techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: This has been part of the very sensible and constructive conversation that we've had: how do we make sure that there is a genuine patient voice, a citizen voice, across health and social care? How is that organised in a practical way to take on board the parts that have been successful within our system and to deal with some of the challenges that no-one suggests have worked well? Part of the focus has been on the ability for a community health council or its successor to be able to actually undertake visits, and there's a challenge there about doing that in a way so it doesn't disrupt patient care but actually makes sure that there is access and the ability to undertake some unannounced visits as well, but not confusing the mission with a citizen voice body and the work of the formal inspectorates - Care Inspectorate Wales and also Healthcare Inspectorate Wales. And, actually, there is a tension there to be resolved, because at the time the CHCs were created we didn't have those other formalised inspectorate organisations. So, it's about making sure that there's clarity in the mission that doesn't stop those important visits to understand and to hear directly from citizens as they're receiving and taking part in care themselves. So, I recognise the issues and of course they'll be part of our consideration going forward.
Welsh: Mae hyn wedi bod yn rhan o'r sgwrs adeiladol a synhwyrol iawn rydym wedi'i chael: sut rydym yn sicrhau bod llais go iawn i gleifion, llais i'r dinasyddion, ar draws iechyd a gofal cymdeithasol? Sut y mae trefnu hynny mewn ffordd ymarferol i ystyried y rhannau sydd wedi bod yn llwyddiannus yn ein system ac i fynd i'r afael â rhai o'r heriau nad oes neb yn awgrymu eu bod wedi gweithio'n dda? Mae rhan o'r ffocws wedi bod ar y gallu i gyngor iechyd cymuned neu ei olynydd gynnal ymweliadau mewn gwirionedd, ac mae yna her ynghylch gwneud hynny mewn ffordd nad yw'n amharu ar ofal cleifion ond sydd, mewn gwirionedd, yn gwneud yn siŵr bod yna fynediad ynghyd â'r gallu i gynnal ymweliadau dirybudd yn ogystal, ond heb ddrysu rhwng y genhadaeth o gael corff sy'n rhoi llais i ddinasyddion a gwaith arolygiaethau ffurfiol - Arolygiaeth Gofal Cymru ac Arolygiaeth Gofal Iechyd Cymru hefyd. Ac mewn gwirionedd, mae yna densiwn yno i'w ddatrys, oherwydd pan gafodd y cynghorau iechyd cymuned eu creu nid oedd gennym y sefydliadau arolygiaeth ffurfiol eraill hynny. Felly, mae'n ymwneud â sicrhau bod eglurder yn y genhadaeth nad yw'n atal yr ymweliadau pwysig hyn ar gyfer deall a chlywed yn uniongyrchol gan ddinasyddion wrth iddynt dderbyn gofal a chymryd rhan mewn gofal eu hunain. Felly, rwy'n cydnabod y problemau ac wrth gwrs, byddant yn rhan o'n hystyriaeth wrth symud ymlaen.
English: Cabinet Secretary, the White Paper suggested that there was a duplication of inspection roles with community health councils and Healthcare Inspectorate Wales, but the community health council inspections are, in many ways, quite different. They are unannounced and can occur at any time, they include patients and relatives and they also involve follow-up visits. So, it seems to me that there's an important element there that is vital that we don't actually lose. There was one further function, which, again, was part of the submission that I put in after various consultations, and that is the role of community health councils in the planning process. I've raised this with GP practices, but the fact is that where we have, for example, large housing developments, there is a lack of engagement, properly, with the health boards and with the local GP practices on the impact of such developments, and, also, there's the important role that community health councils could, perhaps, play within that context. It's essential that that role really is beefed up and it is an important one that we really need to develop that doesn't exist at the moment, but could be one of the very important functions that community health councils do play in the future.
