techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: Yes, of course, the duties don't deal with that, so I'm not sure whether that comment is relevant to this discussion. That also has been raised in planning the Welsh language standards for health boards and, in that case, the standards provide for the action plan to develop how clinical consultation happens over time. So, it's possible that looking at standards that have been placed on the health boards is one way forward. But, in terms of these regulations, these duties don't go as far as that.
Welsh: Wel, ie, wrth gwrs, dydy'r dyletswyddau ddim yn delio â hynny, felly dwi ddim yn siwr ydy'r sylw yna yn berthnasol i'r drafodaeth yma. Mae hynny hefyd wedi codi wrth gynllunio safonau'r Gymraeg ar fyrddau iechyd ac, yn yr achos yna, mae'r safonau yn darparu ar gyfer cynllun gweithredu i ddatblygu sut mae ymgynghoriad clinigol yn digwydd dros amser. Felly, mae'n bosib bod edrych ar safonau sydd wedi cael eu gosod ar y byrddau iechyd yn un ffordd ymlaen. Ond, o safbwynt y rheoliadau yma, dydy'r dyletswyddau yma ddim yn mynd mor bell â hynny.
English: Yes, I think that we need to consider the needs of providers. We also need to think of the needs of the patients too -
Welsh: Ie, dwi'n meddwl - . Mae angen meddwl am anghenion y darparwyr, wrth gwrs. Mae angen meddwl am anghenion y cleifion hefyd, ac fel rhan -
English: Yes, there are times of course where the patient needs to see the records, and the language of choice of patients is important in that sense too. I don't know how much of an issue this is in reality, because if they are aware of the language needs of a patient and the language of choice of a patient, there are ways and means of ensuring that those record could be available in the language of choice for that patient. We have specialist translation services available in Wales. So, to be honest, I'm not really sure how much of an issue that is in reality. And, of course, as you've mentioned, it isn't something captured under these duties, so we may be getting ahead of ourselves here. But, if problems do arise, then there are opportunities beyond these regulations to be discussing those issues with the professions.
Welsh: Ie, mae adegau hefyd lle mae'r claf angen gweld y record, ac mae dewis iaith y claf yn bwysig wedyn hefyd. Dwi ddim yn siŵr faint o issue ydy hwn, go iawn, chwaith, achos os ydyn nhw'n ymwybodol o anghenion iaith y claf a dewis iaith claf, mae yna ddulliau i sicrhau, efallai, fod y cofnodion ar gael yn dewis iaith y claf yna hefyd. Mae gennym ni wasanaethau cyfieithu arbenigol iawn yng Nghymru. Felly, a bod yn onest, dwi ddim yn siŵr faint o issue ydy o, go iawn. Ac wrth gwrs, fel dŷch chi wedi'i ddweud, dydy o ddim yn rhywbeth sydd yn dod o dan y dyletswyddau yma, felly efallai fod yna elfen o fynd o flaen gofid. Ond, os oes yna broblemau yn codi, yna mae yna gyfleoedd tu hwnt i'r rheoliadau i fod yn trafod yr issues yma efo'r proffesiynau.
English: Well, that duty exists in order to let the public know if there's a Welsh language service available, so one understands the need for that duty. Then, the requirement is, as you say, that the surgery or the provider reports to the health board. I don't see why that necessarily would lead, perhaps, to a feeling of nervousness to state that they are able to provide a service through the medium of Welsh. Because of the way these duties have been designed, there's quite a lot of support built into the system. So, for example, there is an expectation on the health board to provide translation support to the primary care providers. There's an expectation on them as well to provide training to the providers. So, there's quite a lot of support built into the system, and I would hope that that would then deal with any negative reactions that are unexpected.
