English: We've also made significant investments in urgent and emergency care this year, and if we hadn't, the situation would be a great deal worse. Thanks to early investment made available in June, the Welsh ambulance service has been able to deliver a range of actions to increase capacity ahead of the winter. This includes recruitment of 100 additional front-line staff, who will be responding to calls within the next two weeks; new rota arrangements, which will equate to 72 whole-time equivalent staff; and new investment in triage and video consultation technology to support more confident decision making about whether a patient needs to be taken to hospital. We have also invested in increasing capacity in urgent primary care centres and in expanding same-day emergency care services to provide people with alternatives to attending busy emergency departments, or admission to hospital. These interventions have supported around 7,000 people a month to access urgent care services away from the emergency department, and have helped to reduce and stabilise emergency admissions. We know there is a lot more to do and there are no quick fixes. We share the public's concern that our services remain under extreme and persistent strain. This is why we have established a five-year programme to transform urgent and emergency care services, which is supported by £25 million per annum, of which health boards received £3 million each in April. In addition to these interventions, and as the winter has progressed, we've issued further guidance to health boards through a revised local options framework similar to the approach we took at the peak of the COVID outbreak. We've also written to health board clinical leaders urging them to make every effort to keep people at home, and not to admit people to hospital unless absolutely necessary. Last week, we held a national discharge summit, and we have also asked clinical teams to return those in hospital to their homes or to an alternative place of safety as quickly as possible to help preserve our hospital capacity for those at greatest risk, and with the greatest chance of benefit. We can expect the next few months to be really tough, but I really want to express my thanks and gratitude to staff for their continued efforts during what continues to be a really difficult time. Thanks also to families who have supported the discharge of their loved ones; this is going to really help us free up hospital beds for people who need the specialist care that only our hospitals can provide. We've made extensive preparations for the winter, and whilst we have seen tremendous pressure over recent weeks, at levels we've never seen before, the actions that have been put in place have enabled us to broadly stabilise the position since the festive period. We're now preparing for the next phase of pressure as children return to school and as life begins to go back to normal after the Christmas break, as well as changes in the weather, which we know often bring a new surge in the demand during this time of year. Thank you very much.
Welsh: Rŷn ni hefyd wedi buddsoddi yn sylweddol mewn gofal brys ac argyfwng eleni - os na fyddem ni wedi gwneud hynny, fe fyddai'r sefyllfa wedi bod lawer yn waeth. Diolch i fuddsoddiad cynnar a oedd ar gael ym mis Mehefin, mae gwasanaeth ambiwlans Cymru wedi gallu rhoi nifer o gamau ar waith i gynyddu capasiti cyn y gaeaf. Mae hyn yn cynnwys recriwtio 100 o staff rheng flaen ychwanegol, a fydd yn ymateb i alwadau o fewn y pythefnos nesaf; trefniadau rota newydd fydd y cyfateb i 72 o staff cyfwerth ag amser cyflawn; a buddsoddiad mewn technoleg triage ac ymgynghori fideo i helpu i wneud penderfyniadau mwy hyderus ynglŷn â'r angen i fynd â'r claf i'r ysbyty. Rŷn ni hefyd wedi buddsoddi i gynyddu capasiti mewn canolfannau gofal sylfaenol brys, urgent primary care centres, ac i ehangu'r gwasanaethau gofal brys yn yr un diwrnod, same-day emergency care services. Mae hyn yn rhoi dewis arall i bobl yn lle mynd i adrannau brys prysur neu gael eu derbyn i'r ysbyty. Mae'r camau hyn wedi helpu tua 7,000 o bobl bob mis i gael gwasanaethau gofal brys heb fynd i adran brys ac wedi helpu i leihau a sefydlogi derbyniadau brys. Rŷn ni'n gwybod bod llawer mwy i'w wneud ac nad oes datrysiadau cyflym i hyn. Rŷn ni'n rhannu pryder y cyhoedd bod ein gwasanaethau dan straen eithriadol a pharhaus. Dyna pam rŷn ni'n sefydlu rhaglen bum-mlynedd i drawsnewid gwasanaethau gofal brys a gofal mewn argyfwng gyda chymorth £25 miliwn y flwyddyn, ac mi gafodd y byrddau iechyd £3 miliwn o hynny ym mis Ebrill. Yn ogystal â'r camau gweithredu hyn, ac wrth i'r gaeaf fynd yn ei flaen, rŷn ni wedi darparu canllawiau pellach i'r byrddau iechyd drwy fframwaith opsiynau lleol wedi'i ddiwygio, sy'n debyg i'r dull a ddefnyddion ni pan oedd achosion COVID ar eu hanterth. Rŷn ni hefyd wedi ysgrifennu at arweinwyr clinigol y byrddau iechyd i'w hannog i wneud pob ymdrech i gadw pobl gartref a pheidio â derbyn pobl i'r ysbyty oni bai bod hynny'n hollol angenrheidiol. Wythnos diwethaf, fe gynhalion ni gynhadledd genedlaethol ar ryddhau cleifion. Rŷn ni hefyd wedi gofyn i dimau clinigol fynd â phobl sydd yn yr ysbyty nôl i'w cartrefi neu i le diogel arall cyn gynted ag sy'n bosibl, i helpu i gadw capasiti yn ein hysbytai ar gyfer y rhai sydd mewn mwy o risg, ac sydd â'r siawns fwyaf o gael budd. Gallwn ni ddisgwyl i'r misoedd nesaf fod yn rhai caled dros ben, ond dwi eisiau pwysleisio pa mor ddiolchgar ydw i i'r staff am eu hymdrechion cyson yn ystod yr hyn sy'n dal i fod yn gyfnod anodd iawn. Diolch yn fawr hefyd i'r teuluoedd sydd wedi cefnogi eu perthnasau i gael eu rhyddhau o'r ysbyty. Mae hyn yn mynd i'n helpu ni i ryddhau gwelyau i bobl sydd angen y gofal arbenigol sydd dim ond yn gallu cael ei ddarparu gan ysbytai. Rŷm ni wedi gwneud paratoadau helaeth ar gyfer y gaeaf, ac er ein bod wedi gweld pwysau aruthrol dros yr wythnosau diwethaf, ar lefelau na welon ni erioed o'r blaen, mae'r camau gweithredu sydd wedi eu rhoi ar waith wedi galluogi'r sefyllfa i sefydlogi'n fras ers cyfnod y Nadolig. Rŷm ni bellach yn paratoi ar gyfer cam nesaf y pwysau wrth i blant ddychwelyd i'r ysgol a bywyd yn dechrau dychwelyd i normal ar ôl gwyliau'r Nadolig, yn ogystal â newidiadau yn y tywydd. Rŷm ni'n ymwybodol iawn ein bod yn aml yn gweld ymchwydd newydd yn y galw yn ystod y cyfnod yma o'r flwyddyn. Diolch.