Welsh: Ysgrifennydd y Cabinet, mae'r Papur Gwyn yn awgrymu bod rolau arolygu'n cael eu dyblygu gan gynghorau iechyd cymuned ac Arolygiaeth Gofal Iechyd Cymru, ond mae arolygiadau cynghorau iechyd cymuned, mewn sawl ffordd, yn eithaf gwahanol. Maent yn ddirybudd a gallant ddigwydd ar unrhyw adeg, maent yn cynnwys cleifion a pherthnasau ac maent hefyd yn cynnwys ymweliadau dilynol. Felly, mae'n ymddangos i mi fod yna elfen bwysig yno a'i bod yn hanfodol nad ydym yn ei cholli mewn gwirionedd. Roedd un swyddogaeth bellach, a oedd, unwaith eto, yn rhan o'r cyflwyniad a wneuthum yn dilyn ymgynghoriadau amrywiol, sef rôl y cynghorau iechyd cymuned yn y broses gynllunio. Rwyf wedi codi hyn gyda phractisau meddygon teulu, ond y ffaith amdani yw, lle mae gennym, er enghraifft, ddatblygiadau tai mawr, ceir diffyg ymgysylltu priodol gyda'r byrddau iechyd a'r practisau meddygon teulu lleol ar effaith datblygiadau o'r fath, a hefyd, ceir y rôl bwysig y gallai cynghorau iechyd cymuned ei chwarae, o bosibl, yn y cyd-destun hwnnw. Mae'n hanfodol fod y rôl yn cael ei chryfhau ac mae'n un bwysig y mae gwir angen i ni ei datblygu nad yw'n bodoli ar hyn o bryd, ond gallai fod yn un o swyddogaethau hollbwysig y cynghorau iechyd cymuned yn y dyfodol.
English: Dealing with your second point first about the broader planning process, of course it's a conversation across the Government about our planning system, and the way in which, when new residential properties in particular are created, there's an impact on wider services, such as the health service, which is an obvious one, and with schools being another one and transport being obvious parts that are affected. So, there is a need to look at how different parts of not just the health service, but those actors around it, are able to take part in the process and have a proper say and a conversation with the reality of the impact of future development. So, I recognise the broad point that you make. On the point about the difference between a CHC visit and a formal inspectorate visit, the CHCs themselves recognise that there is potential for duplication, which is unhelpful. They actually try to have a protocol between themselves and HIW in particular to try and demarcate the different roles that they have and how they should complement each other. Part of what we'll want to do in taking forward the White Paper is to make that clear so that it makes sense to the citizen, but also to the inspectorate and the people who are looking to undertake that work, because I recognise that there is real value in it.
Welsh: Gan ymdrin â'ch ail bwynt yn gyntaf ynglŷn â'r broses gynllunio ehangach, wrth gwrs ei bod yn sgwrs ar draws y Llywodraeth am ein system gynllunio, a'r ffordd, pan fo eiddo preswyl newydd yn arbennig yn cael ei greu, mae hynny'n cael effaith ar wasanaethau ehangach, megis y gwasanaeth iechyd, sy'n un amlwg, ac ysgolion yn enghraifft arall a thrafnidiaeth yn rhannau amlwg yr effeithir arnynt. Felly, mae angen edrych ar sut y mae gwahanol rannau o'r gwasanaeth iechyd, a'r gweithredwyr o'i amgylch, yn gallu cymryd rhan yn y broses a chael llais a sgwrs briodol am realiti effaith y datblygiad yn y dyfodol. Felly, rwy'n cydnabod y pwynt cyffredinol rydych yn ei wneud. Ar y pwynt ynglŷn â'r gwahaniaeth rhwng ymweliad cyngor iechyd cymuned ac ymweliad arolygiaeth ffurfiol, mae cynghorau iechyd cymuned eu hunain yn cydnabod bod potensial ar gyfer dyblygu, ac nid yw hynny'n ddefnyddiol. Mewn gwirionedd, maent yn ceisio cynnal protocol rhyngddynt eu hunain ac Arolygiaeth Gofal Iechyd Cymru yn benodol er mwyn ceisio gwahaniaethu rhwng y gwahanol rolau sydd ganddynt a sut y dylent ategu ei gilydd. Rhan o'r hyn y byddwn eisiau ei wneud wrth ddatblygu'r Papur Gwyn yw gwneud hynny'n glir fel y bydd yn gwneud synnwyr i'r dinesydd, ond hefyd i'r arolygiaeth a'r bobl sy'n mynd i gyflawni'r gwaith hwnnw, oherwydd rwy'n cydnabod bod gwerth gwirioneddol ynddo.
English: Thank you. I expect health boards in South Wales West to provide safe and effective primary out-of-hours services to respond to urgent healthcare needs when GP surgeries are closed. In South Wales West, that point of contact and access is now the 111 service.