Welsh: Wel, mae'r ddyletswydd yna yn bodoli er mwyn rhoi gwybod i'r cyhoedd os oes yna wasanaeth Cymraeg ar gael, felly mae rhywun yn deall yr angen am y ddyletswydd. Wedyn, y gofyniad ydy, fel dŷch chi'n ei ddweud, fod y feddygfa neu'r darparwr yn adrodd i'r bwrdd iechyd. Dwi ddim yn gweld pam fyddai hynny o reidrwydd yn arwain at, efallai, nerfusrwydd ynglŷn â datgan bod rhywun yn gallu cynnig gwasanaeth yn Gymraeg. Oherwydd y ffordd mae'r dyletswyddau yma wedi cael eu cynllunio, mae yna eithaf tipyn o gymorth wedi cael ei adeiladu i mewn i'r system. Felly, er enghraifft, mae yna ddisgwyliad ar y byrddau iechyd i fod yn darparu cymorth cyfieithu i'r darparwyr gofal sylfaenol. Mae yna ddisgwyliad arnyn nhw hefyd i fod yn darparu hyfforddiant i'r darparwyr. Felly, mae eithaf lot o gymorth wedi'i adeiladu i mewn i'r system, a buaswn i'n gobeithio bod hynny, wedyn, yn delio ag unrhyw, efallai, adweithiau negyddol annisgwyl.
English: Well, yes, it's important that expectations like this are introduced sensitively. It's important that discussions take place. We do have a fair bit of experience in Wales of having worked in other sectors - local authorities, colleges, universities, and so on - where there has been encouragement and an expectation that staff that are able to provide a service through the medium of Welsh identify themselves to the public. So, I don't think that the health sector is alone in seeking to tackle that problem. It's not something that we come across very often, if truth be told, as long as there is sufficient support available from the employer.
Welsh: Wel, ie, mae'n bwysig bod disgwyliadau fel hyn yn cael eu cyflwyno'n sensitif. Mae'n bwysig bod yna drafodaeth yn digwydd. Mae gennym ni eithaf tipyn o brofiad yng Nghymru, bellach, o fod wedi gweithio mewn sectorau eraill - awdurdodau lleol, colegau, prifysgolion, ac yn y blaen - lle mae yna anogaeth a disgwyliad i staff sydd yn gallu cynnig gwasanaeth yn Gymraeg i ddangos hynny i'r cyhoedd. Felly, dwi ddim yn meddwl bod y sector iechyd ar ei ben ei hun o ran taclo'r broblem yna. Dydy o ddim yn rhywbeth dŷn ni'n dod ar ei draws yn aml, a bod yn onest, cyn belled bod yna ddigon o gefnogaeth o safbwynt y cyflogwr.
English: Certainly, I understand that there is a need - . To be fair to the providers, there is a need to ensure that the requirements of the duties are discussed and communicated clearly to them. I would expect that that has happened from the perspective of the providers themselves but also from the perspective of the patients that they then serve. Communicating the requirements of the duties is essential, and so it's important that that happens. In terms of any additional requirements in the future, I think it is a matter for the future at the moment. As I said earlier, we are keen - . We see this as a first step, an initial step. We do think that these duties should be built upon in a matter of time. When we approach that, there will be a need for discussions with providers again to consider the issues, but, at the moment, I think there's enough work to be done to concentrate on these duties to ensure that these are implemented effectively.
Welsh: Wel, dwi'n sicr yn deall bod angen - . A bod yn deg i'r darparwyr, mae angen sicrhau bod gofynion y dyletswyddau'n cael eu trafod a'u cyfathrebu'n glir iddyn nhw. Buaswn i'n disgwyl bod hynny wedi digwydd o safbwynt y darparwyr eu hunain ond hefyd o safbwynt y cleifion wedyn maen nhw'n eu gwasanaethu. Mae cyfathrebu gofynion a dyletswyddau'n angenrheidiol, felly mae'n bwysig bod hynny'n digwydd. O safbwynt unrhyw ofynion ychwanegol posib yn y dyfodol, dwi'n meddwl mai mater i'r dyfodol ydy hynny ar hyn o bryd. Fel dywedais i gynnau, mi ydyn ni'n awyddus - . Dŷn ni'n gweld hyn fel cam cyntaf. Dŷn ni yn meddwl y dylid adeiladu ar y dyletswyddau yma maes o law. Pan fydd hi'n dod i hynny wedyn, mae'n rhaid cael trafodaethau efo'r darparwyr eto i weld beth ydy'r issues, ond, ar hyn o bryd, dwi'n meddwl bod yna ddigon o waith i wneud i ganolbwyntio ar y dyletswyddau yma i sicrhau bod y rhain yn cael eu gweithredu'n effeithiol.
