Translate the text from English to Welsh.



 
When I was appointed as Minster for Health and Services earlier this year, I indicated that my three key priorities were unscheduled care, the legislative programme and bringing the three regional plans for service change in NHS Wales to a conclusion.  I am pleased to announce that the first of the service change plans, for North Wales, has now been concluded successfully.


In January 2013, following extensive periods of engagement and formal public consultation, Betsi Cadwaladr University Health Board published its final proposals for changes to healthcare services in North Wales: *Healthcare in North Wales is Changing.*


In accordance with the Guidance for Engagement and *Consultation on Changes to Health Services*, Betsi Cadwaladr Community Health Council (CHC) had a period of six weeks to refer to Welsh Ministers any proposals that it considered were not in the best interests of the Health Service in the area.


On 4 March the CHC referred elements of the Health Board’s proposals to the former Minister for Health and Social Services for determination.  The proposals referred related to:


* minor injury services in South Gwynedd;
* the removal of X\-Ray services from Tywyn Hospital;
* older people’s mental health service for people living in Gwynedd.


I subsequently confirmed I would make final decisions on these matters once I was satisfied that I had all relevant information, having considered the issues thoroughly and carefully.


As part of this process, my officials met separately with members of both the CHC and Health Board on 11 June.  Following these meetings, both parties believed there to be a way forward to resolve the matters that the CHC had referred to me for determination.


I am very pleased to report that I have now received a joint letter from the CHC and Health Board which confirms agreement has been reached on the outstanding issues.  


**Minor Injuries Service in South Gwynedd**  

The CHC has agreed that the revised hours for the Minor Injury Service in Tywyn Hospital should continue, although the demand for the service will be monitored and reviewed over a longer period.  Any amendments to the service which may subsequently be needed will be discussed through the Service Planning Committee. In monitoring the revised hours of the service, the Health Board will need to have plans for implementing and communicating its proposals so that people can be confident they will get the minor injuries services they need from GP surgeries, the out of hours service and their community hospitals.


**X\-Ray service**  

Agreement has been reached to continue the X\-Ray service at Tywyn Hospital for two sessions a week.  To meet the difficulties the Health Board faces in staffing the service, it will explore with neighbouring Health Boards the potential for the service to be staffed by their radiology teams, rather than its own staff.


**Older People’s Mental Health Services in Gwynedd**  

The CHC has agreed that the Service Planning Committee will monitor the action plan which has been developed to establish alternative services in the community, to mitigate the impact of the closure of beds at Uned Hafan (Pwllheli) and Uned Meirion (Dolgellau).  This will provide the necessary assurances that the plans are being delivered and people’s needs are being met. An update on progress, which will be shared with the local community, will also be produced following each milestone report to the Service Planning Committee.


**Conclusion**  

Alongside the elements formally referred by the CHC to the Minister, was the recurrent theme of a lack of transport provision to access health services in the rural areas of North Wales and in south Gwynedd in particular. The Welsh Government has agreed to work with partners across the public service to better understand the local transport access issues and identify joint opportunities for improvement.


The CHC is now content, subject to the outcome of the agreed monitoring and review processes it has highlighted being satisfactory, that it has reached a local resolution to the elements of the Health Board’s proposals which it had previously referred to Welsh Ministers for determination.


I would like to place on record my personal thanks to all Health Board and CHC officials and members involved in drawing this matter to a conclusion. 







Translation:


 
Pan gefais fy mhenodi’n Weinidog Iechyd a Gwasanaethau Cymdeithasol yn gynharach eleni, dywedais mai gofal heb ei drefnu, y rhaglen ddeddfwriaethol a chwblhau’r tri chynllun rhanbarthol ar gyfer newid gwasanaethau GIG Cymru oedd fy nhri phrif flaenoriaeth. Rwy’n falch o gyhoeddi bod y cyntaf o’r cynlluniau newid gwasanaeth, ar gyfer Gogledd Cymru, bellach wedi’i gwblhau’n llwyddiannus.

Ym mis Ionawr 2013, yn dilyn cyfnodau helaeth o ymgysylltu ac ymgynghori’n ffurfiol â’r cyhoedd, cyhoeddodd Bwrdd Iechyd Prifysgol Betsi Cadwaladr ei gynigion terfynol ar gyfer newidiadau i wasanaethau gofal iechyd yn y Gogledd: Mae Gofal Iechyd yng Ngogledd Cymru yn Newid.

Yn unol â’r Canllawiau ar gyfer Ymgysylltu ac Ymgynghori ar Newidiadau i Wasanaethau Iechyd, cafodd Cyngor Iechyd Cymuned Betsi Cadwaladr gyfnod o chwe wythnos i dynnu sylw Gweinidogion Cymru at unrhyw gynigion nad oeddent, ym marn y Cyngor, o fudd i Wasanaeth Iechyd yr ardal.

