techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: The next questions are questions to the Minister for Health and Social Services. The first question is to be answered by the Deputy Minister and the question is to be asked by David Rowlands.
Welsh: Y cwestiynau nesaf, felly, yw'r cwestiynau i'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol. Mae'r cwestiwn cyntaf i'w ateb gan y Dirprwy Weinidog, ac mae'r cwestiwn gan David Rowlands.
English: Question 1 is usually asked and expected to be asked. David Rowlands.
Welsh: Mae cwestiwn 1 fel arfer yn cael ei ofyn a disgwylir iddo gael ei ofyn. David Rowlands.
English: Deputy Minister, a large part of my casework is taken up with matters related to social services - [ Interruption.]
Welsh: Ddirprwy Weinidog, mae rhan fawr o fy ngwaith achos yn faterion sy'n ymwneud â gwasanaethau cymdeithasol - [ Torri ar draws.]
English: You need to ask the question on the order paper. Question 1, David Rowlands.
Welsh: Mae angen i chi ofyn y cwestiwn ar y papur trefn. Cwestiwn 1, David Rowlands.
English: I do apologise. Thank you.
Welsh: Rwy'n ymddiheuro. Diolch.
English: Thank you for that question. Our primary aim is to support children to stay with their birth families where possible. Care decisions, including on adoption, are taken solely in the best interests of the child. The number of court-ordered adoptions has been falling, but we recognise that adoption can offer stable, loving families and good outcomes.
Welsh: Diolch i chi am y cwestiwn hwnnw. Ein prif nod yw cynorthwyo plant i aros gyda'u teuluoedd biolegol lle bo hynny'n bosibl. Mae penderfyniadau sy'n ymwneud â gofal, yn cynnwys ar fabwysiadu, yn cael eu gwneud er budd gorau'r plentyn yn unig. Mae nifer y mabwysiadau a orchmynnir gan y llys wedi bod yn gostwng, ond rydym yn cydnabod y gall mabwysiadu gynnig teuluoedd sefydlog, cariadus a chanlyniadau da.
English: Thank you for that answer, Deputy Minister. A large part of my casework is taken up with matters related to social services, in particular with regard to the adoption services. This is not surprising given that, in the South Wales East region alone, some 280 children were referred for adoption in 2016-17 - a massive 66 per cent increase on the previous year. I understand that this trend has been replicated throughout Wales according to the National Adoption Service. It is laudable that the First Minister has recognised these trends, as outlined in yesterday's statement, and has issued instructions to attempt to alleviate what can only be called an epidemic of such adoptions. However, the decision of whether or not to remove a child from its birth family lies with the social worker involved, and as highlighted below, many of these decisions seem to be endemically flawed. One of my cases involved a child receiving a minor injury who was then removed from their family for six months, causing immense trauma to her parents and grandparents. It was subsequently found that there was no case to answer as far as neglect or the deliberate inflicting of this injury. Indeed, the child suffered far more injuries whilst in care, although these were such as one would normally associate with a young child growing up. Llywydd, we, on these benches, feel that there is an undeniably -
Welsh: Diolch i chi am yr ateb hwnnw, Ddirprwy Weinidog. Mae rhan fawr o fy ngwaith achos yn ymwneud â materion sy'n gysylltiedig â gwasanaethau cymdeithasol, yn enwedig mewn perthynas â'r gwasanaethau mabwysiadu. Nid yw hyn yn syndod o gofio, yn rhanbarth Dwyrain De Cymru yn unig, fod oddeutu 280 o blant wedi'u hatgyfeirio i'w mabwysiadu yn 2016-17 - cynnydd enfawr o 66 y cant ers y flwyddyn flaenorol. Deallaf fod y tueddiad hwn yn debyg ledled Cymru yn ôl y Gwasanaeth Mabwysiadu Cenedlaethol. Mae'n ganmoladwy fod y Prif Weinidog wedi cydnabod y tueddiadau hyn, fel yr amlinellwyd yn y datganiad ddoe, ac wedi cyhoeddi cyfarwyddiadau i geisio lliniaru'r hyn na ellir ond ei alw'n epidemig o fabwysiadau o'r fath. Fodd bynnag, y gweithiwr cymdeithasol sy'n gyfrifol am benderfynu a ddylid symud plentyn o'i deulu biolegol, ac fel yr amlygir isod, mae'n ymddangos bod llawer o'r penderfyniadau hyn yn rhai gwallus yn eu hanfod. Roedd un o fy achosion yn ymwneud â phlentyn a oedd wedi dioddef mân anaf, ac a gafodd ei symud o'u teulu am chwe mis, gan achosi trawma aruthrol i'w rhieni a'i neiniau a'i theidiau. Canfuwyd wedyn nad oedd unrhyw achos i'w ateb ar sail esgeulustod neu beri'r anaf yn fwriadol. Yn wir, dioddefodd y plentyn lawer mwy o anafiadau pan oedd mewn gofal, er bod y rhain yn rhai y byddai rhywun yn eu hystyried yn arferol i blentyn ifanc ar ei dyfiant. Lywydd, rydym ni, ar y meinciau hyn, yn teimlo nad oes amheuaeth -
English: You're not addressing me; you need to ask your question of the Deputy Minister, and in having taken a long time to actually find your question, you're now taking a long time to ask your question. Can you please ask the question?
