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Over the past eight months a sustained discussion has taken place in Wales about prudent healthcare and the potential benefit for the Welsh NHS and its patients. That conversation has been enthusiastically embraced by people working within the health service and other public services in Wales and many examples of prudent healthcare in practice have come to the fore.


In July, the next steps to advance prudent healthcare and ensure Wales remains at the vanguard of this emerging global movement were set out. This included the development of an interactive website to capture some of the perspectives of those working in or using health and social care services about what prudent healthcare means to them and its potential for Wales. I am very pleased to be able to launch Making Prudent Healthcare Happen at the Public Health Conference today.  


Prudent healthcare will not happen by the Welsh Government acting alone. For the NHS to embrace prudent healthcare and for people across Wales to realise its benefits, leaders, managers, clinicians and the public need to think about what the principles mean for them and their interactions with health services and to act accordingly.  


The various chapters hosted on the website are designed to stimulate debate \- helped by the inclusion of an online comments box, which allows readers to offer their own views.


In an opening chapter to the website, I set out how the principles of prudent healthcare offer us an opportunity to create services, which address inequality and provide a social benefit today and for generations to come. If we get it right, prudent healthcare offers us a means of sustaining Aneurin Bevan’s founding principles of the National Health Service into the future.  


But prudent healthcare has to be more than an idea and more than a set of principles. It has to change the way health services are used and provided. It has to make a real, practical difference to the millions of encounters which take place every year between the Welsh people and their health service.


The examples being published online today demonstrate how prudent healthcare is already happening in the work of the renal services team at Morriston Hospital, in Swansea, which put the co\-production principle at the heart of their service redesign and has improved service quality and in the improvement of lymphoedema services across Wales, which embodies the principles of prudent healthcare and is leading the way in Europe.


The launch of Making Prudent Healthcare Happen will help ensure Wales remains at the forefront of this global movement and we move from talking about the principles to taking action to secure their implementation in health and social care. **The website address is**www.prudenthealthcare.org.uk. It will be updated between now and January to provide further perspectives and examples.


Initial content


The website provides views from:


 


* An NHS for future generations – why we are making prudent healthcare happen by Mark Drakeford, Minister for Health and Social Services
* International examples of successful prudent healthcare by Professor Sir Mansel Aylward, chair of the Bevan Commission
* Better health for all our children \- prudent healthcare for future generations by Dr Shantini Paranjothy, clinical senior lecturer, Cardiff University
* Co\-producing prudent healthcare: putting people in the picture by Ruth Dineen, Co\-production Wales
* Information technology – an essential tool in delivering prudent healthcare by Professor Ronan Lyons, clinical professor of public health, Swansea University
* Innovation – the driving force for prudent healthcare by Chris Martin, former chair Hywel Dda University Health Board and Ifan Evans, deputy director for innovation and technology, Welsh Government
* The leadership challenge of prudent healthcare by Allison Williams, chief executive of Cwm Taf University Health Board (on behalf of NHS Wales health board and trust chief executives)
* Turning every day medical decisions into prudent practice by Dr Graham Shortland, medical director, Cardiff and Vale University Health Board
* Introducing prudent principles in precision medicine by Dr Berwyn Clarke, Pandion Biotech Consulting Ltd
* Better health outcomes and safer care through prudent prescribing by Professor Phil Routledge, professor of clinical pharmacology, Cardiff University
* Focusing primary care services on people by applying prudent healthcare by Dr Sally Lewis, Aneurin Bevan University Health Board
* The public health challenge of prudent healthcare by Patricia Riordan, director of health and healthcare improvement, Public Health Wales
* Establishing prudent principles across the public sector by Paul Matthews, chief executive, Monmouthshire County Council
* Unleashing the power of prudent healthcare through reablement, recovery and rehabilitation by Ruth Crowder, policy officer for Wales, College of Occupational Therapists
* Delivering excellence across the health and social care system through prudent healthcare by Sue Evans, chief officer, social care and housing, Torfaen County Borough Council.


 


The website also includes practical case studies to support the individual contributions, including:


 


* Delivering a prudent lymphoedema service
* Renal services at night
* Transforming adult social care
* Virtual cardiology clinic


 


I hope you will find an opportunity to visit the website and contribute to shaping this agenda for Wales.


