Translate the text from English to Welsh.



 
In March 2014, the joint Escalation and Intervention Arrangements were launched. Under these arrangements, the Welsh Government meets the Wales Audit Office and Healthcare Inspectorate Wales twice a year to discuss the overall position of each health board and NHS trust. A wide range of information and intelligence is considered to help identify any issues to help them be resolved effectively.


This statement informs Assembly Members about the outcome of the latest meeting that was held on 18 July 2018\.


The framework has four escalation levels:


• Routine arrangements;


• Enhanced monitoring;


• Targeted intervention;


• Special measures.  

  

As a result of the discussions, the Welsh Government, Wales Audit Office and HIW agreed all organisations will remain at their current escalation level as set out in the table at annex 1\.


I have already provided members with an update on Betsi Cadwaladr University Health Board.


With regard to the three organisations in targeted intervention, over the last 12 months, progress has been seen, with both Cardiff and Vale and Hywel Dda University Health Boards achieving performance milestones.  In Hywel Dda, the outstanding issue remains finance, though the recent baseline review will help the organisation.


In Abertawe Bro Morgannwg University Health Board, a new Chief Executive has been appointed and there have been changes to the Executive Team.  There has been a gradual improvement in performance and I expect this to be sustained. I recognise there is still further work to do across all three organisations and my officials continue to work closely with them.


I continue to have expectations for improvement from each of the escalated organisations and their progress will continue to be monitored through formal accountability arrangements and discussions with officials.


Annex 1




| **Organisation** | **Previous Status** | **Current Status** |
| --- | --- | --- |
| 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 | Targeted intervention |
| Cwm Taf UHB | Routine arrangements | Routine arrangements |
| 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 |


  

  

  

  

  

  

  

  

  

  

  

 


 


This statement is being issued during recess in order to keep members informed. Should members wish me to make a further statement or to answer questions on this when the Assembly returns I would be happy to do so


 


 


 


 


 


 


 







Translation:


 
Ym mis Mawrth 2014, lansiwyd y Trefniadau Uwchgyfeirio ac Ymyrryd ar y cyd. O dan y trefniadau hyn, mae Llywodraeth Cymru yn cwrdd â Swyddfa Archwilio Cymru ac Arolygiaeth Gofal Iechyd Cymru ddwywaith y flwyddyn i drafod sefyllfa gyffredinol pob bwrdd iechyd ac ymddiriedolaeth y GIG. Maent yn ystyried ystod eang o wybodaeth i nodi unrhyw broblemau er mwyn helpu i'w datrys yn effeithiol.

Mae'r datganiad hwn yn rhoi gwybod i Aelodau'r Cynulliad am ganlyniad y cyfarfod diwethaf a gynhaliwyd ar 18 Gorffennaf 2018\.

Mae pedair lefel uwchgyfeirio yn y fframwaith:

• Trefniadau arferol

• Monitro uwch

• Ymyrraeth wedi'i thargedu

• Mesurau arbennig.  
  
O ganlyniad i'r trafodaethau, cytunodd Llywodraeth Cymru, Swyddfa Archwilio Cymru ac Arolygiaeth Gofal Iechyd Cymru y bydd yr holl sefydliadau'n parhau ar eu lefel uwchgyfeirio bresennol fel y'i nodir yn y tabl yn atodiad 1\. 

Rwyf eisoes wedi rhoi'r wybodaeth ddiweddaraf i’r Aelodau ynghylch Bwrdd Iechyd Prifysgol Betsi Cadwaladr.

O ran y tri sefydliad sydd ar lefel ymyrraeth wedi ei thargedu, cafwyd cynnydd yn ystod y ddeuddeg mis diwethaf, gyda Bwrdd Iechyd Prifysgol Caerdydd a'r Fro a Bwrdd iechyd Prifysgol Hywel Dda yn cyrraedd cerrig milltir o ran eu perfformiad. O ran Bwrdd Hywel Dda, y broblem o hyd yw'r broblem cyllid, er y bydd yr adolygiad llinell sylfaen diweddar o gymorth i'r sefydliad.

Cafodd Prif Weithredwr newydd ei benodi i Fwrdd Iechyd Prifysgol Abertawe Bro Morgannwg, a bu newidiadau i'r Tîm Gweithredol. Bu gwella graddol o ran perfformiad, ac rwy'n disgwyl i hynny barhau. Rwy'n cydnabod bod rhagor o waith i'w wneud ar draws y tri sefydliad, ac mae fy swyddogion yn parhau i weithio'n agos gyda nhw.

Rwy'n parhau i ddisgwyl gweld gwelliant ym mhob un o'r sefydliadau hyn, a byddwn yn dal i fonitro eu cynnydd drwy drefniadau atebolrwydd ffurfiol a thrafodaethau â swyddogion.

Atodiad 1



| Sefydliad | Statws Blaenorol | Statws Presennol |
| --- | --- | --- |
| 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 | Ymyrraeth wedi'i thargedu |
| Bwrdd Iechyd Prifysgol Cwm Taf | Trefniadau arferol | Trefniadau arferol |
| 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 |

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  


Caiff y datganiad ei gyhoeddi yn ystod y toriad er mwyn rhoi'r wybodaeth ddiweddaraf i aelodau. Os bydd aelodau eisiau i mi wneud datganiad pellach neu ateb cwestiynau ynglŷn â hyn pan fydd y Cynulliad yn dychwelyd, byddwn yn hapus i wneud hynny.