techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: Well, I've never tried to stand up and say, 'Everything is fine, look the other way.' That is just not the approach that I've taken at all. And I just don't think that an exercise in post-event justification is particularly helpful or useful in terms of taking forward our national health service. The range of the issues that the Member raises - . She's entitled to have views that say she wants to reorganise parts of the health service. She's perfectly entitled to have those views, but in terms of trying to say that what is now required is to amend or withdraw the healthcare quality and governance Bill that the Assembly passed through Stage 1 yesterday I just don't think is the right thing at all. Because what the significance of what the Member has talked about is that this is entirely new legislation that takes us in a different direction, so in the parts on quality and candour that the Bill actually sets out - and we will go through the scrutiny of that Bill, through Stage 2, and I hope Stage 3 as well - that's a different matter entirely. And we've rehearsed before the issues around whether to have an entirely different management and registration system for managers within the national health service. I'm open-minded as to what the future could and should look like, but I'm practical about how we deliver that, and I don't think that a couple of speeches in the Chamber and a demand to change legislation is really an honest answer to how we could get there.
Welsh: Wel, nid wyf erioed wedi ceisio sefyll a dweud, 'Mae popeth yn iawn, edrychwch y ffordd arall.' Nid dyna fy agwedd o gwbl. Ac ni chredaf fod ymarfer cyfiawnhau ar ôl y digwyddiad yn arbennig o ddefnyddiol nac o gymorth i ddatblygu ein gwasanaeth iechyd gwladol. Mae'r nifer o faterion a godwyd gan yr Aelod - . Mae ganddi hawl i gael barn sy'n dweud ei bod am ad-drefnu rhannau o'r gwasanaeth iechyd. Mae ganddi berffaith hawl i'r farn honno, ond o ran ceisio dweud mai'r hyn sydd ei angen yn awr yw newid neu dynnu'n ôl y Bil ansawdd a llywodraethu gofal iechyd a basiwyd gan y Cynulliad yng Nghyfnod 1 ddoe, ni chredaf mai dyna'r peth iawn o gwbl. Oherwydd arwyddocâd yr hyn y mae'r Aelod wedi sôn amdano yw bod hon yn ddeddfwriaeth hollol newydd sy'n mynd â ni i gyfeiriad gwahanol, felly yn y rhannau ar ansawdd a gonestrwydd y mae'r Bil yn eu nodi mewn gwirionedd - a byddwn yn craffu ar y Bil hwnnw, drwy Gyfnod 2, a Chyfnod 3 hefyd, gobeithio - mae hynny'n fater cwbl wahanol. Ac rydym wedi sôn eisoes am y materion sy'n ymwneud ag a ddylid cael system reoli a chofrestru hollol wahanol ar gyfer rheolwyr yn y gwasanaeth iechyd gwladol. Mae gennyf feddwl agored ynglŷn â sut y gallai a sut y dylai'r dyfodol edrych, ond rwy'n ymarferol o ran sut y cyflawnwn hynny, ac ni chredaf fod ambell araith yn y Siambr a galw am newid deddfwriaeth yn ateb gonest i sut y gallem gyrraedd yno mewn gwirionedd.
English: Diolch, Dirprwy Lywydd. Minister, I was shocked to learn that, out of nearly 0.5 million calls to 999 last year, around a quarter of the calls were not serious. Welsh ambulance service staff were tied up with dealing with calls ranging from a stubbed toe to hiccups, instead of helping people in genuine need. The Welsh Ambulance Services NHS Trust has launched a campaign to encourage the sensible use of the ambulance service. Minister, what can we, here, in this Chamber do to support the Be Wise Save Lives campaign?
Welsh: Diolch, Ddirprwy Lywydd. Weinidog, cefais fy synnu wrth glywed, o bron i 0.5 miliwn o alwadau 999 y llynedd, nad oedd oddeutu chwarter y galwadau yn rhai difrifol. Roedd staff gwasanaeth ambiwlans Cymru yn brysur yn ymdrin â galwadau a oedd yn amrywio o bobl wedi taro bys eu troed i igian, yn hytrach na helpu pobl mewn gwir angen. Mae Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru wedi lansio ymgyrch i annog defnydd synhwyrol o'r gwasanaeth ambiwlans. Weinidog, beth y gallwn ei wneud yma yn y Siambr hon i gefnogi ymgyrch Byddwch yn Ddoeth, Achubwch Fywydau?
