English: Llywydd, I thank Paul Davies for that. He will know that, in answering questions from him last week, I said then that the Welsh Government was reviewing the evidence about testing in care homes and looking to see whether our testing regime could be further extended. I said that to the Member on Wednesday, and on Friday, the health Minister set out the practical steps that we would take. The Member asks about the evidence that we have drawn on in making that change. Well, I can tell him that we drew on studies from Singapore and from Spain, from a Public Health England pilot study into six London care homes, on a report for the European Centre for Disease Prevention and Control in New York, on nursing home sector COVID experience there. We've drawn on evidence from Washington and we've drawn on the UK Centre for Evidence-Based Medicine's systematic report on evidence on how best to contain the spread of coronavirus in the care home sector. That report identified five different ways in which the spread of coronavirus could be contained, and testing is only one of them. The systematic review puts emphasis on hand hygiene, on environmental decontamination, on staff rotas in care homes and the way in which staff can be rota-ed in order to reduce the risk of coronavirus being imported into care homes, on restrictions on visitors to care homes and then, fifthly and finally, on measures in relation to testing. I said to the Member last week that I had not seen any clinical evidence that led me to believe that testing of non-symptomatic residents and staff in care homes where there is no coronavirus in circulation had a clinical value. That was confirmed in the evidence that came to Ministers last week, and that is why we will not, at this point, be doing that in Wales. If the clinical evidence changes, then we will follow the evidence. The Member started by asking for evidence and then asked me to do something for which there is no evidence, and we will not be doing that. Our position was set out in Vaughan Gething's statement on Friday of last week and, essentially, it is about doing more to prevent coronavirus getting into care homes where there is none today, and then doing more in those care homes where there is symptomatic spread, in order to make the management of the virus in those homes more effective.
Welsh: Lywydd, diolch i Paul Davies. Fe fydd yn gwybod, wrth ateb ei gwestiynau yr wythnos diwethaf, i mi ddweud bryd hynny fod Llywodraeth Cymru yn adolygu'r dystiolaeth ynghylch profi mewn cartrefi gofal ac yn edrych i weld a ellid ymestyn ein trefn brofi ymhellach. Dywedais hynny wrth yr Aelod ddydd Mercher, a ddydd Gwener, nododd y Gweinidog iechyd y camau ymarferol y byddem yn eu cymryd. Mae'r Aelod yn gofyn am y dystiolaeth a ystyriwyd gennym wrth wneud y newid hwnnw. Gallaf ddweud wrtho ein bod wedi ystyried astudiaethau o Singapôr ac o Sbaen, astudiaeth beilot gan Iechyd Cyhoeddus Lloegr i chwe chartref gofal yn Llundain, adroddiad ar gyfer Canolfan Atal a Rheoli Clefydau Ewrop yn Efrog Newydd, a phrofiad y sector cartrefi nyrsio yno mewn perthynas â COVID. Rydym wedi ystyried tystiolaeth o Washington ac rydym wedi ystyried adroddiad systematig Canolfan y DU ar gyfer Meddygaeth ar Sail Tystiolaeth ar dystiolaeth ar y ffordd orau o reoli lledaeniad y coronafeirws yn y sector cartrefi gofal. Nododd yr adroddiad hwnnw bum ffordd wahanol o reoli lledaeniad y coronafeirws, ac un yn unig ohonynt yw profi. Mae'r adolygiad systematig yn rhoi pwyslais ar hylendid dwylo, ar ddiheintio'r amgylchedd, ar rotâu staff mewn cartrefi gofal a'r ffordd y gellir rhoi staff ar rotâu er mwyn lleihau'r risg y bydd y coronafeirws yn cael ei gludo i gartrefi gofal, ar gyfyngiadau ar ymwelwyr â chartrefi gofal, ac yna, yn bumed ac yn olaf, ar fesurau mewn perthynas â phrofi. Dywedais wrth yr Aelod yr wythnos diwethaf nad oeddwn wedi gweld unrhyw dystiolaeth glinigol a oedd yn gwneud imi gredu bod gwerth clinigol i brofi preswylwyr a staff nad oes symptomau ganddynt mewn cartrefi gofal lle na cheir achosion o'r coronafeirws. Cadarnhawyd hynny yn y dystiolaeth a roddwyd i Weinidogion yr wythnos diwethaf, a dyna pam na fyddwn yn gwneud hynny yng Nghymru ar hyn o bryd. Os bydd y dystiolaeth glinigol yn newid, byddwn yn dilyn y dystiolaeth. Dechreuodd yr Aelod drwy ofyn am dystiolaeth, ac yna gofynnodd imi wneud rhywbeth nad oes tystiolaeth ar ei gyfer, ac ni fyddwn yn gwneud hynny. Nodwyd ein safbwynt yn natganiad Vaughan Gething ddydd Gwener diwethaf, ac yn y bôn, mae'n ymwneud â gwneud mwy i atal y coronafeirws rhag cyrraedd cartrefi gofal lle nad oes achosion ohono yno heddiw, ac yna gwneud mwy yn y cartrefi gofal lle ceir lledaeniad symptomatig, er mwyn gallu rheoli'r feirws yn y cartrefi hynny'n fwy effeithiol.