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This statement updates Members about the inclusion of third primary vaccines on the Covid Pass, medical exemptions for the domestic Covid Pass and a pilot scheme to recognise vaccines authorised for use in the UK by the Medicines and Healthcare products Regulatory Agency (MHRA), which have been administered outside the UK.


**Covid Pass and third primary vaccinations**


I have been working with the UK Government and partners in Wales for some time to ensure that third primary doses for people who are clinically vulnerable or immunosuppressed are shown on the Covid Pass. I can confirm that from 25 February, these vaccines are now correctly being shown. Anyone who is still experiencing problems with the Pass displaying their vaccination information should email: CovidStatusCertificates@gov.wales 


**Evidence of single vaccination or prior Covid infection for 12 to 15\-year\-olds**


Since 3 February, 12 to 15\-year\-olds have been able to apply for a digital Covid Pass by following this link on the website: Get your NHS COVID Pass \| GOV.WALES. This digital youth Pass includes 2D barcodes (also known as QR codes) and will include proof of recovery or a prior positive Covid test. This is the same system which applies to adults in Wales and the same system which has been implemented in England.


**Medical exemptions**


Following discussions with clinical and ethical advisors, we have agreed the following definition for people who are considered to be medically exempt from having Covid vaccinations and from taking a lateral flow test for the purpose of using a domestic Covid Pass.


People will be considered medically exempt if they:


1. Have had a previous systemic anaphylaxis reaction to a Covid vaccine and are not able to receive an alternative vaccine through the national allergy pathway and referral service.


2. Have had a prior anaphylactic reaction to any component (excipient) of the Covid vaccine and are not able to receive an alternative vaccine through the national allergy pathway and referral service.


3. Have had a severe adverse event associated with a Covid vaccine resulting in hospitalisation where no alternative vaccine is available, as assessed by the national referral service.


4. Are registered as having a severe learning disability or severe autism and have been assessed by a health board learning and disability service as unable to receive a vaccine after reasonable adjustments and for whom best interest statements have been made in conjunction with the individual, their family or carers and the learning and disability service.


5. Are medically unable to take a lateral flow test (LFT). This could include people who have severe nose and throat abnormalities; severe learning disabilities with challenging behaviours, or an allergy to lateral flow test swab materials. This will need to be verified by a clinician.


People in the first three categories will automatically be contacted by NHS Wales and will receive a letter confirming their exemption.


People in category four will be contacted by the learning disabilities services in their health board area to discuss if further reasonable adjustments can be made before deciding whether to give an exemption.


People in category five will need to fill in this form on the Welsh Government website, including details of their clinician who can verify their medical exemption. Their case will then be considered by independent clinicians.


If individuals who believe that they are medically exempt have not been contacted by the end of March and believe they are eligible in one of the categories listed, they can apply for an exemption using the form on the Welsh Government website or by contacting their health board.


**Medical exemptions will not apply to the Covid Pass for international travel as the entry criteria for the country people are travelling to, is determined by that country and not by the UK. Anyone travelling outside the UK should check the criteria for the country they are travelling to before making travel arrangements and again before travelling, as entry requirements may change at short notice.** 


We are continuing to work on a digital service for medical exemptions via the NHS Covid Pass.


**Addition of vaccines to the Covid Pass administered outside the UK**


Cardiff and the Vale University Health Board has agreed to run a short pilot scheme to test how information about Covid vaccines administered outside the UK can be integrated into the Covid Pass in Wales. During the pilot, only the 4 MHRA approved vaccines AstraZeneca (Vaxzevria), Moderna, Pfizer/BioNTech (Comirnaty) and Janssen will be integrated.


The results will be reported back to me, which will enable a quick decision to be made about the timing and scope of the rollout of the scheme nationally. In the meantime, individuals who have been vaccinated outside the UK, should use evidence provided to them by the country in which they were vaccinated, to prove their vaccination status.


I will update Members when the results of the pilot are available.







