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I would like to update Members on Safeguarding and Protecting Children in NHS Wales. 


 


This is a high priority for the Welsh Government and as such, I have undertaken to issue an annual statement. Safeguarding and Protecting Children in NHS Wales must remain visibly high on all our agendas. I am pleased that whilst progress has been made, inevitably there is more to do and, of course, we can never be complacent. This is the first of my annual statements to the National Assembly on Safeguarding and Protecting children in NHS Wales.


The review of the structures, functions, accountabilities and interfaces of the Public Health Wales’ Safeguarding Children Service has been completed.


 


A stakeholder event was organised for May 2012 to assist in the work of ensuring the programme level agreement for Public Health Wales’ Safeguarding Children Service reflects the ongoing role it has in supporting child safeguarding and protection activity in NHS Wales. The programme level agreement is currently being reviewed. This event also established draft terms of reference for the new NHS Wales Child Safeguarding Network. It is anticipated the Network will help ensure NHS Wales is a safe organisation for children, provide a vital bridge between strategies and arrangements at local level and national policy developments and develop the champion role and promote engagement among key players. The work of the NHS Wales Child Safeguarding Network includes:


 


 


 


* Clarifying the nature, roles and responsibilities of Designated and Named Professionals consequent to the reorganisation and reform of the NHS in Wales.
* Evaluation of the efficiency and efficacy of child protection and safeguarding arrangements and interventions in NHS Wales.
* Enabling best practice sharing between Local Health Boards and Trusts and other organisations.


 


There is now a process in place to ensure NHS Board members have received the appropriate child protection and safeguarding training. Safeguarding forms part of the Welsh Government’s performance monitoring processes and is now a substantive item on the Joint Executive Team meeting agenda. 


 


My officials have established an expert reference group that has reviewed arrangements across Wales for the training of NHS employed staff, independent contractors, volunteers and Third Sector organisations. The outcome of this work will be a recommended standard framework for safeguarding children training across NHS Wales that identifies the level of knowledge and skill for each professional role, including senior managers and medical staff. This will ensure there is a consistent approach across Wales. My officials are consulting with relevant Government departments on the outputs from the expert reference group.


 


We have always been absolutely clear safeguarding is everyone’s business and the NHS has a key role in these arrangements alongside other partners. The Deputy Minister for Children and Social Services has already made Written Statements to the Assembly on the developing approach to safeguarding and protecting people in Wales to be taken forward in our Social Services (Wales) Bill. The Independent Commission, the Protection of Vulnerable Adults Group, Healthcare Inspectorate Wales, and the Care and Social Services Inspectorate Wales have all reported there are sound systems in place to protect people at risk, but improvements can be made and we need to move forward and deliver on our commitment to strengthen safeguarding and protection arrangements in Wales. 


 


The consultation on the provisions in the Social Services (Wales) Bill ended recently and our arrangements for safeguarding and protection are a key dimension of that. The Welsh Government must ensure a robust and coherent statutory framework exists to safeguard and protect children and adults at risk. We will set a strong and clear direction of travel to our stakeholders to enable this to happen. Our commitment to establish a National Independent Safeguarding Board and new Safeguarding Boards will help support an over\-arching framework to improve safeguarding and protection arrangements and provide greater consistency of practice between statutory agencies and practitioners, including those within the NHS.


 


We recognise there is much work to do. In advance of the legislation being put in place, the Deputy Minister has asked Local Safeguarding Children Boards to begin planning now for the change by adopting a more collaborative model of working which is consistent with the arrangements being put in place for the Public Service Delivery footprint. Progress reports have been received from all Local Safeguarding Children Boards and the information shows constructive progress has been made. We will continue to engage constructively with key stakeholders, including the NHS, on the development of the proposals to be taken forward through this important legislation. 