Ar 4 Mawrth cyfeiriodd y Cyngor Iechyd Cymuned elfennau o gynigion y Bwrdd Iechyd i’r cyn\-Weinidog Iechyd a Gwasanaethau Cymdeithasol benderfynu arnynt. Roedd y cynigion yn ymwneud â:

* gwasanaeth mân anafiadau yn Ne Gwynedd;
* cael gwared â gwasanaethau pelydr\-X o Ysbyty Tywyn;
* gwasanaeth iechyd meddwl pobl hŷn yng Ngwynedd.

Cadarnheais wedyn y byddwn yn dod i benderfyniadau terfynol ar y materion hyn unwaith roeddwn yn fodlon bod gen i’r holl wybodaeth berthnasol, wedi ystyried y materion yn drwyadl ac yn ofalus.

Fel rhan o’r broses hon, cyfarfu fy swyddogion ag aelodau o’r Cyngor Iechyd Cymuned a’r Bwrdd Iechyd ar 11 Mehefin. Yn dilyn y cyfarfodydd hyn, roedd y ddwy garfan o’r farn bod yna ffordd o ddatrys y materion a gyfeiriwyd ataf i benderfynu yn eu cylch.

Rwy’n falch iawn o gael nodi fy mod, bellach, wedi derbyn llythyr oddi wrth y Cyngor Iechyd Cymuned a’r Bwrdd Iechyd ar y cyd, yn cadarnhau ein bod wedi dod i gytundeb ynghylch y materion hyn.  

Gwasanaeth Mân Anafiadau yn Ne Gwynedd  
Mae’r Cyngor Iechyd Cymuned wedi cytuno y dylai’r oriau diwygiedig ar gyfer y Gwasanaeth Mân Anafiadau yn Ysbyty Tywyn barhau, er y caiff y galw am y gwasanaeth ei fonitro a’i adolygu dros gyfnod hirach. Os bydd angen gwneud unrhyw newidiadau pellach i’r gwasanaeth, caiff y rheini eu trafod drwy’r Pwyllgor Cynllunio Gwasanaethau. Wrth fonitro oriau diwygiedig y gwasanaeth, bydd angen i’r Bwrdd Iechyd wneud cynlluniau i weithredu a chyfathrebu ei gynigion, fel y gall pobl fod yn hyderus y cânt y gwasanaethau mân anafiadau angenrheidiol gan eu meddyg teulu, y gwasanaeth tu allan i oriau a’u hysbytai cymunedol.

Gwasanaeth Pelydr\-X  
Daethpwyd i gytundeb i barhau â’r gwasanaeth Pelydr\-X yn Ysbyty Tywyn am ddwy sesiwn yr wythnos. Er mwyn goresgyn problem staffio’r gwasanaeth, bydd y Bwrdd Iechyd yn ymchwilio, ynghyd â Byrddau Iechyd cyfagos, i’r posibilrwydd o ddefnyddio eu timau radioleg.

Gwasanaethau Iechyd Meddwl Pobl Hŷn yng Ngwynedd  
Mae’r Cyngor Iechyd Cymuned wedi cytuno y bydd y Pwyllgor Cynllunio Gwasanaethau yn monitro’r cynllun gweithredu sydd wedi’i ddatblygu er mwyn sefydlu gwasanaethau amgen yn y gymuned, er mwyn lleihau effaith cau gwelyau yn Uned Hafan (Pwllheli) ac Uned Meirion (Dolgellau). Bydd hyn yn rhoi’r sicrwydd angenrheidiol bod y cynlluniau’n cael eu cyflawni a bod anghenion pobl yn cael eu diwallu. Caiff bwletin cynnydd ei lunio hefyd ar ôl pob adroddiad carreg filltir i’r Pwyllgor Cynllunio Gwasanaethau, a chaiff hwn ei rannu â’r gymuned leol.

Casgliad  
Yn ogystal â’r elfennau a gyfeiriodd y Cyngor Iechyd Cymuned yn ffurfiol i’r Gweinidog oedd y diffyg trafnidiaeth i gyrraedd gwasanaethau iechyd yn ardaloedd gwledig y Gogledd, a De Gwynedd yn benodol, thema oedd yn codi’n aml. Mae Llywodraeth Cymru wedi cytuno i weithio gyda phartneriaid ar draws y gwasanaeth cyhoeddus i ddeall yn well y sefyllfa o ran trafnidiaeth leol a cheisio creu cyfleoedd ar y cyd i’w gwella.

Mae’r Cyngor Iechyd Cymuned yn hapus bellach, cyn belled ag y bydd canlyniad y prosesau monitro ac adolygu y cytunwyd arnynt yn foddhaol, ei fod wedi datrys yr elfennau o gynigion y Bwrdd Iechyd yr oedd wedi’u cyfeirio at sylw Gweinidogion Cymru.

Hoffwn gofnodi ar ddu a gwyn fy niolch personol i holl swyddogion ac aelodau’r Bwrdd Iechyd a’r Cyngor Iechyd Cymuned a fu ynghlwm wrth y gwaith o ddatrys y mater hwn.