techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: There are two brief points I'd make, Llywydd. The first is that, even without Lee Waters in the room, I recognise that artificial intelligence is absolutely part of the future. It's part of today and it'll become more and more a planned part of the way in which we deliver health and care services. It should help us in assisting clinicians to make choices; it should make our pathways more efficient for the citizen as well. I think it has real potential to save resources to be reinvested within the service. So, there's no doubt about artificial intelligence having a larger part to play in the future of health and social care. The second point I'd make is that we are already looking at partnerships with technology firms on a small basis to a larger basis. In the last few months, I have announced a significant partnership with Intel, who are looking to invest and have a partnership with Wales because of the way in which we've designed our system. It's an attractive place for technology businesses to want to work with the healthcare sector. I'm sure that my officials have looked at the report that you referred to in England - I won't pretend that I've read it - but I am very clear about the future role of partnerships with technology firms and the national health service that don't compromise our values, but should help us to deliver a better service now and in the future.
Welsh: Mae dau bwynt byr y buaswn yn eu gwneud, Lywydd. Y cyntaf yw, hyd yn oed heb Lee Waters yn yr ystafell, rwy'n cydnabod bod deallusrwydd artiffisial, yn sicr, yn rhan o'r dyfodol. Mae'n rhan o heddiw a bydd yn dod yn rhan fwy a mwy o'n cynlluniau o ran y ffordd rydym yn darparu gwasanaethau iechyd a gofal. Dylai ein cynorthwyo i gynorthwyo clinigwyr i wneud dewisiadau; dylai sicrhau bod ein llwybrau yn fwy effeithlon ar gyfer dinasyddion hefyd. Credaf fod ganddo botensial gwirioneddol i arbed adnoddau i'w hailfuddsoddi o fewn y gwasanaeth. Felly, nid oes amheuaeth y bydd gan ddeallusrwydd artiffisial fwy o ran i'w chwarae yn nyfodol iechyd a gofal cymdeithasol. Yr ail bwynt y buaswn yn ei wneud yw ein bod eisoes yn edrych ar bartneriaethau â chwmnïau technoleg ar sail fechan i sail fwy. Yn ystod yr ychydig fisoedd diwethaf, rwyf wedi cyhoeddi partneriaeth sylweddol gydag Intel, sy'n awyddus i fuddsoddi ac i gael partneriaeth â Chymru oherwydd y ffordd rydym wedi llunio ein system. Mae'n lle deniadol i fusnesau technoleg fod yn awyddus i weithio gyda'r sector gofal iechyd. Rwy'n siŵr fod fy swyddogion wedi edrych ar yr adroddiad y cyfeirioch chi ato yn Lloegr - nid wyf am esgus fy mod wedi'i ddarllen - ond rwy'n glir ynglŷn â rôl partneriaethau yn y dyfodol gyda chwmnïau technoleg a'r gwasanaeth iechyd gwladol nad ydynt yn peryglu ein gwerthoedd, ond a ddylai ein cynorthwyo i ddarparu gwell gwasanaeth yn awr ac yn y dyfodol.
English: Diolch, Llywydd. I'd like to begin, if I could, by correcting some comments made yesterday by the leader of the Conservatives, who claimed the ambulance waiting times in Wales were improving. In fact, the median response times to red calls are worse this winter than last winter - fewer are arriving within the target eight minutes. When it comes to amber calls, almost half are now taking longer than 30 minutes to arrive - almost twice as bad as last winter. And our excellent paramedics tell me that they're really, really losing heart. Why are ambulances taking longer to arrive now, in emergency and in urgent, amber call cases, than in previous years?
Welsh: Diolch, Lywydd. Hoffwn ddechrau, os caf, drwy gywiro rhai sylwadau a wnaethpwyd ddoe gan arweinydd y Ceidwadwyr, a honnodd fod amseroedd aros ambiwlansys yng Nghymru yn gwella. Mewn gwirionedd, mae'r amseroedd ymateb canolrifol i alwadau coch yn waeth y gaeaf hwn na'r gaeaf diwethaf - mae llai yn cyrraedd o fewn y targed wyth munud. O ran galwadau oren, mae bron i hanner yn cymryd dros 30 munud i gyrraedd bellach - bron ddwywaith mor wael â'r gaeaf diwethaf. Ac mae ein parafeddygon rhagorol yn dweud wrthyf eu bod yn digalonni o ddifrif. Pam fod ambiwlansys yn cymryd mwy o amser i gyrraedd bellach, mewn argyfyngau ac mewn achosion brys a galwadau oren, nag yn y blynyddoedd diwethaf?
