Translate the text from English to Welsh.



 
I am pleased to update Members on our planning approach to support resilient urgent and emergency care services this winter.


It is likely the winter period will present additional challenges to an already stretched urgent and emergency care system if there are increases in prevalence of both COVID\-19 and influenza, and within the context of the cost of living and energy crises. Members will know there are plans in progress focusing on COVID\-19 and influenza vaccination, and additional support for vulnerable people most likely to feel the impact of rising costs this winter.


Planning for seasonal peaks in pressure is a year\-round exercise and development of interventions that will enable additional resilience commenced many months ago. Additionally, a winter planning framework has been issued to NHS Wales organisations and Regional Partnership Boards to support them to plan and deliver resilient urgent and emergency care services this winter.


Since Spring 2022, Health Boards have been working with partners to develop local urgent and emergency care plans focused on a small number of priorities set by the Welsh Government that will support people to access the right care, in the right place, first time. To support consistency and harness momentum, the winter planning framework sets out expectations for Health Boards to work with partners to *build* on these priorities and develop enhanced interventions for the winter period. These priorities include:


* + A national communications campaign to raise awareness of NHS 111 Wales, encouraging the public to use the 111 service as a first port of call for free, trusted health information to help ensure they access the right service, first time;
	+ Optimising the role of third sector services to improve experience and outcomes for vulnerable people who access care in Emergency Departments or hospitals;
	+ Increasing opportunities for people with urgent care complaints to be assessed and treated away from the Emergency Department and within Urgent Primary Care Centres;
	+ £3m for the recruitment of 100 new ambulance clinicians expected to be operational by the end of December;
	+ Increasing emergency ambulance response capacity through implementation of new staff rosters to deliver efficiency equivalent to around 70 whole time equivalents;
	+ Reducing long ambulance patient handover delays to improve experience and unlock ambulance capacity;
	+ A further £2m has been made available for health boards to improve their emergency department environments, to enhance patient experiences this winter; and
	+ Extending same day emergency care services to seven\-day accessibility to help people who may have ordinarily been admitted to hospital to return home to sleep in their own bed.


In addition, Health Boards and Local Authorities have developed plans to increase community bed or bed equivalent capacity ahead of the winter period. These plans will aim to deliver additional step down to recover provision and community responses through a shared endeavour amongst partners. 


This additional capacity will be delivered alongside additional measures to boost the community care workforce, and is a key element of our enhanced winter planning approach. It will support people to return home or to their local communities when ready and as a consequence it should improve timeliness of care in other parts of the urgent and emergency care system.


I expect Health Boards to work collaboratively with partners through Regional Partnership Boards to refine plans, drawing on learning from the previous winter and the ongoing challenges of the pandemic, with a focus on patient safety and wellbeing.


Health Boards will be expected to submit winter resilience plans to their respective Boards for approval, and a review of each Health Board’s plan will form part of Welsh Government Integrated Quality Planning and Delivery meetings in October.


I will provide Members with further updates throughout the winter period.







Translation:


 
Rwy'n falch o roi'r wybodaeth ddiweddaraf i Aelodau am ein dulliau cynllunio i gefnogi gwasanaethau gofal brys a gofal mewn argyfwng gwydn y gaeaf hwn.


Mae’n debygol y bydd cyfnod y gaeaf yn cyflwyno heriau ychwanegol i system gofal brys a gofal mewn argyfwng, sydd eisoes dan straen, os bydd cynnydd mewn achosion o COVID\-19 a’r ffliw, ac o ran cyd\-destun costau byw a’r argyfwng ynni. Bydd aelodau’n gwybod bod cynlluniau ar waith sy’n canolbwyntio ar frechiadau COVID\-19 a’r ffliw, a chymorth ychwanegol ar gyfer pobl sy’n agored i niwed sydd fwyaf tebygol o gael eu heffeithio gan y costau sy’n cynyddu’r gaeaf hwn.


Mae cynllunio ar gyfer y tymhorau mwyaf prysur yn ymarfer a gynhelir drwy gydol y flwyddyn a dechreuodd y gwaith o ddatblygu ymyriadau, a fydd yn galluogi rhagor o wydnwch, fisoedd yn ôl. Yn ogystal, mae fframwaith cynllunio ar gyfer y gaeaf wedi’i gyflwyno i sefydliadau GIG Cymru a Byrddau Partneriaeth Rhanbarthol i’w cefnogi i gynllunio a chyflwyno gwasanaethau gofal brys a gofal mewn argyfwng gwydn y gaeaf hwn.