English: Well, the Be Wise Save Lives campaign sadly is run every year, or a version of it, because we regularly understand that there are people who don't make the best use of our emergency services and, in particular, in this case, the Welsh ambulance service. It's partly about equipping the public with information so that they can choose for themselves - the Choose Well campaign that we run each year - and it's also partly about asking people to have some common sense and to show some respect for the way in which they use the Welsh ambulance service. And all of us, regardless of our party perspectives, I think, could take some time to try to support and promote that campaign so that all of our constituents make better use of emergency services and those who are in real need of that emergency service are more likely to receive the help they will need at that point in time.
Welsh: Wel, yn anffodus, mae ymgyrch Byddwch yn Ddoeth, Achubwch Fywydau yn cael ei chynnal bob blwyddyn, neu fersiwn ohoni, gan ein bod yn deall yn rheolaidd nad yw rhai pobl yn gwneud y defnydd gorau o'n gwasanaethau brys, ac yn benodol, yn yr achos hwn, gwasanaeth ambiwlans Cymru. Mae'n ymwneud yn rhannol â rhoi gwybodaeth i'r cyhoedd fel y gallant ddewis drostynt eu hunain - yr ymgyrch Dewis Doeth rydym yn ei chynnal bob blwyddyn - ac mae hefyd yn ymwneud yn rhannol â gofyn i bobl gael rhywfaint o synnwyr cyffredin a dangos parch yn y ffordd y maent yn defnyddio gwasanaeth ambiwlans Cymru. A chredaf y gallai pob un ohonom, ni waeth beth yw ein safbwyntiau pleidiol, roi peth amser i geisio cefnogi a hyrwyddo'r ymgyrch honno fel bod pob un o'n hetholwyr yn gwneud gwell defnydd o wasanaethau brys, a bod y rhai sydd wir angen y gwasanaeth brys hwnnw yn fwy tebygol o gael y cymorth y bydd ei angen arnynt ar yr adeg honno.
English: Thank you for that answer, Minister. And, of course, as we enter the winter period, the pressure placed upon the ambulance service is enormous. We have seen record rates of sickness absence in the Welsh ambulance trust, putting more pressure on the service. Difficulty in accessing out-of-hours care continues to drive patients towards our overstretched accident and emergency departments, which has a knock-on effect on ambulance handover times. So, Minister, what steps has your Government taken to ensure the efficient handover of patients at emergency departments this winter in order to ensure our ambulance service is not stretched to breaking point?
Welsh: Diolch am eich ateb, Weinidog. Ac wrth gwrs, wrth inni fynd i mewn i'r gaeaf, mae'r pwysau ar y gwasanaeth ambiwlans yn enfawr. Rydym wedi gweld y cyfraddau uchaf erioed o absenoldeb oherwydd salwch yn ymddiriedolaeth ambiwlans Cymru, sy'n rhoi mwy o bwysau ar y gwasanaeth. Mae trafferth i gael mynediad at ofal y tu allan i oriau yn parhau i yrru cleifion tuag at ein hadrannau damweiniau ac achosion brys, sydd eisoes wedi eu gorymestyn, ac mae hynny, yn ei dro, yn cael effaith ar amseroedd trosglwyddo ambiwlansys. Felly, Weinidog, pa gamau y mae eich Llywodraeth wedi'u cymryd i sicrhau bod cleifion mewn adrannau brys yn cael eu trosglwyddo'n effeithlon y gaeaf hwn er mwyn sicrhau nad yw ein gwasanaeth ambiwlans yn cael ei ymestyn hyd at dorri?