Welsh: Nid ydych yn fy annerch i; mae angen i chi ofyn eich cwestiwn i'r Dirprwy Weinidog, ac ar ôl cymryd amser hir i ddod o hyd i'ch cwestiwn, rydych yn awr yn cymryd amser hir i ofyn eich cwestiwn. A wnewch chi ofyn y cwestiwn os gwelwch yn dda?
English: Does the Minister not agree that there is an undeniably strong case for investigating the whole adoption service, especially given the spiralling cost to the public purse?
Welsh: Onid yw'r Gweinidog yn cytuno bod achos pendant iawn dros ymchwilio i'r gwasanaeth mabwysiadu cyfan, yn enwedig o ystyried y gost gynyddol i bwrs y wlad?
English: As I said in answer to the question that you read it out, what we're trying to do is to prevent children needing adoption by trying to keep them at home with their families. So, we're investing in edge of care services, which are now operating in all the regions in Wales. We've given £2.3 million to help prevent children who have been adopted coming back into care, which does happen because of the support that is needed for adoption. The decision to adopt is a very serious decision, as the Member recognises. It does require a decision by a court, so it's not at the whim of a social worker. It's very carefully thought out and it should be the last resort; every effort should have been made before you reach the situation where an adoption takes place, particularly if it is against the wishes of the natural birth parents. So, I think what we are doing in Wales is trying to shift the balance. We're trying to make sure that fewer children come into care and then need adoption, and for the ones who absolutely do need adoption, after making every effort to stop it happening, as much support as possible is given to make those adoptions successful.
Welsh: Fel y dywedais wrth ateb y cwestiwn a ddarllenasoch, yr hyn rydym yn ceisio'i wneud yw atal plant rhag bod angen cael eu mabwysiadu drwy geisio'u cadw gartref gyda'u teuluoedd. Felly, rydym yn buddsoddi mewn gwasanaethau ar ffiniau gofal, sydd bellach yn gweithredu ym mhob un o ranbarthau Cymru. Rydym wedi rhoi £2.3 miliwn i helpu i atal plant sydd wedi'u mabwysiadu rhag dod yn ôl i ofal, sy'n digwydd oherwydd y cymorth sydd ei angen ar gyfer mabwysiadu. Mae'r penderfyniad i fabwysiadu yn benderfyniad difrifol iawn, fel y mae'r Aelod yn ei gydnabod. Mae'n gofyn am benderfyniad gan lys, felly nid yw'n digwydd ar fympwy gweithiwr cymdeithasol. Mae wedi'i ystyried yn ofalus iawn a dylai fod yn ddewis olaf; dylid bod wedi gwneud pob ymdrech cyn cyrraedd y sefyllfa lle mae mabwysiadu'n digwydd, yn enwedig os yw'n groes i ddymuniadau'r rhieni biolegol naturiol. Felly, credaf mai'r hyn rydym yn ei wneud yng Nghymru yw ceisio newid y cydbwysedd. Rydym yn ceisio gwneud yn siŵr fod llai o blant yn dod i mewn i ofal ac yna angen cael eu mabwysiadu, ac mewn perthynas â'r rhai sy'n sicr angen cael eu mabwysiadu, ar ôl gwneud pob ymdrech i atal hynny rhag digwydd, fod cymaint o gymorth â phosibl yn cael ei roi i sicrhau bod y mabwysiadau hynny'n llwyddiannus.
