Translate the text from English to Welsh.



 
Under the Joint Escalation and Intervention Arrangements, the Welsh Government meets with the Wales Audit Office and Healthcare Inspectorate Wales twice a year to discuss the overall position of each health board and NHS trust in respect of quality, service performance and financial management. A wide range of information and intelligence is considered to identify any issues and inform the assessment.


It was agreed that the escalation status of each NHS organisation would be published.


The framework has 4 escalation levels:


* Routine arrangements
* Enhanced monitoring
* Targeted intervention
* Special measures.


The latest meeting took place in January 2019 and the tripartite group considered that progress had been demonstrated since the last meeting in July 2018 in those organisations in targeted intervention:


* performance in Cardiff and Vale UHB has continued to be amongst the best in Wales in key performance areas and the organisation was confident that its year end targets would be achieved. The health board was on track to deliver to its financial control total at the end of March. The organisation has demonstrated significant progress in its planning, and was confident that they would be able to approve an Integrated Medium Term Plan (IMTP) for submission to Welsh Government. In view of the improvements in service and financial performance it was agreed that the organisation should be de\-escalated to ‘enhanced monitoring’. The position would be reviewed again following assessment of the IMTP.
* Abertawe Bro Morgannwg UHB has demonstrated progress in a number of the areas for which it was placed in targeted intervention, though further improvement is required before the organisation could be de\-escalated. In particular, the health board must deliver against its 2018/19 service and financial commitments. The health board will initially prepare a 1 year plan for 2019/20 and is working to finalise its 3 year plan in the summer of 2019\.
* Hywel Dda UHB has also made progress in key areas including progress towards delivery of its planned care commitments. The health board must demonstrate delivery of its financial control total at the end of March. The organisation will be submitting a 1 year plan for 2019/20 and will continue to work towards agreement of a 3 year plan.


Progress has also been seen in several areas in Betsi Cadwaladr UHB. Out of Hours performance in the health board is now at a level that is comparable to other organisations and has been removed as a special measures concern. There have been some improvements in mental health, though there is further work to do. The tripartite group recognised the way in which the organisation had responded to the Ockenden and the Health and Social Care Advisory Service (HASCAS) reports. Quality and safety governance has been strengthened and improvements are becoming evident. The new chair is strengthening governance and board effectiveness. Despite improvements in some areas compared to last year, BCUHB still faces a challenging improvement agenda as it works to improve performance and governance within the context of a sustainable 3 year plan.


The table below shows the previous and current escalation status of each organisation.




| Organisation | Previous Status (Jul 18\) | Current Status (Jan 19\) |
| --- | --- | --- |
| Abertawe Bro Morgannwg UHB | Targeted intervention | Targeted intervention |
| Aneurin Bevan UHB | Routine arrangements | Routine arrangements |
| Betsi Cadwaladr UHB | Special Measures | Special Measures |
| Cardiff and Vale UHB | Targeted Intervention | Enhanced monitoring |
| Cwm Taf UHB | Enhanced monitoring\* | Enhanced monitoring |
| Hywel Dda UHB | Targeted intervention | Targeted intervention |
| Powys tHB | Routine arrangements | Routine arrangements |
| Public Health Wales NHS Trust | Routine arrangements | Routine arrangements |
| Velindre NHS Trust | Routine arrangements | Routine arrangements |
| Welsh Ambulance Services NHS Trust | Routine arrangements | Routine arrangements |


\* Cwm Taf UHB was escalated to ‘enhanced monitoring’ at a meeting at the beginning of January 2019\.







Translation:


 
O dan y Cyd\-drefniadau Uwchgyfeirio ac Ymyrryd, mae Llywodraeth Cymru'n cyfarfod â Swyddfa Archwilio Cymru ac Arolygiaeth Gofal Iechyd Cymru ddwywaith y flwyddyn i drafod sefyllfa gyffredinol pob bwrdd iechyd a phob ymddiriedolaeth y GIG mewn perthynas ag ansawdd, perfformiad gwasanaethau a rheolaeth ariannol. Mae ystod eang o wybodaeth yn cael ei hystyried er mwyn nodi unrhyw broblemau a helpu i lywio'r asesiad.


Cytunwyd y câi statws uwchgyfeirio pob sefydliad GIG ei gyhoeddi.


Mae pedair lefel uwchgyfeirio yn y fframwaith:


* Trefniadau arferol
* Monitro uwch
* Ymyrraeth wedi'i thargedu
* Mesurau arbennig.


