techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: I accept that there is a problem. The demand on the service has been enormous. The increase in demand on the service is more than anything we've seen before, so obviously there is a demand aspect to this that also needs to be looked at. I think also we've got to understand that actually over half of people are seen within the time frame, so it's not all bad, but of course we're not reaching anything like the targets that we should be reaching. One of the things that's happened this week is that there was a national risk summit to look at what harms are happening as a consequence of this, so that people start to understand this is not something where there are no consequences; there are serious consequences and therefore people need to understand that they need to step up and take more responsibility. So, that happened this week, as well. There will be outcomes as a result of that summit, so I'm just waiting to hear exactly what's happening. So, of course the situation needs some focus, which is why I'm giving it that focus. We've invested £5 million. An extra 127 front-line ambulance staff will become available in the coming months. They're all being trained up now, they'll be going on the front line and, of course, there are more people helping with that triaging in the call centres as well.
Welsh: Rwy'n derbyn bod problem. Mae'r galw ar y gwasanaeth wedi bod yn aruthrol. Mae'r cynnydd yn y galw ar y gwasanaeth yn fwy nag unrhyw beth a welsom o'r blaen, felly yn amlwg, mae rhan o hyn yn ymwneud â'r galw ac mae angen ystyried hynny hefyd. Credaf hefyd fod yn rhaid inni ddeall bod dros hanner y bobl yn cael eu gweld o fewn y ffrâm amser, felly nid yw'n ddrwg i gyd, ond wrth gwrs, nid ydym yn cyrraedd y targedau y dylem fod yn eu cyrraedd o bell ffordd. Un o'r pethau sydd wedi digwydd yr wythnos hon yw y cynhaliwyd uwchgynhadledd risg genedlaethol i edrych ar y mathau o niwed sy'n digwydd o ganlyniad i hyn, fel bod pobl yn dechrau deall nad yw'n rhywbeth lle nad oes unrhyw ganlyniadau; mae canlyniadau difrifol, ac felly mae angen i bobl ddeall bod angen iddynt dderbyn mwy o gyfrifoldeb. Felly, digwyddodd hynny yr wythnos hon hefyd. Bydd canlyniadau yn sgil yr uwchgynhadledd honno, felly rwy'n aros i glywed beth yn union sy'n digwydd. Felly, mae angen ffocws ar y sefyllfa wrth gwrs, a dyna pam rwy'n rhoi'r ffocws hwnnw iddi. Rydym wedi buddsoddi £5 miliwn. Bydd 127 o staff ambiwlans rheng flaen ychwanegol yn dod ar gael yn y misoedd nesaf. Maent wrthi'n cael eu hyfforddi yn awr, byddant yn gweithio ar y rheng flaen, ac wrth gwrs, mae mwy o bobl yn helpu gyda brysbennu yn y canolfannau galwadau hefyd.
English: Thanks very much. We expect health boards, as commissioners of ambulance services, to plan and secure safe and timely services that respond in order of clinical need. That means a whole-system approach, ensuring ambulance crews are available to respond when needed.
Welsh: Diolch yn fawr iawn. Rydym yn disgwyl i fyrddau iechyd, fel comisiynwyr y gwasanaethau ambiwlans, gynllunio a sicrhau gwasanaethau diogel ac amserol sy'n ymateb yn nhrefn angen clinigol. Mae hynny'n golygu dull gweithredu system gyfan, gan sicrhau bod criwiau ambiwlans ar gael i ymateb pan fo angen.
English: Thanks very much, Tom. I spent a very nice weekend in the Gower, actually. I very rarely go to the Gower and it was very impressive to see actually how many of the local community are actually taking an interest in the health area - good to see that that kind of community spirit extends to this. But, of course, we have a responsibility as a Government to make sure that we are providing the service that we should be in those areas. I have been concerned about the situation in relation to ambulances in rural areas, because there was that roster review that was undertaken - that happened as a result of the demand and capacity review of 2018. What they were saying is that, actually, if we reconfigured the way that we organised ambulance services, we could get more bang for our buck, effectively. So, that roster review started happening, and then COVID hit. So, that's coming back on board. But, I have made it clear to the ambulance service that what we don't want to see is any denigration in terms of the provision to rural areas. So, that is something that I hope will happen as a result of that intervention that I have made.
