techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: I think that's the key issue, isn't it - when is it safe to do so, and how do we make sure that you can get the fastest and the best care possible at the earliest opportunity. That is an issue for Hywel Dda to determine, and of course we will take our clinical lead from them. What I do know is that alongside the rest of the pressures that we're seeing across all our accident and emergency departments, the key thing is to make sure that we can try and get a really fast service for paediatric care, and of course, if that means travelling a little further, then I think parents might consider that that might be worth continuing for the time being. I know that that was a temporary move - I'll continue those discussions with Withybush Hospital - but we are not back to normal in the NHS; I think it's really important that people understand that. COVID rates have gone down significantly, but the pressures on the NHS remain, and the important thing is that we put safety first for our patients.
Welsh: Credaf mai dyna'r mater allweddol, onid e - pryd y mae'n ddiogel i wneud hynny, a sut y gallwn sicrhau y gallwch gael y gofal cyflymaf a gorau posibl cyn gynted â phosibl. Penderfyniad i Hywel Dda yw hwnnw, ac wrth gwrs byddwn yn dilyn eu harweiniad clinigol. Yr hyn rwy'n ei wybod, ochr yn ochr â gweddill y pwysau a welwn ar draws ein holl adrannau damweiniau ac achosion brys, yw mai'r peth allweddol yw sicrhau y gallwn geisio cael gwasanaeth cyflym iawn ar gyfer gofal pediatrig, ac wrth gwrs, os yw hynny'n golygu teithio ychydig ymhellach, credaf y gallai rhieni ddeall ei bod yn werth parhau i wneud hynny am y tro. Gwn mai cam dros dro oedd hwnnw - byddaf yn parhau â'r trafodaethau hynny gydag Ysbyty Llwynhelyg - ond nid ydym yn ôl i normal yn y GIG; rwy'n credu ei bod yn bwysig iawn i bobl ddeall hynny. Mae cyfraddau COVID wedi gostwng yn sylweddol, ond mae'r pwysau ar y GIG yn parhau, a'r peth pwysig yw ein bod yn rhoi diogelwch ein cleifion yn gyntaf.
English: I'd like to take this opportunity to welcome the appointment of the endometriosis clinical nurse specialist in Hywel Dda. Some 163,200 women in Wales live with this debilitating and painful condition, and 19,625 of those live in the Hywel Dda area. Endometriosis is a condition that often has gone undiagnosed for many years, and it's fantastic that each health board now has a nurse specialist who will be able to improve the care for women with this particular condition. Minister, will you join me in welcoming the appointment of the endometriosis clinical nurse specialist in the Hywel Dda area, and indeed all health boards across Wales, and are you able to give any further details on how this role will help improve early diagnosis, reduce the time women wait for treatment, and also improve education, so that both clinicians and patients can recognise the signs and the symptoms as early as is possible?
Welsh: Hoffwn fanteisio ar y cyfle hwn i groesawu penodiad nyrs glinigol endometriosis arbenigol yn Hywel Dda. Mae tua 163,200 o fenywod yng Nghymru yn byw gyda'r cyflwr gwanychol a phoenus hwn, ac mae 19,625 o'r rheini'n byw yn ardal Hywel Dda. Mae endometriosis yn gyflwr sy'n aml yn mynd heb ddiagnosis am flynyddoedd lawer, ac mae'n wych fod gan bob bwrdd iechyd bellach nyrs arbenigol a fydd yn gallu gwella'r gofal i fenywod sydd â'r cyflwr penodol hwn. Weinidog, a wnewch chi ymuno â mi i groesawu penodiad nyrs glinigol endometriosis arbenigol yn ardal Hywel Dda, ac yn wir yn yr holl fyrddau iechyd ledled Cymru, ac a allwch roi rhagor o fanylion ynglŷn â sut y bydd y rôl hon yn helpu i wella diagnosis cynnar, lleihau'r amser y mae menywod yn aros am driniaeth, a gwella addysg hefyd, er mwyn i glinigwyr a chleifion allu adnabod yr arwyddion a'r symptomau cyn gynted â phosibl?