Cynhaliwyd y cyfarfod diweddaraf yn Ionawr 2019 ac roedd y grŵp teirochrog o'r farn bod cynnydd wedi'i wneud ers y cyfarfod diwethaf ym mis Gorffennaf 2018 yn y sefydliadau hynny sydd mewn ymyrraeth wedi'i thargedu;


* Mae perfformiad ym Mwrdd Iechyd Prifysgol Caerdydd a'r Fro wedi parhau i fod ymhlith y goreuon yng Nghymru mewn meysydd perfformiad allweddol ac roedd y sefydliad yn hyderus y câi ei dargedau diwedd blwyddyn eu cyflawni. Roedd y bwrdd iechyd ar y trywydd iawn o ran cyrraedd ei gyfanswm rheolaeth ariannol ar ddiwedd Mawrth. Mae'r sefydliad wedi dangos cynnydd sylweddol yn ei waith cynllunio, ac roedd yn hyderus y byddai'n gallu cymeradwyo Cynllun Tymor Canolig Integredig (IMTP) i'w gyflwyno i Lywodraeth Cymru. Yn wyneb y gwelliannau mewn gwasanaeth a pherfformiad ariannol cytunwyd y dylid is\-gyfeirio'r sefydliad i ‘monitro uwch’. Câi'r sefyllfa ei hadolygu eto ar ôl asesu'r IMTP.
* Mae Bwrdd Iechyd Prifysgol Abertawe Bro Morgannwg wedi dangos cynnydd mewn nifer o'r meysydd y cafodd ei osod mewn ymyrraeth wedi'i thargedu ar eu cyfer, er bod angen gwelliant pellach cyn y gellid is\-gyfeirio'r sefydliad. Yn arbennig, rhaid i'r bwrdd iechyd gyflawni yn erbyn ei ymrwymiadau ariannol a'i ymrwymiadau gwasanaeth ar gyfer 2018/19\. I ddechrau bydd y bwrdd iechyd yn paratoi cynllun un flwyddyn ar gyfer 2019/20 ac mae'n gweithio i bennu manylion terfynol ei gynllun tair blynedd yn yr haf 2019\.
* Mae Bwrdd Iechyd Prifysgol Hywel Dda hefyd wedi gwneud cynnydd mewn meysydd allweddol tuag at gyflawni ei ymrwymiadau gofal wedi'i gynllunio. Rhaid i'r Bwrdd iechyd ddangos ei fod yn cyflawni ei gyfanswm rheolaeth ariannol ar ddiwedd mis Mawrth.  Bydd y sefydliad yn cyflwyno cynllun un flwyddyn ar gyfer 2019/20 a bydd yn parhau i weithio tuag at gytuno ar gynllun tair blynedd.


Gwelwyd cynnydd hefyd mewn sawl maes ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr. Mae perfformiad y tu all i oriau yn y bwrdd iechyd bellach ar lefel y gellir ei chymharu â sefydliadau eraill ac mae wedi cael ei ddileu fel pryder sy'n destun mesurau arbennig. Cafwyd rhai gwelliannau ym maes iechyd meddwl, er bod gwaith pellach i'w wneud. Cydnabu'r grŵp teirochrog y ffordd yr oedd y sefydliad wedi ymateb i adroddiadau Ockenden a'r Gwasanaeth Cynghori ar Iechyd a Gofal Cymdeithasol (HASCAS). Mae dulliau llywodraethu ansawdd a diogelwch wedi'u cryfhau ac mae gwelliannau'n dechrau dod i'r amlwg. Mae'r Cadeirydd newydd yn cryfhau effeithiolrwydd llywodraethiant a'r bwrdd. Er gwaethaf gwelliannau mewn rhai meysydd o'i gymharu â'r llynedd mae Bwrdd Iechyd Prifysgol Betsi Cadwaladr yn dal i wynebu agenda wella heriol wrth iddo weithio i wella perfformiad a llywodraethiant yng nghyd\-destun cynllun tair blynedd cynaliadwy.


Dengys y tabl isod statws uwchgyfeirio blaenorol a phresennol pob sefydliad.




| Sefydliad | Statws Blaenorol (Gorff 18\) | Statws Presennol (Ion 19\) |
| --- | --- | --- |
| Bwrdd Iechyd Prifysgol Abertawe Bro Morgannwg | Ymyrraeth wedi'i thargedu | Ymyrraeth wedi'i thargedu |
| Bwrdd Iechyd Prifysgol Aneurin Bevan | Trefniadau arferol | Trefniadau arferol |
| Bwrdd Iechyd Prifysgol Betsi Cadwaladr | Mesurau Arbennig | Mesurau Arbennig |
| Bwrdd Iechyd Prifysgol Caerdydd a'r Fro | Ymyrraeth wedi'i thargedu | Monitro uwch |
| Bwrdd Iechyd Prifysgol Cwm Taf | Monitro uwch\* | Monitro uwch |
| Bwrdd Iechyd Prifysgol Hywel Dda | Ymyrraeth wedi'i thargedu | Ymyrraeth wedi'i thargedu |
| Bwrdd Iechyd Addysgu Powys | Trefniadau arferol | Trefniadau arferol |
| Ymddiriedolaeth GIG Iechyd Cyhoeddus Cymru | Trefniadau arferol | Trefniadau arferol |
| Ymddiriedolaeth GIG Felindre | Trefniadau arferol | Trefniadau arferol |
| Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru | Trefniadau arferol | Trefniadau arferol |


\* Cafodd Bwrdd Iechyd Prifysgol Cwm Taf ei uwchgyfeirio i  ‘monitro uwch’ mewn cyfarfod ar ddechrau Ionawr 2019\.