Welsh: Diolch yn fawr, Tom. Treuliais benwythnos braf iawn yn y Gŵyr. Anaml iawn yr af i'r Gŵyr, ac roedd yn wych gweld faint o'r gymuned leol sy'n dangos diddordeb ym maes iechyd - mae'n dda gweld bod y math hwnnw o ysbryd cymunedol yn ymestyn i hyn. Ond wrth gwrs, mae gennym gyfrifoldeb fel Llywodraeth i sicrhau ein bod yn darparu'r gwasanaeth y dylem fod yn ei ddarparu yn yr ardaloedd hynny. Rwyf wedi bod yn bryderus ynghylch sefyllfa ambiwlansys mewn ardaloedd gwledig, oherwydd yr adolygiad hwnnw o restrau gwaith a gynhaliwyd - a ddigwyddodd o ganlyniad i adolygiad galw a chapasiti 2018. Roeddent yn dweud pe byddem yn ad-drefnu'r ffordd y trefnwn wasanaethau ambiwlans, gallem gael mwy am ein harian, i bob pwrpas. Felly, cychwynnwyd yr adolygiad o restrau gwaith, ac yna fe darodd COVID. Felly, mae hynny bellach yn ôl ar y gweill. Ond rwyf wedi dweud yn glir wrth y gwasanaeth ambiwlans nad ydym am weld unrhyw leihad yn y ddarpariaeth i ardaloedd gwledig. Felly, mae hynny'n rhywbeth y gobeithiaf y bydd yn digwydd o ganlyniad i'r ymyrraeth honno a wneuthum.
English: Question 4 now, to be answered by the Deputy Minister for Social Services. Peter Fox.
Welsh: Cwestiwn 4 nawr, i'w ateb gan y Dirprwy Weinidog Gwasanaethau Cymdeithasol. Peter Fox.
English: Thank you. Discharge service guidance is in place to manage the flow of patients, particularly during the pandemic. We recently updated this guidance, taking on board the latest and more positive position with regard to COVID, in order to continue to provide a safe mechanism for discharging people from hospitals following their treatment.
Welsh: Diolch. Mae canllawiau gwasanaeth rhyddhau o'r ysbyty ar waith er mwyn rheoli llif cleifion, yn enwedig yn ystod y pandemig. Gwnaethom ddiweddaru'r canllawiau hyn yn ddiweddar, gan ystyried y sefyllfa ddiweddaraf a mwy cadarnhaol o ran COVID, er mwyn parhau i ddarparu mecanwaith diogel ar gyfer rhyddhau pobl o ysbytai yn dilyn eu triniaeth.
English: Thank you, Deputy Minister, for your statement. Llywydd, recently, my office has been told of an incident at the Grange hospital, where a constituent who is 92 years old was discharged from A&E in the early hours of the morning. They arrived home at 4 a.m. Prior to their discharge, the constituent's partner, also 92, received a phone call from the hospital at around 3 a.m., causing them to get out of bed in a hurry, despite being susceptible to falling themselves. While I acknowledge and appreciate the response from the chief executive of the health board, explaining the situation as they saw it, this doesn't detract from my concerns about the discharge procedures at that hospital. My constituent and their partner stated that they did not receive sufficient support, and that their partner had to push them, using a rollator, to get them into bed. Minister, you will be aware of the recent report of Age Alliance Wales, which highlighted inadequacies in the procedures, and it's just not acceptable. I understand that hospitals are still under significant pressure and that the COVID-19 pandemic has meant that discharge procedures have been altered to free up beds and reduce the risk of infection. But, what has happened to the basic principles, like kindness and compassion? The NHS shouldn't be moving towards being a factory. Minister, how is the Welsh Government working with partners in the Welsh NHS to ensure that such unacceptable incidents don't happen and that discharge procedures better acknowledge the vulnerability of people like my constituent?
