English: I recognise the comments made by committee members about support for self-isolation. Our test, trace, protect service does contact people who are isolating. It's how they understand how successfully people are or aren't isolating. I've had feedback from my own constituents and others about the difference that call has made to them successfully continuing with self-isolation. But I recognise the issues raised by not just the King's Fund report, but also by SAGE and others about the concern over people not successfully self-isolating. So, it was welcome when Michael Gove, in a call with First Ministers across the UK, confirmed there should be new money available to match the policy offer that had already been announced in England - of a £500 additional payment on top of statutory sick pay for low-paid workers. We now expect the UK Treasury to honour that commitment, so the First Minister has been in a position to confirm that we will introduce that payment to make sure that people can successfully self-isolate. Care home providers, as well as people living and working in care homes, have faced an unprecedented challenge this year, and my sympathies are with those who have faced months of separation from family and friends, and especially to those who have lost loved ones. We supported the sector through this exceptionally difficult period, and we'll continue to do so. We'll be publishing our care home action plan that the Deputy Minister has committed to. That will set out the actions we're taking to ensure that the care home sector is well supported ahead of the challenges of the winter period. We have been challenged - we heard it again today - about the approach we took in discharging people from hospital to care homes during the initial phase of the pandemic. And if I can take this opportunity to draw the committee's attention to recent research undertaken by Public Health Wales in partnership with Swansea University. That research found no evidence that hospital discharges were in fact associated with a significant risk of a new outbreak in a care home. However, the size of a care home was found to be associated with this risk. Research investigating into how other factors, including policies around staff and visitors, might affect risk continues to be prioritised in support of our efforts to reduce or eliminate care home outbreaks. Restricting visits to care homes has been exceptionally difficult and, in fact, heartbreaking, and we heard this again today in the committee. But it has been one of the necessary measures that we have had to take at various stages in the pandemic to reduce the risk of infection to care homes. We've worked collaboratively with the sector to produce guidance to support providers to reintroduce visits safely as lockdown restrictions were eased over the summer. That work continues, and I know that the group met again this week to consider how the guidance is working in practice, and, again, the understanding that there should be not be an entire blanket policy - there should always be an individual circumstance where the care needs of that individual could or should be met by visits. Recent local restrictions mean that local authorities have again had to make some very difficult choices about care home visits, striking a balance between people's continued well-being and the risk presented by increased community transmission. And I again encourage our local authority partners to engage with Public Health Wales, working with their local incident management teams in reaching those decisions. I expect restrictions to be temporary, to be as least restrictive as is safe, and to be kept under review. A rapid response system is in place for local health boards to deploy mobile testing units to those care homes where there is a positive case, and a dedicated care home testing portal is available for ongoing testing of care home staff. It is worth pointing out on PPE, which the chair spent time on in introducing, that since 9 March, NHS Wales Shared Services Partnership have issued 342.3 million items across our