English: This plan covers all aspects of palliative and end-of-life care, delivered by both primary and secondary sectors, and involves specialist palliative care services delivered by the NHS and third sector providers. This care also involves recognition of the needs of those experiencing bereavement. It builds on the success of the first plan. It's been updated to reflect the latest strategic and legislative change and has strengthened children and young people and research sections. We know that care at the end of life has improved greatly since the publication of the first end-of-life care delivery plan in 2013. Consultants in palliative medicine are now available on call 24/7 across Wales to provide advice and support to other professionals, and to visit patients where required, enhancing the service provided by clinical nurse specialists at weekends. And support is now in place for clinical nurse specialist teams to work seven days a week in acute and community settings. This has provided front-line staff with valuable support at weekends, enabling patients who present at hospital with end-of-life care needs to avoid hospital admission where appropriate and allow patients with complex needs to remain at home. Funding has also been provided to improve access to hospice-at-home provision, and we have introduced primary care palliative registers so that all general practices have a register of all patients with supportive or palliative care needs. In collaboration with Tŷ Hafan children's hospice, we've established a 24-hour out-of-hours telephone advice service for paediatric palliative care, which is now available across Wales. Dying is, of course, an inevitable event. While I fully appreciate it is not a subject that many people are comfortable talking about, it is vital that people let their loved ones know how they wish to end their days when the time comes. Planning for the end of life through open conversations can result in a better death and certainly help the grieving process for those left behind. Last week, I attended the Byw Nawr conference and was pleased to officially launch the new website for advance care planning. Today, people find most of their information online and it will be invaluable to have that resource at their fingertips on the internet. We have also provided £150,000 to train staff in advanced communication skills and end-of-life care. This has enabled colleagues to begin and manage serious illness conversations with patients, families and carers. The end-of-life care implementation board, though, provides strong leadership and oversees the delivery of the plan. As is the case with all of our major health conditions, the board receives £1 million annually to support their identified priorities. As part of the budget agreement with Plaid Cymru, the Welsh Government allocated an additional £1 million for this year, to further enhance end-of-life care provision. The board has provisionally identified that this funding will be used to pursue a Compassionate Communities approach to end-of-life care, for telemedicine, to further roll out the serious illness conversations training to support the development of an all-Wales advance care planning record, and to take forward research priorities and support GP clusters in Wales. The Welsh Government also provides approximately £6.4 million in funding to support specialist palliative care services provided by hospices and health boards throughout Wales. This significant investment is a reflection of the importance that this Welsh Government places upon end-of-life care. It's vital that individuals receive the best possible care in the location