English: There was a difference of opinion amongst those who gave evidence to the committee about the levels of preparedness - this, in itself, is cause for some concern. There should be more confidence across the entire sector that the problem is under control and manageable. That this is not the case may be due, in part, to a need to improve communication between all the relevant parties, despite arrangements, such as integrated plans, being in place. Linked to this, we have some concerns about the Welsh Government's flu vaccination campaign, especially in relation to the relatively low uptake amongst NHS and social care staff. Recent figures provided by Public Health Wales show that only 48.4 per cent of NHS staff who have direct patient contact have, so far, taken part in the influenza immunisation programme. Vaccinating front-line staff is a key preventative measure, and we believe the Welsh Government and the sector should be more ambitious when setting targets in this area. We also have some concerns about the structure, visibility and targeting of the campaign this year. There is a need for clarity about the respective roles of GPs and pharmacists in the campaign and the strength and visibility of national messages to target groups. We recommended that arrangements are put in place to undertake whole-system learning based on an evaluation of the effectiveness of all Welsh Government campaigns relating to winter health. That's recommendation 3. I welcome the fact that the Cabinet Secretary has accepted our recommendation on this matter. I am pleased to note - and I'm sure that other committee members will feel the same way - that learning from the evaluation will be incorporated into future all-year planning, including the campaign for next winter. There is no doubt that there have been some clear improvements within the system. The Welsh ambulance services trust is an obvious example, and they should be congratulated for this. However, a number of matters reported on by our predecessor committee in 2013 have been identified in the course of this inquiry as continuing to need attention as a matter of priority, including inappropriate A&E admissions, patient flow through hospitals and delayed transfers of care. We had a lot of evidence about beds, the need for more beds and the great pressure on social care. More from other committee members on that, evidently. As a committee, we recognise that planning for this winter has required a great many resources. We welcome the fact that the work on planning for the winter started early. It's important that the lessons of previous years are learnt. Now, despite this, we are concerned about the ability of the system to cope with the additional seasonal pressures, and the damage that one serious incident such as a flu outbreak or the closure of a care home could cause. We welcome the additional investment of £50 million by the Welsh Government for winter preparedness this year. The Cabinet Secretary said that he expected to see specific outcomes as a result of this additional investment: dealing with the additional demands of unscheduled care and maintaining elective surgery over the winter period. We recognise that these are ambitious targets for this level of investment. That's recommendation 4. We look forward to hearing from the Cabinet Secretary in May regarding the progress made against those ambitious targets. Thank you very much.
Welsh: Roedd gwahaniaeth barn ymysg y rhai a rhoddodd dystiolaeth i'r pwyllgor am y lefelau o barodrwydd am y gaeaf, sef ffaith sy'n peri rhywfaint o bryder ynddo'i hun. Dylai'r sector cyfan fod yn fwy hyderus bod y broblem o dan reolaeth a bod modd ei drin. Gallai'r diffyg hyder hwn fod, yn rhannol, oherwydd bod angen gwella'r cyfathrebu rhwng yr holl grwpiau perthnasol, er gwaethaf y ffaith bod trefniadau fel cynlluniau integredig ar waith yn barod. Yn gysylltiedig â hyn, mae gennym rai pryderon am ymgyrch Llywodraeth Cymru i frechu rhag y ffliw, yn enwedig o ran y ffaith mai nifer weddol fach o staff y gwasanaeth iechyd a staff gofal cymdeithasol sydd wedi cael eu brechu. O ran staff y gwasanaeth iechyd, mae ffigurau diweddar gan Iechyd Cyhoeddus Cymru yn dangos mai dim ond ryw 48.4 y cant ohonynt sydd wedi cael eu brechu rhag y ffliw hyd yn hyn. Mae brechu staff rheng flaen yn rhywbeth allweddol er mwyn atal y clefyd, ac rydym ni'n credu y dylai Llywodraeth Cymru a'r sector fod yn fwy uchelgeisiol wrth osod targedau yn y maes hwn. Mae gennym rai pryderon hefyd am strwythur yr ymgyrch eleni, ynghyd â pha mor weledol yw hi a sut y mae'n cael ei thargedu. Mae angen eglurder ynghylch rolau priodol meddygon teulu a fferyllwyr yn yr ymgyrch ac ynghylch cryfder a gwelededd y negeseuon cenedlaethol i grwpiau targed. Rydym yn argymell bod trefniadau'n cael eu rhoi ar waith i ymgymryd â dysgu system gyfan yn seiliedig ar werthusiad o effeithiolrwydd holl ymgyrchoedd Llywodraeth Cymru ynghylch iechyd dros y gaeaf. Argymhelliad 3 yw hwnnw. Rwy'n croesawu'r ffaith bod yr Ysgrifennydd Cabinet wedi derbyn ein hargymhelliad ar y mater hwn. Rydym ni'n falch o nodi - ac rydw i'n siŵr y bydd aelodau eraill y pwyllgor yn teimlo'r un ffordd - y bydd gwersi o'r gwerthusiad yn cael eu hymgorffori mewn gwaith cynllunio blwyddyn gyfan yn y dyfodol, gan gynnwys yr ymgyrch ar gyfer y gaeaf nesaf. Nid oes amheuaeth y bu rhai gwelliannau clir yn y system. Mae ymddiriedolaeth gwasanaethau ambiwlans Cymru yn enghraifft amlwg a dylid ei llongyfarch am hynny. Fodd bynnag, mae'r ymchwiliad hwn wedi nodi nifer o faterion a gododd yn adroddiad y pwyllgor blaenorol yn 2013 fel materion y mae angen eu blaenoriaethu, gan gynnwys derbyniadau amhriodol i adrannau damweiniau ac achosion brys, llif cleifion drwy ysbytai ac oedi wrth drosglwyddo gofal. Clywsom lawer iawn o dystiolaeth ynglŷn â gwlâu, angen mwy o wlâu a'r pwysau angerddol ar ofal cymdeithasol. Mwy gan aelodau eraill o'r pwyllgor, yn amlwg. Fel pwyllgor, rydym yn cydnabod bod y gwaith o gynllunio ar gyfer y gaeaf hwn wedi galw am ymdrechion ac adnoddau sylweddol iawn. Rydym yn croesawu'r ffaith y dechreuodd y gwaith o gynllunio ar gyfer y gaeaf yn gynnar. Mae'n bwysig bod gwersi'r blynyddoedd blaenorol yn cael eu dysgu. Er gwaethaf hyn, rydym yn pryderu am allu'r system i ymdopi â phwysau ychwanegol y tymor a'r niwed y gallai un digwyddiad difrifol, fel achos o ffliw neu gau cartref gofal, ei achosi. Rydym wedi croesawu'r buddsoddiad ychwanegol o £50 miliwn gan Lywodraeth Cymru ar gyfer pwysau'r gaeaf eleni. Dywedodd yr Ysgrifennydd Cabinet ei fod yn disgwyl gweld canlyniadau penodol yn sgil y buddsoddiad ychwanegol yma: ymdopi â'r galw ychwanegol ar ofal heb ei drefnu a pharhau i ddarparu llawdriniaethau dewisol dros gyfnod y gaeaf. Rydym yn cydnabod bod y targedau hyn yn rhai uchelgeisiol ar gyfer buddsoddiad o'r fath. Argymhelliad pedwar yw hynny. Rydym yn edrych ymlaen at glywed gan yr Ysgrifennydd Cabinet ym mis Mai ynghylch y cynnydd tuag at y targedau uchelgeisiol hynny. Diolch yn fawr.