English: I don't think there's evidence to demonstrate that at all at the moment. There is a need for Welsh language skills in the profession, there's no doubt about that. We do understand that there are broader problems in terms of recruitment also. But, I think there are two things: we need to ensure that the education and training I was talking about earlier contributes towards a bilingual workforce; the other issue, of course, is there is investment currently in Welsh language training through the Welsh language teaching centre. It's important that there is support available to provide training and that the health boards and other employers push that as well to ensure that we can improve and increase the Welsh language skills of workers in Wales currently and also people who move here to work.
Welsh: Dwi ddim yn meddwl bod yna dystiolaeth i ddangos hynny o gwbl ar hyn o bryd. Mae yna angen am sgiliau iaith Gymraeg yn y proffesiwn, does yna ddim dwywaith am hynny. Dŷn ni yn deall bod yna broblemau ehangach o ran recriwtio hefyd. Ond, dwi'n meddwl bod yna ddau beth: mae angen i ni sicrhau bod yr addysg a'r hyfforddi ro'n i'n sôn amdano fo gynnau yn cyfrannu tuag at weithlu dwyieithog; y peth arall hefyd ydy, wrth gwrs, fod yna fuddsoddi ar hyn o bryd mewn hyfforddiant iaith Gymraeg drwy'r ganolfan dysgu. Mae'n bwysig bod yna gymorth a chefnogaeth ar gael i gynnig hyfforddiant a bod y byrddau iechyd a chyflogwyr eraill yn gwthio hynny hefyd i sicrhau ein bod ni yn gallu gwella a chynyddu sgiliau iaith Gymraeg y gweithwyr sy'n bodoli yng Nghymru ar hyn o bryd a hefyd bobl sydd yn symud yma i weithio.
English: The first option, or the option that we favoured originally, was to place standards on primary care providers through the health boards. That's what we were seeking to do initially. Now, because of the independent private status of the majority of the providers, there were some legal issues with that. It's not true of all primary care providers, because there are some who are directly managed by the health boards - some 5 per cent of the providers, I think. So, those are captured under the standards imposed on the health boards. In terms of the rest, a means had to be found of placing these duties upon them. The various options included not placing any legal expectations on them at all and relying on encouragement, but our experience over the past few years doesn't suggest that that is going to succeed. The other two options then were to seek to place standards on them directly and individually. Bearing in mind that there are hundreds if not thousands of primary care providers, we had some concerns as to how practical that would be. The third option, then, was to ensure that duties could be placed on these bodies through the health service contract, and that's what the Government saw as the best way forward. Certainly, as an organisation, we supported that as a medium-term solution at least.