English: Diolch yn fawr, Joyce. I share with you the need for us to put a lot more time and effort into endometriosis in terms of the NHS in Wales, and that's why I was really pleased that this has been a focus of the women's health implementation group, where we've put forward an additional £1 million to really address this issue, along with a couple of other women's issues. You'll be aware that I'm planning to make a quality statement on women in the next few weeks, and women's health. I of course am very pleased that we have been able to see those appointments of those clinical nurse specialists. The one in Hywel Dda has been in post since May 2021, and of course there is a referral mechanism in place so that they can refer to tertiary centres in Swansea and Cardiff if there is a need for more complex procedures. The endometriosis nurses are actively spending time with patients in clinic and liaising with those multidisciplinary teams to make sure that there's a better understanding of endometriosis. I think we all need a better understanding of endometriosis; it's certainly something that I've learnt a lot more about since taking this position. The other thing that the women's health implementation group has done is to develop a dedicated website for patients and for nurses to use, Endometriosis Cymru, and that includes 'living with' stories from Welsh people, and also a symptom tracker. I hope that will help to be a diagnosis tool both for patients and clinicians, so that we can see a speeding up of that early diagnosis and treatment for endometriosis.
Welsh: Diolch yn fawr, Joyce. Rwy'n cytuno bod angen inni roi llawer mwy o amser ac ymdrech i mewn i endometriosis yn y GIG yng Nghymru, a dyna pam fy mod yn falch iawn fod hyn wedi bod yn ffocws i'r grŵp gweithredu ar iechyd menywod, lle rydym wedi cyflwyno £1 filiwn ychwanegol i fynd i'r afael â'r mater hwn o ddifrif, ynghyd ag un neu ddau o faterion eraill yn ymwneud â menywod. Fe fyddwch yn ymwybodol fy mod yn bwriadu gwneud datganiad ansawdd ar fenywod yn ystod yr wythnosau nesaf, ac iechyd menywod. Wrth gwrs, rwy'n falch iawn ein bod wedi gweld y nyrsys clinigol arbenigol hynny'n cael eu penodi. Mae'r un yn Hywel Dda wedi bod yn ei swydd ers mis Mai 2021, ac wrth gwrs mae mecanwaith atgyfeirio ar waith fel y gallant atgyfeirio at ganolfannau trydyddol yn Abertawe a Chaerdydd os oes angen llawdriniaethau mwy cymhleth. Mae'r nyrsys endometriosis yn treulio amser gyda chleifion mewn clinigau ac yn cysylltu â'r timau amlddisgyblaethol hynny i sicrhau gwell dealltwriaeth o endometriosis. Rwy'n credu bod angen i bob un ohonom gael gwell dealltwriaeth o endometriosis; mae'n sicr yn rhywbeth y dysgais lawer mwy amdano ers dod i'r swydd hon. Y peth arall y mae'r grŵp gweithredu ar iechyd menywod wedi'i wneud yw datblygu gwefan bwrpasol i gleifion ac i nyrsys ei defnyddio, Endometriosis Cymru, ac mae hynny'n cynnwys straeon 'byw gydag endometriosis' gan Gymry, a thraciwr symptomau hefyd. Rwy'n gobeithio y bydd hwnnw'n offeryn diagnosis i gleifion a chlinigwyr, fel y gallwn gyflymu diagnosis cynnar a thriniaeth gynnar i bobl ag endometriosis.
English: We are supporting a range of recruitment initiatives. We have introduced the real living wage for care workers and will make further improvements to terms and conditions. We strongly support joint approaches by local authorities and health boards to improve patient flow from hospitals into care services in the community.
Welsh: Rydym yn cefnogi amrywiaeth o fentrau recriwtio. Rydym wedi cyflwyno'r cyflog byw gwirioneddol i weithwyr gofal a byddwn yn gwneud gwelliannau pellach i delerau ac amodau. Rydym yn llwyr gefnogi dulliau ar y cyd gan awdurdodau lleol a byrddau iechyd i wella llif cleifion o ysbytai i wasanaethau gofal yn y gymuned.
English: Can I thank the Minister for that response? Too often, the only discussion of social care is about its effect on hospital discharge. It's far more important than that; social care is important not just for hospital discharge, but the quality of life for the people receiving it, and, dare I say, about stopping people having to go into hospital because they've been dealt with in their own homes and they're able to live a good life in their own homes. I think sometimes we seem to think that it's all about health - well, actually, that it's all about hospitals: 'For health, see hospitals; for health and social care, see health.' Does the Minister agree with me that we need to improve retention and recruitment via pay and conditions of employment, and also creating a national wage rate similar to that for nurses?