English: In yesterday's statement on improving outcomes for looked-after children, you mentioned, Minister, that you've seen the number of looked-after children in Wales increase by 34 per cent over the past 15 years, and you've promised to look at this closely. I wonder if you have or you would consider launching an investigation into the rise of looked-after children as part of this process.
Welsh: Yn y datganiad ddoe ynglŷn â gwella canlyniadau i blant sy'n derbyn gofal, soniasoch, Weinidog, eich bod wedi gweld cynnydd o 34 y cant yn nifer y plant sy'n derbyn gofal yng Nghymru dros y 15 mlynedd diwethaf, ac rydych wedi addo edrych ar hyn yn ofalus. Rwy'n meddwl tybed a ydych, neu a fyddech, yn ystyried lansio ymchwiliad i'r cynnydd yn nifer y plant sy'n derbyn gofal fel rhan o'r broses hon?
English: I think it's very difficult to know what has actually caused this rise in the number of children, and I know that there have been calls to look at why this has actually happened. It does seem to be for multiple reasons, and it's very difficult to actually choose one particular reason. But, certainly, in the work that we're doing now on trying to prevent children coming into care - I mean that 34 per cent is an alarming figure and we certainly don't want that to go on, and that's why we're working with all the local authorities in Wales to try and bring things down. During the process of this very intensive work we're doing, we will look to see what more needs to be done, because it is alarming and if it continues to go on, it will be very bad news.
Welsh: Rwy'n credu ei bod yn anodd iawn gwybod beth sydd wedi achosi'r cynnydd hwn yn nifer y plant, a gwn fod galwadau wedi bod i edrych ar pam fod hyn wedi digwydd mewn gwirionedd. Mae'n debyg ei fod wedi digwydd am sawl rheswm, ac mae'n anodd iawn dewis un rheswm penodol. Ond yn sicr, yn y gwaith rydym yn ei wneud yn awr i geisio atal plant rhag dod i mewn i ofal - hynny yw, mae 34 y cant yn ffigur brawychus ac yn sicr, nid ydym eisiau i hynny barhau, a dyna pam rydym yn gweithio gyda'r holl awdurdodau lleol yng Nghymru i geisio lleihau'r ffigur hwnnw. Yn ystod y gwaith dwys iawn a wnawn, byddwn yn edrych i weld beth arall sydd angen ei wneud, oherwydd mae'n frawychus, ac os yw'n parhau i ddigwydd, bydd hynny'n newyddion drwg iawn.
English: I fully support your policy and the direction it's going, I think the issue is that filtering down, because, on the ground level, children seem to be taken into care far too easily. So, my question is: how can we empower parents? Could we create a professional advocacy service for parents? Because there seems to be a blanket thing called avoiding future emotional harm, and child after child after child is being taken into care, put up for adoption. I'm trying to support one mother at this moment whose life has been ruined by her interaction with children's services. And she took the step of aborting her unborn child to avoid it being taken into care, and that whole family is devastated. What strikes me, with case after case after case, is the complete lack of rights and the complete lack of empowerment. And if you're a parent who's been through the care system yourself, then you are treated in an appalling manner sometimes. So, how can we empower parents?
Welsh: Rwy'n cefnogi eich polisi yn llwyr a'r cyfeiriad y mae'n mynd iddo, credaf fod y broblem yn ymwneud â lleihau'r ffigur hwnnw, oherwydd, ar lawr gwlad, mae'n ymddangos bod plant yn mynd i mewn i ofal yn llawer rhy hawdd. Felly, fy nghwestiwn yw: sut y gallwn rymuso rhieni? A allem greu gwasanaeth eiriolaeth proffesiynol i rieni? Oherwydd mae'n ymddangos bod yna rywbeth cyffredinol sy'n cael ei alw'n osgoi niwed emosiynol yn y dyfodol, ac mae plentyn ar ôl plentyn yn mynd i mewn i ofal, yn cael eu rhoi i'w mabwysiadu. Rwy'n ceisio cefnogi un fam ar hyn o bryd ac mae ei chysylltiad â'r gwasanaethau plant wedi difetha ei bywyd. Penderfynodd gael erthyliad er mwyn atal ei phlentyn rhag cael ei roi mewn gofal, ac mae'r teulu cyfan wedi'i ddistrywio. Yr hyn sy'n fy nharo, gydag achos ar ôl achos, yw'r diffyg hawliau llwyr a'r diffyg grymuso. Ac os ydych yn rhiant sydd wedi bod drwy'r system ofal eich hun, rydych yn cael eich trin mewn modd gwarthus weithiau. Felly, sut y gallwn rymuso rhieni?
