techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: Actually, we know that for a significant part not just of Wales, but across the United Kingdom, some centres are more easy to attract and recruit to than others in different parts of the country. You don't need to take my word for it; go and talk to people who work in those other parts of the health service about the relative ease or difficulty of doing so. Cardiff and Vale, and other parts of the south-east corner, have had a more stable way of delivering and transforming their care. There is a different job of work to be done, for example, in west Wales and in north Wales in transforming the way that care is delivered. If we're unable to do so, then we'll continue to prop up parts of our service with agency and locum and higher spend. That's the unavoidable reality of where we are. So, if Members want to see genuinely a reduction in agency and locum spend, then we all need to have a grown-up conversation about where that care is delivered, to make it a more attractive place for staff to work. If we can't do that, we'll continue to either prop up parts of our service with agency and locum spend, or see those reform and change at a point of crisis, rather than deliberately planning to do so. That was one of the central messages of 'A Healthier Wales' and, indeed, the parliamentary review that every party in this Chamber signed up to.
Welsh: Mewn rhan fawr o Gymru ac ar draws y Deyrnas Unedig mewn gwirionedd, gwyddom ei bod yn haws denu a recriwtio i rai canolfannau nag eraill mewn gwahanol rannau o'r wlad. Nid oes angen i chi fy nghredu i; siaradwch â phobl sy'n gweithio yn y rhannau eraill hynny o'r gwasanaeth iechyd ynglŷn â pha mor hawdd neu ba mor anodd yw gwneud hynny. Mae Caerdydd a'r Fro, a rhannau eraill o gornel y de-ddwyrain, wedi cael ffordd fwy sefydlog o ddarparu a thrawsnewid eu gofal. Mae gwaith gwahanol i'w wneud, er enghraifft, yng ngorllewin a gogledd Cymru o ran trawsnewid y ffordd y darperir gofal. Os na allwn wneud hynny, byddwn yn parhau i gynnal rhannau o'n gwasanaeth â staff asiantaeth a staff locwm a gwariant uwch. Dyna realiti anochel ein sefyllfa. Felly, os yw'r Aelodau yn dymuno gweld gostyngiad go iawn yn y gwariant ar staff asiantaeth a staff locwm, mae angen i bob un ohonom gael trafodaeth aeddfed ynglŷn â ble y darperir y gofal hwnnw, i'w wneud yn lle mwy deniadol i staff weithio. Os na allwn wneud hynny, byddwn yn parhau naill ai i gynnal rhannau o'n gwasanaeth â gwariant ar staff asiantaeth a staff locwm, neu eu gweld yn diwygio ac yn newid ar adeg o argyfwng, yn hytrach na chynllunio'n fwriadol i wneud hynny. Dyna oedd un o negeseuon canolog 'Cymru Iachach', ac yn wir, yr adolygiad seneddol yr ymrwymodd pob plaid yn y Siambr hon iddo.
English: The Welsh Government continues to invest in the health service in north Wales, as demonstrated by the £1.4 billion allocation in 2018-19. We've provided specific additional support this year, totalling nearly £20 million to support performance, winter pressures, capacity and capability within the organisation.
Welsh: Mae Llywodraeth Cymru yn parhau i fuddsoddi yn y gwasanaeth iechyd yng ngogledd Cymru, fel y gwelwyd gyda'r dyraniad o £1.4 biliwn yn 2018-19. Rydym wedi darparu cymorth ychwanegol penodol eleni, i sicrhau cyfanswm o bron £20 miliwn i gefnogi perfformiad, pwysau'r gaeaf, capasiti a gallu o fewn y sefydliad.
English: Well, a fifth of the patients at the Countess of Chester Hospital come from Wales, and last week I questioned your colleague the finance Minister after the Countess of Chester Hospital reported in December that delayed transfers of care - better known to some people as bedblocking - for patients from Wales had gone up 26 per cent compared to the previous year, whilst falling 24 per cent for patients in west Wales. And their chief finance officer said there's extra capacity that the west Cheshire system is putting in and we've got to see some extra capacity being put in by Wales. The finance Minister said that she would refer that to you. Only this morning, I and five other AMs received an e-mail from a whistleblower describing themselves as 'a concerned Betsi Cadwaladr NHS supporter', which said that the health board has unsurprisingly failed to break even in any of the years since being placed in special measures by you, and that management was wasting valuable resources and public money on IT systems such as the health roster clinical activity management IT system, which has cost over £200,000. No analysis was done on the initial trial, there was no proper business case carried out, the project failure has been hidden from the public, this had been trialled unsuccessfully in 2015 with negative feedback, and the consensus from medical experts was the system wasn't fit for purpose but it still went ahead. As I concluded last week when questioning the finance Minister, what is going on, Minister, because the buck really does stop with you?
