English: Diolch yn fawr. 'Looking Forward Together: The Allied Health Professions Framework for Wales' identifies the changes required both by allied health professionals and their employers to ensure health and social care secures the highest quality and value from these important professions. 'A Healthier Wales' sets out our vision for enabling people to live at home, as independently as possible, for as long as possible. The allied health professionals, or AHPs, excel in delivering treatments that are particularly valuable in supporting the complex needs of people who are frail or living with long-term health conditions. They are a group of 13 unique professions, such as physiotherapists, occupational therapists, dietitians and psychologists. At present, too small a proportion of AHPs are accessible in the primary and community services described in the primary care model for Wales. Many people who need the expertise of AHPs can't directly access them early enough to maximise their health and well-being or improve recovery. This may mean people are admitted to hospital when they could have been treated at home, or they cannot be discharged from hospital when their acute treatment is complete. Without community AHP services, people may end up moving to residential or nursing care earlier than might otherwise have been the case, adding to the pressure on our social care services. Today, I'm announcing £5 million will be made available from April 2023 to create additional AHP posts in primary and community services to help provide alternatives to hospital admission and reduce reliance on long-term social care. This recurrent investment supports our programme for government commitments in primary and community care, including improving access to health professionals and bring a wider workforce together in a reformed primary care system. It'll create posts for both registered AHPs and support workers. For example, extra staff in community resource teams will help implement the community infrastructure programme or expand hospital-at-home-type services. Increasing community rehabilitation and community-based therapy ensures people can be discharged with the right support to enable them to complete their recovery at home. Community rehabilitation or reablement helps people recover their ability and confidence to do the things that matter to them in their daily life, enabling more people to live independently without having to rely on unnecessary long-term social care. That will help us to provide these vital services to the people who need them most. This investment can also be used to develop or expand services to prevent admission. For example, this could enable paramedics to directly refer to community falls or therapy response teams rather than conveying people to hospital if they don't need it. There are many examples of innovative AHP services providing direct, early access to intervention, community rehabilitation and reablement and other complex treatments in the community. We need to provide these more consistently across Wales in line with all our national programmes. Local authority occupational therapy services and many NHS physiotherapy services are already directly accessible. In Swansea Bay University Health Board, podiatry, children's speech and language therapy and children's occupational therapy services are directly accessible.
Welsh: Diolch yn fawr. Mae 'Edrych Ymlaen Gyda'n Gilydd: Fframwaith Proffesiynau Perthynol i Iechyd Cymru' yn nodi'r newidiadau sy'n ofynnol gan weithwyr proffesiynol perthynol i iechyd a'u cyflogwyr i sicrhau bod iechyd a gofal cymdeithasol yn sicrhau'r ansawdd a'r gwerth uchaf o'r proffesiynau pwysig hyn. Mae 'Cymru Iachach' yn nodi ein gweledigaeth ar gyfer galluogi pobl i fyw gartref, mor annibynnol â phosib, cyhyd ag y bo modd. Mae'r gweithwyr proffesiynol perthynol i iechyd, neu AHPs, yn rhagori wrth ddarparu triniaethau sy'n arbennig o werthfawr wrth gefnogi anghenion cymhleth pobl sy'n fregus neu sy'n byw gyda chyflyrau iechyd hirdymor. Maent yn grŵp o 13 o broffesiynau unigryw, fel ffisiotherapyddion, therapyddion galwedigaethol, dietegwyr a seicolegwyr. Ar hyn o bryd, mae cyfran rhy fach o AHPs yn hygyrch yn y gwasanaethau sylfaenol a chymunedol a ddisgrifir yn y model gofal sylfaenol i Gymru. Ni all llawer o bobl sydd angen arbenigedd AHPs gael mynediad uniongyrchol iddyn nhw'n ddigon cynnar i wneud y gorau o'u hiechyd a'u lles neu wella adferiad. Gall hyn olygu bod pobl yn cael eu derbyn i'r ysbyty pan allen nhw fod wedi cael eu trin gartref, neu nad oes modd eu rhyddhau o'r ysbyty pan fydd eu triniaeth acíwt wedi'i gwblhau. Heb wasanaethau AHP cymunedol, gall pobl symud i ofal preswyl neu nyrsio yn gynharach nag y gallai fod wedi digwydd fel arall, gan ychwanegu at y pwysau ar ein gwasanaethau gofal cymdeithasol. Heddiw, rwy'n cyhoeddi y bydd £5 miliwn ar gael o fis Ebrill 2023 i greu swyddi AHP ychwanegol mewn gwasanaethau sylfaenol a chymunedol i helpu i ddarparu dewisiadau amgen i dderbyn cleifion i'r ysbyty a lleihau'r ddibyniaeth ar ofal cymdeithasol hirdymor. Mae'r buddsoddiad rheolaidd hwn yn cefnogi ymrwymiadau ein rhaglen lywodraethu ym maes gofal sylfaenol a chymunedol, gan gynnwys gwella mynediad at weithwyr iechyd proffesiynol a dod â gweithlu ehangach ynghyd mewn system gofal sylfaenol diwygiedig. Bydd yn creu swyddi ar gyfer AHPs cofrestredig a gweithwyr cymorth. Er enghraifft, bydd staff ychwanegol mewn timau adnoddau cymunedol yn helpu i weithredu'r rhaglen seilwaith cymunedol neu ehangu gwasanaethau megis ysbyty yn y cartref. Mae cynyddu adsefydlu cymunedol a therapi yn y gymuned yn sicrhau bod modd rhyddhau pobl gyda'r gefnogaeth gywir i'w galluogi i gwblhau eu hadferiad gartref. Mae adsefydlu neu ailalluogi cymunedol yn helpu pobl i adennill eu gallu a'u hyder i wneud y pethau sy'n bwysig iddyn nhw yn eu bywyd bob dydd, gan alluogi mwy o bobl i fyw'n annibynnol heb orfod dibynnu ar ofal cymdeithasol hirdymor diangen. Bydd hynny'n ein helpu i ddarparu'r gwasanaethau hollbwysig hyn i'r bobl sydd eu hangen fwyaf. Gellir defnyddio'r buddsoddiad hwn hefyd i ddatblygu neu ehangu gwasanaethau i atal derbyniadau i ysbytai. Er enghraifft, gallai hyn alluogi parafeddygon i atgyfeirio'n uniongyrchol i dimau cymunedol i ymateb i gwympiadau neu therapi yn hytrach na mynd â phobl i'r ysbyty os nad oes ei angen arnynt. Mae llawer o enghreifftiau o wasanaethau AHP arloesol sy'n darparu mynediad uniongyrchol, cynnar at ymyrraeth, adsefydlu ac ailalluogi cymunedol a thriniaethau cymhleth eraill yn y gymuned. Mae angen i ni ddarparu'r rhain yn fwy cyson ledled Cymru yn unol â'n holl raglenni cenedlaethol. Mae gwasanaethau therapi galwedigaethol awdurdodau lleol a llawer o wasanaethau ffisiotherapi'r GIG eisoes yn hygyrch yn uniongyrchol. Ym Mwrdd Iechyd Prifysgol Bae Abertawe, mae podiatreg, therapi iaith a lleferydd plant a gwasanaethau therapi galwedigaethol plant yn hygyrch yn uniongyrchol.