Welsh: Diolch. Rwy'n disgwyl i fyrddau iechyd yng Ngorllewin De Cymru ddarparu gwasanaethau sylfaenol y tu allan i oriau sy'n diogel ac yn effeithiol i ymateb i anghenion gofal iechyd brys pan fydd practisau ar gau. Y pwynt cyswllt a mynediad yng Ngorllewin De Cymru bellach yw'r gwasanaeth 111.
English: Cabinet Secretary, the BMA recently conducted a survey of GPs offering out-of-hours services. Nearly half of all respondents do not provide any out-of-hours services. Those GPs were asked to identify the main barriers to out-of-hours provision: 64.3 per cent cited exhaustion from daily pressures as the main barrier. In my region, over the last couple of years, four practices have closed and 13 are on the local health board's at-risk list, and a further 12 have indicated that their future is uncertain. If more practices close, we won't be able to provide adequate in-hours services, let alone out-of-hours. Cabinet Secretary, what plans do you have to address workload pressures to enable a greater number of GPs to provide out-of-hours care?
Welsh: Ysgrifennydd Cabinet, yn ddiweddar cynhaliodd Cymdeithas Feddygol Prydain arolwg o feddygon teulu sy'n cynnig gwasanaethau y tu allan i oriau. Nid yw bron i hanner yr holl ymatebwyr yn darparu unrhyw wasanaethau y tu allan i oriau. Gofynnwyd i'r meddygon teulu hynny nodi'r prif rwystrau i ddarpariaeth y tu allan i oriau: dywedodd 64.3 y cant mai gorflinder o ganlyniad i bwysau dyddiol oedd y prif rwystr. Yn fy rhanbarth i, dros y ddwy flynedd ddiwethaf, mae pedwar practis wedi cau ac mae 13 ar restr y bwrdd iechyd lleol o bractisau sydd mewn perygl o gau, ac mae 12 pellach wedi nodi bod eu dyfodol yn ansicr. Os bydd mwy o bractisau'n cau, ni fyddwn yn gallu darparu gwasanaethau digonol o fewn oriau gwaith arferol, heb sôn am y tu allan i oriau. Ysgrifennydd y Cabinet, pa gynlluniau sydd gennych i fynd i'r afael â phwysau gwaith i alluogi nifer fwy o feddygon teulu i ddarparu gofal y tu allan i oriau?
English: Cabinet Secretary, I welcome the 111 approach in south-west Wales because, clearly, that is one way of choosing well, making sure we get the right choices and avoiding going to a GP out-of-hours unnecessarily. But we also need the GP out-of-hours with certain things that are necessary. As such, I'm aware that there are challenges facing these services because GPs aren't coming forward to take on those practices. In my own area, Neath Port Talbot, there's a very serious concern about some of the sessions being covered by GPs and the lack of them coming forward. What is the Welsh Government going to do to ensure that we don't lose that service in the locality? Because the Afan valley people, having to go to a GP - if they end up having to go to Morriston, it's a very long way and they're unlikely to go there by themselves: they end up calling an ambulance. It's not the right way we should be doing it. We should be making sure that the local GP out-of-hours is there for them, in that locality, if needed.
Welsh: Ysgrifennydd y Cabinet, rwy'n croesawu'r cynllun 111 yn ne-orllewin Cymru oherwydd, yn amlwg, mae honno'n un ffordd o wneud dewis doeth a sicrhau ein bod yn gwneud y penderfyniadau cywir ac yn osgoi defnyddio gwasanaeth meddygon teulu y tu allan i oriau yn ddiangen. Ond rydym hefyd angen gwasanaeth meddygon teulu y tu allan i oriau gyda rhai pethau angenrheidiol. Fel y cyfryw, rwy'n ymwybodol fod yna heriau sy'n wynebu'r gwasanaethau hyn oherwydd nad yw meddygon teulu yn barod i gymryd y practisau hynny. Yn fy ardal fy hun, Castell-nedd Port Talbot, mae pryder difrifol iawn am rai o'r sesiynau a gymerir gan feddygon teulu a'r ffaith bod prinder meddygon teulu i wneud y gwaith. Beth y mae Llywodraeth Cymru yn bwriadu ei wneud i sicrhau nad ydym yn colli'r gwasanaeth hwnnw yn yr ardal? Oherwydd pan fo pobl Cwm Afan yn gorfod mynd at feddyg teulu - os byddant yn gorfod mynd i Dreforys yn y pen draw, mae'n ffordd hir iawn ac maent yn annhebygol o fynd yno ar eu pen eu hunain: maent yn ffonio am ambiwlans yn y pen draw. Nid dyna sut y dylem ei wneud. Dylem fod yn gwneud yn siŵr fod y gwasanaeth meddyg teulu y tu allan i oriau yno ar eu cyfer yn lleol os oes angen.
