogi union faint yr her i'r Bwrdd Iechyd wrth iddynt fynd i'r afael â'r materion hyn. Fodd bynnag, rhaid iddynt roi sicrwydd eu bod yn mynd i’r afael i’r argymhellion yn yr adroddiad hwn, a hynny ar fyrder, neu eu bod eisoes wedi mynd i’r afael â hwy. Rhaid i bobl yn y Gogledd fod yn gwbl dawel eu meddwl fod y Bwrdd Iechyd wedi unioni'r materion a nodwyd, ac wedi gwella llwybrau a chanlyniadau.