English: Thank you, Deputy Presiding Officer. Members will be aware that health boards and trusts in Wales have their escalation and intervention status considered as part of our joint escalation and intervention arrangements. This involves Welsh Government officials meeting with Audit Wales and Healthcare Inspectorate Wales twice a year to discuss the overall position of NHS Wales organisations in respect of quality, service performance and financial management. A wide range of information and intelligence is considered to identify any issues to inform their assessment and advice to me as the health Minister. There is also an opportunity to hold additional meetings, if the group deem it necessary. At the last full tripartite meeting held in September, it was agreed to hold a further meeting before the end of the calendar year, specifically on Betsi Cadwaladr University Health Board. I am pleased to say that a special tripartite meeting took place earlier this month. The clear advice and recommendation to me was that the escalation status of the health board should change. I have accepted that advice. I have decided that Betsi Cadwaladr University Health Board will come out of special measures with immediate effect. The escalation status of the health board has now moved to targeted intervention. The tripartite group reviewed further evidence submitted by the health board that demonstrated progress over recent years, including on the areas that had originally been designated as special measures concerns. The group noted that the health board has demonstrated improved engagement with partners, particularly during the current pandemic. It also recognised the level of insight shown by the health board into the challenges that it still faces, together with the determination demonstrated by the board and the incoming chief executive to make further progress. The tripartite group noted the detrimental impact the special measures designation was having on the health board's ability to recruit and retain staff, particularly at senior level. This has led to a number of the executive director roles currently being filled on an interim basis. This is, obviously, not helpful for the health board in moving forward. Special measures was also having an impact on the health board's ability to make the necessary further progress. There continue to be concerns on some aspects of performance, particularly in mental health services and the ability of the health board to prepare an approvable medium-term plan. Going forward, to provide the clarity and assurance of the necessary focus, a maturity matrix approach will be used, similar to the processes that have been in place in Cwm Taf Morgannwg University Health Board. On 3 November, I announced a package of support for the health board. This support amounts to a further £82 million per year over three and a half years to support the health board as it enters a new phase under targeted intervention, and continues its ongoing work to improve. The chair of the health board has already responded outlining how this support will be utilised to improve unscheduled care, to build sustainable planned care, including orthopaedics, to deliver improvements in mental health services and, of course, to benefit the health of the population of north Wales. It should be remembered that targeted intervention is still a heightened level of escalation. This requires significant action on the part of the organisation, and will be accompanied by a level of continued oversight from my officials. However, the move out of special measures marks an undeniably positive step forward for the staff of the health board who have made and sustained the progress to end special measures. This is also of course a positive step forward for every community in north Wales that is served by the health board. I hope that Members across the Senedd will join me in congratulating staff at the health board as they move into the next phase of their improvement journey.