Welsh: Diolch am eich datganiad, Ddirprwy Weinidog. Lywydd, yn ddiweddar, mae fy swyddfa wedi cael gwybod am ddigwyddiad yn ysbyty'r Faenor, lle cafodd etholwr sy'n 92 oed eu rhyddhau o'r adran ddamweiniau ac achosion brys yn oriau mân y bore. Fe wnaethant gyrraedd adref am 4 a.m. Cyn iddynt gael eu rhyddhau, derbyniodd partner yr etholwr, sydd hefyd yn 92 oed, alwad ffôn gan yr ysbyty oddeutu 3 a.m., gan achosi iddynt godi o'r gwely ar frys, er eu bod mewn perygl o gwympo eu hunain. Er fy mod yn cydnabod ac yn gwerthfawrogi'r ymateb gan brif weithredwr y bwrdd iechyd yn egluro'r sefyllfa o'u safbwynt hwy, nid yw hyn yn lleddfu fy mhryderon ynghylch y gweithdrefnau rhyddhau yn yr ysbyty hwnnw. Dywedodd fy etholwr a'u partner nad oeddent yn cael digon o gymorth, a bod yn rhaid i'w partner eu gwthio, gan ddefnyddio ffrâm gerdded, i'w rhoi yn y gwely. Weinidog, fe fyddwch yn ymwybodol o adroddiad diweddar Cynghrair Henoed Cymru, a nododd annigonolrwydd yn y gweithdrefnau, ac nid yw hynny'n dderbyniol. Deallaf fod ysbytai o dan bwysau sylweddol o hyd a bod pandemig COVID-19 wedi golygu bod gweithdrefnau rhyddhau wedi'u newid fel bod mwy o welyau ar gael ac i leihau'r risg o haint. Ond beth sydd wedi digwydd i'r egwyddorion sylfaenol, megis caredigrwydd a thosturi? Ni ddylai'r GIG droi'n ffatri. Weinidog, sut y mae Llywodraeth Cymru yn gweithio gyda phartneriaid yn GIG Cymru i sicrhau nad yw digwyddiadau annerbyniol o'r fath yn digwydd a bod gweithdrefnau rhyddhau'n cydnabod yn well pa mor agored i niwed yw pobl fel fy etholwr?
English: Would you agree with me that one of the keys to this is ensuring that we have the quality social care in the community to enable people to be discharged quickly?
Welsh: A fyddech yn cytuno â mi mai un o'r pethau allweddol yn hyn o beth yw sicrhau bod gennym ofal cymdeithasol o safon yn y gymuned i alluogi pobl i gael eu rhyddhau'n gyflym?
English: Yes, it's absolutely essential that we have that quality social care, and, as we all know, social care has been under huge pressure, and we are doing all we possibly can to boost the social care service. I announced yesterday ways we were working towards attracting more social care workers to the service, because we're very short of staff, by bringing in the real living wage, along with an additional payment. We're working hard to look at terms and conditions, because I think the key to this is getting the staff - the right, quality staff - in the community, who will be there to work with vulnerable people to help stop them going into hospital, and, when they do come out of hospital, to be there to prevent them going back in. So, yes, I certainly do agree with what Jenny Rathbone has said.
Welsh: Ydw, mae'n gwbl hanfodol fod gennym ofal cymdeithasol o safon, ac fel y gŵyr pob un ohonom, mae gofal cymdeithasol wedi bod dan bwysau aruthrol, ac rydym yn gwneud popeth a allwn i roi hwb i'r gwasanaeth gofal cymdeithasol. Ddoe, cyhoeddais ffyrdd yr ydym yn gweithio tuag at ddenu mwy o weithwyr gofal cymdeithasol i'r gwasanaeth, gan ein bod yn brin iawn o staff, drwy gyflwyno'r cyflog byw gwirioneddol, ynghyd â thaliad ychwanegol. Rydym yn gweithio'n galed i edrych ar delerau ac amodau, gan y credaf mai'r hyn sy'n allweddol yw cael y staff - y staff cywir, o ansawdd uchel - yn y gymuned, a fydd yno i weithio gyda phobl agored i niwed i helpu i'w hatal rhag gorfod mynd i'r ysbyty, a phan gânt eu rhyddhau o'r ysbyty, i fod yno i'w hatal rhag gorfod dychwelyd yno. Felly, ydw, rwy'n sicr yn cytuno â'r hyn a ddywedodd Jenny Rathbone.