of their choice at the end of their days. Direct feedback from patients and their families about specialist palliative care services in Wales has shown that, over the past year, these services make an enormous difference to people's quality of life in their closing days. During 2015-16, 93 per cent of the responses to the iWantGreatCare patients' evaluation of their experience of specialist palliative care were positive. The average Welsh score was 9.5 out of 10 across all domains. This would not be possible, of course, without the dedication and professionalism of our workforce. So, I do want to take a moment at this stage to acknowledge the work of our clinicians, nurses and other staff who provide care for people at the end of their lives. There can be fewer jobs more emotionally demanding, yet more necessary. I am sure that Members across the Chamber will join me in recognising and thanking our staff for their work. But, dying is a social matter. How well we care for people who are dying reflects on how we care as a society. Advances in modern medicine and treatment have resulted in a growing population living longer with incurable diseases. It is vital that good end-of-life and palliative care is made available across Wales. The updated palliative and end-of-life care delivery plan was developed through effective partnership working. That continued co-operation between the Welsh Government, the implementation board, the national health service, professional bodies and the third sector is key to delivering outcomes at a greater pace and with greater impact. We should all recognise that the challenges ahead are many and significant, but we can look forward to the future with a sense of shared direction and confidence.
Welsh: Mae'r cynllun hwn yn ymdrin â phob agwedd ar ofal lliniarol a gofal diwedd oes, wedi'i ddarparu gan y sectorau sylfaenol ac eilaidd, ac mae'n cynnwys gwasanaethau gofal lliniarol arbenigol wedi'u darparu gan y GIG a darparwyr y trydydd sector. Mae'r gofal hwn hefyd yn cydnabod anghenion pobl sy'n mynd drwy brofedigaeth. Mae'n adeiladu ar lwyddiant y cynllun cyntaf. Mae wedi ei ddiweddaru i adlewyrchu'r newidiadau strategol a deddfwriaethol diweddaraf ac mae wedi cryfhau adrannau plant a phobl ifanc ac ymchwil. Rydym yn gwybod bod gofal ar ddiwedd oes wedi gwella'n fawr ers cyhoeddi'r cynllun cyntaf ar ddarparu gofal diwedd oes yn 2013. Mae ymgynghorwyr meddygaeth liniarol ar gael nawr ar alwad 24/7 ledled Cymru i roi cyngor a chymorth i weithwyr proffesiynol eraill, ac i ymweld â chleifion pan fo angen, sy'n gwella'r gwasanaeth a ddarperir gan arbenigwyr nyrsio clinigol ar benwythnosau. Ac mae cefnogaeth nawr ar gael i dimau nyrsio clinigol arbenigol i weithio saith diwrnod yr wythnos mewn lleoliadau acíwt a chymunedol. Mae hyn wedi darparu cefnogaeth werthfawr i staff rheng flaen ar benwythnosau, gan alluogi cleifion sy'n cyrraedd yr ysbyty ag anghenion gofal diwedd oes i osgoi cael eu derbyn i'r ysbyty pan fo hynny'n briodol a chaniatáu i gleifion sydd ag anghenion cymhleth aros gartref. Mae arian hefyd wedi ei ddarparu i wella mynediad at ddarpariaeth hosbis yn y cartref, ac rydym wedi cyflwyno cofrestri lliniarol gofal sylfaenol fel bod gan bob meddygfa deulu gofrestr o'r holl gleifion ag anghenion gofal cefnogol neu liniarol. Mewn cydweithrediad â hosbis plant Tŷ Hafan, rydym wedi sefydlu gwasanaeth cynghori y tu allan i oriau 24 awr dros y ffôn ar gyfer gofal lliniarol pediatrig, sydd nawr ar gael ledled Cymru. Mae marw, wrth gwrs, yn ddigwyddiad anochel. Er fy mod yn llwyr sylweddoli nad yw'n bwnc y mae llawer o bobl yn gyfforddus i siarad amdano, mae'n hanfodol bod pobl yn gadael i'w