English: Well, there is a range of measures that are already in place and being introduced as part of the winter plans. Of the money that I previously announced, some of it went directly to health boards and some went to nationally directed services, and, indeed, £17 million was determined between regional partnership boards. Lots of it is about looking at the whole system. It's partly about taking pressure off the front door of an A&E unit, but it's much more than that. It is about keeping people well at home so that they don't need to go into an emergency department. It's also about getting people through and out of the hospital when it's no longer the right place for their care. And we are dealing with record demands being placed on our health service. It isn't just that October was the busiest month in terms of emergency department attendances but, for the ambulance service, it was the busiest October ever, with the highest number of red calls ever - a growth of 35 per cent in the most serious calls to our ambulance service since the new clinical response model was introduced just four years ago. So, part of our challenge is delivering that capacity. I'll set out again in the future the measures that are already taking place and how that is helping us to try to deliver appropriate, compassionate and timely care even through the winter period.
Welsh: Wel, mae nifer o fesurau eisoes ar waith ac yn cael eu cyflwyno fel rhan o gynlluniau'r gaeaf. O'r arian a gyhoeddais o'r blaen, aeth rhywfaint ohono'n uniongyrchol i fyrddau iechyd ac aeth rhywfaint i wasanaethau a gyfarwyddir yn genedlaethol, ac yn wir, pennwyd £17 miliwn rhwng y byrddau partneriaeth rhanbarthol. Mae llawer o hynny'n ymwneud ag edrych ar y system gyfan. Mae'n ymwneud yn rhannol â chael gwared ar y pwysau o ddrws blaen yr uned ddamweiniau ac achosion brys, ond mae'n llawer mwy na hynny. Mae'n ymwneud â chadw pobl yn iach gartref fel nad oes angen iddynt fynd i adran achosion brys. Mae hefyd yn ymwneud â sicrhau bod pobl yn dod allan o'r ysbyty pan nad dyna'r lle iawn ar gyfer eu gofal mwyach. Ac rydym yn ymdrin â'r nifer fwyaf erioed o alwadau ar ein gwasanaeth iechyd. Nid yn unig mai mis Hydref oedd y mis prysuraf o ran y nifer a fynychodd adrannau brys, ond i'r gwasanaeth ambiwlans, hwn oedd y mis Hydref prysuraf erioed, gyda'r nifer fwyaf o alwadau coch erioed - cynnydd o 35 y cant yn y galwadau mwyaf difrifol i'n gwasanaeth ambiwlans ers cyflwyno'r model ymateb clinigol newydd bedair blynedd yn ôl. Felly, mae rhan o'n her yn ymwneud â darparu'r capasiti hwnnw. Byddaf yn nodi eto yn y dyfodol y mesurau sydd eisoes ar waith a sut y mae hynny'n ein helpu i geisio darparu gofal priodol, tosturiol ac amserol hyd yn oed dros gyfnod y gaeaf.
English: Our plan for health and social care, 'A Healthier Wales', aims to strengthen the voice of the citizen and ensure that we listen to and engage with the people of Wales. Information is provided to patients in a variety of ways to try to meet the varying needs and preferences of people across the country.
Welsh: Nod ein cynllun ar gyfer iechyd a gofal cymdeithasol, 'Cymru Iachach', yw cryfhau llais y dinesydd a sicrhau ein bod yn gwrando ar bobl Cymru ac yn ymgysylltu â hwy. Darperir gwybodaeth i gleifion mewn amryw o ffyrdd i geisio diwallu anghenion a dewisiadau amrywiol pobl ledled y wlad.
English: I thank the Minister for that answer, but not only is communication between NHS staff and patients critical, but, I'm sure we'd all agree, good communication throughout all NHS institutions can be crucial in patient care. We've had several instances brought to us by constituents that this communication is often not satisfactory, in particular communication between Nevill Hall Hospital in my area with other hospitals. In a specific instance, their communication with both the Princess of Wales Hospital and the Royal Glamorgan has resulted in poor patient care. Is this the result of the patient being moved through different hospital boards? This hiatus in communication between patient medical records is having a direct effect on quality and continuity in the care a patient receives. As has been alluded to, good information on patient treatment regimes is critical to the care and outcomes of that treatment. We've also been made aware that medical practitioners, strangely, including consultants, cannot directly access patient information from Velindre. Would the Minister please look closely at these apparent failures?
