techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: The chairman of the Royal College of General Practitioners, Dr Rebecca Payne, said at the time that she was very concerned about the potential impact of this on practices in north Wales, because 89 out of 118 practices were with EMIS. It's hard to see how we have the clinical staff in Wales to mitigate the potential problems that might arise. But going on from that to changing IT systems, obviously it has the potential to create all sorts of practical difficulties when it sometimes has to happen, of course, because existing systems become outdated or technology moves on. There are many people who think it will take three years before all patient records will have settled down on replacement systems, and patients need medical record integration between primary and acute settings, and current circumstances in north Wales are not producing this. So, can the Minister tell me what specific measures we're taking in north Wales to minimise both patient suffering and lost opportunity to deliver improved patient efficiency in this region?
Welsh: Dywedodd cadeirydd Coleg Brenhinol yr Ymarferwyr Cyffredinol, Dr Rebecca Payne, ar y pryd ei bod yn bryderus iawn ynglŷn ag effaith bosibl hyn ar bractisau yng ngogledd Cymru, gan fod 89 o'r 118 practis gydag EMIS. Mae'n anodd gweld sut y mae gennym staff clinigol yng Nghymru i liniaru'r problemau posibl a allai godi. Ond gan symud ymlaen o hynny i newid systemau TG, mae'n amlwg y gallai hynny greu pob math o anawsterau ymarferol pan fo'n rhaid i hynny ddigwydd weithiau, wrth gwrs, gan fod systemau presennol yn dyddio neu'r dechnoleg yn datblygu. Mae llawer o bobl o'r farn y bydd yn cymryd tair blynedd cyn i'r holl gofnodion cleifion ddod i drefn ar systemau newydd, ac mae angen integreiddio cofnodion meddygol cleifion rhwng lleoliadau sylfaenol ac acíwt, ac nid yw'r amgylchiadau presennol yng ngogledd Cymru yn caniatáu hyn. Felly, a all y Gweinidog ddweud wrthyf pa gamau penodol rydych yn eu cymryd yng ngogledd Cymru i leihau dioddefaint cleifion a'r cyfleoedd sy'n cael eu colli i sicrhau gwell effeithlonrwydd ar gyfer cleifion yn y rhanbarth hwn?
English: Thank you for the question. Performance is improving across a number of key areas. Progress has been made in cancer waits, diagnostics and referral-to-treatment times. ABMU has received £8.3 million out of a performance fund that I created for this financial year. We expect to see further improvements by the end of March 2019.
Welsh: Diolch am eich cwestiwn. Mae perfformiad yn gwella ar draws nifer o feysydd allweddol. Mae cynnydd wedi'i wneud o ran diagnosteg, amseroedd rhwng atgyfeirio a thriniaeth, ac amseroedd aros am driniaethau canser. Mae Prifysgol Abertawe Bro Morgannwg wedi derbyn £8.3 miliwn o gronfa berfformiad a grëwyd gennyf ar gyfer y flwyddyn ariannol hon. Rydym yn disgwyl gweld gwelliannau pellach erbyn diwedd mis Mawrth 2019.
English: Minister, it's highly concerning for patients in south-west Wales that ABMU health board has been under the Welsh Government's targeted intervention status since September 2016. Concerns remain around specific elements of performance that are failing to be met, and people understandably want to see improvements. As the health board is now in the process of completing its organisational strategy, clinical services plan and the three-year integrated plan 2019-22, can you update the Chamber on recent discussions that your officials have had with ABMU health board and when you would expect to make a decision on the sign-off of the three-year integrated plan?