English: Yes, and I think that's the point: if needed, and who is the right healthcare professional. Part of the success of 111 has been the fact that most of the system that was introduced in England was actually a group of non-clinical call handlers with an algorithm - a script to go through. Often that was rather more cautious and ended up directing people into accident and emergency departments when it wasn't necessarily the right thing for them to do. In Wales, we've spent more time on developing a proper clinical desk. So, you normally have a GP, you normally have a nurse and a pharmacist, and now we're introducing a therapist, and there is often a physiotherapist. So, you get that broader team in actually answering the call at the first port of call as well, and it's been successful. There's been evidence and evaluations that have been undertaken by Sheffield university medical research centre, which shows good practice in the roll-out of 111 here in Wales and a good reason to roll it out. That has to go alongside the extra robustness of having the right healthcare professionals, including, of course, GPs, within the service. I do recognise the fragility we have in some parts of our system here in Wales; that's why getting 111 right will really make a difference so that those GPs who do take part will want to continue to staff our out-of-hours service.
Welsh: Ie, ac rwy'n credu mai dyna'r pwynt: os oes angen, a phwy yw'r gweithiwr gofal iechyd proffesiynol cywir. Rhan o lwyddiant 111 yw'r ffaith mai'r rhan fwyaf o'r system a gyflwynwyd yn Lloegr oedd grŵp o atebwyr galwadau anghlinigol gydag algorithm mewn gwirionedd - sgript i'w darllen. Yn aml, roedd hynny'n fwy gofalus ac yn cyfeirio pobl at adrannau damweiniau ac achosion brys pan nad hynny, o reidrwydd, oedd y peth cywir i'w wneud. Yng Nghymru, rydym wedi treulio mwy o amser yn datblygu desg glinigol briodol. Felly, mae gennych feddyg teulu fel arfer, mae gennych nyrs a fferyllydd fel arfer, a bellach rydym yn cyflwyno therapydd, ac mae yna ffisiotherapydd yn aml. Felly, rydych yn cael y tîm ehangach hwnnw'n ateb yr alwad yn y lle cyntaf yn ogystal, ac mae hynny wedi bod yn llwyddiannus. Cafwyd tystiolaeth a gwerthusiadau gan ganolfan ymchwil feddygol Prifysgol Sheffield, sy'n dangos bod cyflwyno'r 111 yma yng Nghymru wedi bod yn arfer da a bod rheswm da dros ei gyflwyno'n ehangach. Rhaid i hynny fynd ochr yn ochr â'r cadernid ychwanegol o gael y gweithwyr gofal iechyd proffesiynol priodol, gan gynnwys meddygon teulu wrth gwrs, o fewn y gwasanaeth. Rwy'n cydnabod bregusrwydd rhai rhannau o'r system yma yng Nghymru; dyna pam y bydd cael 111 yn iawn yn gwneud gwahaniaeth go iawn fel y bydd y meddygon teulu sy'n cymryd rhan eisiau parhau i staffio ein gwasanaeth y tu allan i oriau.
English: Thank you for bringing your copy again. The national framework sets out a process for the NHS, working together with local authority partners, to assess health needs, decide on eligibility for continuing NHS healthcare and commission and provide appropriate care for adults in a consistent manner across Wales. It is currently subject to review.
Welsh: Diolch i chi am ddod â'ch copi eto. Mae'r fframwaith cenedlaethol yn nodi proses ar gyfer y GIG, gan weithio gyda phartneriaid awdurdodau lleol, i asesu anghenion iechyd, penderfynu ar gymhwysedd ar gyfer gofal iechyd parhaus y GIG a chomisiynu a darparu gofal priodol ar gyfer oedolion mewn modd cyson ledled Cymru. Mae'n destun adolygiad ar hyn o bryd.