Welsh: Wel, mae un bob o bump o gleifion Ysbyty Iarlles Caer yn dod o Gymru, a'r wythnos diwethaf, holais eich cyd-Aelod, y Gweinidog cyllid, ar ôl i Ysbyty Iarlles Caer adrodd ym mis Rhagfyr fod oedi wrth drosglwyddo gofal - sy'n fwy cyfarwydd i rai fel blocio gwelyau - yn achos cleifion o Gymru wedi codi 26 y cant o gymharu â'r flwyddyn flaenorol, er ei fod wedi gostwng 24 y cant yn achos cleifion yng ngorllewin Cymru. A dywedodd eu prif swyddog cyllid fod system gorllewin swydd Gaer yn darparu capasiti ychwanegol a bod yn rhaid i Gymru ddarparu rhywfaint o gapasiti ychwanegol hefyd. Dywedodd y Gweinidog cyllid y byddai'n cyfeirio hynny atoch. Y bore yma, cefais i a phump o ACau eraill e-bost gan chwythwr chwiban a oedd yn disgrifio eu hunain fel 'un o gefnogwyr pryderus y GIG yn Betsi Cadwaladr', a ddywedai nad yw'n syndod fod y bwrdd iechyd wedi methu adennill eu costau yn unrhyw un o'r blynyddoedd ers i chi eu rhoi mewn mesurau arbennig, a bod yr adran reoli'n gwastraffu adnoddau gwerthfawr ac arian cyhoeddus ar systemau TG, megis system TG HealthRoster ar gyfer rheoli gweithgarwch clinigol, sydd wedi costio dros £200,000. Ni wnaed unrhyw ddadansoddiad o'r treial cychwynnol, ni chyflawnwyd achos busnes priodol, mae methiant y prosiect wedi'i guddio rhag y cyhoedd, treialwyd hyn yn aflwyddiannus yn 2015 gydag adborth negyddol, a'r consensws ymysg arbenigwyr meddygol oedd nad yw'r system yn addas i'r diben, ond fe'i rhoddwyd ar waith serch hynny. Fel y dywedais yr wythnos diwethaf wrth holi'r Gweinidog cyllid, beth sy'n digwydd, Weinidog, gan mai chi sy'n gyfrifol am hyn yn y pen draw?
English: Well, obviously, I can't comment on an e-mail you've had today from a whistleblower about his perspective, but we want to take seriously any and everybody who provide concerns about the use of money. But, actually, the project you mentioned there does not go into the first part of your question and the disagreement between the Countess of Chester trust and the health and care system in north Wales. Actually, the facts are that we have seen a significant fall in the amount of delayed transfers of care within north Wales. That is because health and social care have worked together on achieving that. I had to have personal meetings with health and local government over the last few years, and I'm delighted to see real and sustained achievement. We should recognise that and not so easily fall for a line of argument from the Countess of Chester trust. If you look at their financial challenges themselves, it is precious little to do with the health and care system here in Wales. To give you an example, if the Countess of Chester trust's deficit was transferred into Betsi Cadwaladr, it would nearly double the deficit in Betsi Cadwaladr. Their financial challenges are not the problem of Wales. My patience with the way in which they seek to shift blame for their challenges to north Wales is wearing thin. I want to see a health and care system that works for the person - a genuinely collaborative partnership across the border, but that does require a different level of conduct and behaviour from colleagues in Chester.