Welsh: Weinidog, mae'n achos cryn bryder i gleifion yn ne-orllewin Cymru fod bwrdd iechyd Prifysgol Abertawe Bro Morgannwg wedi bod yn destun ymyrraeth wedi'i thargedu Llywodraeth Cymru ers mis Medi 2016. Mae pryderon yn parhau ynghylch elfennau penodol o berfformiad nad ydynt yn cael eu bodloni, ac yn ddealladwy, mae pobl am weld gwelliannau. Gan fod y bwrdd iechyd wrthi'n cwblhau eu strategaeth sefydliadol, eu cynllun gwasanaethau clinigol a'u cynllun integredig tair blynedd ar gyfer 2019-22, a allwch roi'r wybodaeth ddiweddaraf i'r Siambr ynglŷn â'r trafodaethau diweddar a gafodd eich swyddogion gyda bwrdd iechyd Prifysgol Abertawe Bro Morgannwg, a phryd y byddech yn disgwyl gwneud penderfyniad ynglŷn â chymeradwyo'r cynllun integredig tair blynedd?
English: Well, the first point is that I'd need to see that integrated plan delivered and provided. There is a regular source of not just correspondence, but direct meetings between officials within the Government and the health board, and actually the improvement that I refer to is, I think, a positive in terms of the job that Tracy Myhill, the chief executive, and her team are doing with the board. There is real improvement and it's being sustained. The challenge will be whether they're able to give enough confidence - not just their plan on paper, but the confidence they will be able to deliver. That is part of the point. There are many people who write great-looking plans in very many aspects of life, but we need confidence they can actually deliver against that. They may be in a position to have an approved three-year integrated plan at the start of the next financial year. Even if they don't, I am confident that this health board will continue to make strides forward over the next year and I believe that you and other residents of the health board area can have greater confidence about the ability of the board to deliver against its plans and its financial means, but also, of course, delivering high-quality care for people across the region.
Welsh: Wel, y pwynt cyntaf yw y byddai angen imi weld y cynllun integredig hwnnw'n cael ei gyflwyno a'i ddarparu. Ceir ffynhonnell reolaidd, nid yn unig o ohebiaeth, ond o gyfarfodydd uniongyrchol rhwng swyddogion o fewn y Llywodraeth a'r bwrdd iechyd, ac mewn gwirionedd, credaf fod y gwelliant y cyfeiriaf ato yn rhywbeth cadarnhaol o ran y gwaith y mae Tracy Myhill, y prif weithredwr, a'i thîm yn ei wneud gyda'r bwrdd. Mae yno welliant gwirioneddol, ac mae'n cael ei gynnal. Yr her fydd i ba raddau y gallant roi digon o hyder - nid yn unig eu cynllun ar bapur, ond yr hyder y byddant yn gallu ei ddarparu. Mae hynny'n rhan o'r pwynt. Ceir llawer o bobl sy'n ysgrifennu cynlluniau sy'n edrych yn wych mewn sawl agwedd ar fywyd, ond mae arnom angen hyder y gallant gyflawni yn erbyn hynny. Gallant fod mewn sefyllfa i gael cynllun integredig tair blynedd wedi'i gymeradwyo erbyn dechrau'r flwyddyn ariannol nesaf. Hyd yn oed os nad ydynt yn llwyddo i wneud hynny, rwy'n hyderus y bydd y bwrdd iechyd hwn yn parhau i wneud cynnydd dros y flwyddyn nesaf, a chredaf y gallwch chi a thrigolion eraill ardal y bwrdd iechyd fod â mwy o hyder ynghylch gallu'r bwrdd i gyflawni yn erbyn ei gynlluniau a'i fodd ariannol, ond hefyd, wrth gwrs, i ddarparu gofal o ansawdd uchel i bobl ledled y rhanbarth.
English: Well, I applaud the Member's ambition to be around for the second centenary. I'm not sure I'd make such a pledge or ambitious statement myself. I recognise the points the Member makes and about services that are changing, which is, obviously, a cause for concern for the local population as services move, and at the same time seeing, on the other hand, services move into that setting as well. But that is part of the challenge we've set out in 'A Healthier Wales' - how we move around some services to be more concentrated in fewer settings, and at the same time to have more services then going out into community settings to be delivered more closely to home. So, I think there's nothing inconsistent with what you've set out. I don't think that the boundary change should have any difference in terms of the longer term future of the hospital, and I would be happy to make sure that, when I do meet Cwm Taf health board, as I'm sure to in the near future, I raise the fact that you've got those concerns and you'll be wanting an answer direct from the health board too.