 







Translation:


 
Dros yr wyth mis diwethaf, mae trafodaeth frwd wedi digwydd yng Nghymru ynghylch gofal iechyd darbodus a’i botensial i GIG Cymru a’i gleifion. Mae pobl sy’n gweithio yn y GIG a gwasanaethau cyhoeddus wedi croesawu’r drafodaeth hon ac mae amryw enghreifftiau  eraill o ofal iechyd darbodus wedi dod i’r amlwg.

Ym mis Gorffennaf, amlinellwyd y camau nesaf cychwynnol a fyddai’n cael eu cymryd i hyrwyddo gofal iechyd darbodus a sicrhau bod Cymru’n parhau i fod ar flaen y gad yn y mudiad byd\-eang newydd hwn. Roedd hyn yn cynnwys datblygu gwefan ryngweithiol i gofnodi safbwyntiau’r rheini sy’n gweithio mewn gwasanaethau iechyd a gofal cymdeithasol, neu sy’n eu defnyddio, ynghylch ystyr gofal iechyd darbodus iddyn nhw a’i botensial i Gymru. Rwy’n falch iawn o gael lansio Rhoi Gofal Iechyd Darbodus ar Waith yng Nghynhadledd Iechyd y Cyhoedd heddiw.  

Ni fydd gofal iechyd darbodus yn digwydd os mai dim ond Llywodraeth Cymru fydd yn gweithredu. Er mwyn i’r GIG fynd i’r afael â gofal iechyd darbodus, bydd angen i arweinwyr, rheolwyr, clinigwyr a’r cyhoedd feddwl am ystyr yr egwyddorion iddyn nhw a’r ffordd y maent yn rhyngweithio â gwasanaethau iechyd, a dechrau gweithredu.

Bwriad y gwahanol benodau ar y wefan yw ysgogi trafodaeth, trwy gymorth blwch sylwadau ar\-lein i bobl allu gynnig eu barn eu hunain.

Mewn pennod agoriadol ar y wefan, rwy’n amlinellu sut mae egwyddorion gofal iechyd darbodus yn gyfle gwych i greu gwasanaethau sy’n mynd i’r afael ag anghydraddoldeb ac yn cynnig manteision cymdeithasol nawr, ac am genedlaethau i ddod. O wneud pethau’n iawn, mae gofal iechyd darbodus yn cynnig ffordd o gynnal egwyddorion sefydlol Aneurin Bevan ar gyfer y Gwasanaeth Iechyd Gwladol at y dyfodol.

Ond mae angen i ofal iechyd darbodus fod yn fwy na syniad ac yn fwy na set o egwyddorion. Mae angen i hyn newid y ffordd y caiff gwasanaethau iechyd eu defnyddio a’u darparu. Mae’n rhaid i hyn wneud gwahaniaeth ymarferol go iawn i’r miliynau o gysylltiadau sy’n digwydd bob blwyddyn rhwng pobl Cymru a’u gwasanaeth iechyd.

Mae’r enghreifftiau sy’n cael eu cyhoeddi ar\-lein heddiw ad yn dangos sut mae gofal iechyd darbodus eisoes yn digwydd yng ngwaith y tîm gwasanaethau arennol yn Ysbyty Treforys yn Abertawe, sy’n rhoi egwyddorion cydgynhyrchu wrth wraidd y broses o ailgynllunio eu gwasanaethau ac sydd wedi gwella eu hansawdd yn sylweddol, ynghyd â gwella gwasanaethau lymffedema ledled Cymru, sy’n ymgorffori egwyddorion gofal iechyd darbodus ac yn arwain y ffordd yn Ewrop.

Bydd lansio Rhoi Gofal Iechyd Darbodus ar Waith yn helpu i sicrhau bod Cymru’n parhau i fod ar flaen y gad yn y mudiad byd\-eang hwn, a’n bod yn symud o siarad am yr egwyddorion i gymryd camau i sicrhau eu bod yn cael eu rhoi ar waith mewn iechyd a gofal cymdeithasol. Cyfeiriad y wefan yw www.prudenthealthcare.org.uk. Bydd yn cael ei ddiweddaru rhwng nawr a mis Ionawr i roi rhagor o safbwyntiau ac enghreifftiau.

