techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: Minister, you'll know I've raised in the past my concerns about the length of delays at our hospitals - Ysbyty Gwynedd, Ysbyty Glan Clwyd and, of course, Maelor. Now, you'll also know that I believe that community hospitals, and in particular Llandudno district general hospital, have a key role to play in addressing some of these issues. I know that you've been listening, because a bridging service trial has now been undertaken at the Aberconwy ward, an operating theatre has been reintroduced, and a new stroke unit is going to be based there. I'd love a timescale on that, please. But there's more that can be done. Only 43.7 per cent of patients spent less than the four-hour target time at A&E Glan Clwyd, yet at MIU Llandudno the figure is a stomping 97.6 per cent. So there we have it: the MIU is performing exceptionally well. So, Minister, will you look at - ? It hasn't got an overnight doctor and things like that, and there are ways where, I think, you could enhance provision in these community hospitals, and, without doubt, that will take the pressure of these larger hospitals, which are really struggling to cope. Thank you.
Welsh: Weinidog, fe fyddwch yn gwybod fy mod wedi mynegi fy mhryderon yn y gorffennol am hyd yr oedi yn ein hysbytai - Ysbyty Gwynedd, Ysbyty Glan Clwyd, ac wrth gwrs, Ysbyty Maelor Wrecsam. Nawr, fe fyddwch hefyd yn gwybod fy mod yn credu bod gan ysbytai cymunedol, ac yn enwedig ysbyty cyffredinol dosbarth Llandudno, ran allweddol i'w chwarae i fynd i'r afael â rhai o'r materion hyn. Gwn eich bod wedi bod yn gwrando, gan fod treial gwasanaeth pontio wedi'i gynnal yn ward Aberconwy bellach, mae theatr lawdriniaethau wedi'i hailagor, ac mae uned strôc newydd yn mynd i gael ei lleoli yno. Carwn gael amserlen ar gyfer hynny, os gwelwch yn dda. Ond mae mwy y gellir ei wneud. Dim ond 43.7 y cant o gleifion a dreuliodd lai na'r amser targed o bedair awr yn adran ddamweiniau ac achosion brys Ysbyty Glan Clwyd, ac eto, mae'r ffigur yn uned mân anafiadau Llandudno yn 97.6 y cant, sy'n anhygoel. Felly, dyna ni: mae'r uned mân anafiadau'n perfformio'n eithriadol o dda. Felly, Weinidog, a wnewch chi edrych ar - ? Nid oes ganddynt feddyg dros nos a phethau felly, a chredaf fod yna ffyrdd y gallech wella'r ddarpariaeth yn yr ysbytai cymunedol hyn, a heb os, bydd hynny'n lleddfu rhywfaint ar y pwysau ar yr ysbytai mwy hyn, sy'n ei chael hi'n anodd iawn ymdopi. Diolch.
English: Thanks very much. I'm really pleased to hear that things are going from strength to strength in Llandudno, and, certainly, when I visited there, one of the things I really focused on was what are these people doing there, how long have they been here, what's the plan for these people, and it was clear. I met one man there, I remember, who'd had his leg amputated, but he was in a second floor flat. So, it was clear that he was never going to be able to go home, but they hadn't started working that out until he was coming to the end of his treatment. Well, you could have been working that out weeks before, so it's trying to get people to understand the need to work through those things. As soon as they come in through the door, what is the plan to exit these people? I'm really pleased to hear that that bridging service is working really well. And you're quite right - part of what we need to do now across the whole of Wales is to make sure that people understand that there are alternatives to A&E: that they can go to urgent primary care centres, that they can go to same-day emergency care centres, that they can phone 111, they can go their local pharmacy. All of these things are options that weren't there a few years ago, but we have got a plan, obviously, and we have been trying a campaign, Help Us to Help You, to make sure that people know where they should go to get the right help at the right place at the right time.