Welsh: Wel, rwy'n cymeradwyo uchelgais yr Aelod i fod o gwmpas ar gyfer y deucanmlwyddiant. Nid wyf yn siŵr y buaswn yn gwneud addewid neu ddatganiad mor uchelgeisiol fy hun. Rwy'n cydnabod y pwyntiau y mae'r Aelod yn eu gwneud ac ynglŷn â gwasanaethau sy'n newid, sy'n amlwg yn achos pryder i'r boblogaeth leol wrth i wasanaethau symud, ac ar yr un pryd, maent yn gweld gwasanaethau, ar y llaw arall, yn symud i'r lleoliad hwnnw hefyd. Ond dyna ran o'r her rydym wedi'i nodi yn 'Cymru Iachach' - sut rydym yn symud rhai gwasanaethau o gwmpas er mwyn eu crynhoi mewn llai o leoliadau, a sicrhau ar yr un pryd, fod mwy o wasanaethau'n symud i leoliadau cymunedol er mwyn eu darparu yn agosach at adref. Felly, ni chredaf fod unrhyw beth yn anghyson o ran yr hyn rydych wedi'i nodi. Ni chredaf y dylai newid y ffin wneud unrhyw wahaniaeth o ran dyfodol mwy hirdymor yr ysbyty, ac rwy'n fwy na pharod i sicrhau, pan fyddaf yn cyfarfod â bwrdd iechyd Cwm Taf, fel rwy'n siŵr o wneud yn y dyfodol agos, fy mod yn codi'r ffaith bod gennych y pryderon hynny ac y byddwch yn disgwyl ateb uniongyrchol gan y bwrdd iechyd hefyd.
English: I expect local health boards to plan effectively to deliver safe, timely and high-quality health and care services to meet the needs of the communities that they serve.
Welsh: Rwy'n disgwyl i fyrddau iechyd lleol gynllunio'n effeithiol i ddarparu gwasanaethau iechyd a gofal diogel, amserol ac o safon uchel i ddiwallu anghenion y cymunedau y maent yn eu gwasanaethu.
English: Thank you for that answer, Minister. You'll be aware that, in north Wales, there are particular problems in each of the three main district general hospitals, all of which have been failing to meet the emergency waiting time targets for some time, including at the hospital that serves my constituents, which is Glan Clwyd Hospital in Bodelwyddan. The situation appears to have been deteriorating and, in November, the figures were much worse than they were three years ago, in November 2015. This, of course, is a health board that is in special measures. Your responsibility is to improve the outcomes for patients as a result of your intervention in that health board, and yet the situation is getting worse. Can you explain to my residents and those in other places in north Wales why, in a health board that is currently in special measures, the situation is getting worse in terms of performance and not getting better?
Welsh: Diolch am eich ateb, Weinidog. Fe fyddwch yn gwybod bod problemau arbennig yng ngogledd Cymru, yn y tri phrif ysbyty cyffredinol dosbarth, gyda phob un ohonynt wedi methu cyrraedd y targed amser aros ar gyfer gofal brys ers peth amser, gan gynnwys yr ysbyty sy'n gwasanaethu fy etholwyr, sef Ysbyty Glan Clwyd ym Modelwyddan. Ymddengys bod y sefyllfa wedi bod yn gwaethygu, ac ym mis Tachwedd, roedd y ffigurau'n waeth o lawer nag yr oeddent dair blynedd yn ôl, ym mis Tachwedd 2015. Mae hwn, wrth gwrs, yn fwrdd iechyd sy'n destun mesurau arbennig. Eich cyfrifoldeb chi yw gwella'r canlyniadau ar gyfer cleifion o ganlyniad i'ch ymyrraeth yn y bwrdd iechyd hwnnw, ac eto, mae'r sefyllfa'n gwaethygu. A allwch egluro i fy nhrigolion a'r rheini mewn mannau eraill yng ngogledd Cymru pam, mewn bwrdd iechyd sy'n destun mesurau arbennig ar hyn o bryd, fod y sefyllfa'n gwaethygu o ran perfformiad yn hytrach na gwella?