Translation:


 
Mae’r datganiad hwn yn rhoi’r wybodaeth ddiweddaraf i’r Aelodau ynglŷn â chynnwys y trydydd dos sylfaenol o’r brechlyn COVID\-19 ar y Pàs COVID; eithriadau meddygol ar gyfer y Pàs COVID domestig; a chynllun peilot i gydnabod brechlynnau sydd wedi’u cymeradwyo i’w defnyddio yn y DU gan yr Asiantaeth Rheoleiddio Meddyginiaethau a Chynhyrchion Gofal Iechyd (MHRA) ond sydd wedi’u rhoi y tu allan i’r DU.


**Y Pàs COVID** **a’r trydydd dos sylfaenol o’r brechlyn COVID\-19**


Rwyf wedi bod yn gweithio gyda Llywodraeth y DU a phartneriaid yng Nghymru ers tro i sicrhau bod y trydydd dos sylfaenol o’r brechlyn COVID\-19 i bobl sy’n agored i niwed yn glinigol neu’n imiwnoataliedig yn cael ei ddangos ar y Pàs COVID. Gallaf gadarnhau, o 25 Chwefror ymlaen, fod y dos hwn o’r brechlyn bellach yn cael ei ddangos yn gywir. Dylai unrhyw un sy’n dal i gael problemau gyda’r Pàs yn dangos eu gwybodaeth frechu, e\-bostio:


TystysgrifauStatwsCovid@llyw.cymru 


**Tystiolaeth o un dos o’r brechlyn neu haint COVID blaenorol i bobl ifanc 12\-15 oed**


Ers 3 Chwefror, mae pobl ifanc 12\-15 oed wedi gallu gwneud cais am Bàs COVID digidol drwy ddilyn y ddolen hon ar y wefan: Cael eich Pàs COVID y GIG \| LLYW.CYMRU. Mae’r Pàs Digidol hwn i bobl ifanc yn cynnwys codau bar 2D (a elwir hefyd yn godau QR) a bydd yn cynnwys tystiolaeth eu bod wedi gwella o haint COVD neu dystiolaeth o ganlyniad prawf positif blaenorol. Mae’r system hon yr un fath â’r system sy’n gymwys i oedolion yng Nghymru a’r system sydd wedi cael ei gweithredu yn Lloegr.


**Eithriadau meddygol** 


Yn dilyn trafodaethau gyda chynghorwyr clinigol a moesegol, rydym wedi cytuno ar y diffiniad canlynol ar gyfer pobl yr ystyrir eu bod wedi’u heithrio’n feddygol rhag cael y brechlyn COVID\-19 a rhag gwneud prawf llif unffordd at ddibenion defnyddio’r Pàs COVID domestig.


Ystyrir y bydd pobl wedi’u heithrio’n feddygol os ydynt:


1. wedi cael adwaith anaffylacsis systemig blaenorol i’r brechlyn COVID ac nid ydynt yn gallu cael brechlyn arall drwy’r llwybr a’r gwasanaeth cyfeirio cenedlaethol ar gyfer alergedd.


2. wedi cael adwaith anaffylacsis blaenorol i unrhyw gydran (llenwydd) o’r brechlyn COVID ac nid ydynt yn gallu cael brechlyn arall drwy’r llwybr a’r gwasanaeth cyfeirio cenedlaethol ar gyfer alergedd.


3. wedi cael digwyddiad andwyol difrifol yn gysylltiedig â’r brechlyn COVID a arweiniodd atynt yn gorfod mynd i’r ysbyty a phan nad oes brechlyn arall ar gael iddynt, fel yr aseswyd gan y gwasanaeth cyfeirio cenedlaethol.


4. wedi cofrestru fel rhywun sydd ag anabledd dysgu difrifol neu awtistiaeth ddifrifol, wedi cael eu hasesu gan wasanaeth dysgu ac anabledd bwrdd iechyd fel rhai na all gael brechlyn ar ôl addasiadau rhesymol ac y mae datganiadau lles pennaf wedi’u llunio ar eu cyfer ar y cyd â nhw eu hunain, eu teulu neu eu gofalwyr a’r gwasanaeth dysgu ac anabledd.