Welsh: Diolch yn fawr iawn. Rwy'n falch iawn o glywed bod pethau'n mynd o nerth i nerth yn Llandudno, ac yn sicr, pan ymwelais â'r ysbyty hwnnw, un o'r pethau y canolbwyntiais arnynt oedd beth y mae'r bobl hyn yn ei wneud yno, pa mor hir y maent wedi bod yma, beth yw'r cynllun ar gyfer y bobl hyn, ac roedd yn amlwg. Cyfarfûm ag un dyn yno, rwy'n cofio, a oedd wedi cael torri'i goes i ffwrdd, ond roedd yn byw mewn fflat ail lawr. Felly, roedd yn amlwg nad oedd yn mynd i allu mynd adref, ond nid oeddent wedi dechrau datrys y broblem honno hyd nes ei fod yn dod at ddiwedd ei driniaeth. Wel, gallech fod wedi dechrau datrys y broblem honno wythnosau ynghynt, felly mae a wnelo hyn â cheisio cael pobl i ddeall yr angen i weithio drwy'r pethau hynny. Cyn gynted ag y dônt i mewn drwy'r drws, beth yw'r cynllun ar gyfer rhyddhau'r bobl hyn? Rwy'n falch iawn o glywed bod y gwasanaeth pontio hwnnw'n gweithio'n dda iawn. Ac rydych yn llygad eich lle - rhan o'r hyn y mae angen inni ei wneud ledled Cymru gyfan yn awr yw sicrhau bod pobl yn deall bod dewisiadau eraill ar gael heblaw am adrannau damweiniau ac achosion brys: y gallant fynd i ganolfannau gofal sylfaenol brys, gallant fynd i ganolfannau gofal brys ar yr un diwrnod, gallant ffonio 111, gallant fynd i'w fferyllfa leol. Mae'r holl bethau hyn yn opsiynau nad oedd ar gael rai blynyddoedd yn ôl, ond mae gennym gynllun, yn amlwg, ac rydym wedi bod yn rhoi cynnig ar ymgyrch, Helpwch Ni i'ch Helpu Chi, i sicrhau bod pobl yn gwybod i ble y dylent fynd i gael y cymorth iawn yn y lle iawn ar yr adeg iawn.
English: We're working to improve bowel cancer outcomes by improving diagnostic pathways, lowering the screening age in line with UK National Screening Committee recommendations, and improving the quality of bowel cancer treatment.
Welsh: Rydym yn gweithio i wella canlyniadau canser y coluddyn drwy wella llwybrau diagnostig, gostwng yr oedran sgrinio yn unol ag argymhellion Pwyllgor Sgrinio Cenedlaethol y DU, a gwella ansawdd triniaeth canser y coluddyn.
English: Thank you, Minister. I'm really pleased to see the recent lowering of the bowel cancer screening age to 55, as we know that screening people earlier means cancer can be identified earlier. However, it is also important that treatment can be accessed as speedily as possible. So, I was concerned to note that, in July, just 36 per cent of lower gastrointestinal patients in Cwm Taf Morgannwg started their first treatment within 62 days of being suspected of having cancer. As you will know, that is significantly below the suspected cancer pathway performance target. So, what action is the Welsh Government taking to ensure rapid access to treatment?
Welsh: Diolch, Weinidog. Rwy'n falch iawn o weld yr oedran sgrinio ar gyfer canser y coluddyn yn gostwng yn ddiweddar i 55, gan y gwyddom fod sgrinio pobl yn gynharach yn golygu y gellir canfod canser yn gynharach. Fodd bynnag, mae hefyd yn bwysig y gellir cael mynediad at driniaeth cyn gynted â phosibl. Felly, roedd yn flin gennyf nodi, ym mis Gorffennaf, mai 36 y cant yn unig o gleifion â chanserau yn y bibell gastroberfeddol isaf yng Nghwm Taf Morgannwg a ddechreuodd eu triniaeth gyntaf o fewn 62 diwrnod i'r pwynt pan amheuid bod canser arnynt. Fel y gwyddoch, mae hynny'n sylweddol is na'r targed perfformiad ar gyfer llwybr lle'r amheuir canser. Felly, pa gamau y mae Llywodraeth Cymru yn eu cymryd i sicrhau mynediad cyflym at driniaeth?
English: Thanks very much, Vikki. Those figures are clearly too low and unacceptable. That's one of the reasons why today I called a cancer summit meeting - a calling together all of the health boards and the leads for cancer in each of the health boards. One of the issues in particular in relation to lower gastrointestinal cancers is that we've seen, partly as a result of that increased screening, a 38 per cent increase in demand for the service - 38 per cent. That's a huge increase, and clearly we didn't have the capacity to cope with that, and that explains why those levels are so low. But we've got to do something about that, and that's why it was heartening to hear this morning that Cwm Taf Morgannwg are going to increase the number of rooms in the mobile units at the treatment centres to carry out these operations, and that they've also confirmed a single optimal pathway, which makes sure that patients are sent directly to tests so that they don't have a long time waiting before they start on their journey to really try and get the support that they need.
