English: Well, Deputy Presiding Officer, it's 2017 now, and depending on local needs and circumstances, community hospitals can play an important role in delivering a range of facilities and services, including respite. However, quality care is about more than just buildings and bed numbers. A number of very old and outdated community hospitals have closed in recent years, and I do recognise that these hospitals were much loved and much cherished by their local communities, but they were no longer able to provide care that's appropriate to meet today's modern standards. These hospitals are being replaced with new primary care resource centres, funded by Welsh Government, and are providing an increased range of services in a modern setting, resulting in people receiving more of the care and support they need close to home. There's often criticism that these new centres do not have in-patient beds, but it's often far more appropriate for people to receive care through enhanced services at home. In cases where an in-patient bed is deemed to be clinically required, these are being provided through nearby modern hospitals, so the emphasis has to be on the quality of the service and meeting people's needs, rather than where that care is physically delivered. A pipeline of primary and community care investment is being delivered as part of health boards' estate priorities, and this is linked to the work that we want to see done to increase the scale and pace of service shift into primary and community care settings. Some early opportunities for investment have already been identified in the NHS-owned estate as the longer-term investment programme is developed. We have approved nearly £5 million of capital funding for a number of priority schemes, and opportunities for further capital investment in 2017-18 and beyond are being discussed with health board teams as service planning work develops, and in line with their integrated medium-term plans. We are now seeing the benefits of this approach. We saw a further fall in our delayed transfer of care figures for December, and I expect my confidence to be rewarded by a further reduction when the January figures are published shortly. I want to reassure Rhun ap Iorwerth that we're not complacent, though, and it might be interesting for Members to know that the major cause of delayed transfers of care is actually patient choice, rather than a lack of numbers of beds. So, the situation is perhaps more complicated than it first seems. Turning to the second amendment, tabled in the name of Paul Davies, we agree that allied healthcare professionals play a vital role in reducing avoidable demand for social care by actively working in the community and primary care. Through multi-professional teams, they're delivering preventative care and admission avoidance, reshaping the way patients are supported to live their lives and better manage their conditions. So, we support this amendment. And, interestingly, having considered the comments raised by Rhun ap Iorwerth on the issue of aids and adaptations with me in questions last week, I did discuss this with front-line professionals, who told me that there isn't a major backlog in terms of aids and adaptations, and decreasing numbers may well actually be the result of the success of our Welsh Government housing standards, which are making homes more appropriate for people to live in in later ages, and also our focus on prevention is working. So, whilst it's really good to be interested in outputs, it's even better to be interested in outcomes. I'm glad that Sian Gwenllian is looking into the case that she described, and, if she'd like to write to me, I'd be more than happy to also look into that case. Obviously, Members will realise that intermediate care fund money is actually being used in the field of aids and adaptations as well. So, there's no doubt that our health and social care services are facing challenges, but we are meeting these challenges head on, and have already increased resilience by taking a whole-system approach to planning and service delivery. We'll continue to work with our partners and support them in working together to deliver integration and collaboration.