English: Powys Teaching Health Board is responsible for providing services to its population. We are working with the health board on business cases for both the north Powys well-being development, and refurbishment works at Llandrindod Wells hospital.
Welsh: Mae Bwrdd Iechyd Addysgu Powys yn gyfrifol am ddarparu gwasanaethau i'w boblogaeth. Rydym yn gweithio gyda'r bwrdd iechyd ar achosion busnes ar gyfer datblygiad llesiant gogledd Powys, a gwaith adnewyddu yn ysbyty Llandrindod.
English: Thank you, Minister, for your reply. I appreciate it's your birthday today and usually people give you presents, but I'm hoping that you'll give my constituents a present through your answer today. Minister, there is strong community support and cross-party support for proposals brought forward by Powys County Council and the Powys health board for a new community hospital and health and well-being centre in Newtown, and, as you know, the plan would see a cutting-edge facility to serve north Powys and improve health outcomes. It would mean, of course, people wouldn't have to travel out of county for appointments; they could receive healthcare and appointments and consultations locally rather than going beyond the border of Powys. Now, I've raised this previously with you and the First Minister as well. The First Minister gave me a very positive reply last July and told me that the Welsh Government was absolutely committed to this project. However, it has been sat on the desk of Welsh Government for some months now. I appreciate this cuts across various Ministers - education, local authority, finance - so, can I ask you to liaise with your colleagues and Ministers across Government in order to get the green light for this project as soon as possible, because I'm sure, as well as me, you're aware that if we give the green light to this project it will help reduce that health backlog that you and I both want to see reduced?
Welsh: Diolch am eich ateb, Weinidog. Rwy'n derbyn ei bod yn ben-blwydd arnoch heddiw, ac fel arfer, bydd pobl yn rhoi anrhegion i chi, ond rwy'n gobeithio y byddwch yn rhoi anrheg i fy etholwyr drwy eich ateb heddiw. Weinidog, mae cryn dipyn o gefnogaeth gymunedol a chefnogaeth drawsbleidiol i gynigion a gyflwynwyd gan Gyngor Sir Powys a bwrdd iechyd Powys ar gyfer ysbyty cymunedol a chanolfan iechyd a llesiant newydd yn y Drenewydd, ac fel y gwyddoch, byddai'r cynllun yn darparu cyfleuster o'r radd flaenaf i wasanaethu gogledd Powys ac i wella canlyniadau iechyd. Byddai'n golygu, wrth gwrs, na fyddai'n rhaid i bobl deithio allan o'r sir am apwyntiad. Gallent gael gofal iechyd ac apwyntiadau ac ymgynghoriadau yn lleol yn hytrach na mynd allan o Bowys. Nawr, rwyf wedi codi hyn eisoes gyda chi a'r Prif Weinidog hefyd. Rhoddodd y Prif Weinidog ateb cadarnhaol iawn i mi fis Gorffennaf diwethaf a dywedodd wrthyf fod Llywodraeth Cymru wedi ymrwymo'n llwyr i'r prosiect hwn. Fodd bynnag, mae wedi bod yn eistedd ar ddesg Llywodraeth Cymru ers misoedd bellach. Rwy'n derbyn ei fod yn gorgyffwrdd â chyfrifoldebau amryw Weinidogion - addysg, awdurdod lleol, cyllid - felly, a gaf fi ofyn ichi gysylltu â'ch cyd-Aelodau a Gweinidogion ar draws y Llywodraeth er mwyn cael y golau gwyrdd i'r prosiect hwn cyn gynted â phosibl, gan fy mod yn siŵr eich bod chi, fel finnau, yn gwybod, os rhown y golau gwyrdd i'r prosiect hwn, y bydd yn helpu i leihau'r ôl-groniad iechyd yr ydych chi a minnau am ei weld yn lleihau?