Welsh: Diolch yn fawr, Vikki. Mae'r ffigurau hynny'n amlwg yn rhy isel ac yn annerbyniol. Dyna un o'r rhesymau pam y gelwais am gyfarfod uwchgynhadledd canser heddiw - gan alw'r holl fyrddau iechyd a'r arweinwyr canser ym mhob un o'r byrddau iechyd ynghyd. Un o'r materion yn fwyaf arbennig mewn perthynas â chanserau yn y bibell gastroberfeddol isaf yw ein bod wedi gweld, yn rhannol o ganlyniad i'r cynnydd mewn sgrinio, cynnydd o 38 y cant yn y galw am y gwasanaeth - 38 y cant. Mae hwnnw'n gynnydd enfawr, ac yn amlwg, nid oedd gennym gapasiti i ymdopi â hynny, ac mae hynny'n egluro pam fod y lefelau hynny mor isel. Ond mae'n rhaid inni wneud rhywbeth am hynny, a dyna pam ei bod yn galonogol clywed y bore yma fod bwrdd Cwm Taf Morgannwg yn mynd i gynyddu nifer yr ystafelloedd yn yr unedau symudol yn y canolfannau triniaeth i gynnal y llawdriniaethau hyn, a'u bod hefyd wedi cadarnhau llwybr delfrydol sengl, sy'n sicrhau bod cleifion yn cael eu hanfon yn uniongyrchol am brofion fel nad oes ganddynt amser hir i aros cyn iddynt ddechrau ar eu taith i geisio cael y cymorth sydd ei angen arnynt.
English: Minister, we all know that early diagnosis of bowel cancer is vital. It is a fact that nearly everyone who is diagnosed at the earliest stage will survive. Yet, for years, we have failed to detect this illness quickly enough in Wales. We were ranked twenty-fifth out of 29 European countries for our five-year survival rate. With half of bowel cancer patients being diagnosed at a late stage, four years ago, the United Kingdom National Screening Committee recommended that people aged 50 to 74 should be tested. In Wales, people aged between 50 and 55 are not yet being tested and will have to wait years before this age group is treated the same as elsewhere in the UK. This reprehensible performance by Welsh Ministers has put the lives of many people at risk. So, what action are you taking to ensure those between the age of 50 and 55 are supported now, before the screening age is lowered in two years' time? Thank you.
Welsh: Weinidog, gŵyr pob un ohonom ei bod yn hanfodol cael diagnosis cynnar o ganser y coluddyn. Mae'n ffaith y bydd bron pawb sy'n cael diagnosis ar y cam cynharaf yn goroesi. Serch hynny, ers blynyddoedd, rydym wedi methu canfod y salwch hwn yn ddigon cyflym yng Nghymru. Roeddem yn bumed ar hugain allan o 29 o wledydd yn Ewrop ar gyfer y gyfradd oroesi pum mlynedd. Gyda hanner y cleifion canser y coluddyn yn cael diagnosis yn hwyrach, bedair blynedd yn ôl, argymhellodd Pwyllgor Sgrinio Cenedlaethol y Deyrnas Unedig y dylai pobl rhwng 50 a 74 oed gael prawf. Yng Nghymru, nid yw pobl rhwng 50 a 55 oed yn cael eu profi eto, a bydd rhaid inni aros am flynyddoedd cyn i'r grŵp oedran hwn gael ei drin yr un fath ag mewn mannau eraill yn y DU. Mae'r perfformiad gwarthus hwn gan Weinidogion Cymru wedi peryglu bywydau llawer o bobl. Felly, pa gamau yr ydych yn eu cymryd i sicrhau bod pobl rhwng 50 a 55 oed yn cael eu cefnogi yn awr, cyn i'r oedran sgrinio gael ei ostwng ymhen dwy flynedd? Diolch.