Welsh: Wel, yn amlwg, ni allaf wneud sylwadau ar e-bost a gawsoch heddiw gan chwythwr chwiban ynglŷn â'i safbwynt, ond rydym am roi ystyriaeth ddifrifol i unrhyw un a phawb sy'n mynegi pryderon ynglŷn â'r defnydd o arian. Ond mewn gwirionedd, nid yw'r prosiect a grybwylloch yn mynd i mewn i ran gyntaf eich cwestiwn a'r anghytuno rhwng ymddiriedolaeth Iarlles Caer a'r system iechyd a gofal yng ngogledd Cymru. Mewn gwirionedd, y gwir amdani yw ein bod wedi gweld gostyngiad sylweddol yn yr achosion o oedi wrth drosglwyddo gofal yng ngogledd Cymru. Y rheswm am hynny yw bod iechyd a gofal cymdeithasol wedi gweithio gyda'i gilydd i gyflawni hynny. Bu'n rhaid imi gael cyfarfodydd personol ag iechyd a llywodraeth leol dros yr ychydig flynyddoedd diwethaf, ac rwy'n falch iawn o weld cyflawniad gwirioneddol a pharhaus. Dylem gydnabod hynny, a pheidio â bod mor barod i lyncu dadl ymddiriedolaeth Iarlles Caer. Os edrychwch ar eu heriau ariannol hwy, ychydig iawn sydd a wnelo hynny â'r system iechyd a gofal yma yng Nghymru. Er enghraifft, pe bai diffyg ymddiriedolaeth Iarlles Caer yn cael ei drosglwyddo i fwrdd Betsi Cadwaladr, byddai'n dyblu'r diffyg, bron â bod, ym mwrdd Betsi Cadwaladr. Nid problem Cymru yw eu heriau ariannol hwy. Rwy'n dechrau colli amynedd gyda'r ffordd y maent yn ceisio beio gogledd Cymru am yr heriau y maent yn eu hwynebu. Rwyf am weld system iechyd a gofal sy'n gweithio i'r unigolyn - partneriaeth wirioneddol gydweithredol dros y ffin, ond mae hynny'n galw am lefel well o ymddygiad gan gymheiriaid yng Nghaer.
English: Disgraceful.
Welsh: Gwarthus.
English: It is disgraceful, you're right.
Welsh: Mae'n warthus, rydych yn llygad eich lle.
English: Well, if they have finished barracking across the Chamber, I will ask my question. Nursing students at Bangor are concerned about a possible threat to their courses because of cuts at the university. At a time when we need far more nurses in north Wales to fill hundreds of vacancies, there are questions arising as to whether departments within the Government here are speaking to each other, because, without sufficient funding for universities for lecturers, there will be fewer nurses, and the reliance of the health service in north Wales on agency staff and locums, which are expensive, will intensify. So, isn't this an example of a lack of collaboration across Government, which, as a result, is making a difficult situation worse?
Welsh: Wel, os ydyn nhw wedi gorffen toethan ar draws y Siambr, fe wnaf i ofyn fy nghwestiwn. Mae myfyrwyr nyrsio ym Mangor yn pryderu ynglŷn â bygythiad posibl i'w cyrsiau nhw oherwydd toriadau yn y brifysgol. Ar adeg pan fo angen llawer mwy o nyrsys arnom ni yn y gogledd i lenwi cannoedd o swyddi gwag, mae yna gwestiynau yn codi ynglŷn ag a ydy adrannau o fewn y Llywodraeth fan hyn yn siarad â'i gilydd. Oherwydd heb arian digonol i brifysgolion ar gyfer darlithwyr, mi fydd yna lai o nyrsys yn cael eu cynhyrchu, ac yna mi fydd dibyniaeth y gwasanaeth iechyd yn y gogledd ar staff asiantaeth a locyms costus a drudfawr yn dwysáu. Felly, onid yw hyn yn enghraifft o ddiffyg cydweithio ar draws y Llywodraeth, sydd, o ganlyniad, yn gwneud sefyllfa anodd yn waeth?
English: We have nursing courses provided in Bangor that we pay for. They're part of the numbers and the training numbers that I've invested in, which I referred to in my answer to Neil Hamilton. I expect both the numbers to be delivered and the quality of training and care to be delivered. If there are real and serious concerns, as you've mentioned, I'd be very pleased to hear from you direct about the detail of that, because I want to make sure, as I say, the numbers and the quality are safeguarded. This is the workforce of the future that we're investing in after all.