Welsh: A gaf fi ddiolch i'r Gweinidog am yr ymateb hwnnw? Yn rhy aml, mae'r unig drafodaeth ar ofal cymdeithasol yn ymwneud â'i effaith ar ryddhau cleifion o'r ysbyty. Mae'n bwysicach o lawer na hynny; mae gofal cymdeithasol yn bwysig nid yn unig ar gyfer rhyddhau cleifion o'r ysbyty, ond ansawdd bywyd y bobl sy'n ei dderbyn, ac os caf fi ddweud, mae'n ymwneud ag atal pobl rhag gorfod mynd i'r ysbyty am eu bod wedi cael eu trin yn eu cartrefi eu hunain ac yn gallu byw bywydau da yn eu cartrefi eu hunain. Credaf weithiau ein bod yn meddwl bod y cyfan yn ymwneud ag iechyd - wel, mewn gwirionedd, fod y cyfan yn ymwneud ag ysbytai: 'Ar gyfer iechyd, gweler ysbytai; ar gyfer iechyd a gofal cymdeithasol, gweler iechyd.' A yw'r Gweinidog yn cytuno â mi fod angen inni wella'r broses o gadw a recriwtio drwy gyflogau ac amodau cyflogaeth, yn ogystal â chreu cyfradd gyflogau genedlaethol debyg i'r gyfradd ar gyfer nyrsys?
English: I thank Mike Hedges for that supplementary question. Obviously, I agree with him how important social care is for people to live in their own homes and to live happy and fulfilled lives. As the Member will know, we've set up a social care fair work forum, made up of employers, unions and other bodies, and they advised us on how to introduce the real living wage. Their next steps now will be to look at how we can improve the terms and conditions of social care workers. I think we're all agreed that there's absolutely no doubt that social care workers need to have their terms and conditions improved. We are developing a strategic national framework for commissioned care and support, and that will set national standards. We're also committed to creating a national care service where care would be free at the point of need. We're awaiting the report from the expert group, which is looking at recommendations for the national care service, and I think we will have a lot more to say on this subject after they've reported.
Welsh: Diolch i Mike Hedges am y cwestiwn atodol hwnnw. Yn amlwg, rwy'n cytuno ag ef ynglŷn â phwysigrwydd gofal cymdeithasol i bobl allu byw yn eu cartrefi eu hunain a byw bywydau hapus a chyflawn. Fel y gŵyr yr Aelod, rydym wedi sefydlu fforwm gwaith teg gofal cymdeithasol, sy'n cynnwys cyflogwyr, undebau a chyrff eraill, a gwnaethant ein cynghori ar sut i gyflwyno'r cyflog byw gwirioneddol. Eu camau nesaf yn awr fydd edrych ar sut y gallwn wella telerau ac amodau gweithwyr gofal cymdeithasol. Rwy'n credu ein bod i gyd yn gytûn nad oes amheuaeth o gwbl fod angen gwella telerau ac amodau gweithwyr gofal cymdeithasol. Rydym yn datblygu fframwaith cenedlaethol strategol ar gyfer gofal a chymorth a gomisiynir, a bydd hynny'n gosod safonau cenedlaethol. Rydym hefyd wedi ymrwymo i greu gwasanaeth gofal cenedlaethol lle byddai gofal am ddim lle mae ei angen. Rydym yn aros am yr adroddiad gan y grŵp arbenigol, sy'n edrych ar argymhellion ar gyfer y gwasanaeth gofal cenedlaethol, a chredaf y bydd gennym lawer mwy i'w ddweud ar y pwnc hwn ar ôl iddynt gyflwyno eu hadroddiad.
English: Deputy Minister, I've heard from a number of carers in my region who are coming under significant financial pressure and are not sure that they will be able to continue with their work in the sector because their wages just don't keep up with their bills, particularly their fuel bills. I recently heard from a domiciliary care worker who has worked as a carer for more than 30 years. This carer is spending £90 a week now, and using their days off to collect PPE equipment in advance of their shifts. I wonder if you can tell me what further steps to those taken earlier this year the Government would consider to ensure that we retain and recruit our care staff, and particularly what steps we can take to support our care workers with fuel, which I'm sure you would agree are essential in a rural area. Thank you. Diolch yn fawr iawn.