English: Thank you. I'm glad to see that we've reduced the age at which we're now sending out faecal immunochemical tests to the over-55s, but you're right, we've got to go further, but we've got to do it at the same time as increasing capacity. We are now looking at training more clinicians, so that when that demand - and you've heard that demand, a 38 per cent increase - . That is a huge increase, so you've got to prepare for that. We've got new equipment and new facilities, and I'm sure you will have heard also, at the beginning of the week, about our rapid diagnostic centres that are the first to be rolled out in the United Kingdom, and that should also help as well. So, all of those things will come in, but there's no point expanding until we're ready to support the people when they get the diagnosis. So, we're at that point - we're building the capacity. Certainly, I was heartened to hear this morning that those measures and those steps are being put in place across Wales.
Welsh: Diolch. Rwy'n falch o weld ein bod bellach wedi gostwng yr oedran yr ydym yn anfon profion imiwnocemegol ar ysgarthion i bobl dros 55 oed, ond rydych yn llygad eich lle, mae'n rhaid inni wneud mwy, ond mae'n rhaid inni wneud hynny ar yr un pryd â chynyddu capasiti. Rydym wrthi'n edrych ar hyfforddi mwy o glinigwyr er mwyn sicrhau, pan fydd y galw hwnnw - ac rydych wedi clywed am y galw hwnnw, cynnydd o 38 y cant - . Mae hwnnw'n gynnydd enfawr, felly rhaid ichi baratoi ar gyfer hynny. Mae gennym offer newydd a chyfleusterau newydd, ac rwy'n siŵr y byddwch wedi clywed hefyd, ddechrau'r wythnos, am ein canolfannau diagnosis cyflym, y rhai cyntaf i gael eu cyflwyno yn y Deyrnas Unedig, a dylai hynny fod o gymorth hefyd. Felly, bydd yr holl bethau hynny'n cael eu cyflwyno, ond nid oes diben ehangu hyd nes ein bod yn barod i gefnogi'r bobl pan fyddant yn cael y diagnosis. Felly, rydym ar y pwynt hwnnw - rydym yn adeiladu'r capasiti. Yn sicr, roedd yn galonogol clywed y bore yma fod y mesurau hynny a'r camau hynny'n cael eu rhoi ar waith ledled Cymru.
English: Whilst we recognise that e-cigarettes are being used by some of those wanting to quit smoking, the evidence around their long-term impact is still emerging. We intend to look closely at our policy on e-cigarettes in Wales, including for smoking cessation, as part of our new tobacco control delivery plan.
Welsh: Er ein bod yn cydnabod bod e-sigaréts yn cael eu defnyddio gan rai pobl sydd am roi'r gorau i ysmygu, mae'r dystiolaeth ynghylch eu heffaith hirdymor yn dal i ddatblygu. Rydym yn bwriadu edrych yn fanwl ar ein polisi ar e-sigaréts yng Nghymru, gan gynnwys ar gyfer rhoi'r gorau i ysmygu, fel rhan o'n cynllun cyflawni newydd ar reoli tybaco.
English: Thank you, Deputy Minister. On Tuesday of last week, in First Minister's questions, the First Minister said that the evidence is that, for most people who use an e-cigarette, it is as well as and not instead of a conventional cigarette - 85 per cent in recent studies show a dual use. That is what he said. My office spoke to ASH Wales soon after, and they are not sure where this figure has come from. They also asked their sister organisation, ASH UK, and they also don't seem to know where this figure has come from. The stat seems to contradict the GP survey marks that vaping is most prevalent within the ex-smoker group. Minister, in Wales, the average percentage of smokers is 18 per cent and just 7 per cent for e-cigarettes. Of those using e-cigarettes, 76 per cent use them to quit smoking. So, Minister, don't you think it's time you started recognising e-cigarettes for their benefits and their role in weaning smokers off cigarettes so that we can finally reduce our smoking numbers in Wales?