Welsh: Diolch i'r Gweinidog am ei ateb, ond nid yn unig fod cyfathrebu rhwng staff y GIG a chleifion yn hollbwysig, rwy'n siŵr y byddai pob un ohonom yn cytuno y gall cyfathrebu da drwy holl sefydliadau'r GIG fod yn hanfodol i ofal cleifion. Mae etholwyr wedi tynnu ein sylw at sawl achos lle nad yw'r cyfathrebu hwn yn foddhaol yn aml, ac yn benodol, cyfathrebu rhwng Ysbyty Nevill Hall yn fy ardal i ac ysbytai eraill. Mewn un achos penodol, mae eu cyfathrebu ag Ysbyty Tywysoges Cymru ac Ysbyty Brenhinol Morgannwg wedi arwain at ofal gwael i gleifion. Ai dyma ganlyniad symud cleifion drwy wahanol fyrddau ysbytai? Mae'r bwlch cyfathrebu hwn rhwng cofnodion meddygol cleifion yn cael effaith uniongyrchol ar ansawdd a pharhad y gofal y mae claf yn ei dderbyn. Fel y dywedwyd, mae gwybodaeth dda am drefniadau triniaeth cleifion yn allweddol i ofal a chanlyniadau'r driniaeth honno. Rydym wedi cael gwybod hefyd na all ymarferwyr meddygol, yn rhyfedd iawn, gan gynnwys meddygon ymgynghorol, gael mynediad uniongyrchol at wybodaeth cleifion o Felindre. A wnaiff y Gweinidog edrych yn ofalus ar y methiannau ymddangosiadol hyn?
English: We've had a real challenge in making sure that, as we've normalised the way in which we use information in our everyday lives, the health service catches up with that, in the way that we move some of the industrial-scale records that we create, with all of the different patient episodes that the health service provides - over 18 million patient interactions for a country of just over 3 million in one year. Our challenge is to make sure that that is available to people who require that information in front of them when they're actually providing care with and for that person. We've made lots of progress in the last 10 years in doing that, but our challenge is that there is still much more to be done. That's why the announcements I've made on digital infrastructure and connectivity in the service matter so much, and it's why actually having a new fit-for-purpose system in primary care matters as well - to make sure that information is properly available to whoever needs it and, more than that, in the contract reform programme we have, to make sure we have a version of the patient record available to other healthcare professionals that we are directing and encouraging people to use, whether that's in ophthalmology on a high street in an optician or, indeed, in a pharmacy or other settings.
Welsh: Rydym wedi wynebu her wirioneddol wrth sicrhau, wrth inni normaleiddio'r ffordd rydym yn defnyddio gwybodaeth yn ein bywydau bob dydd, fod y gwasanaeth iechyd yn dal i fyny â hynny, yn y ffordd rydym yn symud y cofnodion rydym yn eu creu ar raddfa ddiwydiannol, gyda'r holl wahanol episodau gofal cleifion y mae'r gwasanaeth iechyd yn eu darparu - dros 18 miliwn o ryngweithiadau cleifion mewn un flwyddyn mewn gwlad ag ychydig dros 3 miliwn o boblogaeth. Yr her i ni yw sicrhau bod yr wybodaeth ar gael wrth law i'r bobl sydd ei hangen pan fyddant yn darparu gofal gyda ac ar gyfer yr unigolyn hwnnw. Rydym wedi gwneud llawer o gynnydd dros y 10 mlynedd diwethaf yn hynny o beth, ond yr her i ni yw fod mwy o lawer i'w wneud o hyd. Dyna pam fod y cyhoeddiadau a wneuthum ar seilwaith digidol a chysylltedd yn y gwasanaeth mor bwysig, a dyna pam fod cael system addas i'r diben newydd mewn gofal sylfaenol yn bwysig hefyd - i sicrhau bod gwybodaeth ar gael i bwy bynnag sydd ei hangen, ac yn fwy na hynny, yn y rhaglen ddiwygio contractau sydd gennym, i sicrhau bod gennym fersiwn o gofnod y claf ar gael i weithwyr gofal iechyd proffesiynol eraill rydym yn eu cyfarwyddo ac yn annog pobl i'w defnyddio, boed hynny ym maes offthalmoleg ar y stryd fawr mewn siop optegydd, neu'n wir, mewn fferyllfa neu leoliadau eraill.
