English: This week is Dying Matters Awareness Week 2017, placing the importance of talking about dying, death and bereavement firmly on the Welsh and UK agendas - something I very much welcome, as chair of both the cross-party group on hospices and palliative care and the cross-party group on funerals and bereavement. With an estimated 32,000 people dying in Wales each year, that's affecting somewhere between 160,000 and a third of a million people directly in Wales each year, many vulnerable to serious additional problems - suicide, loneliness, social isolation, anxiety, depression and social problems from stigma to job loss. But the majority of end-of-life care in Wales is provided by hospices across a range of settings, including in-patient units and hospice-at-home services. There are lessons that the NHS could learn from hospices and especially about the integration of care services in the home community hospital and hospice. I've been asking successive health Ministers and our health Secretary here for many years to ensure that NHS Wales starts asking our wonderful community hospice movement how it can help them deliver more for the resources available - in modern, parlance, designing, delivering and co-producing services with them - and too many still feel that that's not the case. I wonder if you could respond to that point. Hospices Cymru, as you'll be aware, are receiving Welsh Government funding on a ring-fenced basis through health authorities over a three-year period. But that period finishes in 2018. Can you provide assurance to them whether that funding will continue to be ring-fenced when the existing funding expires, because they need to know for their forward planning? If not, can you indicate when you might be able to provide that assurance, or at least information? At 16 per cent to 20 per cent, hospices in Wales still receive far less Government funding - that's Welsh Government and Welsh NHS funding - than their English and Scottish counterparts. They also highlight a postcode lottery of hospice services, with a disparity of care available between different parts of Wales. When will the Welsh Government finally, in the context of my previous question, recognise that, by discussing, designing and delivering with them on a more balanced funding basis, it's win-win for everybody, and the means of delivering in a strict budgetary environment? The end-of-life implementation board, as you indicate, has been allocated an extra £1 million in 2017-18, and one of the provisional areas identified for that is developing a Compassionate Communities approach to end-of-life care. Two and a half months ago, I attended the Marie Curie lecture on a Compassionate Communities approach to end-of-life care, highlighting the need to provide people near the end of their lives with the support they need to remain in their communities by applying health promotion and community development principles and providing support to those who are dying and those who are bereaved. How, therefore, do you respond, not just in terms of a provisional part of £1 million for one year, but to the call by Marie Curie for Wales to become a compassionate nation, following the lines of a Compassionate Communities model that has successfully been developed in numerous towns and communities around the world, including, they say, Frome in Somerset? It's not about more money; it's about using the existing money wisely to improve outcomes and lives. How do you respond to the calls by Age Cymru on end-of-life care for the Welsh Government to provide direction on effective collaboration between local health boards and local authorities to ensure equal access for older people to hospice care, and for the Welsh Government to carry out robust monitoring of the implementation, delivery and outcomes of its palliative end-of-life care delivery plan to determine whether it is delivering real improvements in palliative care and end-of-life care for older people in Wales? How would you respond to Macmillan's calls for people approaching the end of their life and who would benefit from the support of palliative care services to be identified so that early discussions might be started about their care, for people's preferred place of death to be recorded early and for health and social care services to be co-ordinated -
