English: Thank you, Deputy Presiding Officer. I want to update Members today on the progress that Betsi Cadwaladr University Health Board has made to address the issues that led it to be placed in special measures in 2015. Together with my officials and the health board, I remain focused on the work to secure ongoing sustainable improvements. The heath board has recently submitted a comprehensive and balanced account of progress during the period of special measures escalation. This shows genuine progress but also insight and acceptance of areas for ongoing action and improvement. Areas of progress include the ability to drive improvement to lift some services out of special measures. Maternity services and out-of-hours services have both achieved this and are now part of the board's ongoing improvement drive. Measures of quality, such as responding to concerns and infection prevention and control, demonstrate that historic performance issues have been addressed. The board now has a more structured approach to continuing assurance and improvement. It is important to recognise the positive and sustained response to COVID-19 from the health board in the most difficult of circumstances. This reflects the improved resilience and ability to deliver. The health board has provided an honest assessment of areas for ongoing action and improvement that coincide with the views of the recent meeting of tripartite partners, including: the need to further improve leadership and governance; the development of a long-term integrated clinical services strategy; further strengthening leadership capacity within mental health to enhance stability and resilience; the development of a robust three-year financial plan to meet its financial duties as part of the integrated medium-term plan; the need to finalise and implement a revised accountability and performance framework, and deliver improvements in performance, particularly in the acute sector. Whilst many other health organisations have related issues to address, as Members are aware, they are more long-standing for north Wales and performance is disproportionately poor in respect of high-profile areas, such as referral to treatment and accident and emergency, demonstrating a need to enable recurrent and longer term solutions. To address these long-standing challenges, I have decided that a different approach for the next phase of improvement is required. I will, therefore, provide strategic longer term funding for key service and performance issues. This will enable the health board to move away from short-term actions and make progress on medium and longer term planning that translates into an approvable plan. I have already confirmed the position on NHS historical deficits and cash support that will benefit the outlook for the health board. To enable further progress, I am today announcing a package of strategic assistance support for the next three and half years. This assistance will provide a different set of parameters that will enable the health board to reset and plan sustainably for the future, to meet the health needs of the people of north Wales. It will include: cover for the deficit of up to £40 million a year; funding to improve unscheduled care and build a sustainable planned care programme, including orthopaedics, of £30 million a year; £12 million a year to support performance improvement and implementation of the mental health strategy in partnership; and support to build broader capability and capacity in the organisation. The support for this strategic approach will be on the basis that the health board continues to build on existing partner relationships and fully engages with the public, staff, trade unions and wider partners. The essential first step will be to work in partnership to build a sustainable vision for the future, leading to a medium-term plan, focusing on prevention, physical and mental well-being, population health and, of course, primary and secondary care services. I recognise this as a priority area for investment. It is therefore my intention to continue this support for the years 2021-22 through to, and including, 2023-24. It will involve a revised improvement framework and development of a maturity-matrix approach to assess progress. In addition, Members will be aware that I issued a written statement informing Members that I will establish a task and finish group to make recommendations to me on a proposal for a north Wales medical school. This support that I'm announcing today will help to bring about transformation and innovation, leading to improved outcomes, patient experience and financial performance year on year. It is a clear demonstration of our growing confidence in Betsi Cadwaladr University Health Board's ability to further improve and deliver the high standard of services and care that the people of north Wales have every right to expect. Thank you, Deputy Presiding Officer.