health and social care system, and 167 million items have been issued to social care - that's 48 per cent of the total of items. And we're still issuing around about 13 million items a week. The scale of activity is still significant, and since the very early days of the pandemic, we have provided that free of charge to care home providers. It is the legal responsibility of employers to provide PPE for their workforce. The NHS Wales Shared Services Partnership stepped in because otherwise we would have had an unacceptable risk of harm to staff and the people they care for, and I'm pleased to see that England have recently announced they will follow the lead that we have taken in making that provision of PPE freely available to the care home sector. We've also been able to provide mutual aid to other UK countries, we have a healthy supply chain of future orders and we are in a much more robust position and we are stockpiling for the winter ahead and for future provision. In fact, I think our system stood up well to the extraordinary pressures and the very sharp tightening in the international market that we saw. That's both in ordering and delivering more PPE into the country, and, in fact, we've provided some assistance in terms of the conversations with England where they've had to reconstruct a central purchasing and procurement operation that was lost in the Lansley reforms. But more than that, we've also, as Dai Rees mentioned, seen Welsh businesses and manufacturers respond significantly to the challenge of creating more PPE. And in the future we'll need to have a different balance in what we procure from other countries and what we continue to provide from manufacturers here in Wales. There may be an additional cost per item to that, but it's the right thing to do to make sure that we have a more robust system in place.
Welsh: Rwy'n cydnabod y sylwadau a wnaed gan aelodau'r pwyllgor am gefnogaeth i bobl sy'n hunanynysu. Mae ein gwasanaeth profi, olrhain a diogelu yn cysylltu â phobl sy'n ynysu. Dyma sut y maent yn deall i ba raddau y mae pobl yn llwyddo i ynysu. Rwyf wedi cael adborth gan fy etholwyr fy hun ac eraill am y gwahaniaeth y mae'r alwad honno iddynt wedi'i wneud o ran eu llwyddiant i barhau i hunanynysu. Ond rwy'n cydnabod y materion a godwyd nid yn unig yn adroddiad Cronfa'r Brenin ond hefyd gan y Grŵp Cynghori Gwyddonol ar Argyfyngau (SAGE) ac eraill am y pryder nad yw pobl yn hunanynysu'n llwyddiannus. Felly, roedd yn rhywbeth i'w groesawu pan gadarnhaodd Michael Gove, mewn galwad gyda'r Prif Weinidogion ledled y DU, y dylai fod arian newydd ar gael i gyfateb i'r cynnig polisi a gyhoeddwyd eisoes yn Lloegr - sef taliad ychwanegol o £500 ar ben tâl salwch statudol i weithwyr ar gyflogau isel. Rydym yn awr yn disgwyl i Drysorlys y DU anrhydeddu'r ymrwymiad hwnnw, felly mae Prif Weinidog Cymru wedi bod mewn sefyllfa i gadarnhau y byddwn yn cyflwyno'r taliad hwnnw i sicrhau y gall pobl hunanynysu'n llwyddiannus. Mae darparwyr cartrefi gofal, yn ogystal â phobl sy'n byw ac yn gweithio mewn cartrefi gofal, wedi wynebu her na welwyd ei thebyg o'r blaen eleni, ac rwy'n cydymdeimlo â'r rheini sydd wedi wynebu misoedd o fod ar wahân oddi wrth deulu a ffrindiau, ac yn enwedig i'r rhai sydd wedi colli anwyliaid. Gwnaethom gefnogi'r sector drwy'r cyfnod eithriadol o anodd hwn, a byddwn yn parhau i wneud hynny. Byddwn yn cyhoeddi'r cynllun gweithredu ar gyfer cartrefi gofal y mae'r Dirprwy Weinidog wedi ymrwymo iddo. Bydd hwnnw'n nodi'r camau rydym yn eu cymryd i sicrhau bod y sector cartrefi gofal yn cael cefnogaeth dda cyn heriau'r gaeaf. Rydym wedi cael ein herio - clywsom hyn eto heddiw - ynglŷn â'n dull o ryddhau pobl o'r ysbyty i gartrefi gofal yn ystod cyfnod cychwynnol y pandemig. Ac os caf fanteisio ar y cyfle hwn i dynnu sylw'r pwyllgor at waith ymchwil diweddar a wnaed gan Iechyd Cyhoeddus Cymru mewn partneriaeth â Phrifysgol Abertawe. Ni chanfu'r gwaith hwnnw unrhyw dystiolaeth fod rhyddhau cleifion o'r ysbyty yn gysylltiedig â risg sylweddol o achosion newydd mewn cartref gofal mewn gwirionedd. Fodd bynnag, canfuwyd bod