English: Thanks very much, Russell. Certainly, I've been to the site where the proposed new north Powys well-being development is, and it certainly does look like an exciting development. The programme business case for that development is currently working through final scrutiny, but I will see if I can get a better sense of when exactly a decision will be made. What I will, I'm afraid, have to warn you about is that there are considerable pressures on the NHS capital programme and that there will be difficult decisions that will need to be made, going forward, and so we certainly will be looking to work with the council and other areas to see what we can do to progress programmes like this and others.
Welsh: Diolch yn fawr, Russell. Yn sicr, rwyf wedi bod ar safle datblygiad llesiant newydd arfaethedig gogledd Powys, ac yn sicr, mae'n edrych fel datblygiad cyffrous. Mae achos busnes y rhaglen ar gyfer y datblygiad yn mynd drwy'r broses graffu derfynol ar hyn o bryd, ond rwyf am weld a allaf gael gwell ymdeimlad o ba bryd yn union y gwneir y penderfyniad. Yr hyn y bydd yn rhaid i mi eich rhybuddio yn ei gylch, mae arnaf ofn, yw bod pwysau sylweddol ar raglen gyfalaf y GIG ac y bydd angen gwneud penderfyniadau anodd yn y dyfodol, ac felly yn sicr, byddwn yn gobeithio gweithio gyda'r cyngor ac ardaloedd eraill i weld beth y gallwn ei wneud i ddatblygu rhaglenni fel hon a rhaglenni eraill.
English: Good afternoon, Minister, and happy birthday. Thank you to Russell for raising this point. I'm very pleased to hear that these plans are moving forward, and I would like to thank Russell, who has worked so hard on this project - and some collaboration, I hope, across north Powys. Following on from your response to Russell, can I just ask what kind of process will be in place to continue to keep in touch with people in relation to this project? Thank you.
Welsh: Prynhawn da, Gweinidog, a phen-blwydd hapus hefyd. Diolch i Russell am godi'r mater yma. Dwi'n hynod o falch i glywed bod y cynlluniau yma yn symud ymlaen, a hoffwn i ddiolch i Russell, sydd wedi gweithio mor galed ar y prosiect yma - a thipyn bach o gydweithio, dwi'n gobeithio, dros ogledd Powys. Jest yn dilyn yr ateb i Russell, a gaf i ofyn pa fath o broses fydd yn ei lle i gario ymlaen i gysylltu efo pawb dros y prosiect yma? Diolch yn fawr iawn.
English: Thank you very much. We're not in that position as of yet where we've got the green light. We had hoped that there may be more capital available within the NHS programme, so, at the moment, we are considering where we can make progress with the developments that we're eager to see, and we would certainly be eager to see this develop if it all possible. So, I'm sure that funding will be the factor that limits any progress in this area, and that's why we do need to go through that final scrutiny, and hopefully I can return with a response to you on this issue before too long.
Welsh: Diolch yn fawr. Dŷn ni ddim yn y sefyllfa yna eto lle rŷn ni wedi cael y golau gwyrdd. Roeddwn i wedi gobeithio y byddai efallai fwy o arian ar gael ar gyfer cyfalaf y tu mewn i raglen yr NHS, felly, ar hyn o bryd, rŷn ni'n mynd ati i weld ble mae'n bosibl inni gario ymlaen â'r datblygiadau rŷn ni'n awyddus i'w gweld, ac, yn sicr, byddem ni'n awyddus i weld hwn yn datblygu, os yn bosibl. Felly, arian, dwi'n siŵr, fydd y peth fydd yn cyfyngu unrhyw symudiad tuag at symud ymlaen yma, felly dyna pam rŷn ni angen mynd trwy'r sgrwtini olaf yna, a gobeithio y gallaf i ddod nôl ag ateb i chi cyn bo hir ar y mater yma.
English: Thank you, Llywydd. May I also take this opportunity to wish the Minister a happy birthday through you, Llywydd? Thank you.
Welsh: Diolch yn fawr iawn, Llywydd. A gaf i hefyd gymryd y cyfle i ddymuno pen-blwydd hapus i'r Gweinidog drwyddoch chi, Llywydd? Diolch.
