English: In focusing on the need to support palliative care in the pandemic, our motion both acknowledges the impact of the COVID-19 pandemic on those providing end-of-life care and those who are terminally ill and their loved ones, and recognises the vital importance of high-quality palliative care and bereavement support services. Palliative and end-of-life care has never been as important as now. Whether dying of COVID-19 or other terminal and life-shortening conditions, people require expert palliative and end-of-life care. The acute rise in deaths related to the pandemic has increased the need for hospice and palliative care, on top of an already increasing need, with annual deaths under normal circumstances already projected to increase by 25 per cent over the next 20 years. As Marie Curie state, even before the pandemic one in four people didn't get the care or support they needed at the end of their lives. People are living longer with multiple conditions, and now our world contains a virus that could force any one of us to face our own mortality sooner than we expected. As Hospice UK state, during the pandemic Wales has seen a 10 per cent increase in deaths, and every person dying from COVID-19 could benefit from palliative and end-of-life care. Hospices and NHS palliative care services have provided continuity of care to people with terminal and life-limiting conditions throughout the pandemic. In some cases, front-line hospice staff have been amongst the only health and care professionals in contact with people as they approach the end of their lives. While many people want to die in their own homes, for some the hospice is their preferred place of care and, for many, it may not be possible or practical to be supported to die in their own home, highlighting the importance of hospice in-patient units also. Throughout the pandemic, hospices have been proactive in ensuring their communities have access to their in-patient services, providing specialist end-of-life care or crisis care should they need them. Nightingale House Hospice in Wrexham changed its referral process so that people or their families could self-refer into their care, as well as maintaining traditional routes of professional referral. Instead of closing, the hospice effectively opened up access to its care. In April 2020, the Welsh Government announced up to £6.3 million to support continued core clinical hospice care, and develop hospice bereavement care, recognising the essential care provided by hospices when no alternative NHS provision is in place, care primarily funded through charitable donations. In 2019, hospices needed to fundraise £33.3 million to supplement the £5.7 million they received from statutory sources. Although the Welsh Government allocated £6.3 million to the hospice emergency fund, this is less generous than equivalent funds in all other UK nations, and falls significantly short of the total allocated to the Welsh Government in consequential funding from the UK Government's support for hospices in England. There has been no confirmed additional support for hospices in Wales to maintain their essential services during 2020-21, and they're facing a combined shortfall of £4.2 million by March, next month. However, hospice and community palliative care services are still providing vital face-to-face care to people. More people are being cared for at the end of life in their own homes, and this when extended families and friends aren't able to be with them, putting immediate families under huge pressure. In contrast, NHS England added up to £125 million for the five months from November 2020 to March 2021 to their original funding package, equating to up to £6 million extra in consequential funding to the Welsh Government. Again, the Welsh Government has not indicated that palliative care services in Wales will benefit from this. Further, there was no indication in the Welsh Government's draft budget for 2021-22 of continued support for hospices to maintain their essential services, despite their estimated combined shortfall of £6.1 million during 2021-22. Before the pandemic, the Welsh Government agreed to review charitable hospice funding, recognising that the current arrangements neither accurately reflect population need for palliative care now, nor the projected increase into the future. As yet, this review has not been forthcoming. All hospice in-patient services providing specialist end-of-life care or crisis care have continued throughout the pandemic, as have hospice and bereavement counselling teams, many of which are also offering specialist mental health and bereavement care to local health and care staff through the pandemic. As the current Welsh Government end-of-life care delivery plan comes to an end, hospices in Wales are calling for a new national plan that both takes a whole-system approach and responds to the shift in home deaths through the pandemic. As the pandemic has demonstrated, every person should have access to expert and dignified end-of-life care no matter where they die. Diolch.
