English: Now, we know that this has been a very challenging time, and we recognise the impact that COVID-19 has had on individual members of the dental team and on the profession as a whole. As the risks of COVID-19 reduce, more treatments will be able to be provided. Now, we need dental practices to continue to follow strict infection control measures, including social distancing, to protect practice staff, patients and the wider community. Practices are encouraged to see patients using suitable recall periods, determined by their patients' needs and risk. Now, given the need to shield vulnerable residents in care homes, active face-to-face engagement during the initial phase of the pandemic was paused. The majority of dental care professionals were unable to directly access care home staff and residents for face-to-face contacts at the time, which is what you've noted. However, many local community dental teams remained in contact with the care homes by e-mail and phone call contact. The Care Home Cwtch - a peer support network for care home managers - was set up by Care Home Cymru and PHW to help assist care home managers during and beyond the pandemic. Now, this platform provides the opportunity for Gwên am Byth leads to integrate with care home staff to deliver oral health and hygiene information and skills-building sessions. Infection control and isolation in care homes is much more difficult than in the controlled clinical environment of a hospital or a dental clinic. People receiving social care often have underlying conditions that make them more at risk of infection and death from COVID-19. Some people require physical help with aspects of daily living, such as eating, washing and mouth care, making complete isolation very difficult for them. Now, this has added further complexity to the provision of the programme during the pandemic. The need for face-to-face contact in care homes is under regular review, and local teams will be guided by service providers on the level of activity in each care home. Gwên am Byth teams have maintained regular contact with care homes throughout the pandemic, whilst monitoring and managing emergent needs where appropriate. This has ensured an approach that prioritised urgent needs, as well as the wider provision of dental services in Wales. And I'm incredibly grateful to the community dental services across Wales for the efforts they've made to ensure care home residents can access the advice and interventions where appropriate throughout the pandemic. Now, just as much as the challenges and complexity of providing dental services, I fully recognise the impact that COVID-19 has presented in care homes. And it's highlighted that care homes have different levels of workforce experience or resources to be able to fully engage in the Gwên am Byth programme. It's commendable that many care homes have already fully engaged with the programme and are achieving excellence in mouth care standards. However, our aim prior to the pandemic remains: we expect to see the programme available in and offered to all care homes for older people in Wales. To address this inequality and widen access to the programme, I've introduced a simplified offer and approach that is intended to facilitate more care homes being able to meet the essential minimum standards and take part. This is called Essential Gwên am Byth. Those homes that are already fully engaged will continue to be supported to sustain excellence in mouth care standards. The simplified approach can be initiated in care homes that have not started the programme or have found it difficult to comply with the current all-Wales approach. By adopting this approach, all care homes across Wales can be included in the programme, and all residents can benefit from the benefits that are being offered through Gwên am Byth. The programme, including the offer of Essential Gwên am Byth, is now resuming. With the success of the vaccine roll-out, use of digital training and the availability of lateral flow devices, the risk to community dental staff of entering care homes is now greatly reduced. The recovery is well under way, and we have incorporated learning from the pandemic into the programme as we look ahead, including the greater use of digital technology to deliver the training element, which will result in the offer being made to all residential care homes in Wales. As the services continue to recover, I hope that the simplified offer will enable all care homes to be a part of this programme, ensuring that some of our most vulnerable groups have access to the oral health they require. But thank you very much for bringing the attention of the Senedd to this really important matter. Diolch.