Welsh: Rydym yn talu am gyrsiau nyrsys a ddarperir ym Mangor. Maent yn rhan o'r niferoedd a'r niferoedd hyfforddi rwyf wedi buddsoddi ynddynt, a chyfeiriais atynt yn fy ateb i Neil Hamilton. Rwy'n disgwyl y cynhyrchir y niferoedd ac y sicrheir ansawdd yr hyfforddiant a'r gofal. Os oes pryderon difrifol a dilys, fel y dywedoch chi, buaswn yn falch iawn o glywed gennych yn uniongyrchol ynglŷn â manylion hynny, gan fy mod yn awyddus i sicrhau, fel y dywedaf, fod y niferoedd a'r ansawdd yn cael eu diogelu. Wedi'r cyfan, rydym yn buddsoddi yng ngweithlu'r dyfodol.
English: 'A Healthier Wales' sets out our vision for healthcare services and the primary care model for Wales is instrumental to delivering our aims for general practice. We are working with NHS Wales and representative bodies to continue to improve the delivery of services to the people of South Wales Central.
Welsh: Mae 'Cymru Iachach' yn nodi ein gweledigaeth ar gyfer gwasanaethau gofal iechyd ac mae'r model gofal sylfaenol ar gyfer Cymru yn allweddol i gyflawni ein nodau ar gyfer ymarfer cyffredinol. Rydym yn gweithio gyda GIG Cymru a chyrff cynrychiadol i barhau i wella'r ddarpariaeth o wasanaethau i bobl Canol De Cymru.
English: Thank you, Minister, for that answer. One of the biggest frustrations many patients have when trying to access GP services is actually making that first phone call to get an appointment with the GP. A constituent of mine - a Mr Owen Smith from Pontypridd, who I think you know - recently took to his Twitter account to highlight how he'd rung his GP surgery 300 times over the last five weeks. In his words, the appointments were sold out by 08:35 on each occasion. This isn't isolated to Owen Smith; this is across the South Wales Central area, where many patients struggle to get an appointment. What confidence can you give us that your department is putting energy into making more accessible the appointment system at GP surgeries so that patients who need those appointments can get them, and we don't get the rants that we saw off Owen Smith on Twitter, which highlights many of the frustrations that other constituents who don't have access to Twitter or social media feel on a day-to-day basis?
Welsh: Diolch am eich ateb, Weinidog. Un o'r rhwystredigaethau mwyaf i lawer o gleifion wrth geisio cael mynediad at wasanaethau meddygon teulu yw gwneud yr alwad ffôn gyntaf honno i gael apwyntiad gyda'r meddyg teulu. Defnyddiodd un o fy etholwyr - Mr Owen Smith o Bontypridd, a chredaf eich bod yn ei adnabod - ei gyfrif Twitter yn ddiweddar i dynnu sylw at y ffaith ei fod wedi ffonio ei feddygfa 300 o weithiau dros y pum wythnos ddiwethaf. Yn ei eiriau ef, nid oedd unrhyw apwyntiadau ar ôl erbyn 08:35 ar bob achlysur. Nid Owen Smith yn unig sydd wedi wynebu hyn; mae'n digwydd ar draws ardal Canol De Cymru, lle mae llawer o gleifion yn ei chael yn anodd cael apwyntiad. Pa hyder y gallwch ei roi inni fod eich adran yn ymdrechu i wneud y system apwyntiadau mewn meddygfeydd yn fwy hygyrch fel y gall cleifion sydd angen yr apwyntiadau hynny eu cael, ac nad ydym yn gweld y math o refru a welsom gan Owen Smith ar Twitter, sy'n tynnu sylw at lawer o'r rhwystredigaethau y mae etholwyr eraill nad ydynt yn defnyddio Twitter neu'r cyfryngau cymdeithasol yn eu teimlo bob dydd?
English: Well, I'm not sure the person you refer to has given you permission to highlight his own personal experience in the way you do, but there is - [ Interruption.]
Welsh: Wel, nid wyf yn siŵr a yw'r unigolyn y cyfeiriwch ato wedi rhoi caniatâd i chi dynnu sylw at ei brofiad personol yn y ffordd y gwnewch, ond ceir - [ Torri ar draws.]
English: There is considerable work under way to ensure patients who have a clinical need for an ambulance response in South Wales West do so as quickly as possible. I was encouraged to note that the latest figures show the area was again among the best performers in Wales for patients in the red category.