 


Consultation on a new Child Practice Review framework to replace Serious Case Reviews has been completed. The new framework will create a more effective system of review and improve the culture of learning from child protection cases to support inter\-agency practice. The new framework is being developed with close involvement from practitioners, and pilots have been running across Wales, some led by the NHS, to test out the proposals. Regulations to support the new framework have been made and arrangements to support its implementation are being considered. Officials have written to Local Safeguarding Children Boards and key statutory agencies to inform them that we intend to introduce the new framework in early 2013\. 


 


The Welsh Government has consulted the General Practitioner National Speciality Advisory Group and the General Practitioner Committee in the light of the new General Medical Council guidance on the responsibilities of all doctors in child safeguarding and have agreed a Primary Care Quality Assurance safeguarding framework for reporting via the All Wales NHS Clinical Network for Safeguarding.


 


The Sharing Personal Information Programme Board has agreed research should be undertaken to include specific consideration of information sharing within the safeguarding context. The use of the Wales Accord on the Sharing of Personal Information (WASPI) framework to develop Information Sharing Protocols in a safeguarding context will be evidenced and case studies reported to promote its implementation on an all Wales basis. Findings are due in March 2013\.


 


Safeguarding and Protecting Children in NHS Wales remains a high priority for the Welsh Government and we will ensure it continues to play an absolutely vital role alongside other key agencies in ensuring children in Wales are appropriately safeguarded and protected. 


 


This statement is being issued during recess to keep Assembly Members informed. Should Members require, I would be happy to make a further statement or answer questions on this statement when the Assembly returns.







Translation:


 
         Hoffwn roi gwybod i Aelodau am hynt y gwaith o Ddiogelu ac Amddiffyn Plant o fewn GIG Cymru.

 Mae hyn yn flaenoriaeth bwysig i Lywodraeth Cymru, ac felly rwyf wedi ymrwymo i gyhoeddi datganiad blynyddol.  Rhaid i ddiogelu plant o fewn GIG Cymru barhau i gael lle amlwg yng ngwaith pob un ohonom ac rwy’n falch fod llawer o waith wedi’i wneud hyd yn hyn.  Wrth gwrs, mae llawer mwy i’w wneud ac ni allwn fyth orffwys ar ein rhwyfau. Dyma’r cyntaf o’m datganiadau blynyddol i’r Cynulliad Cenedlaethol ar ddiogelu plant o fewn GIG Cymru. 

 Mae’r adolygiad o strwythurau, swyddogaethau, atebolrwydd a rhyngwynebau Gwasanaeth Diogelu Plant Iechyd Cyhoeddus Cymru wedi’i gwblhau. 

 Trefnwyd digwyddiad ar gyfer rhanddeiliaid ym mis Mai 2012 i helpu gyda’r gwaith o sicrhau bod y cytundeb lefel rhaglen ar gyfer Gwasanaeth Diogelu Plant Iechyd Cyhoeddus Cymru yn adlewyrchu ei swyddogaeth barhaus o ran cefnogi gweithgareddau diogelu ac amddiffyn plant o fewn GIG Cymru.  Mae’r gwaith o adolygu’r cytundeb lefel rhaglen ar y gweill yn awr.  Sefydlodd y digwyddiad hwn gylch gorchwyl drafft Rhwydwaith Diogelu Plant GIG Cymru hefyd.  Rhagwelir y bydd y Rhwydwaith yn helpu i sicrhau bod GIG  Cymru yn sefydliad diogel i blant, ac yn gweithredu fel dolen hanfodol rhwng strategaethau a threfniadau lleol a datblygiadau cenedlaethol ym maes polisi.  Bydd hefyd yn datblygu swyddogaeth yr hyrwyddwyr ac yn annog y prif sefydliadau i gysylltu â’i gilydd.  Mae gwaith Rhwydwaith Diogelu Plant GIG Cymru yn cynnwys:

 * Egluro natur, swyddogaethau a chyfrifoldebau Gweithwyr Proffesiynol Dynodedig ac Enwebedig yn sgil ad\-drefnu a diwygio GIG Cymru.
* Gwerthuso effeithlonrwydd ac effeithiolrwydd trefniadau ac ymyriadau diogelu ac amddiffyn plant o fewn GIG Cymru.
* Galluogi Byrddau Iechyd Lleol, Ymddiriedolaethau a sefydliadau eraill i rannu arferion gorau.