Welsh: Ddirprwy Weinidog, rwyf wedi clywed gan nifer o ofalwyr yn fy rhanbarth sydd o dan bwysau ariannol sylweddol ac nid ydynt yn siŵr a fyddant yn gallu parhau â'u gwaith yn y sector am nad yw eu cyflogau'n ddigon i dalu eu biliau, yn enwedig eu biliau tanwydd. Clywais yn ddiweddar gan weithiwr gofal cartref sydd wedi gweithio fel gofalwr ers dros 30 mlynedd. Mae'r gofalwr yn gwario £90 yr wythnos yn bellach, ac yn defnyddio eu diwrnodau rhydd i gasglu cyfarpar diogelu personol cyn eu shifftiau. Tybed a wnewch chi ddweud wrthyf pa gamau pellach i'r rhai a gymerwyd yn gynharach eleni y byddai'r Llywodraeth yn eu hystyried i sicrhau ein bod yn recriwtio ac yn cadw ein staff gofal, ac yn arbennig, pa gamau y gallwn eu cymryd i gefnogi ein gweithwyr gofal gyda chostau tanwydd, ac rwy'n siŵr y byddech yn cytuno eu bod yn hanfodol mewn ardal wledig. Diolch yn fawr iawn.
English: Thank you very much, Jane Dodds, for that question. Certainly, we know that the financial pressures that Jane describes are something that are affecting everybody in the community, and specifically on carers. I'm sure Jane is referring to carers and unpaid carers as well. The cost of travelling between different calls that they have to do, I know is putting a huge strain on their resources. I think, referring to the answer I gave to Mike Hedges's question, it's absolutely essential that we improve their terms and conditions, and that, obviously, includes what they're paid for petrol to travel between different calls. Also, I'm sure Jane is aware of the £10 million grant that we gave to local authorities in order to enable them to purchase electric cars that would be available for domiciliary carers to use, and also to be used to help pay for driving lessons for carers as well. So, it certainly is very high up in our consideration and there are things that we will certainly be looking at.
Welsh: Diolch yn fawr iawn am y cwestiwn hwnnw, Jane Dodds. Yn sicr, gwyddom fod y pwysau ariannol y mae Jane yn ei ddisgrifio yn rhywbeth sy'n effeithio ar bawb yn y gymuned, ac yn benodol ar ofalwyr. Rwy'n siŵr bod Jane yn cyfeirio at ofalwyr a gofalwyr di-dâl hefyd. Gwn fod y gost o deithio rhwng gwahanol ymweliadau sy'n rhaid iddynt eu gwneud yn rhoi straen enfawr ar eu hadnoddau. Os caf gyfeirio at yr ateb a roddais i gwestiwn Mike Hedges, credaf ei bod yn gwbl hanfodol ein bod yn gwella eu telerau a'u hamodau, ac mae hynny, yn amlwg, yn cynnwys yr hyn y cânt eu talu am betrol i deithio rhwng gwahanol ymweliadau. Hefyd, rwy'n siŵr bod Jane yn ymwybodol o'r grant o £10 miliwn a roesom i awdurdodau lleol er mwyn eu galluogi i brynu ceir trydan a fyddai ar gael i ofalwyr cartref eu defnyddio, a hefyd i helpu i dalu am wersi gyrru i ofalwyr yn ogystal. Felly, rydym yn sicr yn rhoi blaenoriaeth i hyn ac mae yna bethau y byddwn yn edrych arnynt, yn sicr.
English: Thank you, Jane, for raising this issue. Minister, last week, the BBC reported that care workers were thinking of giving up because of the increase in fuel costs, making journeys incredibly expensive. Bethan Evans from Ceredigion regularly drives more than 600 miles a week, visiting clients in their own homes across west Wales. The rural fuel duty relief scheme, which takes another 5p off fuel duty, currently applies only to remote parts of Scotland, the isles of Scilly and a handful of rural areas in England. What discussions has the Welsh Government had with the UK Government about the potential extension of the rural fuel duty relief scheme to parts of Wales, and if this is not an option, what else might you consider to reduce the risk of losing carers like Bethan? Thank you.