English: That's the news I was looking for: the fact that this document is subject to review, which, of course, is for adults, and this document is also subject to review, which is the document for children's continuing care. These two documents together represent the journey that a child may go through from childhood to adulthood, and I get the distinct impression that social services currently don't buy into this document, and this document is the responsibility of health services. What concerns me is that I've heard that the review is a tidying-up exercise. Well, the children's document was 2012 and the adults' document was 2014. I think we need something more fundamental than a tidying-up exercise. I think we need a fundamental review, which will engage with social services, health boards and the children's commissioner to ensure that the weaknesses that are recognised in these documents are engaged with, and reduces the need in future for health boards and social services to call for legal guidance and provide much more certainty than they currently do.
Welsh: Dyna'r newyddion roeddwn eisiau ei glywed: y ffaith bod y ddogfen hon yn destun adolygiad, sydd, wrth gwrs, ar gyfer oedolion, ac mae'r ddogfen hon hefyd yn destun adolygiad, sef y ddogfen ar gyfer gofal parhaus i blant. Mae'r ddwy ddogfen gyda'i gilydd yn cynrychioli'r daith y gallai plentyn fynd arni, o blentyndod i fywyd fel oedolyn, ac rwy'n cael yr argraff bendant nad yw gwasanaethau cymdeithasol yn cefnogi'r ddogfen hon ar hyn o bryd, a chyfrifoldeb gwasanaethau iechyd yw'r ddogfen hon. Yr hyn sy'n fy mhoeni yw'r ffaith fy mod wedi clywed mai ymarfer tacluso yw'r adolygiad. Wel, cyhoeddwyd dogfen y plant yn 2012 a dogfen yr oedolion yn 2014. Credaf ein bod angen rhywbeth mwy sylfaenol nag ymarfer tacluso. Credaf ein bod angen adolygiad sylfaenol, a fydd yn ymgysylltu â gwasanaethau cymdeithasol, byrddau iechyd a'r comisiynydd plant i sicrhau ein bod yn mynd i'r afael â'r gwendidau sy'n cael eu cydnabod yn y dogfennau hyn ac yn lleihau'r angen i fyrddau iechyd a gwasanaethau cymdeithasol alw am arweiniad cyfreithiol yn y dyfodol a darparu llawer mwy o sicrwydd nag y maent yn ei wneud ar hyn o bryd.
English: I think that it's a fair point. Following on from the question you asked the First Minister - and I recognise the point you made about social services buy-in - we'll need buy-in from health and social care into both parts, in particular not just around transition, but actually just getting the system right. So, in reviewing that, we do expect partners and other stakeholders to be involved, and I'm also pleased to say that my understanding is that the children's commissioner's office will be engaged in part of that review as well. So, we have the right people together at the right time to look at both documents together, and hopefully then to improve the system that we have. The reality is that there will still be difficult choices to make within continuing healthcare. That's why the journey of integration between health and social care is really important, to try and make it as easy as possible for citizens to navigate through the system and not to have to understand a difficult and complex system themselves. So, all of these things together really should make a difference for the individual.
Welsh: Credaf fod hwnnw'n bwynt teg. Yn dilyn ymlaen o'r cwestiwn a ofynnoch i'r Prif Weinidog - ac rwy'n cydnabod y pwynt a wnaethoch am gefnogaeth y gwasanaethau cymdeithasol - byddwn angen cefnogaeth y maes iechyd a gofal cymdeithasol mewn perthynas â'r ddwy ran, nid yn unig o ran pontio, ond o ran cael y system yn iawn mewn gwirionedd. Felly, wrth adolygu hynny, rydym yn disgwyl y bydd partneriaid a rhanddeiliaid eraill yn cymryd rhan, ac rwyf hefyd yn falch o ddweud, yn ôl yr hyn rwy'n ei ddeall, y bydd swyddfa'r comisiynydd plant yn rhan o'r adolygiad hwnnw yn ogystal. Felly, mae gennym y bobl iawn gyda'i gilydd ar yr adeg iawn i edrych ar y ddwy ddogfen gyda'i gilydd, a gobeithio wedyn y byddant yn gwella'r system sydd gennym. Y realiti yw y bydd penderfyniadau anodd i'w gwneud o hyd mewn perthynas â gofal iechyd parhaus. Dyna pam fod integreiddio rhwng iechyd a gofal cymdeithasol yn bwysig iawn, i geisio ei gwneud mor hawdd â phosibl i ddinasyddion lywio drwy'r system ac fel nad oes rhaid iddynt ddeall system gymhleth ac anodd eu hunain. Felly, dylai'r holl bethau hyn gyda'i gilydd wneud gwahaniaeth i'r unigolyn mewn gwirionedd.
