Translate the text from English to Welsh.



 
We want everyone in Wales who wants NHS dental care to be able to access it. Our Programme for Government, includes a commitment to reform primary care dentistry and increase access to dental care.


The oral health and dental services response to *A Healthier Wales* set out a whole\-system change to dentistry to increase needs\-led preventive care. At the heart of this is improving outcomes for people through preventive models of care, supported by reforming the contract that underpins the delivery and payment for dental services.


More practices are now delivering a service focused towards preventive care and treatment rather than the treadmill of delivering Units of Dental Activity (UDA) targets.


The pandemic has inevitably had an impact on the reform work – just as it has had an impact on the number of people who can be seen in dentistry because of the public health measures which need to be in place to protect staff and patients.


Before the pandemic, about 40% of practices holding NHS dental contracts in Wales were engaged in, or had signed up to be part of, contract reform. The pandemic paused that progress, but we have continued to learn and test alternative measures during the recovery and reset phase.


From April 2022, NHS practices were asked to choose between being part of the reform programme or to return to the contractual arrangements based wholly on the delivery of UDA. The expected UDA target for these practices will be 95% of pre\-Covid/pre\-reform level. 


The practices involved in contract reform will focus on prevention and needs\-based care. This means they will move away from routine six\-monthly check\-ups for all patients. The National Institute for Health and Care Excellence (NICE) recommended moving away from a universal six\-month check\-up in 2004\.


Moving away from twice\-yearly check\-ups is a significant change from what people are used to. There will be a targeted communications campaign to help support practices and to provide people with information about the benefits of self\-care. I hope I can count on Members’ support in conveying this important message to their constituents.


The capacity released will be available to provide appointments for new patients – for those who need continuing care from an NHS dental team; those who need urgent care; of for those who have a particular dental need but do not want continuing NHS care. 


I am pleased that more than three\-quarters of NHS dentists across Wales (78%) have moved to the reform contract. This represents 89% of the total contract value of commissioned NHS dental services. The contract value is more important than the number of contracts because it is the contract value that sets the metrics for new patient access. It indicates that the overwhelming majority of practices are now working under the principles of dental reform, focusing on prevention and needs\-based treatment. The table at the end of this statement shows opt\-in by health board.


Practices will need to balance the need for urgent dental provision with the need to see new patients, however we have calculated some 112,000 people could gain access to an NHS dentist this year as a direct result of contract reform.


I will keep Members updated about contract reform.




| **Health Board** | **Number of NHS contracts** | **Contract UDA** | **Reform contract** | **Reform opt\-in %** | **Reform contract value (£m)** |
| --- | --- | --- | --- | --- | --- |
| Aneurin Bevan | 79 | 24 | 55 | 70 | 80 |
| Betsi Cadwaladr | 77 | 19 | 58 | 75 | 96 |
| Cardiff and Vale | 63 | 17 | 46 | 73 | 87 |
| Cwm Taf Morgannwg | 54 | 7 | 47 | 87 | 88 |
| Hywel Dda | 58 | 12 | 46 | 79 | 92 |
| Powys | 22 | 5 | 17 | 77 | 84 |
| Swansea Bay | 60 | 7 | 53 | 88 | 99 |
|  | **413** | **91** | **322** | **78** | **89** |


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 Senedd returns I would be happy to do so.







Translation:


 
Hoffem i bawb yng Nghymru sydd am gael gofal deintyddol y GIG allu cael y gofal hwnnw. Mae ein Rhaglen Lywodraethu yn cynnwys ymrwymiad i ddiwygio deintyddiaeth gofal sylfaenol a chynyddu’r nifer sy’n gallu cael gafael ar ofal deintyddol.


Roedd ymateb y gwasanaethau deintyddol ac iechyd y geg i *Cymru Iachach* yn nodi newid ar draws y system ddeintyddiaeth yn gyfan er mwyn sicrhau mwy o ofal ataliol sydd wedi’i arwain gan anghenion. Wrth wraidd hyn mae gwella canlyniadau i bobl drwy fodelau ataliol o ofal – mae diwygio’r contract sy’n sail i’r broses o ddarparu gwasanaethau deintyddol, ac o dalu amdanynt, yn cynorthwyo hynny.


Bellach mae mwy o bractisau yn darparu gwasanaeth sy’n canolbwyntio ar ofal a thriniaeth ataliol yn hytrach na mynd i rigol o gyflawni targedau yn ôl Unedau o Weithgaredd Deintyddol yn unig.


Mae’n anochel bod y pandemig wedi cael effaith ar y gwaith diwygio – yn union fel y mae wedi cael effaith ar nifer y bobl y mae modd eu gweld ym maes deintyddiaeth oherwydd y mesurau iechyd y cyhoedd y mae angen eu gweithredu i ddiogelu staff a chleifion.


