English: Whilst the fund is already beginning to support accommodation-led solutions to social care, alongside both housing and health capital programmes, I want to move towards developing a more scalable, strategic programme of capital investment, which has housing at its core. I want us to up our game with this fund and move away from delivering just smaller - but important - localised projects to a much more innovative and truly integrated approach, prioritising accommodation-led solutions that are explicitly designed to lessen the demands on social care budgets. I am very pleased to be working closely with the Minister for Children, Older People and Social Care to better align what we do in housing and social care. The Minister for Children, Older People and Social Care and I visited an extra-care housing and care scheme under construction in Maesteg yesterday, which has care and support at its heart. Its development is informed by an assessment of local population need and local housing need and it's the kind of project we want to see more of. I am pleased, therefore, to announce a new three-year capital programme of £105 million to support a move to a more strategic and scalable approach to accommodation-led solutions to health and social care needs. I want to see this accommodation-led approach embedded in the models of care we develop for older people and other vulnerable groups. We know the role that housing plays in people's health and wellbeing. Housing is the platform to prevention and early intervention for social care, and it's also the key to helping make services more sustainable. The new £105 million integrated care fund capital programme aims to maximise the contribution housing interventions can make to improve service delivery, whilst also alleviating the pressures on the NHS and the delivery of social care. Additionally, this programme responds to a number of recommendations in the report, 'Our Housing AGEnda: meeting the aspirations of older people in Wales', which set out a wide-ranging programme of change when it was published last year. It highlighted the need for concerted action at a variety of levels. The report was a call for action, not only by Welsh Government, but by a wide range of other stakeholders across the public, private and third sectors. The expert group behind the report recognised the importance of action at a variety of levels to bring about transformational change. The report will continue to provide a road map of the further changes still required if we are to respond adequately to the housing, health and social care challenges we face in Wales. We are driving the integration agenda by supporting the health, social care and housing sectors to work much more collaboratively through regional partnership boards. These boards are provided for by the Social Services and Well-being (Wales) Act 2014 and are the responsible for making the strategic investment decisions for the integrated care fund. They bring together health, social services, the third sector, citizens, and other partners. They have integration at their very core. I am determined to see the voice of housing coming through even more strongly in the work of regional partnership boards. The housing contribution to more effective care and support can't simply be an optional extra; it needs to be at the core of our efforts to integrate services so as to achieve the greatest impact. So, I am pleased to be able to tell Members that we will be making housing a statutory member of regional partnership boards, and officials are exploring how this can be most effectively implemented. Of course, providing new accommodation shouldn't be seen as the only solution. It's essential we support people to continue to live independently in their own homes as their needs change. We know that aids and adaptations are often a lifeline to people who experience a disabling environment. A suitable, well-adapted home can make the difference to someone's ability to live independently and receive health and social care close to home, avoiding admission to hospital, or having to move to long-term