Welsh: Mae cryn dipyn o waith ar y gweill i sicrhau bod cleifion sydd ag angen clinigol am ymateb ambiwlans yng Ngorllewin De Cymru yn gwneud hynny cyn gynted â phosibl. Roedd yn galonogol gallu nodi bod y ffigurau diweddaraf yn dangos bod yr ardal, unwaith eto, ymhlith yr ardaloedd sy'n perfformio orau yng Nghymru ar gyfer cleifion yn y categori coch.
English: This was part of the amber review and the conversation about whether you should give an indication of whether an ambulance is due, and the advice in that was not to do so. There's work that the chief ambulance commissioner is doing to take forward the amber review to try and improve the experience for people whilst they are waiting as well. I'd be happy, though, to talk to the Member directly about the experience he's had, to try and understand if there are more things that the ambulance service could do, even if it is that conversation about what the individual could do if they could safely transport someone to a centre they are likely to have to attend in any event if the ambulance arrives.
Welsh: Roedd hyn yn rhan o'r adolygiad oren a'r sgwrs ynglŷn ag a ddylech roi syniad o pryd y bydd ambiwlans yn cyrraedd, a'r cyngor oedd na ddylid gwneud hynny. Mae prif gomisiynydd y gwasanaethau ambiwlans hefyd yn gweithio i ddatblygu'r adolygiad oren i geisio gwella profiad pobl tra bônt yn aros. Er hynny, buaswn yn hapus i siarad â'r Aelod yn uniongyrchol am y profiad a gafodd, i geisio deall a oes mwy o bethau y gallai'r gwasanaeth ambiwlans ei wneud, hyd yn oed os yw'n sgwrs ynglŷn â'r hyn y gallai'r unigolyn ei wneud os ydynt yn gallu cludo rhywun yn ddiogel i ganolfan y maent yn debygol o orfod mynd iddi beth bynnag os yw'r ambiwlans yn cyrraedd.
English: Thank you for your question, David, because I'm thinking once again of the role of co-responders, which I've raised in the Chamber a number of times. They are obviously well equipped to deal with a quick response to precisely this sort of situation that David Rees has mentioned there. They have a huge role to play in the efficiency of emergency response, and the row about how that service is paid for, I think, is a complete distraction. Bearing in mind the changes in the red and amber categorisations as well, I think I'd just like to raise the issue of first responders, which is obviously different. I'm sure you've been pleased that Bishopston and Pennard first responders group has recently attracted a huge host of new volunteers, but again - and it's not the first time it's happened to them - they are still waiting for the ambulance service to come and do the training. People are losing interest in that period of time. Can you tell us what Welsh Government can do to help the ambulance service take advantage of this social capital in helping them produce a better response rather than wasting it? Thank you.
Welsh: Diolch am eich cwestiwn, David, oherwydd rwy'n meddwl unwaith eto am rôl cyd-ymatebwyr, mater rwyf wedi'i godi yn y Siambr sawl gwaith. Maent yn amlwg yn gymwys i ymateb yn gyflym i'r union fath o sefyllfa a grybwyllodd David Rees. Mae ganddynt rôl enfawr i'w chwarae o ran effeithlonrwydd ymateb brys, ac rwy'n credu bod y ddadl ynglŷn â sut y telir am y gwasanaeth hwnnw yn tynnu sylw oddi wrth hynny. O ystyried y newidiadau i'r categorïau coch ac oren yn ogystal, hoffwn godi mater ymatebwyr cyntaf, sy'n amlwg yn wahanol. Rwy'n siŵr eich bod yn falch fod grŵp ymatebwyr cyntaf Llandeilo Ferwallt a Phennard wedi denu llu enfawr o wirfoddolwyr newydd yn ddiweddar, ond unwaith eto - ac nid dyma'r tro cyntaf i hyn ddigwydd iddynt - maent yn dal i aros am hyfforddiant gan y gwasanaeth ambiwlans. Mae pobl yn colli diddordeb yn yr amser hwnnw. A allwch chi ddweud wrthym beth y gall Llywodraeth Cymru ei wneud i helpu'r gwasanaeth ambiwlans i fanteisio ar y cyfalaf cymdeithasol hwn i'w helpu i lunio ymateb gwell yn hytrach na'i wastraffu? Diolch.