English: Minister, I'll look at the two aspects of the four hours - that's the beginning and the end of the four-hour period. At the beginning, clearly, we can ask people to choose better with the prudent health approach and look at using different facilities such as minor injuries units across south Wales, and particularly in my area the fantastic services at Neath Port Talbot Hospital. I want to encourage more people to take up that opportunity. But also, at the other side of the four hours is the transfer of patients into hospitals. Last year, ABMU held a consultation on bed closures. It was a skewed - in my opinion - consultation, because the questions being asked were more towards the answers they wanted. But in future consultations, will you ensure that health boards have to put the question as to how it impacts upon accident and emergency services, because the removal of beds means fewer opportunities for patients to be transferred from the A&E into a bed in the hospital?
Welsh: Weinidog, rwyf am edrych ar ddwy agwedd ar y pedair awr - sef dechrau a diwedd y cyfnod o bedair awr. Ar y dechrau, yn amlwg, gallwn ofyn i bobl ddewis yn well gyda'r dull iechyd darbodus ac edrych ar ddefnyddio cyfleusterau gwahanol megis unedau mân anafiadau ar draws de Cymru, ac yn enwedig y gwasanaethau gwych yn Ysbyty Castell-nedd Port Talbot yn fy ardal i. Rwyf am annog mwy o bobl i fanteisio ar y cyfle hwnnw. Ond hefyd, ar yr ochr arall i'r pedair awr, mae'r gwaith o drosglwyddo cleifion i ysbytai. Y llynedd, cynhaliodd Prifysgol Abertawe Bro Morgannwg ymgynghoriad ar gau gwelyau. Roedd yn ymgynghoriad â gogwydd iddo - yn fy marn i - oherwydd roedd y cwestiynau a gafodd eu gofyn yn tueddu mwy tuag at yr atebion roeddent eu heisiau. Ond mewn ymgynghoriadau yn y dyfodol, a wnewch chi sicrhau bod yn rhaid i fyrddau iechyd ofyn cwestiwn ynglŷn â sut y mae'n effeithio ar wasanaethau damweiniau ac achosion brys, oherwydd mae cael gwared ar welyau yn golygu llai o gyfleoedd i drosglwyddo cleifion o'r adran ddamweiniau ac achosion brys i wely yn yr ysbyty?
English: Thank you for the question. We have a wide range of improvement activity that we expect the people of Pembrokeshire to benefit from. In addition to service-specific improvements, we expect Pembrokeshire to benefit from the transformation fund and our long-term plan for health and social care, 'A Healthier Wales'.
Welsh: Diolch i chi am y cwestiwn. Mae gennym amrywiaeth eang o weithgarwch gwella rydym yn disgwyl i bobl Sir Benfro elwa ohono. Yn ogystal â gwelliannau i wasanaethau penodol, rydym yn disgwyl i Sir Benfro elwa o'r gronfa drawsnewid a'n cynllun hirdymor ar gyfer iechyd a gofal cymdeithasol, 'Cymru Iachach'.
English: Minister, one way of improving health services in Pembrokeshire, and indeed throughout Wales, is to support my autism Bill next week and allow it to go forward to Stage 2 of the legislative process. I appreciate that the Government is bringing forward a code of practice but my proposed Bill is not in competition with some of the measures that the Government have introduced or are introducing. It looks to build on some of that good work. In the circumstances, will you therefore consider working with me to ensure that the Bill can go forward next week for further scrutiny? Because I genuinely believe that passing this legislation will improve health services for many people in my constituency, and, indeed, for thousands of people across the whole of Wales.