residential care. We have already introduced important improvements to the system of providing small-scale aids and adaptations to help people do this. The new approach, called Enable, is focused on greater efficiency by simplifying and speeding up the process of getting an adaptation. It does this by determining the most efficient way to deliver an aid or adaptation to meet someone's need, as there a number of funding sources available depending on a person's circumstances and tenure. The new system also collects data to help us understand how we can improve this process still further. However, we recognise our current improved system can still be complex and needs streamlining, and a recent report by the Wales Audit Office supports that view. So, I have announced that we will be taking forward a further change programme in this area and we will be consulting on these changes in due course. We must streamline the funding and provision of services to make it more citizen focused, transparent and consistent in its delivery. These important areas of work, alongside the new programme of capital investment, are all aimed at helping people who need support to receive the right support, whether they are older people with complex needs and long-term conditions, people with learning disabilities, children with complex health needs, or carers. Our plan for health and social care recognises the significant role appropriate housing can play in moving health and social services closer to communities in a year when we are celebrating the seventieth anniversary of the NHS, which was of course born here in Wales. What's not always appreciated is that Nye Bevan was Minister for health and housing, and his contribution to improving the quality and volume of available housing was significant. He understood that for people to live long and healthy lives they needed access to appropriate housing, and it is in that spirit that I make this statement today.
Welsh: Er bod y gronfa eisoes yn dechrau cefnogi atebion a arweinir gan lety i ofal cymdeithasol, ochr yn ochr â rhaglenni cyfalaf tai ac iechyd, rwyf eisiau symud tuag at ddatblygu rhaglen fwy ymestynnol, strategol o fuddsoddi cyfalaf, sydd â thai wrth ei chraidd. Rwyf am inni wella ein perfformiad gyda'r gronfa hon a symud oddi wrth gyflawni dim ond prosiectau llai - ond pwysig - lleol i ddull llawer mwy arloesol a gwirioneddol integredig, blaenoriaethu atebion a arweinir gan lety sydd wedi'u cynllunio'n benodol i leihau'r galw ar gyllidebau gofal cymdeithasol. Rwy'n falch iawn o fod yn gweithio'n agos gyda'r Gweinidog Plant, Pobl Hŷn a Gofal Cymdeithasol er mwyn cyfochri'n well yr hyn yr ydym ni'n ei wneud ym maes tai a gofal cymdeithasol. Aeth y Gweinidog Plant, Pobl Hŷn a Gofal Cymdeithasol a minnau ar ymweliad â chynllun tai â gofal ychwanegol a gofal sy'n cael ei adeiladu ym Maesteg ddoe, sydd â gofal a chymorth wrth ei wraidd. Mae ei ddatblygiad yn seiliedig ar asesiad o anghenion y boblogaeth leol ac angen lleol am dai a dyma'r math o brosiect yr ydym ni eisiau gweld mwy ohonynt. Rwy'n falch, felly, i gyhoeddi rhaglen gyfalaf tair blynedd newydd o £105 miliwn i gefnogi symudiad tuag at ymagwedd fwy strategol ac ymestynnol o atebion a arweinir gan lety i anghenion iechyd a gofal cymdeithasol. Rwyf eisiau gweld y dull hwn a arweinir gan lety yn cael ei ymwreiddio yn y modelau gofal yr ydym ni'n eu datblygu ar gyfer pobl hŷn a grwpiau eraill sy'n agored i niwed. Gwyddom am swyddogaeth tai yn iechyd a lles pobl. Tai yw'r llwyfan i atal ac ymyrraeth gynnar ar gyfer gofal cymdeithasol, ac maent hefyd yn allweddol i helpu i wneud gwasanaethau yn fwy cynaliadwy. Nod y rhaglen gyfalaf gronfa gofal integredig newydd o £105 miliwn yw manteisio i'r eithaf ar y cyfraniad y gall ymyriadau tai ei wneud i wella darpariaeth gwasanaethau, gan hefyd ysgafnhau'r pwysau ar y GIG a darpariaeth gofal cymdeithasol. Yn ogystal â hyn, mae'r rhaglen hon yn ymateb i nifer o argymhellion yn yr adroddiad, 'Tai i'r dyfodol: diwallu dyheadau pobl hŷn Cymru', a oedd yn nodi rhaglen eang o newid pan gafodd ei gyhoeddi y llynedd. Tynnodd sylw at yr angen am weithredu