Welsh: Wel, Ddirprwy Lywydd, mae'n 2017 erbyn hyn, ac yn dibynnu ar anghenion ac amgylchiadau lleol, gall ysbytai cymuned chwarae rhan bwysig wrth gyflwyno ystod o gyfleusterau a gwasanaethau, gan gynnwys gofal seibiant. Fodd bynnag, mae gofal o ansawdd yn ymwneud â mwy nag adeiladau a niferoedd gwelyau yn unig. Mae nifer o hen ysbytai cymuned anaddas wedi cau yn y blynyddoedd diwethaf, ac rwy'n cydnabod bod yr ysbytai hyn yn boblogaidd ac yn annwyl iawn yn eu cymunedau lleol, ond nid oeddent bellach yn gallu darparu gofal sy'n briodol i gyrraedd safonau modern heddiw. Mae canolfannau adnoddau gofal sylfaenol newydd, wedi'u cyllido gan Lywodraeth Cymru, yn cymryd lle'r ysbytai hyn, ac maent yn darparu ystod fwy o wasanaethau mewn lleoliad modern, gan olygu bod pobl yn cael mwy o'r gofal a'r cymorth sydd eu hangen arnynt yn agos i'w cartrefi. Yn aml, ceir beirniadaeth nad oes gwelyau cleifion mewnol yn y canolfannau newydd hyn, ond mae'n aml yn llawer mwy priodol i bobl dderbyn gofal drwy wasanaethau gwell yn y cartref. Mewn achosion lle y bernir bod angen clinigol am welyau cleifion mewnol, caiff y rhain eu darparu drwy'r ysbytai modern gerllaw, felly mae'n rhaid i'r pwyslais fod ar ansawdd y gwasanaeth a diwallu anghenion pobl, yn hytrach na'r man ffisegol lle y darperir y gofal hwnnw. Mae ffrwd o fuddsoddiadau gofal sylfaenol a chymunedol yn cael ei chyflwyno fel rhan o flaenoriaethau'r byrddau iechyd ar gyfer eu hystadau, ac mae hyn yn gysylltiedig â'r gwaith yr ydym am ei weld yn cael ei wneud i gynyddu graddau a chyflymder y newid yn y gwasanaeth i leoliadau gofal sylfaenol a chymunedol. Nodwyd rhai cyfleoedd cynnar eisoes ar gyfer buddsoddi yn yr ystad sy'n eiddo i'r GIG wrth i'r rhaglen fuddsoddi fwy hirdymor gael ei datblygu. Rydym wedi cymeradwyo bron i £5 miliwn o gyllid cyfalaf ar gyfer nifer o gynlluniau blaenoriaeth, ac mae cyfleoedd ar gyfer buddsoddi cyfalaf pellach yn 2017-18 a thu hwnt yn cael eu trafod gyda thimau'r byrddau iechyd wrth i waith cynllunio gwasanaethau ddatblygu, ac yn unol â'u cynlluniau tymor canolig integredig. Bellach, rydym yn gweld manteision y dull hwn o weithredu. Gwelsom ostyngiad pellach yn ein ffigurau oedi wrth drosglwyddo gofal ar gyfer mis Rhagfyr, ac rwy'n disgwyl y caiff fy hyder ei wobrwyo gan ostyngiad pellach pan gyhoeddir ffigurau mis Ionawr cyn bo hir. Rwyf am sicrhau Rhun ap Iorwerth nad ydym yn hunanfodlon, fodd bynnag, a gallai fod o ddiddordeb i'r Aelodau wybod mai dewis cleifion yw'r prif achos dros oedi wrth drosglwyddo gofal mewn gwirionedd, yn hytrach na diffyg o ran niferoedd gwelyau. Felly, efallai bod y sefyllfa'n fwy cymhleth nag y mae'n ymddangos ar yr olwg gyntaf. Gan droi at yr ail welliant, a gyflwynwyd yn enw Paul Davies, rydym yn cytuno bod gweithwyr proffesiynol perthynol i iechyd yn chwarae rôl hanfodol wrth leihau galw y gellir ei osgoi ar ofal cymdeithasol drwy fynd ati i weithio yn y gymuned a gofal sylfaenol. Trwy dimau amlbroffesiynol, maent yn darparu gofal ataliol ac yn osgoi derbyniadau i'r ysbyty, gan ail-lunio'r ffordd y caiff cleifion eu cynorthwyo i fyw eu bywydau a rheoli eu cyflyrau'n well. Felly, rydym yn cefnogi'r gwelliant hwn. Ac yn ddiddorol, ar ôl ystyried y sylwadau a wnaeth Rhun ap Iorwerth am gymhorthion ac addasiadau yn ystod y cwestiynau yr wythnos diwethaf, fe drafodais hyn gyda gweithwyr proffesiynol rheng flaen, a ddywedodd wrthyf nad oes ôl-groniad mawr o ran cymhorthion ac addasiadau, ac mae'n bosibl iawn fod y gostyngiad yn y niferoedd yn deillio o lwyddiant safonau tai Llywodraeth Cymru, sy'n gwneud cartrefi'n fwy priodol i bobl fyw ynddynt pan fyddant yn hŷn, a hefyd, mae ein ffocws ar atal yn gweithio. Felly, er bod diddordeb mewn allbynnau'n dda iawn, mae diddordeb mewn canlyniadau hyd yn oed yn well. Rwy'n falch fod Sian Gwenllian yn edrych ar yr achos a ddisgrifiodd, ac os hoffai ysgrifennu ataf, buaswn yn hapus iawn i edrych ar yr achos hwnnw hefyd. Yn amlwg, bydd yr Aelodau'n sylweddoli bod arian y gronfa gofal canolraddol yn cael ei ddefnyddio ym maes cymhorthion ac addasiadau hefyd mewn gwirionedd. Felly, nid oes amheuaeth fod ein gwasanaethau iechyd a gofal cymdeithasol yn wynebu heriau, ond rydym yn ateb yr heriau hyn yn llawn, ac eisoes rydym wedi cynyddu cydnerthedd drwy fabwysiadu ymagwedd system gyfan tuag at gynllunio a darparu gwasanaethau. Byddwn yn parhau i weithio gyda'n partneriaid ac yn eu cynorthwyo wrth weithio gyda'n gilydd er mwyn integreiddio a chydweithio.