English: One of the things we are doing is setting up the Reflect project, which the Member may know about, which is for women who have actually had a child already taken off them, so they have already got one child in the care system. So, the Reflect project is an effort to try to stop that happening again. So, again, we've got that project rolled out all over Wales. It's not enough, there's a huge amount that needs to be done, and I absolutely agree that we have to give as much support as we can for parents to keep their children, and we do have a long way to go. But we are doing it with the support that we are giving and, in particular, I would recommend that the Member looks at the Reflect project, which looks at the particular sort of case that he describes.
Welsh: Un o'r pethau rydym yn ei wneud yw sefydlu'r prosiect Myfyrio, ac efallai y bydd yr Aelod yn gwybod amdano, mae ar gyfer menywod sydd eisoes wedi wynebu plentyn yn cael ei gymryd oddi wrthynt, felly mae ganddynt un plentyn yn y system gofal yn barod. Felly, mae'r prosiect Myfyrio yn ymdrech i geisio atal hynny rhag digwydd eto. Felly, unwaith eto, mae'r prosiect hwnnw wedi'i gyflwyno ledled Cymru. Nid yw'n ddigon, mae angen gwneud llawer mwy, ac rwy'n cytuno'n llwyr fod yn rhaid i ni roi cymaint o gymorth ag y gallwn i rieni allu cadw eu plant, ac mae gennym ffordd bell i fynd eto. Ond rydym yn gwneud hyn gyda'r cymorth rydym yn ei roi ac yn benodol, buaswn yn argymell bod yr Aelod yn edrych ar y prosiect Myfyrio, sy'n edrych ar y math arbennig o achos y mae'n ei ddisgrifio.
English: Community pharmacy has a significant role to play in delivering primary care in Wales today. Real progress has been made through new contractual arrangements that support clinical service delivery, collaboration and quality improvement. Choose Pharmacy is now available in 98 per cent of pharmacies across Wales and I have provided over £4.5 million this year to enhance training within the profession.
Welsh: Mae gan fferylliaeth gymunedol rôl bwysig i'w chwarae'n darparu gofal sylfaenol yng Nghymru heddiw. Mae cynnydd gwirioneddol wedi'i wneud drwy drefniadau cytundebol newydd sy'n cefnogi'r gwaith o gydweithredu, gwella ansawdd a darparu gwasanaethau clinigol. Mae Dewis Fferyllfa bellach ar gael mewn 98 y cant o fferyllfeydd ledled Cymru ac rwyf wedi darparu dros £4.5 miliwn eleni i wella hyfforddiant yn y proffesiwn.
English: I thank the Minister for that reply, and I strongly support the Welsh Government's policy of using pharmacists more to supplement primary care, but I've had two cases from Dwyfor Meirionnydd in my region of patients who left a medicines use review with the pharmacist under the false belief that they'd been asked to modify their medicine regimes. The source of the confusion wasn't exactly clear here, and it was subsequently rectified by their GP, so no harm was actually done. But there does seem to be potentially a systemic problem here whereby the health board has to have a record of the MUR having taken place, and the patient has to sign that, but in these particular instances there wasn't any written record, either electronic or paper, that provided details of the advice or recommendations that had been given in the review. The potential safety risk to a patient with memory or comprehension problems is obvious, so I wonder what might be done to introduce a more rigorous regulatory check for medicines use reviews conducted by pharmacists to try to reduce these problems to the absolute minimum.