English: I agree entirely that we need a whole-service approach. I'm saying that the whole system is broken and it's the ambulances and paramedics and call centre staff who are having to bear the brunt. And you say you're meeting targets; there are no targets for amber calls and that's a part of the problem. Behind the statistics, though, we must remember are some truly shocking stories. Let me recount two recent very distressing cases, I'm told, both on Anglesey, both the same day. I can't imagine the distress caused to paramedics dealing with these cases, let alone to those people's families. First, chest pains - red call, surely. An ambulance turns up after an hour and five minutes. The patient has died. Suspected stroke - amber call. An ambulance arrives 10.5 hours later. The patient, again, was dead. The same day. Let me focus on that second case. It may be the case that whether an ambulance turns up to a suspected stroke patient in eight minutes or 10 minutes doesn't make a difference to the outcome, but surely you agree that waiting hours for such a potentially serious condition to be addressed is unacceptable. Do you accept that removal of any time target for amber calls has forced under-pressure ambulance staff to treat those calls as less of a priority, and patients therefore have been put at risk?
Welsh: Cytunaf fod arnom angen ymagwedd gwasanaeth cyfan. Yr hyn rwy'n ei ddweud yw bod y system gyfan wedi torri a'r ambiwlansys a'r parafeddygon a staff y ganolfan alwadau sy'n gorfod ysgwyddo'r baich. Ac rydych yn dweud eich bod yn cyflawni targedau; nid oes unrhyw dargedau ar gyfer galwadau oren ac mae hynny'n rhan o'r broblem. Y tu ôl i'r ystadegau, fodd bynnag, mae'n rhaid inni gofio bod yna ambell stori wirioneddol arswydus. Gadewch imi sôn am ddau achos trallodus iawn, yn ôl yr hyn a ddeallaf, a ddigwyddodd ar yr un diwrnod ar Ynys Môn yn ddiweddar. Ni allaf ddychmygu'r gofid a achoswyd i barafeddygon a fu'n ymdrin â'r achosion hyn, heb sôn am deuluoedd y bobl hynny. Yn gyntaf, poenau yn y frest - galwad goch, yn sicr. Mae ambiwlans yn cyrraedd ar ôl awr a phum munud. Mae'r claf wedi marw. Claf y tybir eu bod wedi cael strôc - galwad oren. Mae ambiwlans yn cyrraedd 10.5 awr yn ddiweddarach. Unwaith eto, bu farw'r claf. Yr un diwrnod. Gadewch imi ganolbwyntio ar yr ail achos. Efallai nad yw'n effeithio ar y canlyniad os yw ambiwlans yn cyrraedd claf y tybir eu bod wedi cael strôc mewn wyth munud neu 10 munud, ond rhaid eich bod yn cytuno bod aros am oriau am sylw i gyflwr a allai fod mor ddifrifol yn annerbyniol. A ydych yn derbyn bod cael gwared ar unrhyw amser targed ar gyfer galwadau oren yn gorfodi staff ambiwlans sydd eisoes o dan bwysau i drin y galwadau hynny fel rhai â llai o flaenoriaeth, ac felly fod cleifion wedi eu rhoi mewn perygl?
English: I have to say I'm incredibly disappointed with the remarks made at the start, claiming the whole system is broken. That simply is not true, and you should be embarrassed to say such a thing.
Welsh: Mae'n rhaid imi ddweud fy mod yn hynod o siomedig gyda'r sylwadau a wnaethpwyd ar y dechrau, yn honni bod y system gyfan wedi torri. Nid yw hynny'n wir, a dylai fod cywilydd arnoch am ddweud y fath beth.
English: You should be embarrassed. You should be embarrassed. How dare you? How dare you?