Welsh: Diolch, Ddirprwy Weinidog. Ddydd Mawrth diwethaf, yn y cwestiynau i'r Prif Weinidog, dywedodd y Prif Weinidog mai'r dystiolaeth yw, i'r rhan fwyaf o bobl sy'n defnyddio e-sigarét, eu bod yn gwneud hynny yn ogystal ag yn hytrach nag yn lle sigaréts confensiynol - nodwyd defnydd deuol gan 85 y cant mewn astudiaethau diweddar. Dyna a ddywedodd. Siaradodd fy swyddfa ag ASH Cymru yn fuan wedyn, ac nid ydynt yn siŵr o ble y daeth y ffigur hwn. Fe wnaethant ofyn hefyd i'w chwaer-sefydliad, ASH UK, ac nid yw'n ymddangos eu bod hwythau ychwaith yn gwybod o ble y daeth y ffigur hwn. Ymddengys bod yr ystadegyn yn gwrth-ddweud canfyddiad arolwg y meddygon teulu fod defnyddio e-sigaréts yn fwyaf cyffredin o fewn y grŵp cyn-ysmygwyr. Weinidog, yng Nghymru, y ganran gyfartalog o ysmygwyr yw 18 y cant, a dim ond 7 y cant ar gyfer e-sigaréts. O'r rhai sy'n defnyddio e-sigaréts, mae 76 y cant yn eu defnyddio i roi'r gorau i ysmygu. Felly, Weinidog, onid ydych yn credu ei bod yn bryd ichi ddechrau cydnabod manteision e-sigaréts a'u rôl yn diddyfnu ysmygwyr oddi ar sigaréts fel y gallwn leihau o'r diwedd y niferoedd sy'n ysmygu yng Nghymru?
English: As of 11 October, a total of 363,000 COVID-19 vaccination boosters have been administered in Wales. The programme is on track for all eligible people to receive an invitation for their booster by 30 November, in line with the commitment given in our winter respiratory vaccination strategy, which was published on 15 July.
Welsh: Hyd at 11 Hydref, roedd cyfanswm o 363,000 o bigiadau atgyfnerthu COVID-19 wedi'u rhoi yng Nghymru. Mae'r rhaglen ar y trywydd iawn i roi gwahoddiad i'r holl bobl gymwys gael eu pigiad atgyfnerthu erbyn 30 Tachwedd, yn unol â'r ymrwymiad a roddwyd yn ein strategaeth frechu'r gaeaf yn erbyn feirysau anadlol, a gyhoeddwyd gennym ar 15 Gorffennaf.
English: Thank you, Minister. That's excellent news. The vaccine, of course, is the most effective way to defend ourselves against COVID, and, in order to live with the virus, it's incumbent on us all to accept the jab when it's available to us. It's also vital that the roll-out of the programme continues in the most efficient and equitable way. Are you confident that people are able to have the vaccine in a consistent time frame across all communities and for each age group in Wales?
Welsh: Diolch, Weinidog. Dyna newyddion rhagorol. Y brechlyn, wrth gwrs, yw'r ffordd fwyaf effeithiol o ddiogelu ein hunain rhag COVID, ac er mwyn byw gyda'r feirws, mae'n ddyletswydd ar bob un ohonom i gael y pigiad pan fydd ar gael i ni. Mae hefyd yn hanfodol fod y broses o gyflwyno'r rhaglen yn parhau yn y ffordd fwyaf effeithlon a theg. A ydych yn hyderus fod pobl yn gallu cael y brechlyn o fewn amserlen gyson ar draws pob cymuned ac ar gyfer pob grŵp oedran yng Nghymru?
English: Thanks very much. Well, we are talking about trying to get this booster to 1.6 million eligible people in Wales. That's being delivered through 400 vaccination sites, so I think that does give you the coverage that should allow people to take up that opportunity. As I say, our target is to get to a 75 per cent uptake of that cohort, and so far we're on track. So, we're getting to it. I'm slightly concerned that we're not getting the response from health and care workers that I had hoped we'd get, so I would encourage people to try and encourage those health and care workers in particular to take up that opportunity, in addition, of course, to vulnerable people, and to come forward if it's offered. I know that, in Clwyd South, for example, 34 per cent of the people eligible have already had their vaccinations.