Welsh: Diolch am godi'r mater hwn, Jane. Weinidog, yr wythnos diwethaf, adroddodd y BBC fod gweithwyr gofal yn ystyried rhoi'r gorau iddi oherwydd y cynnydd yng nghostau tanwydd, sy'n golygu bod teithiau'n eithriadol o ddrud. Mae Bethan Evans o Geredigion yn gyrru dros 600 milltir yr wythnos yn rheolaidd, i ymweld â chleientiaid yn eu cartrefi eu hunain ar draws gorllewin Cymru. Ar hyn o bryd, nid yw'r cynllun rhyddhad treth ar danwydd gwledig, sy'n tynnu 5c arall oddi ar y dreth ar danwydd, ond yn berthnasol mewn rhannau anghysbell o'r Alban, ynysoedd Scilly a llond llaw o ardaloedd gwledig yn Lloegr. Pa drafodaethau y mae Llywodraeth Cymru wedi'u cael gyda Llywodraeth y DU ynglŷn â'r posibilrwydd o ymestyn y cynllun rhyddhad treth ar danwydd gwledig i rannau o Gymru, ac os nad yw hynny'n opsiwn, beth arall y gallech ei ystyried i leihau'r risg o golli gofalwyr fel Bethan? Diolch.
English: This is a very important issue. Obviously, we welcome any moves that there have been on the fuel duty and would welcome further moves. Again, it's crucially important that carers, particularly in places like Ceredigion, have access to fuel because it's absolutely necessary for them, to help the vulnerable people, that they have to travel to work. So, I think that we need a whole package of measures in order to look at this and this is something that we are discussing with the local authorities about what we can do in order to also increase the amount of money that is paid per mile by the local authorities to the carers. Because some payments are below the cost, so there is a lot of work to do in that field.
Welsh: Mae hwn yn fater pwysig iawn. Yn amlwg, rydym yn croesawu unrhyw gamau sydd wedi bod mewn perthynas â'r dreth ar danwydd a byddem yn croesawu camau pellach. Unwaith eto, mae'n hanfodol bwysig fod gan ofalwyr, yn enwedig mewn lleoedd fel Ceredigion, fynediad at danwydd oherwydd mae'n gwbl angenrheidiol iddynt allu teithio i'r gwaith i helpu pobl sy'n agored i niwed. Felly, credaf fod arnom angen pecyn cyfan o fesurau er mwyn edrych ar hyn ac mae'n fater yr ydym yn ei drafod gyda'r awdurdodau lleol o ran yr hyn y gallwn ei wneud hefyd i gynyddu'r arian y mae awdurdodau lleol yn ei dalu fesul milltir i'r gofalwyr. Oherwydd mae rhai taliadau'n is na'r gost, felly mae llawer o waith i'w wneud yn hynny o beth.
English: Questions now from party spokespeople. Conservative spokesperson, Gareth Davies.
Welsh: Cwestiynau nawr gan lefarwyr y pleidiau. Llefarydd y Ceidwadwyr, Gareth Davies.
English: Diolch yn fawr iawn, Llywydd, and good afternoon, Deputy Minister. Last week, the First Minister told this Chamber that there was no need for an independent inquiry into children's social services in Wales, despite similar inquiries taking place in the other UK home nations and despite calls from many of the experts in the sector. The First Minister pointed to the wealth of advice and reports received by your Government, such as the 2018 'Care Crisis Review' and the 2019 'Born into care: newborns and infants in care proceedings in Wales' report by the Nuffield Family Justice Observatory. The First Minister said you didn't need any more advice. Could you therefore explain why in 2022 two experts in the field are saying that children's social care in Wales is in a crisis and are calling for a independent review?
Welsh: Diolch yn fawr iawn, Lywydd, a phrynhawn da, Ddirprwy Weinidog. Yr wythnos diwethaf, dywedodd y Prif Weinidog wrth y Siambr hon nad oedd angen ymchwiliad annibynnol i wasanaethau cymdeithasol plant yng Nghymru, er gwaethaf ymchwiliadau tebyg yng ngwledydd eraill y DU ac er gwaethaf galwadau gan lawer o'r arbenigwyr yn y sector. Cyfeiriodd y Prif Weinidog at y cyfoeth o gyngor ac adroddiadau a gafodd eich Llywodraeth, megis yr 'Adolygiad Argyfwng Gofal' yn 2018 ac adroddiad 'Born into care: newborns and infants in care cases in Wales' 2019 gan Arsyllfa Cyfiawnder Teuluol Nuffield. Dywedodd y Prif Weinidog nad oedd angen rhagor o gyngor arnoch. A wnewch chi egluro felly pam fod dau arbenigwr yn y maes yn 2022 yn dweud bod gofal cymdeithasol plant yng Nghymru mewn argyfwng ac yn galw am adolygiad annibynnol?