Welsh: Dylai fod cywilydd arnoch chi. Dylai fod cywilydd arnoch chi. Sut y beiddiwch chi? Sut y beiddiwch chi?
English: How dare you say that I should be embarrassed? How dare you say that I should be embarrassed for suggesting that your system is broken? It is NHS staff on the front line, be it in ambulances or in accident and emergency units, who are telling me that the system is broken. You're in charge of the system, and we want a better system for the patients that deserve that, frankly, here in Wales. It's deeply upsetting for ambulance staff, whether in control centres, or paramedics on the road, to witness and deal with cases where they wanted to and could have made a difference but they were unable to because they were parked, because of the system, outside hospitals. It's perhaps no surprise that ambulance staff have the highest rates of staff sickness out of all NHS staff. I want that to change, and one thing we have to be doing here is involving the staff much more in debates about the future of our service. It's the staff on the front line who themselves know how the service can be improved. So, will you give an undertaking to engage much more - [ Interruption.] - to engage much more with staff on the front line - maybe you don't care; I do -
Welsh: Sut y beiddiwch ddweud y dylai fod cywilydd arnaf? Sut y beiddiwch ddweud y dylai fod cywilydd arnaf am awgrymu bod eich system wedi torri? Staff y GIG ar y rheng flaen, boed mewn ambiwlansys neu mewn unedau damweiniau ac achosion brys, sy'n dweud wrthyf fod y system wedi torri. Chi sy'n gyfrifol am y system, ac rydym eisiau system well ar gyfer y cleifion sy'n haeddu hynny, a dweud y gwir, yma yng Nghymru. Mae'n peri cryn bryder i staff ambiwlans, boed hynny mewn canolfannau rheoli, neu barafeddygon ar y ffordd, orfod gweld ac ymdrin ag achosion lle roeddent, a lle gallent fod wedi gwneud gwahaniaeth ond ni allent wneud hynny am eu bod wedi parcio, oherwydd y system, y tu allan i ysbytai. Efallai nad yw'n syndod mai staff ambiwlans sydd â'r cyfraddau uchaf o salwch staff o blith holl staff y GIG. Rwyf am i hynny newid, ac un peth y mae'n rhaid inni ei wneud yma yw cynnwys y staff i raddau mwy o lawer yn y dadleuon ynglŷn â dyfodol ein gwasanaeth. Y staff ar y rheng flaen sy'n gwybod sut y gellir gwella'r gwasanaeth. Felly, a wnewch chi ymrwymo i ymgysylltu llawer mwy - [ Torri ar draws.] - i ymgysylltu llawer mwy â staff ar y rheng flaen - efallai nad ydych yn malio; rwyf fi -
English: I do care, Rhun, and they are involved, all the time.
Welsh: Rwy'n malio, Rhun, ac maent yn cael eu cynnwys, bob amser.
English: - and listen to their demands? Both paramedics on the road and control room staff, they need to be engaged with, they've got ideas, they're the ones on the front line, they deserve to be listened to.
Welsh: - ac yn gwrando ar eu galwadau? Mae angen ymgysylltu â pharafeddygon ar y ffyrdd a staff yr ystafelloedd rheoli, mae ganddynt syniadau, hwy sydd ar y rheng flaen, maent yn haeddu cael eu clywed.
English: Yes. The Aneurin Bevan, Cwm Taf and Powys health boards, which cover a variety of urban, Valleys and rural areas of Wales, are looking to trial this style of pilot. They have been commissioned to pilot prototype neighbourhood district nursing teams building on the Buurtzorg model. They are currently working up their plans for these pilots, with the aim to start them early in the new financial year.
Welsh: Gwnaf. Mae byrddau iechyd Aneurin Bevan, Cwm Taf a Phowys, sy'n gyfrifol am amryw o ardaloedd trefol, ardaloedd y Cymoedd ac ardaloedd gwledig Cymru, yn awyddus i dreialu cynllun peilot o'r math hwn. Maent wedi cael eu comisiynu i dreialu prototeipiau timau nyrsio ardaloedd cymdogaeth gan adeiladu ar fodel Buurtzorg. Ar hyn o bryd, maent yn gweithio ar eu cynlluniau ar gyfer y cynlluniau peilot hyn, gyda'r nod o'u rhoi ar waith yn gynnar yn y flwyddyn ariannol newydd.