English: Cabinet Secretary, as I'm sure you're aware, the auditor general published a follow-up report on this specific issue in 2015 that indicated that some health boards have not demonstrated that they are able to deal in a timely way with the claims they are responsible for, and that some claimants are being dealt with unreasonably. Are you now in a position to provide an update on this particular matter, and can you confirm that all health boards in Wales are now dealing with claimants reasonably and responsibly, so that people can have confidence in the entire system?
Welsh: Ysgrifennydd y Cabinet, fel rwy'n siŵr eich bod yn ymwybodol, cyhoeddodd yr archwilydd cyffredinol adroddiad dilynol ar y mater penodol hwn yn 2015 ac roedd yn nodi nad oedd rhai byrddau iechyd wedi dangos eu bod yn gallu mynd i'r afael â'r hawliadau roeddent yn gyfrifol amdanynt mewn ffordd amserol, a bod rhai hawlwyr yn cael eu trin yn afresymol. A ydych bellach mewn sefyllfa i roi'r wybodaeth ddiweddaraf ar y mater penodol hwn, ac a allwch gadarnhau bod pob bwrdd iechyd yng Nghymru yn ymdrin â hawlwyr yn rhesymol a chyfrifol bellach, fel y gall pobl fod â hyder yn y system gyfan?
English: I do understand the concern that's being raised, and I'm sure that, as with other Members, I've had constituents approach me in my local Member capacity with some concerns about the process in the past. It is my understanding that there's been a significant improvement in dealing with that backlog of claims, to try and resolve them, and I have received assurance that health boards have improved the position. I would not want to try and set an absolutist position because there is always room for error in any human service. If Members are aware of individual challenges that exist, I would want them to bring them forward to their health boards. If they don't get a response there, they can always write to me. I'm not aware that there are any system-wide pressures, but I am of course always happy to learn from a further review that I'm sure will take place at some point in the future.
Welsh: Rwy'n deall y pryder sy'n cael ei leisio, ac rwy'n siŵr, fel gydag Aelodau eraill, fy mod wedi cael etholwyr yn lleisio rhai pryderon am y broses yn y gorffennol gyda mi yn rhinwedd fy swydd fel Aelod lleol. Yn ôl yr hyn rwy'n ei ddeall, mae gwelliant sylweddol wedi bod o ran mynd i'r afael ag ôl-groniad yr hawliadau, i geisio eu datrys, ac rwyf wedi cael sicrwydd bod byrddau iechyd wedi gwella'r sefyllfa. Ni fuaswn eisiau ceisio gosod safbwynt absoliwt oherwydd mae lle i wneud camgymeriadau mewn unrhyw wasanaeth meidrol bob amser. Os yw'r Aelodau'n ymwybodol o heriau unigol sy'n bodoli, buaswn eisiau iddynt godi hynny gyda'u byrddau iechyd. Os nad ydynt yn cael ymateb yno, gallant bob amser ysgrifennu ataf fi. Nid wyf yn ymwybodol o unrhyw bwysau ar y system gyfan, ond wrth gwrs rwyf bob amser yn fodlon dysgu o adolygiad pellach ac rwy'n siŵr y cynhelir un ar ryw adeg yn y dyfodol.
English: Yes. The Welsh Government is committed to improving neuroendocrine tumour services. The Welsh Health Specialised Services Committee commissions care for patients in north Wales, and is working with health boards to implement the recommendations of its service review for south Wales to look at how patients can be better supported.
Welsh: Gwnaf. Mae Llywodraeth Cymru wedi ymrwymo i wella gwasanaethau ar gyfer tiwmorau niwroendocrin. Mae comisiynau Pwyllgor Gwasanaethau Iechyd Arbenigol Cymru yn gofalu am gleifion yng ngogledd Cymru, ac mae'n gweithio gyda byrddau iechyd i roi argymhellion ei adolygiad gwasanaeth ar gyfer de Cymru ar waith er mwyn edrych ar sut y gellir cefnogi cleifion yn well.