Translate the text from English to Welsh.



 
This time last year we were already experiencing a difficult winter. It went on to become particularly long and brought with it many service delivery challenges. By 23 April, when I made my statement to the Assembly, it was clear that a concerted effort was needed to plan and improve unscheduled care services. I therefore announced a wide range of actions, all of which would be taken forward through a National Unscheduled Care Programme.


The work of this Programme has included the appointment of a National Clinical Lead and lead Chief Executive to ensure the improvement programme is embedded in the service. It has focused on patient flows, capacity issues, collaborative working between health and social services and enhanced monitoring and intervention.


The programme has had a positive impact. Performance levels have improved with reductions in 12 hour waits, reduced ambulance handover delays, improved category A response times and A\&E 4 hour performance. Our planning for this Winter has been necessarily rigorous. Whilst there will undoubtedly be difficult days during the remainder of this winter, we are now better prepared to meet these and deliver further improvements.


Our planned care system is also facing challenges. Some of these are a consequence of the pressure in our unscheduled care system. However, others relate to working practices and delivery arrangements. Whilst there are many areas of strength, there are others which now need to be modernised. There is a need for significant and urgent change.  


I have therefore decided to replicate the model introduced last year for Unscheduled Care through a National Planned Care Programme. The Programme will be led by a Chief Executive and will have a National Clinical Lead for Planned Care who will draw on expertise from other areas as necessary. They will work closely with relevant Royal Colleges to develop sustainable improvement in planned care performance. A National Oversight Board, with an external chair, and significant external representation will be established. I want to ensure our plans are fully tested against national and international benchmarks.


The Programme will include a number of work streams: Better managing capacity and demand; ensuring appropriate thresholds for treatment; optimising workforce contributions; and ensuring sustainable delivery arrangements. The impact of the age of austerity in our services is real, as are the effects of demography and new advances in medicine. This Programme will focus on the continued provision of high quality, dependable planned care services for the future, in this context.  


Just as our planning for the winter of 2013\-14 began in March of this year, so I want the planning for the post winter period to begin now. In this way we will be able to make necessary changes and introduce agreed new practice during the first half of 2014\.


 


 


 


 


 


 







Translation:


 
Erbyn yr adeg yma’r llynedd, roeddem eisoes yn cael gaeaf anodd. Fe ddatblygodd i fod yn aeaf arbennig o hir, a fyddai’n herio gwasanaethau mewn sawl ffordd. Erbyn 23 Ebrill, pan wneuthum fy natganiad i’r Cynulliad, roedd yn amlwg fod angen mynd ati fel un i gynllunio a gwella’r  gwasanaethau ar gyfer gofal heb ei drefnu. Cyhoeddais amrywiaeth eang o gamau gweithredu, gyda’r bwriad o’u cyflwyno drwy Raglen Genedlaethol ar gyfer Gofal Heb ei Drefnu.

Roedd gwaith y Rhaglen hon yn cynnwys penodi Arweinydd Clinigol Cenedlaethol a Phrif Weithredwr arweiniol i sicrhau bod y gwasanaeth yn mabwysiadu’r rhaglen wella yn llwyr. Roedd y Rhaglen yn canolbwyntio ar lif cleifion, problemau capasiti, cydweithio rhwng gwasanaethau iechyd a gwasanaethau cymdeithasol, a gwella’r prosesau monitro ac ymyrryd.

Mae’r rhaglen wedi cael effaith gadarnhaol. Mae lefelau perfformiad wedi gwella – llai o bobl yn gorfod aros 12 awr, llai o oedi o ran trosglwyddo o ambiwlansys, gwelliant mewn amseroedd ymateb categori A ac mewn perfformiad 4 awr mewn unedau Damwain ac Argyfwng. Rydym wedi cynllunio’n drwyadl ar gyfer y gaeaf hwn, fel yr oedd angen ei wneud. Mae’n anorfod y bydd dyddiau anodd o’n blaenau yn ystod gweddill y gaeaf, ond rydym bellach mewn gwell sefyllfa i ymateb iddynt a pharhau i wella yn y dyfodol.

Mae heriau yn wynebu ein system gofal wedi’i gynllunio hefyd, a’r pwysau ar ein system gofal heb ei drefnu sy’n rhannol gyfrifol am hyn. Ond mae rhai o’r heriau eraill yn deillio o arferion gweithio a threfniadau darparu. Er bod cryfder mewn sawl maes, mae angen moderneiddio rhai meysydd eraill. Mae angen newidiadau sylweddol, a hynny ar frys.  

Rwyf felly wedi penderfynu ailadrodd y model a gyflwynwyd y llynedd ar gyfer gofal heb ei drefnu, a hynny drwy Raglen Genedlaethol ar gyfer Gofal wedi’i Gynllunio. Bydd y Rhaglen yn cael ei harwain gan Brif Weithredwr, a bydd Arweinydd Clinigol Cenedlaethol ar gyfer Gofal wedi’i Gynllunio yn defnyddio arbenigedd pobl mewn meysydd eraill yn ôl y galw.  Byddant yn cydweithio’n agos â’r Colegau Brenhinol perthnasol fel bod perfformiad gofal wedi’i gynllunio yn gwella, a’r gwelliant hwnnw’n cael ei gynnal. Sefydlir Bwrdd Trosolwg Cenedlaethol, gyda chadeirydd allanol, a fydd yn cynnwys amryw o gynrychiolwyr allanol, ynghyd â chadeirydd allanol. Rwy’n awyddus i sicrhau bod ein cynlluniau yn cael eu profi’n llwyr yn erbyn meincnodau cenedlaethol a rhyngwladol.

Bydd y Rhaglen yn cynnwys amryw o ffrydiau gwaith, sef: rheoli capasiti a galw yn well; sicrhau trothwyon priodol ar gyfer triniaeth; gwneud y gorau o gyfraniadau’r gweithlu; a sicrhau trefniadau darparu cynaliadwy. Mae effaith y cyfnod hwn o gyni ariannol yn un gwirioneddol – felly hefyd effeithiau demograffeg a datblygiadau newydd ym maes meddygaeth. Bydd y Rhaglen hon yn canolbwyntio ar barhau i ddarparu gwasanaethau dibynadwy o ansawdd uchel ar gyfer gofal wedi’i drefnu, o fewn y cyd\-destun hwn.

Fe ddechreuon ni gynllunio ym mis Mawrth eleni ar gyfer gaeaf 2013\-14, felly rwy’n awyddus i’r gwaith cynllunio ar gyfer y cyfnod wedi’r gaeaf ddechrau nawr. Drwy wneud hynny, bydd modd inni wneud newidiadau angenrheidiol a chyflwyno arferion newydd cytunedig yn ystod hanner cyntaf 2014\.