English: Minister, the Welsh Language Commissioner recently launched a campaign to raise awareness of the need for further development of a bilingual workforce in the NHS in Wales. He warned that Welsh-speaking patients are suffering and may even be put at risk if they cannot communicate with health professionals through the medium of Welsh. International research shows that people with dementia lose the ability to communicate in their second language after some time or later in age. Minister, what action are you taking to ensure that healthcare services are designed so that patients can receive treatment and care through the medium of Welsh or their own language? Thank you.
Welsh: Weinidog, yn ddiweddar, lansiodd Comisiynydd y Gymraeg ymgyrch i godi ymwybyddiaeth o'r angen i ddatblygu gweithlu dwyieithog ymhellach yn y GIG yng Nghymru. Rhybuddiodd fod cleifion sy'n siarad Cymraeg yn dioddef ac y gallant wynebu risg, hyd yn oed, os na allant gyfathrebu â gweithwyr iechyd proffesiynol drwy gyfrwng y Gymraeg. Dengys ymchwil ryngwladol fod pobl â dementia yn colli'r gallu i gyfathrebu yn eu hail iaith ar ôl peth amser neu pan fyddant yn hŷn. Weinidog, pa gamau rydych yn eu cymryd i sicrhau bod gwasanaethau gofal iechyd yn cael eu cynllunio fel y gall cleifion dderbyn triniaeth a gofal drwy gyfrwng y Gymraeg neu eu hiaith eu hunain? Diolch.
English: We're making significant efforts to think about how we recruit and train people, and how we open up careers in healthcare at a much earlier age. For example, we've done some work with Welsh-medium schools about encouraging some of their students to consider a career in the health service, not just to be a doctor but the wider range of care services available. When we think about what we're doing to support people, for example, we're retaining the bursary to make sure that people who study locally in a range of those nursing and wider associated healthcare professional roles are supported by the bursary. That means that people who are local to home are more likely to study locally and more likely to carry on working there, because a range of those people aren't traditional undergraduates at the age of 18 or 19. When they start, they're often people who have their own responsibilities. So, where and how we train our staff, and where and how we recruit them, matters. Making sure that people have the idea that a career in the health service is open and available to them at a much earlier point is part of the work that we're doing to do just that.
Welsh: Rydym yn gwneud ymdrechion sylweddol i feddwl ynglŷn â sut rydym yn recriwtio a hyfforddi pobl, a sut rydym yn agor y drws i yrfaoedd mewn gofal iechyd yn llawer cynharach. Er enghraifft, rydym wedi gwneud peth gwaith gydag ysgolion cyfrwng Cymraeg ar annog rhai o'u myfyrwyr i ystyried gyrfa yn y gwasanaeth iechyd, nid yn unig i fod yn feddyg ond yr ystod ehangach o wasanaethau gofal sydd ar gael. Pan feddyliwn am yr hyn a wnawn i gefnogi pobl, er enghraifft, rydym yn cadw'r fwrsariaeth i sicrhau bod pobl sy'n astudio'n lleol mewn ystod o rolau nyrsio a gofal iechyd proffesiynol cysylltiedig ehangach yn cael eu cefnogi gan y fwrsariaeth. Golyga hynny fod pobl sy'n lleol i'w cartref yn fwy tebygol o astudio'n lleol ac yn fwy tebygol o barhau i weithio yno, gan nad yw ystod o'r bobl hynny'n israddedigion traddodiadol 18 neu 19 oed. Pan fyddant yn cychwyn, maent yn aml yn bobl sydd â'u cyfrifoldebau eu hunain. Felly, mae ble a sut rydym yn hyfforddi ein staff, a ble a sut rydym yn eu recriwtio, yn bwysig. Mae sicrhau bod pobl yn ymwybodol fod gyrfa yn y gwasanaeth iechyd yn agored ac ar gael iddynt yn gynharach o lawer yn rhan o'r gwaith a wnawn i wneud yn union hynny.