Welsh: Yr opsiwn cyntaf, neu'r opsiwn roeddem ni'n ffafrio yn wreiddiol, oedd gallu gosod safonau ar ddarparwyr gofal sylfaenol drwy'r byrddau iechyd. Dyna roeddem ni'n chwilio i allu gwneud yn y lle cyntaf. Rŵan, oherwydd statws annibynnol preifat mwyafrif y darparwyr, mi oedd yna broblemau cyfreithiol efo hynny. Dyw o ddim yn wir am bob darparwr gofal sylfaenol, achos mae yna rai sy'n cael eu rheoli'n uniongyrchol gan y byrddau iechyd - rhyw 5 y cant, dwi'n meddwl, o'r darparwyr i gyd. Felly, mae'r rheini yn dod o dan y safonau sydd wedi cael eu gosod ar y byrddau iechyd. O ran y gweddill wedyn, mi fydd yn rhaid darganfod ffordd wahanol o osod dyletswyddau arnyn nhw. Yr opsiynau gwahanol oedd peidio gosod disgwyliadau cyfreithiol o gwbl a dibynnu ar anogaeth, ond mae'n profiad ni dros y blynyddoedd diwethaf ddim yn awgrymu bod hynny'n mynd i lwyddo. Y ddau opsiwn arall wedyn oedd ceisio gosod safonau arnyn nhw'n uniongyrchol ac yn unigol. Gan gofio bod yna gannoedd os nad miloedd o ddarparwyr gofal sylfaenol, mi oedd gyda ni bryderon ynglŷn â pha mor ymarferol fyddai hynny. Felly'r trydydd opsiwn, wedyn, oedd sicrhau bod yna ddyletswyddau yn cael eu gosod ar y cyrff drwy'r contract gwasanaeth iechyd, a dyna oedd y Llywodraeth yn meddwl oedd y ffordd orau ymlaen. Yn sicr, fel sefydliad, roeddem ni'n cefnogi hynny hefyd fel datrysiad o leiaf am y tymor canol.
English: There is a boundary here, isn't there? Clearly, the commissioner is responsible for the regulating and enforcement of the standards. So, we have regulatory powers over the health boards and any services they provide directly. In terms of these duties in the contract, then the health boards would be responsible for monitoring that the contract is implemented. Therefore, there is a boundary there. Having said that, some standards have been placed on the health boards that relate to primary care. Therefore, there is a duty on them to provide translation support and training to the primary care providers. There is also a duty on them to have a policy regarding primary care provision and the need to consider the Welsh language when making decisions on primary care services. Therefore, through those different mechanisms, it's still possible for us to have an overview of the situation, but, naturally, the powers are different. We will have to work with the Government and the health boards to ensure that there is information regarding this regime and to ensure that we all know whether it's successful or not.
Welsh: Mae yna ffin yma, onid oes? Achos, yn amlwg, ni, fel comisiynydd, sy'n gyfrifol am reoleiddio a gorfodi'r safonau. Felly, mae gennym ni bwerau rheoleiddio dros y byrddau iechyd ac unrhyw wasanaethau maen nhw'n eu darparu'n uniongyrchol. O safbwynt y dyletswyddau yma o fewn y contract, yna'r byrddau iechyd fyddai'n gyfrifol am fonitro bod y contract yn cael ei weithredu. Felly, mae yna ffin yn fanna. Wedi dweud hynny, mae yna rai safonau wedi eu gosod ar y byrddau iechyd sy'n ymwneud â gofal sylfaenol. Felly, mae yna ddyletswydd arnyn nhw i ddarparu cymorth cyfieithu a hyfforddiant i'r darparwyr gofal sylfaenol. Mae yna hefyd ddyletswydd arnyn nhw i gael polisi ynglŷn â darpariaeth gofal sylfaenol a'r angen i ystyried y Gymraeg wrth wneud penderfyniadau am wasanaethau gofal sylfaenol. Felly, trwy'r gwahanol fecanwaith yna, mae'n dal yn bosib inni gael trosolwg dros y sefyllfa, ond, yn naturiol, mae'r pwerau'n wahanol. Mi fydd rhaid inni gydweithio, dwi'n meddwl, efo'r Llywodraeth a'r byrddau iechyd i sicrhau bod yna wybodaeth ynglŷn â'r drefn yma ac i wneud yn siŵr ein bod ni i gyd yn gwybod a ydy o'n llwyddo ai peidio.
English: That is correct, but it depends on what the service is. If the service is subject to something under the contract, then it would be a matter for the health board directly. But, as I say, it is possible for us to have an overview through other means as well.
Welsh: Mae'n hynny'n gywir, ond mae'n dibynnu beth ydy'r gwasanaeth. Os ydy'r gwasanaeth yn ddarostyngedig i rywbeth o dan y contract, yna mater i'r bwrdd iechyd fyddai hynny'n uniongyrchol. Ond, fel dwi'n dweud, mae'n bosib inni gael trosolwg drwy ddulliau eraill hefyd.