 Mae proses ar waith erbyn hyn i sicrhau bod aelodau Bwrdd y GIG wedi derbyn yr hyfforddiant priodol ar ddiogelu ac amddiffyn plant. Mae diogelu plant yn rhan o brosesau monitro perfformiad Llywodraeth Cymru ac mae bellach yn eitem bwysig ar agenda cyd\-gyfarfod y Tîm Gweithredol.

 Mae fy swyddogion wedi sefydlu grŵp cyfeirio arbenigol sydd wedi adolygu’r trefniadau ar gyfer hyfforddi staff a gyflogir gan y GIG, contractwyr annibynnol, gwirfoddolwyr a mudiadau’r trydydd sector yng Nghymru.  Canlyniad y gwaith hwn fydd fframwaith safonol sy’n argymell lefelau hyfforddiant ar ddiogelu plant ledled GIG Cymru, ac sy’n nodi lefel gwybodaeth a sgiliau pob swydd broffesiynol, gan gynnwys uwch reolwyr a staff meddygol.  Bydd hyn yn sicrhau bod pawb drwy Gymru yn gweithredu yn yr un ffordd.  Mae fy swyddogion yn ymgynghori ag adrannau perthnasol y Llywodraeth ar ganlyniadau’r grŵp cyfeirio arbenigol. 

 Rydym wastad wedi bod yn gwbl bendant fod diogelu yn fater i bawb, ac mae gan y GIG swyddogaeth gwbl allweddol yn y trefniadau hyn, ochr yn ochr â phartneriaid eraill.  Mae’r Dirprwy Weinidog Plant a Gwasanaethau Cymdeithasol eisoes wedi cyflwyno datganiadau ysgrifenedig i’r Cynulliad ar y dull o ddiogelu ac amddiffyn pobl Cymru sy’n dod i’r amlwg, ac a gynhwysir ym Mil Gwasanaethau Cymdeithasol (Cymru).  Mae’r Comisiwn Annibynnol, y Grŵp Amddiffyn Oedolion Agored i Niwed, Arolygiaeth Gofal Iechyd Cymru ac Arolygiaeth Gofal a Gwasanaethau Cymdeithasol Cymru i gyd wedi dweud bod systemau cadarn ar waith i amddiffyn pobl mewn perygl.  Er hynny mae modd gwella pethau ac mae angen inni symud ymlaen a chyflawni ein hymrwymiad i gryfhau trefniadau diogelu ac amddiffyn yng Nghymru.   

 Daeth yr ymgynghoriad ar ddarpariaethau Bil Gwasanaethau Cymdeithasol (Cymru) i ben yn ddiweddar ac mae ein trefniadau ar gyfer diogelu ac amddiffyn yn agwedd allweddol ohono.  Rhaid i Lywodraeth Cymru sicrhau bod fframwaith statudol cadarn a chydlynol yn bodoli i ddiogelu ac amddiffyn plant, yn ogystal ag oedolion mewn perygl.  Byddwn yn dangos y ffordd yn glir ac yn bendant i’n rhanddeiliaid, fel y gall hyn ddigwydd.  Bydd ein hymrwymiad i sefydlu Bwrdd Diogelu Annibynnol Cenedlaethol a Byrddau Diogelu newydd yn helpu i gefnogi fframwaith hollgynhwysol i wella trefniadau diogelu ac amddiffyn, ac yn sicrhau hefyd bod mwy o gysondeb rhwng arferion asiantaethau statudol ac ymarferwyr, gan gynnwys y rhai sydd o fewn y GIG. 