English: On the two points - . There are two separate points, and on co-responders it isn't just about money. It is actually about agreement on the role, for example, for firefighters as well, and agreement that is about terms and conditions and, actually, about how we deliver and make better use of trained personnel within our broader emergency services system. The point about first responders is one that I've actually taken up previously with the ambulance service about their plan for first responders and making use of people who want to be first responders to maintain their skills and make sure that is actually plugged in and designed in as part of our system. I'll happily take that up and write to the Member about where the ambulance service are on that, because I don't want to lose sight of those people who want to contribute and could make a real difference in a range of communities across the country. FootnoteLink
Welsh: Ar y ddau bwynt - . Mae yna ddau bwynt gwahanol, ac o ran cyd-ymatebwyr, nid yw'n ymwneud ag arian yn unig. Mae'n ymwneud â chytundeb ar rôl diffoddwyr tân hefyd, er enghraifft, a chytundeb sy'n ymwneud â thelerau ac amodau ac mewn gwirionedd, sut y darparwn ac y gwnawn well defnydd o bersonél hyfforddedig o fewn system ehangach ein gwasanaethau brys. Mae'r pwynt am ymatebwyr cyntaf yn un rydym wedi'i godi gyda'r gwasanaeth ambiwlans yn y gorffennol mewn perthynas â'u cynllun ar gyfer ymatebwyr cyntaf a defnyddio pobl sydd eisiau bod yn ymatebwyr cyntaf i gynnal eu sgiliau a sicrhau bod hynny'n cael ei gynnwys a'i gynllunio'n rhan o'n system. Rwy'n hapus i ystyried hynny ac ysgrifennu at yr Aelod ynglŷn â ble mae'r gwasanaeth ambiwlans arni mewn perthynas â hynny, oherwydd nid wyf eisiau colli golwg ar y bobl sydd eisiau cyfrannu ac a fyddai'n gallu gwneud gwahaniaeth go iawn mewn amryw o gymunedau ledled y wlad. FootnoteLink
English: The Welsh Government has issued national guidance to NHS Wales on engagement and consultation when they're considering making changes to health services. I expect them to take full account of the guidance and involve stakeholders - including, of course, the public - fully when proposing any changes.
Welsh: Mae Llywodraeth Cymru wedi cyhoeddi canllawiau cenedlaethol i GIG Cymru ar ymgysylltu ac ymgynghori pan fyddant yn ystyried gwneud newidiadau i wasanaethau iechyd. Rwy'n disgwyl y byddant yn ystyried y canllawiau'n llawn ac yn cynnwys rhanddeiliaid - gan gynnwys y cyhoedd, wrth gwrs - yn llawn pan fyddant yn argymell unrhyw newidiadau.
English: The Betsi Cadwaladr health board is about to discuss far-reaching changes to the way in which some services are provided across north Wales. The changes include the provision of urology services on two sites rather than three, and the movement of stroke services from two sites and orthopaedics from two sites. So, I'm sure you'd agree that the health board needs to be entirely transparent with the public when major changes such as these are being discussed. Unfortunately, they are trying to introduce the changes through the back door. Will you ensure that there is thorough consultation and that detailed impact assessments are carried out before any final decisions are taken?
Welsh: Diolch yn fawr. Mae bwrdd iechyd Betsi Cadwaladr ar fin trafod newidiadau pellgyrhaeddol i'r ffordd mae rhai gwasanaethau'n cael eu darparu ar draws y gogledd. Mae'r newidiadau yn cynnwys darparu gwasanaethau wroleg ar ddau safle yn lle tri, symud gofal strôc o ddau safle a symud gwasanaethau orthopedig o ddau le. Dwi'n siŵr eich bod chi'n cytuno fod angen i'r bwrdd iechyd fod yn gwbl dryloyw efo'r cyhoedd pan mae newidiadau mawr fel hyn yn cael eu trafod. Yn anffodus, maen nhw'n ceisio cyflwyno'r newid drwy'r drws cefn. A wnewch chi sicrhau fod ymgynghori trwyadl yn digwydd ac asesiadau effaith manwl yn cael eu gwneud cyn i unrhyw benderfyniadau gael eu cymryd?