English: Thank you very much for that question and I am thoroughly in agreement with what the First Minister said last week. I don't think we need another inquiry in Wales at the moment. I think we can learn from the inquiries that have taken place and certainly we're studying the English inquiry. And I think there are lots of points in the English inquiry that are very similar to the sort of things that we are planning to do here. What we feel is that what we need is action, not another inquiry. I think we know that social care does need reforming. We are convinced it needs reforming and we are planning to reform it and we have a whole list of reforms that we are going to carry out. So, we really feel that we need action and we see no point in having another inquiry at this stage. But as I've said, we will look very carefully at the recommendations from the English inquiry that has just come out and we'll certainly learn from those recommendations, but we have a plan for reform that we are getting on with.
Welsh: Diolch yn fawr am y cwestiwn hwnnw ac rwy'n cytuno'n llwyr â'r hyn a ddywedodd y Prif Weinidog yr wythnos diwethaf. Nid wyf yn credu bod angen ymchwiliad arall arnom yng Nghymru ar hyn o bryd. Credaf y gallwn ddysgu o'r ymchwiliadau sydd wedi digwydd ac yn sicr, rydym yn astudio'r ymchwiliad yn Lloegr. A chredaf fod llawer o bwyntiau yn yr ymchwiliad yn Lloegr sy'n debyg iawn i'r math o bethau y bwriadwn eu gwneud yma. Teimlwn mai'r hyn sydd ei angen arnom yw gweithredu, nid ymchwiliad arall. Credaf ein bod yn gwybod bod angen diwygio gofal cymdeithasol. Rydym yn argyhoeddedig fod angen ei ddiwygio ac rydym yn cynllunio i'w ddiwygio ac mae gennym restr gyfan o ddiwygiadau y byddwn yn eu cyflawni. Felly, teimlwn o ddifrif fod arnom angen gweithredu ac ni welwn unrhyw ddiben cael ymchwiliad arall ar hyn o bryd. Ond fel y dywedais, byddwn yn edrych yn ofalus iawn ar argymhellion yr ymchwiliad sydd newydd ei gyhoeddi yn Lloegr a byddwn yn sicr yn dysgu o'r argymhellion hynny, ond mae gennym gynllun ar gyfer diwygio yr ydym yn bwrw ymlaen ag ef.
English: Well, I'm disappointed by that answer, Deputy Minister, and we'll have to agree to disagree on the need for that review. And we have a duty, an obligation, to protect our children from harm, to protect them from adverse experiences. There are still far too many children being treated for alcohol or drug addiction. The number of people being treated for foetal alcohol syndrome are not held centrally, so we don't know the whole picture. Deputy Minister, you have rejected our calls to adopt the WAVE Trust's 70/30 target, because it doesn't go far enough, but what are you doing to eliminate adverse childhood experiences here in Wales?
Welsh: Wel, mae eich ateb yn fy siomi, Ddirprwy Weinidog, a bydd rhaid inni gytuno i anghytuno ynghylch yr angen am yr adolygiad. Ac mae gennym ddyletswydd, rhwymedigaeth, i ddiogelu ein plant rhag niwed, i'w diogelu rhag profiadau niweidiol. Mae llawer gormod o blant yn dal i gael eu trin ar gyfer dibyniaeth ar alcohol neu gyffuriau. Nid yw nifer y bobl sy'n cael eu trin ar gyfer syndrom alcohol ffetws yn cael ei gadw'n ganolog, felly nid oes gennym ddarlun cyflawn. Ddirprwy Weinidog, rydych wedi gwrthod ein galwadau i fabwysiadu targed 70/30 Ymddiriedolaeth WAVE am nad yw'n mynd yn ddigon pell, ond beth a wnewch i ddileu profiadau niweidiol yn ystod plentyndod yma yng Nghymru?