 Sylweddolwn fod llawer o waith o’n blaenau.  Cyn llunio’r ddeddfwriaeth, mae’r Dirprwy Weinidog wedi gofyn i’r Byrddau Lleol Diogelu Plant ddechrau cynllunio ar gyfer y newid drwy fynd ati i weithio mewn ffordd fwy cydweithredol sy’n gyson â’r trefniadau sy’n cael eu sefydlu ar sail patrwm cydweithredu’r Gwasanaethau Cyhoeddus.  Mae pob un o’r Byrddau Lleol Diogelu Plant wedi cyflwyno adroddiadau ar hynt y gwaith ac mae’r wybodaeth yn dangos fod llawer o waith adeiladol wedi’i wneud.  Byddwn yn parhau i gysylltu’n adeiladol â’r rhanddeiliaid allweddol – gan gynnwys y GIG – ynglŷn â datblygu’r cynigion fydd yn ymddangos yn y ddeddfwriaeth bwysig hon.  

 Mae’r gwaith o ymgynghori ar fframwaith newydd ar gyfer Adolygiadau Ymarfer Plant yn lle’r Adolygiadau Achos Difrifol, wedi dod i ben.  Bydd y fframwaith newydd yn creu system adolygu fwy effeithiol ac yn gwella’r diwylliant o ddysgu yn sgil achosion diogelu plant er mwyn cefnogi arferion rhyngasiantaethol.  Mae ymarferwyr yn ymwneud yn agos â’r gwaith o ddatblygu’r fframwaith newydd, a chynhaliwyd treialon ledled Cymru, rhai ohonynt dan arweiniad y GIG, i brofi’r cynigion.  Mae rheoliadau wedi cael eu gwneud i gefnogi’r fframwaith newydd ac mae trefniadau yn cael eu hystyried i gefnogi’r broses o’i gyflwyno.  Mae swyddogion wedi ysgrifennu at y Byrddau Lleol Diogelu Plant a’r prif asiantaethau statudol i roi gwybod iddynt ein bod yn bwriadu cyflwyno’r fframwaith newydd ddechrau 2013\.

 Mae Llywodraeth Cymru wedi ymgynghori â Grŵp Cynghori Arbenigol Cenedlaethol yr Ymarferwyr Cyffredinol a’r Pwyllgor Meddygon Teulu yng ngoleuni canllawiau newydd y Cyngor Meddygol Cyffredinol ar gyfrifoldebau pob meddyg o ran diogelu plant, ac mae wedi cytuno ar fframwaith diogelu Sicrhau Ansawdd Gofal Sylfaenol ar gyfer adrodd ar y broses drwy Rwydwaith Clinigol GIG Cymru Gyfan ar gyfer Diogelu.

 Mae’r Bwrdd Rhaglen Rhannu Gwybodaeth Bersonol wedi cytuno y dylid cynnal ymchwil sy’n ystyried rhannu gwybodaeth yng nghyd\-destun diogelu’n benodol. Darperir tystiolaeth o arferion o ran defnyddio fframwaith Cytundeb Rhannu Gwybodaeth Bersonol Cymru (WASPI) i ddatblygu Protocolau Rhannu Gwybodaeth yng nghyd\-destun diogelu a chyflwynir astudiaethau achos sy’n hybu’r defnydd ohono drwy Gymru gyfan.  Bydd y canfyddiadau yn dod i law ym mis Mawrth 2013\.

 Mae Diogelu ac Amddiffyn Plant o fewn GIG Cymru yn parhau i fod yn flaenoriaeth bwysig i’r Llywodraeth hon.  Yn wir, byddwn yn sicrhau ein bod yn gweithio law yn llaw ag asiantaethau allweddol eraill i sicrhau bod plant Cymru yn cael eu diogelu a’u hamddiffyn yn briodol. 

 Cyhoeddir y datganiad hwn yn ystod y toriad er mwyn sicrhau bod Aelodau’r Cynulliad yn cael yr wybodaeth ddiweddaraf.  Os yw’r Aelodau’n dymuno hynny, byddwn yn hapus i wneud datganiad arall neu i ateb cwestiynau am y datganiad hwn pan fydd y Cynulliad yn ailymgynnull.