Welsh: Diolch i'r Gweinidog am yr ateb hwnnw, ac rwy'n gadarn o blaid polisi Llywodraeth Cymru o ddefnyddio mwy ar fferyllwyr i ategu gofal sylfaenol, ond rwyf wedi clywed am ddau achos, yn Nwyfor Meirionydd yn fy rhanbarth, lle roedd cleifion wedi gadael adolygiad o'r defnydd o feddyginiaethau gyda'r fferyllydd o dan y gred gyfeiliornus fod disgwyl iddynt addasu eu meddyginiaeth. Nid oedd ffynhonnell y dryswch yn hollol glir yma, ac fe gafodd ei gywiro gan eu meddyg teulu yn ddiweddarach, felly ni wnaed unrhyw niwed mewn gwirionedd. Ond mae'n ymddangos y gallai fod problem systemig yma lle mae'n rhaid i'r bwrdd iechyd gael cofnod fod yr adolygiad o'r defnydd o feddyginiaethau wedi digwydd, a rhaid i'r claf arwyddo hwnnw, ond yn yr achosion hyn, nid oedd unrhyw gofnod ysgrifenedig, naill ai'n electronig neu ar bapur, a oedd yn rhoi manylion y cyngor neu'r argymhellion a roddwyd yn yr adolygiad. Mae'r risg diogelwch posibl i glaf sydd â phroblemau gyda'r cof neu ddealltwriaeth yn amlwg, felly tybed beth y gellid ei wneud i gyflwyno archwiliad rheoleiddiol mwy trylwyr ar gyfer adolygiadau o'r defnydd o feddyginiaethau a gynhelir gan fferyllwyr i geisio lleihau'r problemau hyn hyd y gellir.
English: There's a risk in every interaction with the healthcare profession where advice is given, and it's either written down or not written down in terms of how the person is able to or chooses to use that information and that advice. Part of the point about the roll-out of Choose Pharmacy is that it allows pharmacists as regulated healthcare professionals themselves to make entries onto the GP record. We see that already with the common ailments service that's been rolled out. I'm always interested in hearing more specific examples of what's gone on, if it's individual practice or if it tells us something at a system level. So if the Member wants to write to me with the detail of the incident, then I can consider that with officials and with the health board, whether it is indeed an individual matter to be taken up or if it does tell us something that we need to address at a system level.
Welsh: Mae risg bob amser wrth ryngweithio â'r proffesiwn gofal iechyd, lle rhoddir cyngor, ac mae naill ai wedi'i ysgrifennu neu heb ei ysgrifennu o ran sut y mae'r person yn gallu neu'n dewis defnyddio'r wybodaeth honno a'r cyngor hwnnw. Rhan o bwrpas cyflwyno Dewis Fferyllfa yw ei fod yn caniatáu i fferyllwyr eu hunain, fel gweithwyr gofal iechyd proffesiynol a reoleiddir, wneud cofnodion ar gofnod y meddyg teulu. Gwelwn hynny eisoes gyda'r gwasanaeth mân anhwylderau sydd wedi cael ei gyflwyno. Mae gennyf bob amser ddiddordeb mewn clywed mwy o enghreifftiau penodol o'r hyn sydd wedi digwydd, os yw'n arfer unigol neu os yw'n dweud rhywbeth wrthym ar lefel system. Felly, os yw'r Aelod eisiau ysgrifennu ataf gyda manylion y digwyddiad, gallaf ystyried hynny gyda swyddogion a chyda'r bwrdd iechyd, boed yn broblem unigol i'w datrys neu'n broblem y mae angen i ni roi sylw iddi ar lefel system.
English: Minister, I was pleased to visit a community pharmacy in my constituency earlier this week, and I had a very positive conversation with the pharmacist about the services he offers and indeed some of the challenges he faces as well. One of the issues he raised was the NHS computer system, which is used to store patient information. He feels he's greatly hampered by the long-winded process of logging on to a computer system that appears to struggle to download basic information. Whilst, of course, personal data must be kept secure, I'm told that on occasion it can actually take up to 20 minutes to get through the security logins to provide a service for the patient that should only take around five minutes. I'm sure the Minister will agree with me that it's important to access information in a timely manner, especially when a patient is waiting. Will he and his officials therefore look into this matter to make sure that pharmacies are able to provide an efficient service, given that pharmacies are providing more and more services to patients?