Welsh: Weinidog, un ffordd o wella gwasanaethau iechyd yn Sir Benfro, ac yn wir ledled Cymru, yw cefnogi fy Mil awtistiaeth yr wythnos nesaf a chaniatáu iddo symud ymlaen i gam 2 o'r broses ddeddfwriaethol. Rwy'n derbyn bod y Llywodraeth yn cyflwyno cod ymarfer, ond nid yw fy Mil arfaethedig yn cystadlu â rhai o'r mesurau y mae'r Llywodraeth wedi'u cyflwyno neu'n bwriadu eu cyflwyno. Mae'n bwriadu adeiladu ar rywfaint o'r gwaith da hwnnw. O dan yr amgylchiadau hynny, a wnewch chi ystyried gweithio gyda mi i sicrhau y gall y Bil symud ymlaen yr wythnos nesaf i'w graffu ymhellach? Oherwydd rwy'n credu'n ddiffuant y bydd pasio'r ddeddfwriaeth hon yn gwella gwasanaethau iechyd i lawer o bobl yn fy etholaeth i, ac yn wir i filoedd o bobl ledled Cymru gyfan.
English: I recognise that the Member does genuinely wish to improve services for autistic people, and more than that to improve people's lived experience - there's no dispute between us on that. The challenge is whether or not the Bill that you propose will actually deliver that - that's not an area that we agree on. We'll have plenty of time to talk about that next week, and, indeed, to consider the reports of a variety of committees that have considered that and the views of a range of stakeholders. So, I'll happily leave that conversation until next week, when we will have it in detail. Of course, you're aware that we've met several times during the passage of the Bill to date to discuss these matters. I'm sure that, should the Bill proceed, we'll continue to talk.
Welsh: Rwy'n cydnabod bod yr Aelod o ddifrif yn dymuno gwella gwasanaethau ar gyfer pobl awtistig, ac yn fwy na hynny, yn dymuno gwella profiad bywyd pobl - nid oes unrhyw anghytundeb rhyngom ar hynny. Yr her yw i ba raddau y bydd y Bil rydych yn ei gynnig yn cyflawni hynny - nid ydym yn cytuno ar hynny. Bydd gennym ddigon o amser i sôn am hynny yr wythnos nesaf, ac yn wir, i ystyried adroddiadau gan amryw o bwyllgorau sydd wedi ystyried hynny a barn ystod o randdeiliaid. Felly, rwy'n hapus i adael y sgwrs honno tan yr wythnos nesaf, pan fyddwn yn trafod y mater yn fanwl. Wrth gwrs, rydych yn gwybod ein bod wedi cyfarfod sawl gwaith yn ystod hynt y Bil hyd yn hyn i drafod y materion hyn. Os bydd y Bil yn symud ymlaen, rwy'n siŵr y byddwn yn parhau i siarad.
English: Thank you for the question. A number of projects are under way to improve access to testing, including the provision of self-sampling HIV tests and a pilot for online testing. Pre-exposure prophylaxis is providing protection for those with lifestyle risks. These measures, supported by effective medical care, mean we are continually reducing the risk of HIV infection.
Welsh: Diolch i chi am y cwestiwn. Mae nifer o brosiectau ar y gweill i wella mynediad at brofion, gan gynnwys darparu profion hunan-samplu HIV a chynllun peilot ar gyfer profi ar-lein. Mae proffylacsis cyn-gysylltiad yn darparu amddiffyniad i'r rheini sy'n wynebu risgiau'n gysylltiedig â'u ffordd o fyw. Mae'r mesurau hyn, wedi'u cefnogi gan ofal meddygol effeithiol, yn golygu ein bod yn parhau i leihau'r risg o heintiad HIV.
English: Thank you, Minister. I've been closely following the encouraging response to the introduction of PrEP last July. I'm really impressed by the large numbers already benefiting from this preventative treatment. The introduction of a national approach to PrEP and HIV prevention that is being taken here in Wales by the Welsh Labour Government shows a clear commitment to these issues. What plans are in place to build on any early findings? Would you be able to provide an update on further results when these become available in due course?
Welsh: Diolch i chi, Weinidog. Rwyf wedi bod yn dilyn yr ymateb calonogol i gyflwyno'r proffylacsis cyn-gysylltiad fis Gorffennaf diwethaf yn agos iawn. Mae'r nifer fawr sydd eisoes yn elwa o'r driniaeth ataliol hon wedi gwneud argraff fawr arnaf mewn gwirionedd. Mae gwaith Llywodraeth Lafur Cymru ar gyflwyno dull cenedlaethol i atal HIV a darparu proffylacsis cyn-gysylltiad yng Nghymru yn dangos ymrwymiad clir i'r materion hyn. Pa gynlluniau sydd ar waith i adeiladu ar unrhyw ganfyddiadau cynnar? A fyddech yn gallu rhoi'r wybodaeth ddiweddaraf ar ganlyniadau pellach pan ddaw'r rhain ar gael maes o law?