English: Right. We have to bring the session to an end, unfortunately. We have gone over time, but thank you very much for attending today. If there's anything in addition you'd like to mention, you're welcome to write to us. Thank you very much.
Welsh: Iawn. Mae'n rhaid inni ddod â'r sesiwn i ben yn anffodus. Dŷn ni wedi mynd dros amser, ond diolch yn fawr iawn i chi am ddod i mewn atom heddiw. Os oes unrhyw beth ychwanegol, mae croeso i chi ysgrifennu atom ni. Diolch yn fawr iawn.
English: Moving on to item 9, which is a motion under Standing Order 17.42 to resolve to exclude the public from the remainder of this meeting. Is everybody content?
Welsh: Symud ymlaen at eitem 9, sef cynnig o dan Reol Sefydlog 17.42 i wahardd y cyhoedd o weddill y cyfarfod. Ydy pawb yn hapus?
English: Thank you. I'd like to turn now to the structure of the arrangements for national improvement, namely the planned care programme board, and then the specialist boards underneath that, and, in addition, of course, the national out-patient steering group, which also reports to the planned care programme board. The auditor general had introduced his interim findings to the planned care programme board back in 2016. Were the steps that the board took as a result of that interim report sufficient, in your view?
Welsh: Diolch. Hoffwn i droi nawr at strwythur y drefniadaeth ar gyfer gwella cenedlaethol, sef bwrdd y rhaglen genedlaethol ar gyfer gofal wedi'i gynllunio, ac wedyn y byrddau arbenigol oddi tano fe, ac, yn ogystal, y grŵp llywio cleifion allanol cenedlaethol, sydd hefyd yn adrodd i fwrdd y rhaglen genedlaethol ar gyfer gofal wedi'i gynllunio. Mi oedd yr archwilydd cyffredinol wedi cyflwyno ei ganfyddiadau cychwynnol - interim - i fwrdd y rhaglen genedlaethol ar gyfer gofal wedi'i gynllunio nôl yn 2016. A oedd y camau yr oedd y bwrdd wedi'u cymryd yn ganlyniad i'r adroddiad interim hynny yn ddigonol, yn eich tyb chi?
English: Can you, therefore, give us examples of the specific improvements that have emanated from the work of the national programme board or the associated specialty boards, where specific interventions have improved performance?
Welsh: Ydych chi'n gallu rhoi enghreifftiau, a dweud y gwir, o'r gwelliannau penodol sydd wedi deillio o waith bwrdd y rhaglen genedlaethol neu'r byrddau arbenigol cysylltiedig, lle mae yna ymyriadau penodol wedi gwella perfformiad?
English: You have referred in your evidence paper to a review of the governance and underpinning structures of both the planned care programme board and the out-patient steering group. Can you tell us a little bit more about the reasons for this reorganisation and how it will contribute to the further improvement of the contribution of those structures?
Welsh: Rŷch chi wedi cyfeirio yn eich papur tystiolaeth tuag at adolygiad o lywodraethiant a strwythur bwrdd y rhaglen gofal wedi'i gynllunio a'r grŵp llywio cleifion allanol. Ydych chi'n gallu dweud ychydig yn fwy am y rheswm am yr ad-drefnu yma a sut mae'n mynd i gyfrannu at wellhad pellach yng nghyfraniad y strwythurau hynny?
English: You also make reference in your evidence to this shift from the more facilitative role, initially speaking, of the planned care programme board to a more directive role, and for it to show greater direct intervention. Can you describe how that shift is going to work in practice and also how the health boards are responding to that shift in the role?
Welsh: Rŷch chi hefyd yn sôn yn eich tystiolaeth am y sifft yma o'r rôl mwy hwylusol dechreuol gan fwrdd y rhaglen ar gyfer gofal wedi'i gynllunio i rôl sydd yn fwy gweithredol, cyfarwyddol, yn dangos mwy o ymyrraeth uniongyrchol, mewn ffordd. Ydych chi'n gallu disgrifio sut mae'r sifft hynny yn mynd i weithio yn ymarferol a sut mae'r byrddau iechyd yn ymateb i'r newid yna yn y rôl?