Welsh: Yr wythnos hon yw Wythnos Ymwybyddiaeth Materion sy'n Ymwneud â Marw 2017, ac mae'n rhoi pwysigrwydd siarad am farw, marwolaeth a phrofedigaeth yn gadarn ar agendâu Cymru a'r DU - rhywbeth yr wyf yn ei groesawu'n fawr iawn, fel cadeirydd y grŵp trawsbleidiol ar hosbisau a gofal lliniarol a'r grŵp trawsbleidiol ar angladdau a phrofedigaeth. Yr amcangyfrif yw bod 32,000 o bobl yn marw yng Nghymru bob blwyddyn, felly mae hyn yn effeithio'n uniongyrchol ar rhwng 160,000 a thraean o filiwn o bobl yng Nghymru bob blwyddyn, a llawer o'r rheini'n agored i broblemau ychwanegol difrifol - hunanladdiad, unigrwydd, ynysu cymdeithasol, pryder, iselder a phroblemau cymdeithasol yn amrywio o stigma i golli swydd. Ond mae'r rhan fwyaf o ofal diwedd oes yng Nghymru yn cael ei ddarparu gan hosbisau ar draws amrywiaeth o leoliadau, gan gynnwys unedau cleifion mewnol a gwasanaethau hosbis yn y cartref. Gallai'r GIG ddysgu gwersi gan hosbisau ac yn enwedig ynglŷn ag integreiddio gwasanaethau gofal yn y cartref, yr ysbyty cymunedol a'r hosbis. Rwyf wedi bod yn gofyn i Weinidogion iechyd olynol ac i'n Hysgrifennydd iechyd yma ers blynyddoedd lawer i sicrhau bod GIG Cymru yn dechrau gofyn i'n mudiad hosbisau cymunedol gwych sut y gall ei helpu i gyflawni mwy â'r adnoddau sydd ar gael - mewn iaith fodern, cynllunio, darparu a chyd-gynhyrchu gwasanaethau gyda nhw - ac mae gormod yn dal i deimlo nad yw hynny'n digwydd. Tybed a allech chi ymateb i'r pwynt hwnnw? Mae Hosbisau Cymru, fel y byddwch yn gwybod, yn cael cyllid wedi'i neilltuo gan Lywodraeth Cymru drwy awdurdodau iechyd dros gyfnod o dair blynedd. Ond mae'r cyfnod hwnnw'n dod i ben yn 2018. A allwch chi roi sicrwydd iddynt a fydd y cyllid hwnnw'n parhau i gael ei neilltuo ar ôl i'r cyllid presennol ddod i ben, oherwydd mae angen iddyn nhw wybod er mwyn gallu blaengynllunio? Os na, a allwch chi roi syniad o ba bryd y gallech chi roi'r sicrwydd hwnnw, neu o leiaf wybodaeth? Mae hosbisau yng Nghymru yn cael 16 y cant i 20 y cant, sy'n llawer llai o gyllid y Llywodraeth - cyllid Llywodraeth Cymru a GIG Cymru hynny yw - na rhai cyfatebol yn Lloegr a'r Alban. Maen nhw hefyd yn tynnu sylw at loteri cod post o ran gwasanaethau hosbis; mae'r gofal sydd ar gael yn amrywio rhwng gwahanol rannau o Gymru. Pryd y gwnaiff Llywodraeth Cymru gydnabod o'r diwedd, yng nghyd-destun fy nghwestiwn blaenorol, y byddai trafod, cynllunio a chyflawni gyda nhw ar sail gyllido fwy cytbwys, yn creu sefyllfa well i bawb, ac mai dyna sut i gyflawni mewn amgylchedd cyllidebol llym? Mae'r bwrdd gweithredu diwedd oes, fel yr ydych yn ei nodi, wedi cael dyraniad o £1 filiwn ychwanegol yn 2017-18, ac un o'r meysydd a nodwyd dros dro ar gyfer hynny yw datblygu dull Cymunedau Tosturiol ar gyfer gofal diwedd oes. Ddau fis a hanner yn ôl, es i i'r ddarlith Marie Curie am ddull Cymunedau Tosturiol ar gyfer gofal diwedd oes, a oedd yn tynnu sylw at yr angen i ddarparu'r gefnogaeth sydd ei hangen ar bobl sy'n agos at ddiwedd eu hoes i aros yn eu cymunedau drwy ddefnyddio egwyddorion hybu iechyd a datblygu cymunedol a darparu cymorth i bobl sy'n marw a phobl sydd wedi cael profedigaeth. Sut, felly, ydych chi'n ymateb, nid dim ond ynglŷn â chyfran dros dro o £1 filiwn am flwyddyn, ond i'r alwad gan Marie Curie i Gymru ddod yn genedl dosturiol, gan ddilyn model Cymunedau Tosturiol sydd wedi cael ei ddatblygu'n llwyddiannus mewn nifer o drefi a chymunedau ledled y byd, gan gynnwys, rwyf ar ddeall, Frome yng Ngwlad yr Haf? Nid yw'n fater o fwy o arian; mae'n fater o ddefnyddio'r arian sydd eisoes yn bodoli yn ddoeth er mwyn gwella canlyniadau a bywydau. Sut ydych chi'n ymateb i'r galwadau gan Age Cymru ynglŷn â gofal diwedd oes am i Lywodraeth Cymru ddarparu cyfeiriad ar gydweithio effeithiol rhwng byrddau iechyd lleol ac awdurdodau lleol i sicrhau mynediad cyfartal i bobl hŷn at ofal hosbis, ac am i Lywodraeth Cymru wneud gwaith monitro cadarn ar weithredu, cyflawni a chanlyniadau ei chynllun cyflawni gofal diwedd oes lliniarol er mwyn penderfynu a yw'n cyflawni gwelliannau gwirioneddol i ofal lliniarol a gofal diwedd oes ar gyfer pobl hŷn yng Nghymru? Sut y byddech chi'n ymateb i alwadau Macmillan am inni nodi pobl sy'n nesáu at ddiwedd eu hoes ac a fyddai'n elwa ar gymorth gwasanaethau gofal lliniarol, fel y gellid cychwyn trafodaethau cynnar am eu gofal, i gofnodi dewis pobl ynglŷn â lle i farw yn gynnar ac i gydgysylltu gwasanaethau iechyd a gofal cymdeithasol -