Welsh: Nawr, gwyddom fod hwn wedi bod yn gyfnod heriol iawn, ac rydym yn cydnabod yr effaith y mae COVID-19 wedi'i chael ar aelodau unigol o'r tîm deintyddol ac ar y proffesiwn cyfan. Wrth i beryglon COVID-19 leihau, bydd modd darparu mwy o driniaethau. Nawr, mae arnom angen i bractisau deintyddol barhau i ddilyn mesurau llym ar gyfer rheoli heintiau, gan gynnwys cadw pellter cymdeithasol, i ddiogelu staff practisau, cleifion a'r gymuned ehangach. Anogir practisau i weld cleifion gan ddefnyddio cyfnodau ailalw addas, wedi'u pennu yn ôl anghenion a risg eu cleifion. Nawr, o ystyried yr angen i warchod preswylwyr sy'n agored i niwed mewn cartrefi gofal, cafodd ymgysylltiad wyneb yn wyneb gweithredol yn ystod cyfnod cyntaf y pandemig ei oedi. Nid oedd y rhan fwyaf o weithwyr gofal deintyddol proffesiynol yn gallu mynd at staff a phreswylwyr cartrefi gofal yn uniongyrchol ar gyfer cyswllt wyneb yn wyneb ar y pryd, sef yr hyn rydych chi wedi'i nodi. Fodd bynnag, parhaodd llawer o dimau deintyddol cymunedol lleol mewn cysylltiad â'r cartrefi gofal drwy e-bost a chyswllt galwadau ffôn. Sefydlwyd y Cwtsh Cartrefi Gofal - rhwydwaith cymorth gan gymheiriaid i reolwyr cartrefi gofal - gan Cartrefi Gofal Cymru ac Iechyd Cyhoeddus Cymru i helpu i gynorthwyo rheolwyr cartrefi gofal yn ystod a thu hwnt i'r pandemig. Nawr, mae'r llwyfan hwn yn rhoi cyfle i Gwên am Byth arwain at integreiddio â staff cartrefi gofal i ddarparu gwybodaeth am iechyd a hylendid y geg a sesiynau datblygu sgiliau. Mae rheoli heintiau ac ynysu mewn cartrefi gofal yn llawer anos nag yn amgylchedd clinigol rheoledig ysbyty neu glinig deintyddol. Yn aml, mae gan bobl sy'n derbyn gofal cymdeithasol gyflyrau isorweddol sy'n eu rhoi mewn mwy o berygl o gael eu heintio ac o farw o COVID-19. Mae rhai pobl angen cymorth corfforol gydag agweddau ar fywyd bob dydd, fel bwyta, ymolchi a gofal y geg, gan wneud ynysu llwyr yn anodd iawn iddynt. Nawr, mae hyn wedi ychwanegu cymhlethdod pellach at ddarpariaeth y rhaglen yn ystod y pandemig. Mae'r angen am gyswllt wyneb yn wyneb mewn cartrefi gofal yn cael ei adolygu'n rheolaidd, a bydd timau lleol yn cael eu harwain gan ddarparwyr gwasanaethau ar lefel y gweithgarwch ym mhob cartref gofal. Mae timau Gwên am Byth wedi cadw mewn cysylltiad rheolaidd â chartrefi gofal drwy gydol y pandemig, tra'n monitro a rheoli anghenion sy'n dod i'r amlwg lle bo'n briodol. Mae hyn wedi sicrhau dull o weithredu a oedd yn blaenoriaethu anghenion brys, yn ogystal â darparu gwasanaethau deintyddol yn ehangach yng Nghymru. Ac rwy'n hynod ddiolchgar i'r gwasanaethau deintyddol cymunedol ledled Cymru am yr ymdrechion y maent wedi'u gwneud i sicrhau y gall preswylwyr cartrefi gofal gael cyngor ac ymyriadau lle bo'n briodol drwy gydol y pandemig. Nawr, lawn cymaint â heriau a chymhlethdod darparu gwasanaethau deintyddol, rwy'n cydnabod yn llawn yr effaith y mae COVID-19 wedi'i chael mewn cartrefi gofal. A thynnir sylw at y ffaith bod gan gartrefi gofal wahanol lefelau o brofiad neu adnoddau gweithlu i allu cymryd rhan lawn yn rhaglen Gwên am Byth. Mae'n ganmoladwy fod llawer o gartrefi gofal eisoes wedi ymgysylltu'n llawn â'r rhaglen a'u bod yn cyflawni rhagoriaeth o ran safonau gofal y geg. Fodd bynnag, erys y nod a oedd gennym cyn y pandemig: rydym yn disgwyl gweld bod y rhaglen ar gael ac yn cael ei chynnig ym mhob cartref gofal i bobl hŷn yng Nghymru. Er mwyn mynd i'r afael â'r anghydraddoldeb hwn ac ehangu mynediad at y rhaglen, rwyf wedi cyflwyno cynnig a dull gweithredu symlach gyda'r bwriad o gynorthwyo mwy o gartrefi gofal i gyrraedd y safonau gofynnol hanfodol a chymryd rhan. Fe'i gelwir yn Gwên am Byth Hanfodol. Bydd y cartrefi sydd eisoes yn cymryd rhan lawn yn parhau i gael eu cefnogi i gynnal rhagoriaeth o ran safonau gofal y geg. Gellir cychwyn y dull symlach mewn cartrefi gofal nad ydynt wedi dechrau'r rhaglen neu sydd wedi ei chael hi'n anodd cydymffurfio â'r dull presennol i Gymru gyfan. Drwy fabwysiadu'r dull hwn, gellir cynnwys pob cartref gofal ledled Cymru yn y rhaglen, a gall pob preswylydd elwa o'r manteision sy'n cael eu cynnig drwy Gwên am Byth. Mae'r rhaglen, gan gynnwys cynnig Gwên am Byth Hanfodol, bellach yn ailddechrau. Gyda llwyddiant cyflwyno'r brechlyn, y defnydd o hyfforddiant digidol ac argaeledd dyfeisiau llif unffordd, mae'r risg i staff deintyddol cymunedol o fynd i gartrefi gofal bellach yn llawer iawn llai. Mae'r adferiad yn mynd rhagddo'n dda, ac rydym wedi ymgorffori gwersi o'r pandemig yn y rhaglen wrth inni edrych ymlaen, gan gynnwys mwy o ddefnydd o dechnoleg ddigidol i ddarparu'r elfen hyfforddi, a fydd yn arwain at wneud y cynnig i bob cartref gofal preswyl yng Nghymru. Wrth i'r gwasanaethau barhau i ymadfer, rwy'n gobeithio y bydd y cynnig symlach yn galluogi pob cartref gofal i fod yn rhan o'r rhaglen hon, gan sicrhau bod gan rai o'n grwpiau mwyaf agored i niwed fynediad at y darpariaethau iechyd y geg sydd eu hangen arnynt. Ond diolch yn fawr am dynnu sylw'r Senedd at y mater pwysig hwn. Diolch.