Welsh: Diolch, Dirprwy Lywydd. Hoffwn roi'r wybodaeth ddiweddaraf i'r Aelodau heddiw am y cynnydd y mae Bwrdd Iechyd Prifysgol Betsi Cadwaladr wedi'i wneud i fynd i'r afael â'r materion a arweiniodd at ei roi mewn mesurau arbennig yn 2015. Ynghyd â'm swyddogion a'r bwrdd iechyd, rwy'n parhau i ganolbwyntio ar y gwaith i sicrhau gwelliannau cynaliadwy parhaus. Mae'r bwrdd iechyd wedi cyflwyno adroddiad cynhwysfawr a chytbwys yn ddiweddar ynghylch y cynnydd a wnaed yn ystod y cyfnod pan oedd mesurau arbennig yn dwysáu. Mae hyn yn dangos cynnydd gwirioneddol ond hefyd dirnadaeth gan dderbyn bod meysydd i weithredu arnynt a lle mae angen gwelliant parhaus. Mae'r meysydd cynnydd yn cynnwys y gallu i ysgogi gwelliant fel bod rhai gwasanaethau yn dod allan o fesurau arbennig. Mae gwasanaethau mamolaeth a gwasanaethau y tu allan i oriau wedi cyflawni hyn ac maen nhw bellach yn rhan o ymgyrch wella barhaus y bwrdd. Mae mesurau ansawdd, megis ymateb i bryderon ac atal a rheoli heintiau, yn dangos bod materion perfformiad hanesyddol wedi cael sylw. Erbyn hyn, mae gan y bwrdd ddull mwy strwythuredig o barhau i sicrhau a gwella. Mae'n bwysig cydnabod yr ymateb cadarnhaol a pharhaus i COVID-19 gan y bwrdd iechyd yn yr amgylchiadau anoddaf. Mae hyn yn adlewyrchu'r cydnerthedd a'r gallu gwell i gyflawni. Mae'r bwrdd iechyd wedi darparu asesiad gonest o feysydd i weithredu arnynt a'u gwella'n barhaus sy'n cyd-fynd â barn cyfarfod diweddar y bartneriaeth deirochrog, gan gynnwys: yr angen i wella arweinyddiaeth a llywodraethu ymhellach; datblygu strategaeth gwasanaethau clinigol integredig hirdymor; cryfhau'r gallu i arwain ymhellach ym maes iechyd meddwl er mwyn gwella sefydlogrwydd a chydnerthedd; datblygu cynllun ariannol tair blynedd cadarn i gyflawni ei ddyletswyddau ariannol yn rhan o'r cynllun tymor canolig integredig; yr angen i gwblhau a gweithredu fframwaith atebolrwydd a pherfformiad diwygiedig, a sicrhau gwelliannau mewn perfformiad, yn enwedig yn y sector acíwt. Er bod gan lawer o sefydliadau iechyd eraill faterion cysylltiedig i fynd i'r afael â nhw, fel y gŵyr Aelodau, maen nhw yn fwy hirsefydlog yn y gogledd ac mae perfformiad yn anghymesur o wael o ran meysydd pwysig, megis atgyfeirio cleifion i gael triniaeth neu i unedau damweiniau ac achosion brys, gan ddangos bod angen galluogi atebion rheolaidd a thymor hwy. Er mwyn mynd i'r afael â'r heriau hirsefydlog hyn rwyf wedi penderfynu bod angen dull gwahanol ar gyfer y cam gwella nesaf. Felly, byddaf yn darparu cyllid strategol tymor hwy ar gyfer materion allweddol yn ymwneud â gwasanaethau a pherfformiad. Bydd hyn yn galluogi'r bwrdd iechyd i symud oddi wrth gamau gweithredu tymor byr a gwneud cynnydd o ran cynllunio tymor canolig a thymor hwy sy'n trosi'n gynllun y gellir ei weithredu. Rwyf eisoes wedi cadarnhau'r sefyllfa o ran diffygion hanesyddol a chymorth ariannol y GIG a fydd o fantais i'r bwrdd iechyd. Er mwyn gallu gwneud cynnydd pellach, rwyf heddiw yn cyhoeddi pecyn o gymorth cefnogaeth strategol ar gyfer y tair blynedd a hanner nesaf. Bydd y cymorth hwn yn darparu cyfres wahanol o ffiniau a fydd yn galluogi'r bwrdd iechyd i ailosod a chynllunio'n gynaliadwy ar gyfer y dyfodol, er mwyn diwallu anghenion iechyd pobl y gogledd. Bydd yn cynnwys: cyflenwi ar gyfer y diffyg o hyd at £40 miliwn y flwyddyn; cyllid i wella gofal heb ei drefnu ac adeiladu rhaglen gofal wedi'i gynllunio gynaliadwy, gan gynnwys orthopedeg, o £30 miliwn y flwyddyn; £12 miliwn y flwyddyn i gefnogi'r gwaith o wella perfformiad a gweithredu'r strategaeth iechyd meddwl mewn partneriaeth; a chymorth i feithrin gallu a chapasiti ehangach yn y sefydliad. Bydd y gefnogaeth i'r dull strategol hwn ar y sail bod y bwrdd iechyd yn parhau i adeiladu ar gydberthnasau gyda phartneriaid presennol ac yn ymgysylltu'n llawn â'r cyhoedd, staff, undebau llafur a phartneriaid ehangach. Y cam cyntaf hanfodol fydd gweithio mewn partneriaeth i feithrin gweledigaeth gynaliadwy ar gyfer y dyfodol, gan arwain at gynllun tymor canolig, gan ganolbwyntio ar atal, lles corfforol a meddyliol, iechyd y boblogaeth ac, wrth gwrs, gwasanaethau gofal sylfaenol ac eilaidd. Rwy'n cydnabod bod hwn yn faes blaenoriaeth ar gyfer buddsoddi. Fy mwriad felly yw parhau â'r gefnogaeth hon ar gyfer y blynyddoedd 2021-22 hyd at 2023-24, a chan gynnwys 2023-24. Bydd yn cynnwys fframwaith gwella diwygiedig a datblygu dull matrics aeddfedrwydd i asesu cynnydd. Yn ogystal, bydd Aelodau'n ymwybodol imi gyhoeddi datganiad ysgrifenedig yn hysbysu'r Aelodau y byddaf yn sefydlu grŵp gorchwyl a gorffen i wneud argymhellion imi ynglŷn â chynnig ar gyfer ysgol feddygol yn y gogledd. Bydd y cymorth hwn rwy'n ei gyhoeddi heddiw yn helpu i sicrhau trawsnewid ac arloesi, gan arwain at well canlyniadau, profiad cleifion a pherfformiad ariannol o flwyddyn i flwyddyn. Mae'n arwydd clir o'n hyder cynyddol yng ngallu Bwrdd Iechyd Prifysgol Betsi Cadwaladr i wella a darparu ymhellach y gwasanaethau a'r gofal o safon uchel y mae gan bobl y gogledd bob hawl i'w disgwyl. Diolch, Dirprwy Lywydd.