English: I am happy to confirm that construction on the Grange hospital site commenced on 30 October 2017. It is on schedule and on budget, and due to open in the spring of 2021.
Welsh: Rwy'n falch o gadarnhau bod y gwaith adeiladu ar safle ysbyty'r Grange wedi cychwyn ar 30 Hydref 2017. Mae'r gwaith ar amser ac o fewn y gyllideb, a disgwylir y bydd yn agor yn ystod gwanwyn 2021.
English: What proportion of the staff at the hospital would the Minister expect to want to live in Cwmbran and the locality of the hospital? Does he consider that sufficient housing is being built locally to satisfy that demand?
Welsh: Pa gyfran o staff yr ysbyty y mae'r Gweinidog yn ei ragweld fydd eisiau byw yng Nghwmbrân ac yn nghyffiniau'r ysbyty? A yw'n ystyried bod digon o dai yn cael eu hadeiladu'n lleol i fodloni'r galw hwnnw?
English: I couldn't forecast for him the level of demand that may come from people who have yet to make choices about where they do or don't wish to live. Of course, the overwhelming majority of staff who will work at the Grange are already within NHS Wales now. A number of people travel to work over relatively significant distances in addition to those who choose to live within a much shorter period of time of wherever their main site of employment is. I do expect that conversation to continue with the local authority about housing need, to make sure that they have plans in place to make sure they meet that need in the future. But I think we can look forward to a very positive future for the Grange and the economic impact it will have on the local area, indeed both in the constituency of your colleague Nick Ramsay, and, of course, the constituency of my colleague the Member for Torfaen.
Welsh: Ni allaf ragweld lefel y galw gan bobl nad ydynt eto wedi penderfynu lle y maent eisiau byw neu lle nad ydynt eisiau byw. Wrth gwrs, mae'r mwyafrif llethol o staff a fydd yn gweithio yn y Grange eisoes yn gweithio o fewn GIG Cymru. Mae yna nifer o bobl sy'n teithio pellteroedd cymharol sylweddol i'r gwaith, yn ogystal â'r rheini sy'n dewis byw o fewn amser teithio cryn dipyn yn llai i brif safle eu gwaith. Rwy'n disgwyl y bydd y sgwrs honno am yr angen am dai yn parhau gyda'r awdurdod lleol, i wneud yn siŵr fod ganddynt gynlluniau ar waith i sicrhau eu bod yn bodloni'r angen hwnnw yn y dyfodol. Ond credaf y gallwn edrych ymlaen at ddyfodol cadarnhaol iawn i'r Grange a'r effaith economaidd y bydd yn ei chael ar yr ardal leol, yn etholaeth eich cyd-Aelod, Nick Ramsay, yn wir, ac wrth gwrs, etholaeth fy nghyd-Aelod, yr Aelod dros Dorfaen.
English: Thank you for the question. Betsi Cadwaladr university health board has approved plans to create a specialist vascular unit for north Wales at Ysbyty Glan Clwyd. There are no plans to close any vascular departments. The health board will continue to treat patients with non-complex needs at all three north Wales hospitals, including Ysbyty Gwynedd.
Welsh: Diolch i chi am y cwestiwn. Mae bwrdd iechyd prifysgol Betsi Cadwaladr wedi cymeradwyo cynlluniau i greu uned fasgwlaidd arbenigol ar gyfer gogledd Cymru yn Ysbyty Glan Clwyd. Nid oes unrhyw gynlluniau i gau unrhyw adrannau fasgwlaidd. Bydd y bwrdd iechyd yn parhau i drin cleifion ag anghenion nad ydynt yn gymhleth ym mhob un o'r tair ysbyty yng ngogledd Cymru, gan gynnwys Ysbyty Gwynedd.