Cynnwys Cychwynnol

Mae’r adnodd yn rhoi safbwyntiau ynghylch:

* GIG ar gyfer cenedlaethau’r dyfodol – pam ein bod yn rhoi gofal iechyd darbodus ar waith gan Mark Drakeford, y Gweinidog Iechyd a Gwasanaethau Cymdeithasol
* Enghreifftiau rhyngwladol o ofal iechyd darbodus llwyddiannus gan yr Athro Syr Mansel Aylward, CB Cadeirydd y Comisiwn Bevan
* Gwella iechyd ein holl blant – gofal iechyd darbodus ar gyfer cenedlaethau’r dyfodol gan Dr Shantini Paranjothy, Uwch Ddarlithydd Clinigol, Prifysgol Caerdydd
* Cydgynhyrchu gofal iechyd darbodus: rhannu’r ffeithiau gyda phobl gan Ruth Dineen Cydgynhyrchu Cymru
* Technoleg gwybodaeth – ffordd hanfodol o ddarparu gofal iechyd darbodus gan yr Athro Ronan Lyons, Athro Clinigol Iechyd y Cyhoedd, Prifysgol Abertawe.
* Arloesi – y grym sy’n gyrru gofal iechyd darbodus gan Chris Martin, cyn Gadeirydd Bwrdd Iechyd Hywel Dda ac Ifan Evans, Dirprwy Gyfarwyddwr Arloesi a Thechnoleg, Llywodraeth Cymru
* Her arweinyddiaeth gofal iechyd darbodus gan Allison Williams, Prif Weithredwr Bwrdd Iechyd Prifysgol Cwm Taf (ar ran prif weithredwyr byrddau ac ymddiriedolaethau iechyd GIG Cymru)
* Troi penderfyniadau meddygol arferol yn arferion darbodus gan Dr Graham Shortland, Cyfarwyddwr Meddygol, Bwrdd Iechyd Prifysgol Caerdydd a’r Fro
* Cyflwyno egwyddorion darbodus mewn meddygaeth tra manwl gan Dr Berwyn Clarke, Pandion Biotech Consulting Ltd
* Canlyniadau iechyd gwell a gofal mwy diogel drwy bresgripsiynu darbodus gan yr Athro Phil Routledge, Athro Ffarmacoleg Glinigol, Prifysgol Caerdydd
* Canolbwyntio gwasanaethau gofal sylfaenol ar bobl drwy gymhwyso gofal iechyd darbodus gan Dr Sally Lewis, Bwrdd Iechyd Prifysgol Aneurin Bevan
* Her gofal iechyd darbodus o ran iechyd y cyhoedd gan Patricia Riordan, Cyfarwyddwr Gwella Iechyd a Gofal Iechyd, Iechyd Cyhoeddus Cymru
* Gosod egwyddorion darbodus ar draws y sector cyhoeddus gan Paul Matthews, Prif Weithredwr Cyngor Sir Fynwy
* Rhyddhau grym gofal iechyd darbodus drwy ailalluogi, adfer ac adsefydlu. Ruth Crowder, Swyddog Polisi Cymru, Coleg y Therapyddion Galwedigaethol
* Sicrhau rhagoriaeth ar draws y system iechyd a gofal cymdeithasol drwy ofal iechyd darbodus gan Sue Evans, Prif Swyddog Gofal Cymdeithasol a Thai Cyngor Bwrdeistref Sirol Torfaen.

Mae’r wefan hefyd yn cynnwys astudiaethau achos ymarferol i gefnogi’r cyfraniadau unigol, gan gynnwys:* Darparu gwasanaeth lymffedema darbodus
* Gwasanaethau arennol gyda’r nos
* Trawsnewid Gofal Cymdeithasol Oedolion
* Rhith\-glinig cardioleg

Rwy’n gobeithio y byddwch yn cael cyfle i fynd i’r wefan a chyfrannu at lunio’r agenda hon ar gyfer Cymru.