Translate the text from English to Welsh.



 
Members will be aware that Healthcare Inspectorate Wales (HIW) and the Wales Audit Office (WAO) today published their joint review of quality governance arrangements at Cwm Taf Morgannwg University Health Board. This report has highlighted a number of fundamental weaknesses in the health board’s governance arrangements in respect of the quality of care and patient safety. It also chimes with key findings from a number of previous reports and reinforces why it was necessary to increase the escalation status of the health board to targeted intervention earlier this year.


As the report makes clear, while some things can be done quickly and are already progressing, there is clearly still a considerable amount of work required to address the fundamental issues which have come to light. I am pleased that the health board has fully accepted the findings and recommendations and already taken considerable steps to address them. They have also committed to do this in an open and transparent way, as they have recently demonstrated with the action they took to review and improve their waiting list management.


The health board have stated their determination to embed a strong focus on quality and safety throughout the organisation. Actions already underway  include a significant focus on engaging with staff in developing a set of core values and behaviours to shape the organisational culture; implementing a new operating model and associated structures, ensuring clear lines of accountability; and strengthening processes to ensure robust  quality governance and risk management. But there is clearly much more to do. The health board’s progress is, and will continue to be, monitored closely through our escalation arrangements to ensure the necessary rigor and pace. I will continue to keep Members updated on progress and will issue a further statement on this and maternity services early in the New Year.


There will also be important reflection and learning for all NHS in organisations in Wales from this report. I have written to all NHS Chairs and Chief Executives today asking them to consider their own quality governance arrangements and review these against the report’s recommendations.


There are also a number of other actions in train to ensure robust governance arrangements are in place in all Boards. This includes a new approach to Independent Member Induction which will be mandatory for all new appointees. The programme will re\-enforce the importance of the role of the Independent Member as a public appointee. It will also help develop their skills in providing scrutiny and seeking assurance as a board member.  In addition I have requested a review of the Code of Conduct for Boards and NHS Managers to re\-enforce the standards expected of them as Board Members. Whilst recognising the collective responsibility for governance of the Board and organisation, I am also committed to strengthening the role of the Board Secretary as the guardian of good governance within NHS organisations in Wales. 







Translation:


 
 Bydd yr Aelodau’n ymwybodol bod Arolygiaeth Gofal Iechyd Cymru a Swyddfa Archwilio Cymru wedi cyhoeddi eu hadolygiad ar y cyd heddiw o drefniadau llywodraethu ansawdd Bwrdd Iechyd Prifysgol Cwm Taf Morgannwg. Mae’r adroddiad yn tynnu sylw at nifer o wendidau sylfaenol yn nhrefniadau llywodraethu’r bwrdd iechyd o ran ansawdd gofal ac o ran diogelwch cleifion. Mae hefyd yn adlewyrchu canfyddiadau allweddol nifer o adroddiadau blaenorol ac yn cadarnhau pam y bu’n rhaid uwchgyfeirio’r bwrdd iechyd i statws ymyrraeth wedi’i thargedu yn gynharach eleni. 


Fel y mae’r adroddiad yn nodi’n glir, er bod modd i rai pethau gael eu gwneud yn gyflym a bod hynny eisoes ar waith, mae cryn dipyn o waith i’w wneud o hyd i fynd i’r afael â’r materion sylfaenol sydd wedi dod i’r amlwg. Rwy’n falch bod y bwrdd iechyd wedi derbyn y canfyddiadau a’r argymhellion yn llawn ac wedi cymryd cryn gamau eisoes i ymdrin â nhw. Maen nhw hefyd wedi ymrwymo i wneud hynny mewn ffordd agored a thryloyw, fel y dangoswyd yn ddiweddar wrth iddynt gymryd gamau i adolygu a gwella’r ffordd y maent yn rheoli eu rhestrau aros. 


Mae’r bwrdd iechyd wedi datgan ei fod yn benderfynol o roi ffocws cryf ar ansawdd a diogelwch drwy’r sefydliad cyfan. Ymysg y camau sydd ar y gweill yn barod mae pwyslais  sylweddol ar ymgysylltu â staff wrth ddatblygu cyfres o werthoedd ac ymddygiadau craidd i lywio’r diwylliant sefydliadol; rhoi model gweithredu newydd a strwythurau cysylltiedig ar waith, sicrhau llinellau atebolrwydd cryf; a chryfhau prosesau er mwyn sicrhau trefn gadarn ar gyfer llywodraethu ansawdd a rheoli risg. Ond, yn amlwg, mae llawer mwy i’w wneud. Mae cynnydd y bwrdd iechyd yn cael ei fonitro’n agos drwy ein trefniadau uwchgyfeirio, a bydd hynny’n parhau, er mwyn sicrhau’r manylder a’r cyflymder angenrheidiol. Byddaf yn parhau i roi’r wybodaeth ddiweddaraf i’r Aelodau am y cynnydd, ac yn cyhoeddi datganiad pellach am hyn ac am y gwasanaethau mamolaeth yn gynnar yn y flwyddyn newydd. 


 Hefyd yn sgil yr adroddiad hwn, bydd materion y bydd gofyn i holl sefydliadau’r GIG yng Nghymru eu hystyried a dysgu oddi wrthynt. Rwyf wedi ysgrifennu at holl Gadeiryddion a Phrif Weithredwyr y GIG heddiw, yn gofyn iddynt ystyried eu trefniadau llywodraethu ansawdd eu hunain a’u hadolygu yn unol â’r argymhellion yn yr adroddiad. 


Mae nifer o gamau gweithredu eraill ar waith i sicrhau bod gan bob Bwrdd drefniadau llywodraethu cadarn. Mae hyn yn cynnwys trefniadau cynefino newydd ar gyfer Aelodau Annibynnol, a fydd yn orfodol ar gyfer pob aelod newydd a benodir. Bydd y rhaglen yn atgyfnerthu pwysigrwydd rôl yr Aelod Annibynnol fel penodiad cyhoeddus. Bydd hefyd yn helpu i ddatblygu eu sgiliau o ran craffu a gofyn am sicrhad, fel aelod o fwrdd. Yn ogystal, rwyf wedi gofyn am gynnal adolygiad o’r Cod Ymddygiad ar gyfer Byrddau a Rheolwyr y GIG er mwyn atgyfnerthu’r safonau a ddisgwylir ganddynt fel Aelodau o Fwrdd. Er fy mod yn cydnabod mai cyfrifoldeb ar y cyd yw llywodraethu’r Bwrdd a’r sefydliad, rwyf hefyd wedi ymrwymo i gryfhau rôl Ysgrifennydd y Bwrdd fel ceidwad llywodraethu da o fewn sefydliadau’r GIG yng Nghymru.