English: The Buurtzorg model of self-determining small teams in charge of a group of citizens who need social care seems to me a really interesting way of improving and reshaping services to better meet people's needs. I'm particularly interested in the way in which around 900 teams in the Netherlands, which is obviously where this system has started, are now supported by no more than 50 administrators and 20 trainers, and meanwhile they spend at least 60 per cent of their time in direct contact with the people they're looking after. So, it's obviously of great interest to people as to how we move forward in light of the parliamentary review. Could you tell us what attention is being paid to the trials that have been progressing elsewhere in England, Scotland and Northern Ireland - how much information you're getting from how well they're working there? How quickly do you think the results of the Welsh pilots can be disseminated across the rest of the NHS in Wales? And would you agree that the Buurtzorg model is exactly the sort of bold new model of seamless care that is highlighted in the parliamentary review, and therefore something we should take great interest in?
Welsh: Ymddengys i mi fod model Buurtzorg o dimau bach hunanreolaethol sy'n gyfrifol am grŵp o ddinasyddion sydd angen gofal cymdeithasol yn ffordd ddiddorol o wella ac ail-lunio gwasanaethau er mwyn diwallu anghenion pobl yn well. Mae gennyf ddiddordeb arbennig yn y ffordd y mae oddeutu 900 o dimau yn yr Iseldiroedd, sef lle y dechreuodd y system hon wrth gwrs, yn cael eu cefnogi bellach gan fwy na 50 o weinyddwyr ac 20 o hyfforddwyr, ac yn y cyfamser, maent yn treulio o leiaf 60 y cant o'u hamser mewn cysylltiad uniongyrchol â'r bobl y maent yn gofalu amdanynt. Felly yn amlwg, mae gan bobl gryn ddiddordeb mewn gweld sut rydym yn bwrw ymlaen yng ngoleuni'r arolwg seneddol. A allwch ddweud wrthym pa sylw sy'n cael ei roi i'r treialon sydd wedi bod yn mynd rhagddynt mewn lleoedd eraill yn Lloegr, yr Alban a Gogledd Iwerddon - faint o wybodaeth rydych yn ei chael o ran pa mor dda y maent yn gweithio yno? Pa mor gyflym y credwch y gall canlyniadau'r cynlluniau peilot yng Nghymru gael eu rhannu ar draws gweddill y GIG yng Nghymru? Ac a fyddech yn cytuno mai model Buurtzorg yw'r union fath o fodel newydd mentrus o ofal di-dor a nodir yn yr arolwg seneddol, ac felly ei fod yn rhywbeth y dylai fod gennym gryn ddiddordeb ynddo?
English: Yes, we're obviously interested in the Buurtzorg model and the application of that here in Wales. Officials are looking at the work in Scotland, where they're looking to implement - they're at a very early stage. In London, they're slightly more advanced, with some pilots being up and running. I do think that these are things that are consistent with the views set out in the parliamentary review about new models of neighbourhood care - really local healthcare. The timetable for the pilot to be set out is to look to do this over two years, to have some useful evidence in a variety of settings for some whole-system learning, and then I hope that if there are models that we should implement, then there's a challenge for the system to be able to deliver that on a rapid basis. Officials have also met with Public World and Buurtzorg Britain & Ireland, who are supporting the pilots in Scotland and England. So, we have the best opportunity to look at what's taking place there, as well as the work that is yet to start in Northern Ireland.
