English: Our health and social care services continue, of course, to be at the forefront of Wales's response to the pandemic. On behalf of the Health and Social Care Committee, I would like to thank everyone in health and social care, including the many volunteers and hundreds of thousands of unpaid carers across Wales. We owe them, I think, a debt of gratitude. The health and social care sector is also working hard to recover and maintain the crucial non-COVID services on which people rely. They're also looking, of course, to the future, towards a post-pandemic reset, which offers a chance to build a more resilient system and help people in Wales live longer and healthier lives. Without a stable and robust and effective social care sector, we can't be confident of course that people will receive the care and support that they need, and risk seeing the impact on health services even worsen. So, already, too many people are having to spend too long in hospital because suitable care packages can't be provided. Others are being discharged without adequate care packages. Unless these issues are resolved, the funding allocated to health services may continue to increase year on year without delivering more integrated services or improving outcomes. So, in that context, the Health and Social Care Committee welcome the increase in funding for social care. However, we are not yet assured that the allocations in the draft budget will be enough to respond to the immediate pressures or provide longer term stability. Most urgently, further clarity, I think, is needed from the Welsh Government on what is going to be in the immediate term to address the workforce and other pressures facing social care providers and what contingency plans are in place to ensure that people continue to receive the care and support that they need, if pressures facing the sector worsen. There are also significant pressures on, of course, our health services, and committee members and I are deeply concerned that the equivalent of one in five people in Wales are on waiting lists, many of which are waiting for long and uncertain periods of time, in pain, discomfort, distress and also in many cases facing financial hardship in that time as well. So, these are issues that we will be discussing with the Minister later this week as part of our inquiry into the impact of waiting time backlogs. We are pleased to see the investment in the recovery of NHS services; however, we would welcome more detail from the Government on how the Government will assess how the funding for the NHS's recovery plan will transpire, which is of course due to be published in April. In that case, we're obviously very keen to see the new ways of working, new models of service delivery and achieving outcomes and experiences for people who need health and care services. I think meaningful and sustained transformation is absolutely necessary, and I align my own views with the views of Mike Hedges in regard to e-prescribing. I wasn't going to mention this, but, yes, of course, Mike is right: we heard just two weeks ago that the NHS is not only still using fax machines, they're still actually buying fax machines. So, we want to see the Welsh Government continue its use in regard of its budget in terms of driving transformation and increased resilience within the Welsh NHS. The National Health Service Finance (Wales) Act 2014 gave health boards a statutory duty to break even over a three-year rolling period, so it is disappointing that two health boards are still consistently failing to operate within their budgets and a third is only breaking even as a result of the millions of pounds of additional support each year. So, we agree with the Minister for Health and Social Services that this isn't a sustainable system, and it isn't fair on health boards that are doing the right thing and keeping within their budgets. The new health and social care regional integration fund and the new capital fund for social care are central pillars of the Welsh Government's transformation agenda. However, we do note that previous transformation funds were criticised by Audit Wales in 2019 on the basis of little evidence of successful projects being mainstreamed and funded as part of public bodies' core service delivery. And of course, it isn't just about transforming our health and social care services - it's not enough to just do that - we also need to transform how we think about health and how we make sure that they're included and everyone's involved in that. We know there's a high level of chronic disease across Wales; it's too high and there are too many issues of unhealthy lifestyles, and it's all too very common. So, helping everyone in our communities -