Welsh: Diolch yn fawr iawn. Wel, rydym yn sôn am geisio darparu'r pigiad atgyfnerthu i 1.6 miliwn o bobl gymwys yng Nghymru. Mae'r gwaith hwnnw'n cael ei gyflawni drwy 400 o safleoedd brechu, felly credaf fod y ddarpariaeth honno'n ddigonol i ganiatáu i bobl fanteisio ar y cyfle hwnnw. Fel y dywedaf, ein targed yw cyrraedd 75 y cant o'r garfan honno, a hyd yn hyn, rydym ar y trywydd iawn i gyflawni'r targed hwnnw. Felly, rydym yn gwneud cynnydd. Rwyf ychydig yn bryderus nad ydym yn cael yr ymateb gan weithwyr iechyd a gofal yr oeddwn wedi gobeithio'i gael, felly hoffwn annog pobl i geisio annog y gweithwyr iechyd a gofal hynny'n benodol i fanteisio ar y cyfle, yn ogystal, wrth gwrs, â phobl agored i niwed, ac i'w gael os caiff ei gynnig. Yn Ne Clwyd, er enghraifft, gwn fod 34 y cant o'r bobl sy'n gymwys eisoes wedi cael eu brechiadau.
English: Thank you very much. Last week, Minister -
Welsh: Diolch yn fawr iawn. Wythnos diwethaf, Weinidog, ges i -
English: Sorry, I skipped ahead.
Welsh: Sori, sori, dwi'n neidio ymlaen gormod.
English: It's a catching habit.
Welsh: Mae'n arfer heintus.
English: Thank you very much. The Hywel Dda University Health Board workforce is now at record levels, but we recognise the workforce challenges in mid and west Wales alongside significant demand pressures on services.
Welsh: Diolch yn fawr. Mae gweithlu Bwrdd Iechyd Prifysgol Hywel Dda nawr wedi cyrraedd lefel na welwyd erioed o'r blaen. Ond, rŷn ni'n cydnabod yr heriau o ran y gweithlu yn y canolbarth a'r gorllewin ar yr un pryd â'r pwysau sydd ar wasanaethau yn sgil galw sylweddol.
English: Thank you very much. Last week, as I said, I had the pleasure of meeting with the RCN here in the Senedd to discuss their latest report, and in the evening I had the pleasure of meeting a number of nurses from the mid and west Wales region. I heard about the huge work pressures that they're facing: a lack of staff; insufficient pay; morale being low; and they said that they were exhausted, that they were disheartened because they couldn't do their work as they wished to. There are also strategic problems, such as insufficient planning to retain nurses, insufficient recruitment and planning of support for the workforce, and so on. So, alongside the low wages and challenging working environment, I'm not surprised that so many nurses are leaving the sector. The problem is that, across the Hywel Dda area, there are around 540 registered nurse vacancies. This is amongst the highest in Wales. This health board also has one of the highest levels of nurses employed via agencies. This has increased 46 per cent over the past year and costs close to £29 million. So, bearing all of this in mind, Minister, what steps will you be taking to put together a strategy for retaining more nurses in the profession?
Welsh: Diolch yn fawr iawn. Yr wythnos diwethaf, fel dywedais i, ges i'r pleser o gwrdd â'r RCN fan hyn yn y Senedd i gael trafod eu hadroddiad diweddaraf, ac yn y nos ges i'r pleser o gwrdd â nifer o nyrsys o ranbarth y gorllewin a'r canolbarth a chlywed am y pwysau gwaith aruthrol maen nhw'n ei wynebu: prinder staff; tâl annigonol; morâl yn isel; ac yn dweud eu bod nhw wedi blino'n lân; teimlo'n ddigalon achos bod nhw'n methu gwneud eu gwaith yn iawn; problemau strategol megis cynlluniau annigonol i gadw nyrsys yn eu gwaith; recriwtio annigonol; cynllunio cefnogaeth i'r gweithlu, ac yn y blaen. Felly, ynghyd â'u cyflogau isel ac amodau gwaith heriol, dyw hi ddim yn syndod, felly, fod cymaint o nyrsys yn gadael y sector. Ond y broblem yw, ar draws ardal Hywel Dda, fod tua 540 o swyddi gwag ar gyfer nyrsys cofrestredig, gyda'r uchaf yng Nghymru, ac mae'r bwrdd iechyd yma hefyd gyda'r uchaf yn cyflogi nyrsys sy'n cael eu talu gan asiantaeth. Mae hwn wedi codi 46 y cant yn ystod y flwyddyn ddiwethaf ac yn costio'n agos i £29 miliwn. Felly, ac ystyried hyn, Weinidog, pa gamau fyddwch chi'n eu cymryd i greu strategaeth ar gyfer cadw mwy o nyrsys yn y proffesiwn?