Welsh: Wrth ganolbwyntio ar yr angen i gefnogi gofal lliniarol yn y pandemig, mae ein cynnig yn cydnabod effaith pandemig COVID-19 ar y rhai sy'n darparu gofal diwedd oes a'r rhai sydd â salwch angheuol a'u hanwyliaid, ac yn cydnabod pwysigrwydd hanfodol gofal lliniarol o ansawdd uchel a gwasanaethau cymorth profedigaeth. Ni fu gofal lliniarol a gofal diwedd oes erioed mor bwysig ag y maent yn awr. P'un ag a ydynt yn marw o COVID-19 neu gyflyrau angheuol eraill a chyflyrau eraill sy'n byrhau bywyd, mae angen gofal lliniarol a gofal diwedd oes arbenigol ar bobl. Mae'r cynnydd difrifol yn nifer y marwolaethau sy'n gysylltiedig â'r pandemig wedi cynyddu'r angen am ofal hosbis a gofal lliniarol, ar ben angen sydd eisoes yn cynyddu, gyda'r rhagamcanion eisoes y bydd marwolaethau blynyddol o dan amgylchiadau arferol yn cynyddu 25 y cant dros yr 20 mlynedd nesaf. Fel y dywed Marie Curie, hyd yn oed cyn y pandemig nid oedd un o bob pedwar o bobl yn cael y gofal na'r cymorth roeddent eu hangen ar ddiwedd eu hoes. Mae pobl yn byw'n hirach gyda chyflyrau lluosog, ac erbyn hyn mae ein byd yn cynnwys feirws a allai orfodi unrhyw un ohonom i wynebu ein marwolaeth ein hunain yn gynt nag y disgwyliem. Fel y dywed Hospice UK, yn ystod y pandemig mae Cymru wedi gweld cynnydd o 10 y cant yn nifer y marwolaethau, a gallai pob person sy'n marw o COVID-19 elwa o ofal lliniarol a gofal diwedd oes. Mae hosbisau a gwasanaethau gofal lliniarol y GIG wedi darparu dilyniant gofal i bobl â chyflyrau angheuol a chyflyrau sy'n byrhau bywyd drwy gydol y pandemig. Mewn rhai achosion, mae staff rheng flaen hosbisau wedi bod ymhlith yr unig weithwyr iechyd a gofal proffesiynol sydd mewn cysylltiad â phobl wrth iddynt nesáu at ddiwedd eu hoes. Er bod llawer o bobl am farw yn eu cartrefi eu hunain, i rai, yr hosbis yw'r lle gofal y maent yn ei ddewis, ac i lawer, efallai na fydd yn bosibl nac yn ymarferol iddynt gael cefnogaeth i allu marw yn eu cartref eu hunain, gan amlygu pwysigrwydd unedau hosbis i gleifion mewnol hefyd. Drwy gydol y pandemig, mae hosbisau wedi mynd ati'n rhagweithiol i sicrhau bod mynediad gan gymunedau at eu gwasanaethau cleifion mewnol sy'n darparu gofal diwedd oes arbenigol neu ofal mewn argyfwng os bydd eu hangen arnynt. Newidiodd Hosbis Tŷ'r Eos yn Wrecsam ei broses atgyfeirio fel y gallai pobl neu eu teuluoedd hunangyfeirio i'w gofal, yn ogystal â chadw llwybrau traddodiadol atgyfeirio proffesiynol. Yn hytrach na chau, sicrhaodd yr hosbis fod mwy o fynediad at eu gofal i bob pwrpas. Ym mis Ebrill 2020, cyhoeddodd Llywodraeth Cymru hyd at £6.3 miliwn i gefnogi gofal hosbis clinigol craidd parhaus, a datblygu gofal profedigaeth hosbisau, gan gydnabod y gofal hanfodol a ddarperir gan hosbisau pan nad oes darpariaeth GIG amgen ar waith, gofal a ariennir yn bennaf drwy roddion elusennol. Yn 2019, roedd angen i hosbisau godi £33.3 miliwn yn ychwanegol at y £5.7 miliwn a gawsant o ffynonellau statudol. Er i Lywodraeth Cymru ddyrannu £6.3 miliwn i gronfa argyfwng yr hosbisau, mae hyn yn llai hael na chronfeydd cyfatebol ym mhob un o wledydd eraill y DU, ac mae'n sylweddol is na'r cyfanswm a ddyrannwyd i Lywodraeth Cymru mewn cyllid canlyniadol o gymorth Llywodraeth y DU i hosbisau yn Lloegr. Ni chadarnhawyd unrhyw gymorth ychwanegol i hosbisau yng Nghymru i gynnal eu gwasanaethau hanfodol yn ystod 2020-21, ac maent yn wynebu diffyg cyfunol o £4.2 miliwn erbyn mis Mawrth, sef mis nesaf. Fodd bynnag, mae hosbisau a gwasanaethau gofal lliniarol cymunedol yn dal i ddarparu gofal wyneb yn wyneb hanfodol i bobl. Mae mwy o bobl yn derbyn gofal ar ddiwedd eu hoes yn eu cartrefi eu hunain, a hyn pan nad yw teuluoedd estynedig a ffrindiau yn gallu bod gyda hwy, gan roi teuluoedd agos o dan bwysau enfawr. Mewn cyferbyniad, ychwanegodd GIG Lloegr hyd at £125 miliwn at eu pecyn ariannu gwreiddiol ar gyfer y pum mis o fis Tachwedd 2020 i fis Mawrth 2021, sy'n cyfateb i hyd at £6 miliwn ychwanegol mewn cyllid canlyniadol i Lywodraeth Cymru. Unwaith eto, nid yw Llywodraeth Cymru wedi nodi y bydd gwasanaethau gofal lliniarol yng Nghymru yn elwa ohono. At hynny, nid oedd unrhyw arwydd yng nghyllideb ddrafft Llywodraeth Cymru ar gyfer 2021-22 o gymorth parhaus i hosbisau er mwyn cynnal eu gwasanaethau hanfodol, er gwaethaf eu diffyg cyfunol amcangyfrifedig o £6.1 miliwn yn ystod 2021-22. Cyn y pandemig, cytunodd Llywodraeth Cymru i adolygu cyllid elusennol i hosbisau, gan gydnabod nad yw'r trefniadau presennol yn adlewyrchu angen y boblogaeth am ofal lliniarol yn gywir nawr, na'r cynnydd a ragwelir yn y dyfodol. Hyd yma, nid yw'r adolygiad hwn wedi dod i law. Mae'r holl wasanaethau hosbis i gleifion mewnol sy'n darparu gofal diwedd oes arbenigol neu ofal mewn argyfwng wedi parhau drwy gydol y pandemig, fel y mae timau hosbis a chwnsela profedigaeth, gyda llawer ohonynt hefyd yn cynnig gofal iechyd meddwl a phrofedigaeth arbenigol i staff iechyd a gofal lleol drwy'r pandemig. Wrth i gynllun cyflawni presennol Llywodraeth Cymru ar gyfer gofal diwedd oes ddod i ben, mae hosbisau yng Nghymru yn galw am gynllun cenedlaethol newydd sy'n arfer dull system gyfan ac sy'n ymateb i'r newid mewn marwolaethau yn y cartref drwy gydol y pandemig. Fel y mae'r pandemig wedi dangos, dylai pob person gael mynediad at ofal diwedd oes arbenigol ac urddasol ni waeth ble maent yn marw. Diolch.