English: Looking more broadly, 'A Healthier Wales' sets out the intention for the creation of an NHS executive function, and your evidence paper refers to that. Can you tell us, in this context, how this new entity will be able to contribute towards driving further improvement in the context of follow-up out-patient appointments? When can we expect to see more meat on the bones of this suggestion?
Welsh: Ar ganfas ehangach, mae 'Cymru Iachach' yn nodi'r bwriad i greu NHS executive, neu weithrediaeth y gwasanaeth iechyd genedlaethol, ac rŷch chi'n cyfeirio at hynny yn eich papur tystiolaeth. A allwch chi ddweud, yn y cyd-destun yma, sut mae'r endid newydd yma yn mynd i gyfrannu tuag at ysgogi mwy o welliant yng nghyswllt apwyntiadau dilynol i gleifion allanol? Pryd allwn ni ddisgwyl gweld mwy o gig ar esgyrn yr awgrym yma?
English: Okay. Just to respond to that, to what extent is the creation of an executive for the NHS very significant in the history of the NHS? And, to some extent, responding to some of the questions we had from Jenny Rathbone as to the speed of embracing these new models such as prudent healthcare, and the shift in the general model that you've mentioned throughout the afternoon - is creating this executive providing a lever, perhaps, or some kind of focus or vehicle for this shift in model that hasn't existed so far at a national level?
Welsh: Iawn. Jest i ymateb i hwnna, i ba raddau y mae creu gweithrediaeth y gwasanaeth iechyd genedlaethol yn arwyddocaol iawn, a dweud y gwir, yn hanes y gwasanaeth iechyd? Ac, i ryw raddau, gan ymateb i rai o'r cwestiynau a gawson ni gan Jenny Rathbone ynglŷn â chyflymder cofleidio'r modelau newydd fel gofal iechyd darbodus, os taw dyna yw ' prudent healthcare ' yn Gymraeg, a'r sifft yn y model cyffredinol roeddech chi'n cyfeirio ato drwy'r prynhawn, a dweud y gwir - ydy creu'r weithrediaeth yma yn rhoi lifer, efallai, neu ganolbwynt neu gyfrwng ar gyfer y sifft model yma sydd ddim wedi bodoli hyd yma ar lefel genedlaethol?
English: No further questions from me.
Welsh: Dim rhagor o gwestiynau.
English: I have accepted an emergency question under Standing Order 12.67, and I call on Carwyn Jones to ask the emergency question to the Minister for the economy. Carwyn Jones.
Welsh: Rwyf wedi derbyn cwestiwn brys, o dan Reol Sefydlog 12.67, a dwi'n galw ar Carwyn Jones i ofyn y cwestiwn brys i'r Gweinidog economi. Carwyn Jones.
English: Yes. Can I thank the Member for his emergency question? This is obviously very distressing and devastating for those who will be affected by the announcement. It could be the largest loss of jobs in a generation, and the single biggest loss of jobs since devolution. I have begun the process of establishing a taskforce to work with partners over the weeks and months ahead to help find a sustainable, long-term solution for the plant and for its workforce.
Welsh: Gwnaf. A gaf i ddiolch i'r Aelod am ei gwestiwn brys? Mae hyn yn amlwg yn peri trallod a gofid mawr i'r rhai y bydd y cyhoeddiad yn effeithio arnyn nhw. Gallai fod y golled fwyaf o ran swyddi mewn cenhedlaeth, a'r golled unigol fwyaf o swyddi ers datganoli. Rwyf wedi dechrau'r broses o sefydlu tasglu i weithio gyda phartneriaid dros yr wythnosau a'r misoedd nesaf i helpu i ddod o hyd i ateb hirdymor, cynaliadwy ar gyfer y safle a'i weithlu.