hanwyliaid wybod sut y maen nhw'n dymuno treulio eu dyddiau olaf pan ddaw'r amser. Mae cynllunio ar gyfer diwedd bywyd drwy gael sgyrsiau agored yn gallu arwain at farwolaeth well ac yn sicr yn gallu helpu'r broses alaru i'r rhai a adawyd ar ôl. Yr wythnos diwethaf, es i i gynhadledd Byw Nawr ac roeddwn yn falch o lansio, yn swyddogol, y wefan newydd ar gyfer cynllunio gofal ymlaen llaw. Heddiw, mae pobl yn dod o hyd i'r rhan fwyaf o'u gwybodaeth ar-lein a bydd yn amhrisiadwy i fod â'r adnodd hwnnw ar flaenau eu bysedd ar y rhyngrwyd. Rydym hefyd wedi darparu £150,000 i hyfforddi staff mewn sgiliau cyfathrebu uwch a gofal diwedd oes. Mae hyn wedi galluogi cydweithwyr i ddechrau a rheoli sgyrsiau am salwch difrifol â chleifion, teuluoedd a gofalwyr. Mae'r bwrdd gweithredu gofal diwedd oes, fodd bynnag, yn darparu arweinyddiaeth gref ac yn goruchwylio cyflawni'r cynllun. Fel sy'n wir am bob un o'n cyflyrau iechyd difrifol, mae'r bwrdd yn derbyn £1 miliwn y flwyddyn i gefnogi eu blaenoriaethau a nodwyd. Yn rhan o'r cytundeb cyllideb â Phlaid Cymru, dyrannodd Llywodraeth Cymru £1 filiwn ychwanegol ar gyfer eleni, i wella darpariaeth gofal diwedd oes ymhellach. Mae'r bwrdd wedi nodi dros dro y defnyddir y cyllid hwn i geisio sefydlu dull Cymunedau Tosturiol ar gyfer gofal diwedd oes, ar gyfer telefeddygaeth, i gyflwyno mwy o'r hyfforddiant am sgyrsiau am salwch difrifol i gynorthwyo'r gwaith o ddatblygu cofnod Cymru gyfan ar gyfer cynllunio gofal ymlaen llaw, ac i fwrw ymlaen â blaenoriaethau ymchwil a chefnogi clystyrau meddygon teulu yng Nghymru. Mae Llywodraeth Cymru hefyd yn darparu tua £6.4 miliwn o gyllid i gefnogi gwasanaethau gofal lliniarol arbenigol a ddarperir gan hosbisau a byrddau iechyd ledled Cymru. Mae'r buddsoddiad sylweddol hwn yn adlewyrchiad o ba mor bwysig yw gofal diwedd oes i Lywodraeth Cymru. Mae'n hanfodol bod unigolion yn cael y gofal gorau posibl yn y lleoliad o'u dewis yn eu dyddiau olaf. Mae adborth uniongyrchol gan gleifion a'u teuluoedd am wasanaethau gofal lliniarol arbenigol yng Nghymru wedi dangos, dros y flwyddyn ddiwethaf, bod y gwasanaethau hyn yn gwneud gwahaniaeth enfawr i ansawdd bywyd pobl yn eu dyddiau olaf. Yn ystod 2015-16, roedd 93 y cant o'r ymatebion i'r arfarniad cleifion iWantGreatCare o'u profiad o ofal lliniarol arbenigol yn gadarnhaol. Roedd y sgôr cyfartalog yng Nghymru yn 9.5 allan o 10 ar draws pob maes. Ni fyddai hyn yn bosibl, wrth gwrs, heb ymroddiad a phroffesiynoldeb ein gweithlu. Felly, hoffwn oedi nawr i gydnabod gwaith ein clinigwyr, ein nyrsys a'n haelodau staff eraill sy'n darparu gofal i bobl ar ddiwedd eu hoes. Go brin bod llawer o swyddi sy'n fwy heriol yn emosiynol, ond eto mor angenrheidiol. Rwy'n siŵr y gwnaiff Aelodau ar draws y Siambr ymuno â mi i gydnabod ein staff a diolch iddynt am eu gwaith. Ond, mae marw yn fater cymdeithasol. Mae pa mor dda yr ydym yn gofalu am bobl sy'n marw yn adlewyrchu ar ba mor ofalgar yr ydym fel cymdeithas. Mae datblygiadau mewn meddygaeth a thriniaeth fodern wedi arwain at boblogaeth sy'n tyfu, ac sy'n byw'n hwy â chlefydau na ellir eu gwella. Mae'n hanfodol darparu gofal diwedd oes a gofal lliniarol da ledled Cymru. Datblygwyd y cynllun cyflawni gofal lliniarol a gofal diwedd oes diweddaraf drwy weithio'n effeithiol mewn partneriaeth. Mae'r cydweithrediad parhaus hwnnw rhwng Llywodraeth Cymru, y bwrdd gweithredu, y gwasanaeth iechyd gwladol, cyrff proffesiynol a'r trydydd sector yn allweddol i gyflawni canlyniadau cyflymach sy'n cael mwy o effaith. Dylai pawb ohonom gydnabod bod yr heriau sydd o'n blaenau yn niferus ac yn sylweddol, ond gallwn edrych ymlaen at y dyfodol gydag ymdeimlad ein bod yn rhannu cyfeiriad a hyder.