Cyn y pandemig, roedd tua 40% o bractisau a oedd yn dal contractau deintyddol y GIG yng Nghymru yn rhan o’r broses o ddiwygio contractau, neu wedi ymrwymo i fod yn rhan ohoni. Mae’r pandemig wedi oedi’r cynnydd hwnnw, ond rydym wedi parhau i ddysgu a phrofi mesurau amgen yn ystod y cyfnod adfer ac ailosod.


O fis Ebrill 2022, gofynnwyd i bractisau’r GIG ddewis rhwng bod yn rhan o’r rhaglen ddiwygio neu ddychwelyd i’r trefniadau contractiol sy’n seiliedig yn llwyr ar gyflawni Unedau o Weithgaredd Deintyddol. Y targed disgwyliedig i’r practisau hyn o ran Unedau o Weithgaredd Deintyddol fydd 95% o’r lefel cyn COVID/cyn diwygio.


Bydd y practisau sy’n rhan o’r broses o ddiwygio contractau yn canolbwyntio ar atal ac ar ofal sy’n seiliedig ar anghenion. Mae hyn yn golygu y byddant yn symud oddi wrth archwiliadau rheolaidd bob chwe mis ar gyfer pob claf. Argymhellodd y Sefydliad Cenedlaethol dros Ragoriaeth mewn Iechyd a Gofal (NICE) y dylid symud oddi wrth archwiliad chwe mis i bawb yn 2004\.


Mae symud oddi wrth archwiliadau ddwywaith y flwyddyn yn newid sylweddol o’r hyn y mae pobl wedi arfer ag ef. Bydd ymgyrch gyfathrebu a dargedir yn cael ei chynnal er mwyn helpu i gefnogi practisau ac i roi gwybodaeth i bobl am fanteision hunanofal. Gobeithiaf y gallaf ddibynnu ar gefnogaeth yr Aelodau o ran cyfleu’r neges bwysig hon i’w hetholwyr.


Bydd y capasiti sy’n cael ei ryddhau ar gael i ddarparu apwyntiadau i gleifion newydd – i’r rhai y mae angen gofal parhaus arnynt gan un o dimau deintyddol y GIG; y rhai y mae angen gofal brys arnynt; neu i’r rheini sydd ag angen deintyddol penodol ond nad ydynt am gael gofal parhaus gan y GIG. 


Rwy’n falch bod mwy na thri chwarter deintyddion y GIG ledled Cymru (78%) wedi symud i’r contract diwygio. Mae hyn yn cyfateb i 89% o gyfanswm gwerth contractau gwasanaethau deintyddol y GIG a gomisiynwyd. Mae gwerth y contractau yn bwysicach na nifer y contractau oherwydd gwerth y contractau sy’n pennu’r metrigau mewn perthynas â chleifion yn cael gafael ar ofal deintyddol o’r newydd. Mae’n dangos bod y mwyafrif llethol o bractisau bellach yn gweithio o dan yr egwyddorion diwygio deintyddol, gan ganolbwyntio ar atal ac ar driniaeth sy’n seiliedig ar anghenion. Mae’r tabl ar ddiwedd y datganiad hwn yn dangos y sefyllfa o ran dewis contractau diwygio, yn ôl bwrdd iechyd.


Bydd angen i bractisau gydbwyso’r angen am ddarpariaeth ddeintyddol frys â’r angen i weld cleifion newydd. Fodd bynnag, rydym wedi cyfrifo mai canlyniad uniongyrchol i’r broses o ddiwygio contractau yw y gallai tua 112,000 o bobl gael mynediad o’r newydd at un o ddeintyddion y GIG eleni.


Byddaf yn parhau i roi’r wybodaeth ddiweddaraf i’r Aelodau am ddiwygio contractau.




| **Bwrdd iechyd** | **Nifer contractau’r GIG** | **Contractau Unedau o Weithgaredd Deintyddol** | **Contractau diwygio** | **Dewis diwygio %** | **Gwerth y contractau diwygio (£m)** |
| --- | --- | --- | --- | --- | --- |
| Aneurin Bevan | 79 | 24 | 55 | 70 | 80 |
| Betsi Cadwaladr | 77 | 19 | 58 | 75 | 96 |
| Caerdydd a’r Fro | 63 | 17 | 46 | 73 | 87 |
| Cwm Taf Morgannwg | 54 | 7 | 47 | 87 | 88 |
| Hywel Dda | 58 | 12 | 46 | 79 | 92 |
| Powys | 22 | 5 | 17 | 77 | 84 |
| Bae Abertawe | 60 | 7 | 53 | 88 | 99 |
|  | **413** | **91** | **322** | **78** | **89** |


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 Senedd yn dychwelyd, byddwn yn hapus i wneud hynny.