English: Minister, I'm sure I'm not the only Member who's had problems of patients seeking help with getting their ears syringed from their GP, and being inaccurately referred to the private sector, where they charge up to £75. So, could you tell us how you're going to ensure that GP surgeries are communicating accurately with patients as to how they can access these services within secondary care, if they can't get that service from their own GP?
Welsh: Weinidog, rwy'n siŵr nad fi yw'r unig Aelod sydd wedi cael problemau'n ymwneud â chleifion yn ceisio cymorth i gael eu clustiau wedi'u chwistrellu gan eu meddyg teulu, a chael eu cyfeirio'n anghywir at y sector preifat, lle maent yn codi hyd at £75. Felly, a allech ddweud wrthym sut y byddwch yn sicrhau bod meddygfeydd yn cyfathrebu'n gywir â chleifion ynglŷn â sut y gallant gael mynediad at y gwasanaethau hyn o fewn gofal eilaidd, os na allant gael y gwasanaeth hwnnw gan eu meddyg teulu eu hunain?
English: The first point is just a point about language, because ear syringing is a particular method of removing wax that is no longer National Institute for Health and Care Excellence approved, and so we try not to refer to ear syringing - I know it's not just about changing language, it is a particular method itself - but to ear wax management, to try to make sure that, where people can, they can self-manage or, indeed, if they need intervention, have that provided. It is an NHS service, so people should not be referred into the private sector and be told that there is no NHS service available. There are a range of pilots taking place within the health service, some in north-east Wales, on having primary care audiology clinics available, but also within south-west Wales in the Cwm Tawe cluster. They've also got the same sort of approach in making audiology much more widely available. We will be re-communicating with colleagues in primary care about the range of services that are available, and to reiterate the message that it is an NHS Wales service and people should be provided with an NHS provider to do just that.
Welsh: Pwynt am yr iaith yn unig yw'r pwynt cyntaf, oherwydd mae chwistrellu clustiau yn ddull arbennig o gael gwared â chwyr nad yw bellach yn cael ei gymeradwyo gan y Sefydliad Cenedlaethol dros Ragoriaeth mewn Iechyd a Gofal, ac felly rydym yn ceisio peidio â chyfeirio at chwistrellu clustiau - gwn nad yw'n ymwneud â newid iaith yn unig, mae'n ddull arbennig ynddo'i hun - ond yn hytrach at reoli cwyr clust, i geisio sicrhau, lle bo'n bosibl, fod pobl yn gallu ei reoli eu hunain neu'n wir, os oes angen ymyriad arnynt, ei fod yn cael ei ddarparu. Gwasanaeth GIG ydyw, felly ni ddylid atgyfeirio pobl i'r sector preifat a dweud wrthynt nad oes gwasanaeth GIG ar gael. Mae amrywiaeth o gynlluniau peilot yn digwydd o fewn y gwasanaeth iechyd, rhai yng ngogledd-ddwyrain Cymru, i sicrhau bod clinigau awdioleg gofal sylfaenol ar gael, ond hefyd yn ne-orllewin Cymru yng nghlwstwr Cwm Tawe. Maent yn gweithredu yn yr un math o ffordd drwy sicrhau bod awdioleg ar gael yn ehangach o lawer. Byddwn yn ail-gyfathrebu â chydweithwyr ym maes gofal sylfaenol ynglŷn â'r amrywiaeth o wasanaethau sydd ar gael, ac yn ailadrodd y neges mai gwasanaeth GIG Cymru ydyw a dylai pobl gael darparwr GIG i wneud hynny.
English: I expect patients to be seen and treated in a timely manner and within our targets. We have made available £50 million to health boards to build on the recent progress and improve waiting times further by March 2020. Swansea Bay University Health Board has received its share of this national funding.
Welsh: Rwy'n disgwyl i gleifion gael eu gweld a'u trin mewn modd amserol ac o fewn ein targedau. Rydym wedi sicrhau bod £50 miliwn ar gael i fyrddau iechyd allu adeiladu ar y cynnydd a wnaed yn ddiweddar a gwella amseroedd aros ymhellach erbyn mis Mawrth 2020. Mae Bwrdd Iechyd Prifysgol Bae Abertawe wedi derbyn ei gyfran o'r cyllid cenedlaethol hwn.