Welsh: Oes, mae'n amlwg fod diddordeb gennym ym model Buurtzorg a'r broses o'i roi ar waith yng Nghymru. Mae swyddogion yn edrych ar y gwaith yn yr Alban, lle maent yn gobeithio gweithredu - maent ar gam cynnar iawn. Yn Llundain, maent wedi mynd ychydig ymhellach, gyda rhai cynlluniau peilot eisoes ar waith. Credaf fod y pethau hyn yn cyd-fynd â'r safbwynt a nodir yn yr arolwg seneddol ynghylch modelau gofal cymdogaeth newydd - gofal iechyd lleol iawn. Yr amserlen ar gyfer rhoi'r cynllun peilot ar waith yw ceisio gwneud hyn dros ddwy flynedd fel y gellir cael tystiolaeth ddefnyddiol mewn amrywiaeth o leoliadau ar gyfer dysgu system gyfan, ac yna, gobeithio, os oes modelau y dylem eu rhoi ar waith, bydd her i'r system allu cyflawni hynny'n gyflym. Mae swyddogion hefyd wedi cyfarfod â Public World a Buurtzorg Britain & Ireland, sy'n cefnogi'r cynlluniau peilot yn yr Alban a Lloegr. Felly, mae gennym y cyfle gorau i edrych ar yr hyn sy'n digwydd yno, yn ogystal â'r gwaith nad yw wedi dechrau eto yng Ngogledd Iwerddon.
English: Well, we're very interested in this model as well, here in the Welsh Conservatives, and I hope that you'll be able to update us on the work of the pilots over these next two years. It's only one model, of course. You'll be aware of one model of particular interest to me, and that's the Neath primary care hub one, which was supported by Welsh Government Pacesetter money in 2016, and which had the thumbs up from GPs, including the royal college, as well as patients. I'm just wondering if you can give us some sort of indication of what happens to the evaluations of these various trials, and confirm whether the integrated care fund can be used to move a successful pilot into a sustainable fixture. Or is it a bit more of a case that all partners need to chip in to an investment pot in order to make those pilots into something that lasts a bit longer - successful ones?
Welsh: Wel, mae gennym ninnau gryn ddiddordeb yn y model hwn hefyd, yma yn y Ceidwadwyr Cymreig, a gobeithio y bydd modd i chi roi'r wybodaeth ddiweddaraf inni am waith y cynlluniau peilot dros y ddwy flynedd nesaf. Un model yn unig yw hwn, wrth gwrs. Fe fyddwch yn gwybod am un model sydd o ddiddordeb arbennig i mi, sef model canolfan gofal sylfaenol Castell-nedd, a gefnogwyd gan arian Llywodraeth Cymru ar gyfer prosiectau sy'n pennu cyfeiriad yn 2016, ac a gafodd ei gymeradwyo gan feddygon teulu, gan gynnwys y coleg brenhinol, yn ogystal â chleifion. Tybed a allwch roi rhyw fath o syniad inni beth sy'n digwydd i werthusiadau'r treialon amrywiol hyn, a chadarnhau a ellir defnyddio'r gronfa gofal integredig i droi cynllun peilot llwyddiannus yn rhywbeth parhaol a chynaliadwy. Neu a fydd angen i bob partner gyfrannu at bot buddsoddi er mwyn troi'r cynlluniau peilot hynny'n rhywbeth sy'n para ychydig yn hwy - rhai llwyddiannus?
English: I will, of course, be happy to update Members as we make more progress on the Buurtzorg-style pilots that the question started off with. In terms of the broader learning from the Neath Pacesetter, I had a very interesting visit there with both David Rees and Jeremy Miles as constituency representatives, looking at the variety of the work that they have in the hub that supports GPs themselves, but also the very positive story that GPs have to tell about telephone triage providing better access to their patients, they believe, and the challenge of staff getting used to it, and patients as well. But also, they believe it's made the job of the general practitioner a better job to do. They also have faster access to different healthcare staff in the hub as well. So, there is lots of learning. It's not just a matter for the ICF, actually; it's also a matter for clusters to look at as well. Of all the different Pacesetters around the country we've invested in, our challenge now is an understanding and an evaluation of the progress they've made, and how we roll that out in an improved model of local healthcare across the country. Because much of this could take place in a number of different communities around the country. It is pace that is the challenge, and that is about the buy-in from cluster leadership and individual clusters, and the variety of people within those local healthcare clusters, which will be really important in being able to do so.