5. yn methu â gwneud prawf llif unffordd yn feddygol. Gallai hyn gynnwys pobl sydd ag annormaleddau difrifol yn y trwyn a’r gwddf, anableddau dysgu difrifol gydag ymddygiad heriol neu alergedd i ddeunyddiau a ddefnyddir mewn swabiau ar gyfer profion llif unffordd. Bydd angen i hyn gael ei gadarnhau gan glinigydd.


Bydd GIG Cymru yn cysylltu â’r bobl sydd yn y tri chategori cyntaf yn awtomatig a byddant yn cael llythyr yn cadarnhau eu bod wedi’u heithrio.


Bydd gwasanaethau anableddau dysgu yn ardal eu bwrdd iechyd yn cysylltu â’r bobl sydd yng nghategori pedwar i drafod a ellir gwneud addasiadau rhesymol pellach cyn penderfynu rhoi eithriad.


Bydd angen i bobl sydd yng nghategori pump lenwi’r ffurflen hon ar wefan Llywodraeth Cymru, gan gynnwys manylion eu clinigydd a all gadarnhau eu bod wedi’u heithrio’n feddygol. Yna, bydd eu hachos yn cael ei ystyried gan glinigwyr annibynnol.


Os na chysylltir â phobl sy’n credu eu bod wedi’u heithrio’n feddygol erbyn diwedd mis Mawrth ac sy’n credu eu bod yn gymwys o dan un o’r categorïau a restrir, gallant wneud cais am eithriad drwy ddefnyddio’r ffurflen ar wefan Llywodraeth Cymru neu drwy gysylltu â’u bwrdd iechyd.


**Ni fydd eithriadau meddygol yn gymwys i’r Pàs COVID ar gyfer teithio rhyngwladol gan fod y meini prawf mynediad ar gyfer y wlad y mae pobl yn teithio iddi, yn cael eu pennu gan y wlad honno ac nid y DU. Dylai unrhyw un sy’n teithio y tu allan i’r DU edrych ar y meini prawf ar gyfer y wlad y maent yn teithio iddi cyn gwneud trefniadau teithio ac, unwaith eto, cyn teithio, gan y gall gofynion mynediad newid ar fyr rybudd.**


Rydym yn parhau i weithio ar wasanaeth digidol ar gyfer eithriadau meddygol drwy Bàs COVID y GIG.


**Ychwanegu brechlynnau sydd wedi’u rhoi y tu allan i’r DU at y Pàs COVID**


Mae Bwrdd Iechyd Prifysgol Caerdydd a’r Fro wedi cytuno i gynnal cynllun peilot byr er mwyn treialu sut y gellir cynnwys gwybodaeth am frechlynnau COVID sydd wedi’u rhoi y tu allan i’r DU ar y Pàs COVID yng Nghymru. Yn ystod y cynllun peilot, dim ond y 4 brechlyn sydd wedi’u cymeradwyo gan yr Asiantaeth Rheoleiddio Meddyginiaethau a Chynhyrchion Gofal Iechyd (MHRA), sef AstraZeneca (Vaxzevria), Moderna, Pfizer/BioNTech (Comirnaty) a Janssen fydd yn cael eu cynnwys.


Bydd y canlyniadau yn cael eu hadrodd yn ôl imi, a fydd yn galluogi penderfyniad sydyn ynglŷn ag amseriad a chwmpas cyflwyno’r cynllun yn genedlaethol. Yn y cyfamser, dylai unigolion sydd wedi’u brechu y tu allan i’r DU, ddefnyddio tystiolaeth a roddwyd iddynt gan y wlad lle cawsant eu brechu, i brofi eu statws brechu.


Byddaf yn rhoi’r wybodaeth ddiweddaraf i’r Aelodau pan fydd canlyniadau’r cynllun peilot ar gael.