maint cartrefi gofal yn gysylltiedig â risg o'r fath. Mae ymchwil i sut y gallai ffactorau eraill, gan gynnwys polisïau'n ymwneud â staff ac ymwelwyr, effeithio ar risg yn parhau i gael blaenoriaeth i gefnogi ein hymdrechion i leihau neu ddileu achosion mewn cartrefi gofal. Mae cyfyngu ar ymweliadau â chartrefi gofal wedi bod yn eithriadol o anodd, ac yn dorcalonnus mewn gwirionedd, a chlywsom hyn eto heddiw yn y pwyllgor. Ond mae wedi bod yn un o'r mesurau angenrheidiol y bu'n rhaid inni eu gweithredu ar wahanol gamau yn y pandemig i leihau'r risg o haint i gartrefi gofal. Rydym wedi cydweithio â'r sector i gynhyrchu canllawiau i gynorthwyo darparwyr i ailgyflwyno ymweliadau'n ddiogel wrth i gyfyngiadau symud gael eu llacio dros yr haf. Mae'r gwaith hwnnw'n parhau, a gwn fod y grŵp wedi cyfarfod eto yr wythnos hon i ystyried sut y mae'r canllawiau'n gweithio'n ymarferol, ac unwaith eto, y ddealltwriaeth na ddylid mabwysiadu polisi cyffredinol - dylid gwneud penderfyniadau yn ôl amgylchiadau unigol bob amser lle gellid neu lle dylid diwallu anghenion gofal yr unigolyn hwnnw drwy ymweliadau. Mae cyfyngiadau lleol diweddar yn golygu bod awdurdodau lleol unwaith eto wedi gorfod gwneud rhai penderfyniadau anodd iawn ynglŷn ag ymweliadau â chartrefi gofal, gan sicrhau cydbwysedd rhwng llesiant parhaus pobl a'r risg o gynyddu trosglwyddiad cymunedol. Ac unwaith eto, rwy'n annog ein partneriaid yn yr awdurdodau lleol i ymgysylltu ag Iechyd Cyhoeddus Cymru, gan weithio gyda'u timau rheoli digwyddiadau lleol i wneud y penderfyniadau hynny. Rwy'n disgwyl i gyfyngiadau fod yn rhai dros dro, i gyfyngu cyn lleied ag sy'n ddiogel, ac i gael eu hadolygu'n barhaus. Mae system ymateb cyflym ar waith i fyrddau iechyd lleol fynd ag unedau profi symudol i gartrefi gofal lle ceir achos positif, ac mae porth profi cartrefi gofal penodol ar gael i brofi staff cartrefi gofal yn barhaus. Mewn perthynas â chyfarpar diogelu personol, mater y treuliodd y cadeirydd amser yn ei gyflwyno, mae'n werth nodi bod Partneriaeth Cydwasanaethau GIG Cymru wedi dosbarthu 342.3 miliwn o eitemau ar draws ein system iechyd a gofal cymdeithasol ers 9 Mawrth, ac mae 167 miliwn o eitemau wedi'u rhoi i ofal cymdeithasol - sef 48 y cant o gyfanswm yr eitemau. Ac rydym yn dal i ddosbarthu tua 13 miliwn o eitemau yr wythnos. Mae maint y gweithgarwch yn dal i fod yn sylweddol, ac ers dyddiau cynnar iawn y pandemig, rydym wedi darparu'r eitemau'n rhad ac am ddim i ddarparwyr cartrefi gofal. Cyfrifoldeb cyfreithiol cyflogwyr yw darparu cyfarpar diogelu personol ar gyfer eu gweithlu. Bu'n rhaid i Bartneriaeth Cydwasanaethau GIG Cymru gamu i mewn oherwydd fel arall byddai risg annerbyniol o niwed wedi bod i staff a'r bobl y maent yn gofalu amdanynt, ac rwy'n falch o weld bod Lloegr wedi cyhoeddi'n ddiweddar y byddant yn dilyn yr arweiniad rydym wedi'i roi drwy sicrhau bod cyfarpar diogelu personol ar gael yn rhad ac am ddim i'r sector cartrefi gofal. Hefyd, rydym wedi gallu darparu cymorth cilyddol i wledydd eraill y DU, mae gennym gadwyn gyflenwi iach o archebion yn y dyfodol, rydym mewn sefyllfa lawer mwy cadarn ac rydym yn pentyrru stoc ar gyfer y gaeaf sydd i ddod ac ar gyfer darpariaeth yn y dyfodol. Mewn gwirionedd, rwy'n credu bod ein system wedi llwyddo'n dda i wrthsefyll y pwysau eithriadol arni a'r tynhau sydyn iawn a welsom yn y farchnad ryngwladol. Mae hynny'n wir o ran archebu a darparu mwy o gyfarpar diogelu personol i'r wlad, ac mewn gwirionedd, rydym wedi darparu rhywfaint o gymorth yn y sgyrsiau â Lloegr lle bu'n rhaid iddynt ailadeiladu gweithgarwch prynu a chaffael canolog a gollwyd yn niwygiadau Lansley. Ond yn fwy na hynny, fel y soniodd Dai Rees, rydym hefyd wedi gweld busnesau a gweithgynhyrchwyr Cymru yn ymateb yn sylweddol i'r her o greu mwy o gyfarpar diogelu personol. Ac yn y dyfodol, bydd angen inni gael cydbwysedd gwahanol yn yr hyn rydym yn ei gaffael o wledydd eraill a'r hyn rydym yn parhau i'w ddarparu gan wneuthurwyr yma yng Nghymru. Efallai y bydd cost ychwanegol fesul eitem i hynny, ond dyna'r peth iawn i'w wneud i sicrhau bod gennym system fwy cadarn ar waith.