Welsh: Mae ein gwasanaethau iechyd a gofal cymdeithasol yn parhau, wrth gwrs, i fod ar flaen ymateb Cymru i'r pandemig. Ar ran y Pwyllgor Iechyd a Gofal Cymdeithasol, hoffwn i ddiolch i bawb ym maes iechyd a gofal cymdeithasol, gan gynnwys y gwirfoddolwyr niferus a channoedd o filoedd o ofalwyr di-dâl ledled Cymru. Dylem fod yn ddiolchgar iawn iddyn nhw. Mae'r sector iechyd a gofal cymdeithasol hefyd yn gweithio'n galed i adfer a chynnal y gwasanaethau hanfodol nad ydyn nhw'n ymwneud â COVID y mae pobl yn dibynnu arnyn nhw. Maen nhw hefyd yn edrych, wrth gwrs, at y dyfodol, tuag at ailosod ar ôl y pandemig, sy'n cynnig cyfle i ddatblygu system fwy cydnerth a helpu pobl yng Nghymru i fyw bywyd hirach ac iachach. Heb sector gofal cymdeithasol sefydlog a chadarn ac effeithiol, ni allwn ni fod yn ffyddiog wrth gwrs y bydd pobl yn cael y gofal a'r cymorth sydd eu hangen arnyn nhw, ac mae perygl y byddwn ni'n gweld yr effaith ar wasanaethau iechyd yn gwaethygu, hyd yn oed. Felly, yn barod, mae gormod o bobl yn gorfod treulio gormod o amser yn yr ysbyty oherwydd nid oes modd darparu pecynnau gofal addas. Mae eraill yn cael eu rhyddhau heb becynnau gofal digonol. Oni bai fod y materion hyn yn cael eu datrys, gall yr arian sy'n cael ei ddyrannu i wasanaethau iechyd barhau i gynyddu o flwyddyn i flwyddyn heb ddarparu gwasanaethau mwy integredig na gwella canlyniadau. Felly, yn y cyd-destun hwnnw, mae'r Pwyllgor Iechyd a Gofal Cymdeithasol yn croesawu'r cynnydd yn y cyllid ar gyfer gofal cymdeithasol. Fodd bynnag, nid ydym ni wedi ein sicrhau eto y bydd y dyraniadau yn y gyllideb ddrafft yn ddigon i ymateb i'r pwysau uniongyrchol nac i ddarparu sefydlogrwydd tymor hwy. Yn fater o'r brys mwyaf, mae angen rhagor o eglurder, rwy'n credu, gan Lywodraeth Cymru ynghylch yr hyn a fydd yn y tymor presennol i ymdrin â'r gweithlu a phwysau eraill sy'n wynebu darparwyr gofal cymdeithasol a pha gynlluniau wrth gefn sydd ar waith i sicrhau bod pobl yn parhau i dderbyn y gofal a'r cymorth sydd eu hangen arnyn nhw, os bydd y pwysau sy'n wynebu'r sector yn gwaethygu. Mae pwysau sylweddol hefyd ar ein gwasanaethau iechyd, wrth gwrs, ac mae aelodau'r pwyllgor a minnau'n pryderu'n fawr fod yr hyn sy'n cyfateb i un o bob pump o bobl yng Nghymru ar restrau aros, y mae llawer ohonyn nhw'n aros am gyfnodau hir ac ansicr, mewn poen, anghysur, trallod a hefyd mewn llawer o achosion yn wynebu caledi ariannol yn y cyfnod hwnnw hefyd. Felly, mae'r rhain yn faterion y byddwn ni'n eu trafod gyda'r Gweinidog yn ddiweddarach yr wythnos hon fel rhan o'n hymchwiliad i effaith ôl-groniadau amseroedd aros. Rydym ni'n falch o weld y buddsoddiad yn y broses o adfer gwasanaethau'r GIG; fodd bynnag, byddem ni'n croesawu mwy o fanylion gan y Llywodraeth ynghylch sut y bydd y Llywodraeth yn asesu sut y bydd y cyllid ar gyfer cynllun adfer y GIG yn digwydd, sydd, wrth gwrs, i'w gyhoeddi ym mis Ebrill. Felly rydym ni'n amlwg yn awyddus iawn i weld y ffyrdd newydd o weithio, modelau newydd o ddarparu gwasanaethau a chyflawni canlyniadau a phrofiadau i bobl y mae angen gwasanaethau iechyd a gofal arnyn nhw. Rwy'n credu bod trawsnewid ystyrlon a pharhaus yn gwbl angenrheidiol, ac mae fy marn i yn gydnaws â barn Mike Hedges o ran e-bresgripsiynu. Nid oeddwn i'n mynd i sôn am hyn, ond, ydy, wrth gwrs, mae Mike yn gywir: gwnaethom ni glywed bythefnos yn ôl fod y GIG nid yn unig yn dal i ddefnyddio peiriannau ffacs, ond eu bod dal yn prynu peiriannau ffacs. Felly, rydym ni eisiau gweld Llywodraeth Cymru yn parhau i'w defnyddio o ran ei chyllideb ynghylch sbarduno trawsnewid a mwy o gydnerthedd o fewn GIG Cymru. Rhoddodd Deddf Cyllid y Gwasanaeth Iechyd Gwladol (Cymru) 2014 ddyletswydd statudol i fyrddau iechyd adennill eu costau dros gyfnod treigl o dair blynedd, felly mae'n siomedig bod dau fwrdd iechyd yn dal i fethu'n gyson â gweithredu o fewn eu cyllidebau a thraean dim ond yn adennill eu costau o ganlyniad i'r miliynau o bunnoedd o gymorth ychwanegol bob blwyddyn. Felly, rydym ni'n cytuno â'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol nad yw hon yn system gynaliadwy, ac nid yw'n deg ar fyrddau iechyd sy'n gwneud y peth iawn ac yn cadw o fewn eu cyllidebau. Mae'r gronfa integreiddio rhanbarthol iechyd a gofal cymdeithasol newydd a'r gronfa gyfalaf newydd ar gyfer gofal cymdeithasol yn seiliau canolog agenda trawsnewid Llywodraeth Cymru. Fodd bynnag, rydym ni'n nodi bod cronfeydd trawsnewid blaenorol wedi'u beirniadu gan Archwilio Cymru yn 2019 ar sail nad oedd fawr o dystiolaeth bod prosiectau llwyddiannus yn cael eu prif ffrydio a'u hariannu fel rhan o'r broses o ddarparu gwasanaethau craidd cyrff cyhoeddus. Ac wrth gwrs, nid yw'n ymwneud â thrawsnewid ein gwasanaethau iechyd a gofal cymdeithasol yn unig - nid yw'n ddigon gwneud hynny'n unig - mae angen i ni hefyd drawsnewid sut yr ydym ni'n meddwl am iechyd a sut yr ydym ni'n sicrhau eu bod yn cael eu cynnwys a bod pawb yn ymwneud â hynny. Rydym ni'n gwybod bod lefel uchel o glefydau cronig ledled Cymru; mae'n rhy uchel ac mae gormod o faterion yn ymwneud â ffyrdd o fyw nad ydyn nhw'n iach, ac mae hyn oll yn rhy gyffredin o lawer. Felly, mae helpu pawb yn ein cymunedau -