Welsh: Diolch, Dirprwy Lywydd. Fel y gŵyr yr Aelodau, caiff ystyriaeth ei rhoi i statws uwchgyfeirio ac ymyriad y byrddau iechyd a'r ymddiriedolaethau yng Nghymru fel rhan o'r trefniadau uwchgyfeirio ac ymyrryd sydd gennym ni ar y cyd. Mae hyn yn golygu bod swyddogion Llywodraeth Cymru yn cyfarfod ag Archwilio Cymru ac Arolygiaeth Gofal Iechyd Cymru ddwywaith y flwyddyn i drafod sefyllfa gyffredinol sefydliadau GIG Cymru o ran ansawdd, perfformiad gwasanaethau a rheolaeth ariannol. Rhoddir ystyriaeth i ystod eang o wybodaeth a hysbysrwydd ar gyfer nodi unrhyw faterion i lywio eu hasesiad a'u cyngor i mi fel Gweinidog Iechyd. Mae cyfle hefyd i gynnal cyfarfodydd ychwanegol, pe byddai'r grŵp o'r farn bod angen hynny. Yn y cyfarfod tairochrog llawn diwethaf a gynhaliwyd ym mis Medi, fe gytunwyd i gynnal cyfarfod pellach cyn diwedd y flwyddyn galendr, yn benodol ynglŷn â Bwrdd Iechyd Prifysgol Betsi Cadwaladr. Rwy'n falch o gael dweud y cynhaliwyd cyfarfod tairochrog arbennig yn gynharach y mis hwn. Y cyngor a'r argymhelliad clir i mi oedd y dylid newid statws uwchgyfeirio'r bwrdd iechyd. Rwyf wedi derbyn y cyngor hwnnw. Rwyf wedi penderfynu y bydd Bwrdd Iechyd Prifysgol Betsi Cadwaladr yn dod allan o fesurau arbennig a hynny ar unwaith. Mae statws uwchgyfeirio'r bwrdd iechyd bellach wedi newid i ymyriad wedi'i dargedu. Fe adolygodd y grŵp tairochrog dystiolaeth ychwanegol a gyflwynwyd gan y bwrdd iechyd a oedd yn dangos cynnydd dros y blynyddoedd diwethaf, gan gynnwys mewn meysydd a nodwyd yn wreiddiol yn bryderon a oedd yn teilyngu mesurau arbennig. Fe nododd y grŵp fod y bwrdd iechyd wedi dangos ymgysylltiad gwell gyda phartneriaid, yn enwedig yn ystod y pandemig presennol. Roedd hefyd yn cydnabod dealltwriaeth y bwrdd iechyd o'r heriau y mae'n eu hwynebu o hyd, ynghyd â'r penderfyniad a ddangoswyd gan y bwrdd a'r prif weithredwr newydd i sicrhau cynnydd pellach. Nododd y grŵp tairochrog yr effaith andwyol yr oedd bod mewn mesurau arbennig wedi'i chael ar allu'r bwrdd iechyd i recriwtio a chadw staff, yn enwedig ar lefel uwch. Mae hyn wedi arwain at lenwi nifer o swyddi cyfarwyddwyr gweithredol dros dro ar hyn o bryd. Mae'n amlwg nad yw hyn yn fuddiol iawn i'r bwrdd iechyd wrth symud ymlaen. Roedd mesurau arbennig yn cael effaith hefyd ar allu'r bwrdd iechyd i wneud y cynnydd pellach sy'n angenrheidiol. Mae pryderon o hyd ynghylch rhai agweddau ar berfformiad, yn enwedig mewn gwasanaethau iechyd meddwl a gallu'r bwrdd iechyd i baratoi cynllun tymor canolig y gellir ei gymeradwyo. Wrth symud ymlaen, er mwyn darparu eglurder a sicrwydd o'r pwysigrwydd angenrheidiol, fe ddefnyddir dull matrics aeddfedrwydd, sy'n debyg i'r prosesau a fu ar waith ym Mwrdd Iechyd Prifysgol Cwm Taf Morgannwg. Ar 3 Tachwedd, fe gyhoeddais i becyn cymorth i'r bwrdd iechyd. Mae'r cymorth hwn yn gyfanswm o £82 miliwn ychwanegol y flwyddyn dros dair blynedd a hanner i gefnogi'r bwrdd iechyd wrth iddo ddechrau ar gyfnod newydd o dan ymyriad wedi'i dargedu, ac mae'n dal ati â'i waith parhaus i wireddu gwelliannau. Mae cadeirydd y bwrdd iechyd wedi ymateb eisoes gan amlinellu sut y defnyddir y cymorth hwn i wella gofal heb ei gynllunio, i feithrin gofal a drefnir mewn modd cynaliadwy, gan gynnwys orthopedeg, i sicrhau y bydd gwelliannau mewn gwasanaethau iechyd meddwl ac, wrth gwrs, er lles iechyd poblogaeth y gogledd. Fe ddylid cofio bod ymyriad wedi'i dargedu yn parhau i fod yn lefel fwy dwys o uwchgyfeirio. Mae hyn yn gofyn am weithredu sylweddol gan y sefydliad, ac fe fydd yna lefel o oruchwyliaeth barhaus gan fy swyddogion i sy'n cyd-fynd â hyn. Er hynny, mae symud allan o fesurau arbennig heb os nac oni bai yn gam ymlaen i staff y bwrdd iechyd sydd wedi gwireddu a chynnal y cynnydd i ddod â'r mesurau arbennig i ben. Mae hwn yn gam cadarnhaol ymlaen hefyd i bob cymuned yn y gogledd sy'n cael ei gwasanaethu gan y bwrdd iechyd. Rwy'n gobeithio y bydd yr Aelodau ar draws y Senedd yn ymuno â mi i longyfarch staff yn y bwrdd iechyd wrth iddyn nhw symud i gam nesaf eu taith nhw o ran gwelliant.