Welsh: Weinidog, roeddwn yn falch o ymweld â fferyllfa gymunedol yn fy etholaeth yn gynharach yr wythnos hon, a chefais sgwrs gadarnhaol iawn gyda'r fferyllydd am y gwasanaethau y mae'n eu cynnig ac yn wir, am rai o'r heriau y mae'n eu hwynebu hefyd. Un o'r materion a gododd oedd system gyfrifiadurol y GIG, a ddefnyddir i storio gwybodaeth am gleifion. Mae'n teimlo ei fod yn cael ei lesteirio'n fawr gan y broses hirwyntog o fewngofnodi i system gyfrifiadurol sy'n ymddangos fel pe bai'n cael trafferth i lawrlwytho gwybodaeth sylfaenol. Er bod yn rhaid cadw data personol yn ddiogel, wrth gwrs, dywedir wrthyf y gall gymryd hyd at 20 munud mewn gwirionedd i fynd drwy'r drefn ddiogelwch ar gyfer mewngofnodi er mwyn darparu gwasanaeth i'r claf a ddylai gymryd oddeutu pum munud yn unig. Rwy'n siŵr y bydd y Gweinidog yn cytuno â mi ei bod yn bwysig cael gafael ar wybodaeth mewn modd amserol, yn enwedig pan fo claf yn aros. A wnaiff ef a'i swyddogion edrych ar y mater hwn felly, i sicrhau bod fferyllfeydd yn gallu darparu gwasanaeth effeithlon, o gofio bod fferyllfeydd yn darparu mwy a mwy o wasanaethau i gleifion?
English: Yes, again, if the Member writes to me with the details of the matter I can look at whether it's an individual issue or a system-wide issue for us to address. But, overall, we have an ambitious programme for community pharmacy already as part of the primary care team as it exists, and a bigger role to play in the future - not just the common ailments system, but it's also why we're taking a different approach to other countries in the UK. Across the border there's a 7 per cent cash reduction in community pharmacy; over 120 community pharmacies have closed. We've maintained our investment, we've increased it, we have further ambition for the future, and we're deliberately rolling out access to GP systems to make sure that pharmacists can enter information into it, and that's what Choose Pharmacy is designed to help to deliver: access to information so that it's available, and that will then allow us to provide even more services in the community pharmacy sector.
Welsh: Ie, unwaith eto, os gall yr Aelod ysgrifennu ataf gyda manylion y broblem, gallaf edrych i weld a yw'n broblem unigol neu'n broblem ar lefel system gyfan i ni fynd i'r afael â hi. Ond yn gyffredinol, mae gennym raglen uchelgeisiol eisoes ar gyfer fferylliaeth gymunedol fel rhan o'r tîm gofal sylfaenol fel ag y mae, a rôl fwy i'w chwarae yn y dyfodol - nid y system anhwylderau cyffredin yn unig, ond hefyd pam ein bod yn mabwysiadu dull sy'n wahanol i wledydd eraill yn y DU. Dros y ffin, mae gostyngiad ariannol o 7 y cant mewn fferylliaeth gymunedol; mae dros 120 o fferyllfeydd cymunedol wedi cau. Rydym wedi cynnal ein buddsoddiad, rydym wedi ei gynyddu, mae gennym fwy o uchelgeisiau ar gyfer y dyfodol, ac rydym yn mynd ati'n fwriadol i gyflwyno mynediad at systemau meddygon teulu i sicrhau bod fferyllwyr yn gallu mewnbynnu gwybodaeth arnynt, ac mae Dewis Fferyllfa wedi cael ei gynllunio i'n helpu i ddarparu hynny: mynediad at wybodaeth fel ei bod ar gael, a bydd hynny wedyn yn ein galluogi i ddarparu mwy fyth o wasanaethau yn y sector fferylliaeth gymunedol.
English: Minister, I'm sure you're aware of the eye disease keratoconus, which can lead to patients completely losing their sight. Can you please explain why the recognised treatment for this disease is not available on the Welsh NHS?
Welsh: Weinidog, rwy'n siŵr eich bod yn ymwybodol o'r clefyd llygaid ceratoconws, sy'n gallu arwain at gleifion yn colli eu golwg yn gyfan gwbl. A wnewch chi egluro pam nad yw'r driniaeth gydnabyddedig ar gyfer y clefyd hwn ar gael drwy GIG Cymru?