English: I thank the Minister for that response. Well, after three years of establishing improvement groups, task and finish groups, a change of leadership personnel, and, ultimately, commissioning an independent report, at last there is recognition that substantial mistakes have been made with this service. Is someone going to be held to account for this, Minister? Can you confirm whether anyone who was directly responsible for these mistakes remains in an operational leadership role in this area? And do you think that it's right that the people who pushed this through remain in positions of responsibility in the health service, and will you now place the vascular service back into special measures in order to regain the confidence of the people of north Wales?
Welsh: Diolch yn fawr iawn i'r Gweinidog am yr ateb. Wel, ar ôl tair blynedd o sefydlu grwpiau gwella, grwpiau tasg a gorchwyl, newid personél arweinyddol, ac, yn y pen draw, gomisiynu adroddiad annibynnol, o'r diwedd mae yna gydnabyddiaeth bod yna gamgymeriadau sylweddol wedi cael eu gwneud efo'r gwasanaeth. Oes rhywun yn mynd i gael eu dal i gyfrif am hyn, Weinidog? Fedrwch chi gadarnhau a oes unrhyw un a oedd yn uniongyrchol gyfrifol am y camgymeriadau yn parhau mewn rôl weithredol arweinyddol ar y bwrdd? Ydych chi'n credu ei bod hi'n iawn fod pobl a wthiodd hyn drwyddo yn parhau i fod mewn swyddi cyfrifol yn y maes iechyd, ac a wnewch chi rŵan roi'r gwasanaeth fasciwlar yn y gogledd yn ôl i mewn i fesurau arbennig er mwyn adennill hyder pobl gogledd Cymru?
English: Thank you very much, Mabon. I believe the First Minister gave an explanation with regard to the situation quite thoroughly this week. Clearly, we're in a position where we were following the guidance. The Royal of College of Surgeons, of course, had recommended that things were centralised in the first instance, so I do think it's important that we look at the guidance that they're eager to give too. I have given a warning now to the board in the Betsi area. If the recommendations in the report haven't been progressed over the coming three months, there will be consequences as a result of that. I've made it clear, if we don't see improvement in the next three months, I will be asking the tripartite group to hold an additional meeting to give me additional information with regard to further escalation.
Welsh: Diolch yn fawr iawn, Mabon. Dwi'n meddwl y gwnaeth y Prif Weinidog roi eglurhad eithaf trylwyr yr wythnos yma ynglŷn â'r sefyllfa. Yn amlwg, rŷn ni mewn sefyllfa lle roedden ni yn dilyn y canllawiau. Y Royal College of Surgeons, wrth gwrs, oedd wedi argymell bod pethau yn cael eu canoli yn y lle cyntaf, felly dwi yn meddwl ei bod hi'n bwysig ein bod ni yn edrych ar yr arweiniad maen nhw'n awyddus i'w roi hefyd. Dwi wedi rhoi rhybudd yn awr i'r bwrdd yn Betsi. Os nad yw'r argymhellion yn yr adroddiad wedi cael eu symud ymlaen yn ystod y tri mis nesaf, mi fydd yna consequences i'w cael. Mi fydd e'n glir, os na fyddwn ni'n gweld gwelliant yn y tri mis nesaf, mi fydda i'n gofyn i'r grŵp tripartite gynnal cyfarfod ychwanegol i roi mwy o wybodaeth i fi ynglŷn ag escalation pellach.
English: The people of Wales deserve the highest quality health services and the best outcomes. Striving for excellence should be at the heart of all health boards' plans, and embedded in all levels of the NHS. We're committed to strengthening this through our collaborative transformation and quality improvement approaches.
Welsh: Mae pobl Cymru yn haeddu gwasanaethau iechyd o'r safon uchaf a'r canlyniadau gorau. Dylai ymdrechu am ragoriaeth fod yn ganolog yng nghynlluniau pob bwrdd iechyd, a dylid eu hymgorffori ar bob lefel o'r GIG. Rydym wedi ymrwymo i gryfhau hyn drwy ein dulliau gwella ansawdd a thrawsnewid cydweithredol.