cydlynol ar amrywiaeth o lefelau. Roedd yr adroddiad yn alwad i weithredu, nid yn unig gan Lywodraeth Cymru, ond gan amrywiaeth eang o randdeiliaid eraill ar draws y sector cyhoeddus, y sector preifat a'r trydydd sector. Cydnabu'r grŵp arbenigol a luniodd yr adroddiad bwysigrwydd gweithredu ar amrywiaeth o lefelau i sicrhau newid trawsffurfiol. Bydd yr adroddiad yn parhau i ddarparu llwybr ar gyfer y newidiadau pellach sy'n dal i fod yn ofynnol os ydym ni i ymateb yn ddigonol i'r heriau tai, iechyd a gofal cymdeithasol sy'n ein hwynebu yng Nghymru. Rydym yn ysgogi'r agenda integreiddio drwy gefnogi'r sectorau iechyd, gofal cymdeithasol a thai i gydweithio llawer mwy drwy fyrddau partneriaeth rhanbarthol. Darperir ar gyfer y byrddau gan Ddeddf Gwasanaethau Cymdeithasol a Llesiant (Cymru) 2014 ac maen nhw'n gyfrifol am wneud y penderfyniadau buddsoddi strategol ar gyfer y gronfa gofal integredig. Maen nhw'n tynnu ynghyd iechyd, gwasanaethau cymdeithasol, y trydydd sector, dinasyddion, a phartneriaid eraill. Mae integreiddio yn gwbl allweddol iddynt. Rwy'n benderfynol o weld llais tai yn dod i'r amlwg hyd yn oed yn fwy yng ngwaith y byrddau partneriaeth rhanbarthol. Ni all cyfraniad tai i ofal a chymorth mwy effeithiol fod yn elfen ychwanegol ddewisol yn unig; mae angen iddo fod wrth wraidd ein hymdrechion i integreiddio gwasanaethau er mwyn sicrhau'r effaith fwyaf. Felly, rwy'n falch o allu dweud wrth yr Aelodau y byddwn ni'n gwneud tai yn aelod statudol o'r byrddau partneriaeth rhanbarthol, ac mae swyddogion yn ystyried sut y gellir gweithredu hyn yn y modd mwyaf effeithiol. Wrth gwrs, ni ddylid ystyried mai darparu llety newydd yw'r unig ateb. Mae'n hanfodol inni gefnogi pobl i barhau i fyw'n annibynnol yn eu cartrefi eu hunain wrth i'w hanghenion newid. Rydym ni'n gwybod bod cymhorthion ac addasiadau yn aml yn achubiaeth i bobl sy'n cael profiad o amgylchedd sy'n anablu. Gall cartref addas, sydd wedi'i addasu'n dda, wneud y gwahaniaeth i allu rhywun i fyw'n annibynnol ac i gael gofal iechyd a gofal cymdeithasol yn agos i gartref, osgoi cael eu derbyn i'r ysbyty, neu orfod symud i ofal preswyl hirdymor. Rydym eisoes wedi cyflwyno gwelliannau pwysig i'r system o ddarparu addasiadau a chymhorthion ar raddfa fach i helpu pobl i wneud hyn. Mae'r ymagwedd newydd, o'r enw Hwyluso, yn canolbwyntio ar fwy o effeithlonrwydd drwy symleiddio a chyflymu'r broses o gael addasiad. Mae'n gwneud hyn drwy benderfynu ar y ffordd fwyaf effeithlon o ddarparu cymorth neu addasiadau i ddiwallu angen rhywun, gan fod nifer o ffynonellau ariannu ar gael yn dibynnu ar amgylchiadau a deiliadaeth person. Mae'r system newydd yn casglu data hefyd i'n helpu ni i ddeall sut y gallwn ni wella'r broses hon ymhellach. Fodd bynnag, rydym yn cydnabod y gall ein system bresennol sydd wedi'i gwella fod yn gymhleth o hyd ac mae angen ei symleiddio, ac mae adroddiad diweddar gan Swyddfa Archwilio Cymru yn ategu'r farn honno. Felly, rwyf wedi cyhoeddi y byddwn ni'n cyflwyno rhaglen newid arall yn y maes hwn a byddwn ni'n ymgynghori ar y newidiadau hyn maes o law. Mae'n rhaid inni symleiddio'r broses o ariannu a darparu gwasanaethau er mwyn canolbwyntio mwy ar y dinesydd, a bod yn dryloyw a chyson wrth ei chyflwyno. Nod yr holl feysydd pwysig hyn o waith, ochr yn ochr â'r rhaglen newydd o fuddsoddiad cyfalaf, yw helpu pobl sydd angen cymorth i gael y cymorth iawn, p'un a ydyn nhw'n bobl hŷn ag anghenion cymhleth a chyflyrau hirdymor, pobl ag anableddau dysgu, plant ag anghenion iechyd cymhleth, neu ofalwyr. Mae ein cynllun ar gyfer iechyd a gofal cymdeithasol yn cydnabod y rhan sylweddol y gall tai priodol ei chwarae wrth symud iechyd a gwasanaethau cymdeithasol yn agosach at gymunedau, a hynny mewn blwyddyn pan rydym ni'n dathlu pen-blwydd y Gwasanaeth Iechyd Gwladol yn 70, gwasanaeth a anwyd yma yng Nghymru, wrth gwrs. Yr hyn na werthfawrogir bob amser yw bod Nye Bevan yn Weinidog iechyd a thai, ac roedd ei gyfraniad ef at wella ansawdd a nifer y tai sydd ar gael yn sylweddol. Roedd e'n deall bod angen tai addas ar bobl er mwyn byw bywydau hir ac iach, ac yn yr ysbryd hwnnw, rwy'n gwneud y datganiad hwn heddiw.