Welsh: Rwy'n fwy na pharod, wrth gwrs, i roi'r wybodaeth ddiweddaraf i'r Aelodau wrth inni wneud mwy o gynnydd ar y cynlluniau peilot dull Buurtzorg a grybwyllwyd ar ddechrau'r cwestiwn. O ran y dysgu ehangach o brosiect pennu cyfeiriad Castell-nedd, cefais ymweliad diddorol iawn yno gyda David Rees a Jeremy Miles fel cynrychiolwyr yr etholaeth, i edrych ar yr amrywiaeth o waith sy'n mynd rhagddo yn y ganolfan i gefnogi'r meddygon teulu eu hunain, ond hefyd yr adroddiadau cadarnhaol iawn gan feddygon teulu fod brysbennu dros y ffôn yn darparu mynediad gwell ar gyfer eu cleifion, yn eu barn hwy, a'r her sy'n wynebu'r staff wrth iddynt ymgyfarwyddo â hynny, a'r cleifion hefyd. Ond hefyd, credant fod hynny wedi gwneud swydd y meddyg teulu yn swydd well. Mae ganddynt hefyd fynediad cyflymach at wahanol staff gofal iechyd yn y ganolfan. Felly, mae llawer o ddysgu. Nid yw'n fater ar gyfer y gronfa gofal integredig yn unig, mewn gwirionedd; mae hefyd yn fater i'r clystyrau ei ystyried. O'r holl wahanol brosiectau sy'n pennu cyfeiriad rydym wedi buddsoddi ynddynt ledled y wlad, ein her bellach yw deall a gwerthuso'r cynnydd a wnaethant, a sut rydym yn cyflwyno hynny mewn model gofal iechyd lleol gwell ledled y wlad. Oherwydd gallai llawer o hyn ddigwydd mewn nifer o wahanol gymunedau ledled y wlad. Cyflymder yw'r her, ac mae hynny'n ymwneud ag ymrwymiad arweinwyr clystyrau a chlystyrau unigol, a'r amrywiaeth o bobl o fewn y clystyrau gofal iechyd lleol hynny, a fydd yn bwysig iawn i allu gwneud hynny.
English: We invest almost £50 million a year in our substance misuse agenda, with the actions that we are taking highlighted in our latest substance misuse delivery plan. This includes supporting drug and alcohol rehabilitation services. These services are, of course, commissioned regionally by area planning boards, based on an assessment of local need.
Welsh: Rydym yn buddsoddi bron i £50 miliwn y flwyddyn yn ein hagenda camddefnyddio sylweddau, a rhoddir sylw i'r camau gweithredu rydym yn eu cymryd yn ein cynllun cyflawni camddefnyddio sylweddau diweddaraf. Maent yn cynnwys cefnogi gwasanaethau adsefydlu cyffuriau ac alcohol. Wrth gwrs, comisiynir y gwasanaethau hyn yn rhanbarthol gan fyrddau cynllunio ardal, yn seiliedig ar asesiad o'r angen lleol.
English: Thank you, Cabinet Secretary. Drug abuse is a massive issue in our prisons - the primary reason why prisoners offend in the first place and a reason why many reoffend. Despite efforts by prison staff, who work extremely hard to provide mandatory drug testing and help prisoners come off drugs, this work is sometimes undone because, upon release, prisoners are often abandoned at the prison gates, with no housing or ongoing support. Cabinet Secretary, what is the Welsh Government doing to support the rehabilitation of drug addicts in the criminal justice system in order to combat reoffending rates?
Welsh: Diolch, Ysgrifennydd y Cabinet. Mae camddefnyddio cyffuriau yn broblem enfawr yn ein carchardai - y prif reswm pam mae carcharorion yn troseddu yn y lle cyntaf ac un rheswm pam mae llawer yn aildroseddu. Er gwaethaf ymdrechion gan staff y carchardai, sy'n gweithio'n galed iawn i ddarparu profion cyffuriau gorfodol a chynorthwyo carcharorion i roi'r gorau i ddefnyddio cyffuriau, mae'r gwaith hwn weithiau'n mynd yn ofer gan fod carcharorion, pan gânt eu rhyddhau, yn aml yn cael eu gadael ar eu pen eu hunain wrth gatiau'r carchar, heb dai na chymorth parhaus. Ysgrifennydd y Cabinet, beth y mae Llywodraeth Cymru yn ei wneud i gefnogi'r broses o adsefydlu pobl sy'n gaeth i gyffuriau yn y system cyfiawnder troseddol er mwyn mynd i'r afael â chyfraddau aildroseddu?