Ers Gwanwyn 2022, mae Byrddau Iechyd wedi bod yn gweithio gyda phartneriaid i ddatblygu cynlluniau gofal brys a gofal mewn argyfwng sy’n canolbwyntio ar nifer fach o flaenoriaethau a nodir gan Lywodraeth Cymru a fydd yn cefnogi pobl i gael mynediad at y gofal iawn, yn y lle iawn, y tro cyntaf. I gefnogi cysondeb a harneisio momentwm, mae’r fframwaith cynllunio ar gyfer y gaeaf yn nodi disgwyliadau i’r Byrddau Iechyd weithio gyda phartneriaid i *adeiladu* ar y blaenoriaethau hyn a datblygu ymyriadau gwell ar gyfer cyfnod y gaeaf. Ymhlith y blaenoriaethau hyn mae:


* + Ymgyrch gyfathrebu genedlaethol i godi ymwybyddiaeth o GIG 111 Cymru, gan annog y cyhoedd i ddefnyddio gwasanaeth 111 fel pwynt cyswllt cyntaf ar gyfer cael gwybodaeth ddibynadwy am iechyd yn rhad ac am ddim er mwyn helpu i sicrhau eu bod yn cael gafael ar y gwasanaeth cywir, ar y cynnig cyntaf;
	+ Optimeiddio rôl gwasanaethau trydydd sector i wella profiad a chanlyniadau i bobl sy'n agored i niwed sy'n cael gofal mewn Adrannau Achosion Brys neu ysbytai;
	+ Cynyddu cyfleoedd i bobl sydd â chwynion gofal brys gael eu hasesu a'u trin i ffwrdd o'r Adran Achosion Brys ac o fewn Canolfannau Gofal Sylfaenol Brys;
	+ £3m ar gyfer recriwtio 100 o glinigwyr ambiwlansys newydd y disgwylir y bydd yn weithredol erbyn diwedd Rhagfyr;
	+ Cynyddu capasiti ymateb ambiwlansys brys drwy weithredu cylchrestr staff newydd i gynnig effeithlonrwydd sy'n cyfateb i tua 70 o aelodau llawn amser;
	+ Lleihau'r oedi hir wrth drosglwyddo cleifion ambiwlansys i wella profiadau cleifion a datgloi capasiti ambiwlansys;
	+ Mae £2 filiwn arall bellach ar gael ar gyfer byrddau iechyd er mwyn gwella amgylchedd eu hadrannau achosion brys, i roi profiad gwell i gleifion y gaeaf hwn; ac
	+ Ymestyn gwasanaethau gofal brys yr un diwrnod i fod ar gael saith diwrnod er mwyn helpu pobl a fyddai fel arfer wedi cael eu hanfon i'r ysbyty i ddychwelyd adref i gysgu yn eu gwely eu hunain.


Yn ogystal, mae Byrddau Iechyd ac Awdurdodau Lleol wedi datblygu cynlluniau i gynyddu capasiti gwelyau cymunedol neu fannau sy'n cyfateb i welyau cyn cyfnod y gaeaf. Nod y cynlluniau hyn fydd cymryd cam ychwanegol i adennill darpariaeth ac ymatebion cymunedol drwy ymdrech a rennir ymhlith partneriaid. 


Bydd y capasiti ychwanegol hwn yn cael ei ddarparu ochr yn ochr â mesurau ychwanegol i hybu'r gweithlu gofal yn y gymuned, ac mae'n elfen allweddol o'n dull gwell o gynllunio ar gyfer y gaeaf. Bydd yn cefnogi pobl i ddychwelyd adref neu i'w cymunedau lleol pan yn barod, ac o ganlyniad, dylai wella prydlondeb gofal mewn rhannau eraill o'r system gofal brys ac argyfwng.


Rwy'n disgwyl i Fyrddau Iechyd weithio ar y cyd â phartneriaid drwy'r Byrddau Partneriaeth Rhanbarthol i fireinio cynlluniau, gan dynnu ar yr hyn a ddysgwyd o'r gaeaf blaenorol a heriau parhaus y pandemig, gan ganolbwyntio ar ddiogelwch a lles cleifion.


Bydd disgwyl i Fyrddau Iechyd gyflwyno cynlluniau gwydnwch ar gyfer y gaeaf i'w priod Fyrddau i'w cymeradwyo, a bydd adolygiad o gynllun pob Bwrdd Iechyd yn rhan o gyfarfodydd Cynllunio a Chyflawni Integredig Llywodraeth Cymru ym mis Hydref.


Byddaf yn rhannu'r wybodaeth ddiweddaraf ag Aelodau drwy gydol cyfnod y gaeaf.