English: Diolch, Llywydd. Our motion today proposes that this Senedd notes that World Stroke Day is 29 October 2022, recognises the urgent response required to prevent danger to life for people suffering a stroke, and instructs the Senedd's Health and Social Care Committee to conduct a review into the benefits and challenges of recategorising strokes as red calls, immediately life-threatening, under the clinical response model. World Stroke Day takes place on 29 October every year. It provides an opportunity to raise awareness of the serious nature and high rates of stroke, and to talk about ways in which we can reduce the burden of stroke through better public awareness of the risk factors and signs of stroke. It is also an opportunity to advocate for actions by decision makers at global, regional and national levels, which are essential to improve stroke prevention, access to acute treatment and support for survivors and care givers. For 2021 and 2022, the campaign is focused on raising awareness of the signs of stroke and the need for timely access to quality stroke treatment. Across the UK, a stroke happens every five minutes. An estimated 7,400 people a year in Wales experience a stroke - the fourth leading cause of death in Wales. A further 70,000 stroke survivors live in Wales and, without early intervention and diagnosis, significant harm to the patient, or chance of death, subsequentially increases - this is substantially. According to the Stroke Association, there are three different types of stroke: ischaemic, the most common type of stroke, found in about 85 per cent of cases, caused by a blockage cutting off the blood supply to the brain; haemorrhagic, caused by bleeding in or around the brain and apparent in 15 per cent of cases - this is the most severe type of stroke; and the transient ischaemic attack, also known as a mini stroke, where the symptoms only last for a short amount of time. Strokes are a conditions where the golden hour is vital. Certain acute conditions, including stroke, have 60 minutes to receive definitive care. Any later, and harm, including brain damage, physical disability and mortality, can increase significantly. Quality standards for strokes in adults, published by the National Institute for Health and Care Excellence, also highlight that patients with acute stroke should receive brain imaging within one hour of arrival at hospital should they meet any indicators for immediate imaging. NICE and the Stroke Association recommend the use of thrombolysis, or clot-busting medicine, within four and a half hours of an ischaemic stroke. According to NHS advice, alteplase, the medication used for treatment, is most effective if started as soon as possible after the stroke occurs, and certainly within four and a half hours. The NHS further notes that medication is not generally recommended if more than four and a half hours have passed, as it's not clear how beneficial it is when used after this time, and that it is vital that a brain scan is done to confirm diagnosis of an ischaemic stroke, as the medicine can make bleeding that occurs in haemorrhagic strokes worse. Latest Sentinel Stroke National Audit Programme data, or SSNAP data, showing hospital performance on stroke management across England and Wales, highlights a decline in appropriate care for stroke patients. Once arrived in hospital, stroke patients must be scanned within an hour, according to NICE, yet three hospitals in Wales took longer than this target time to scan a patient. The SSNAP data, which scores Welsh NHS responses to key indicators, such as time to scan, time to treatment and time to admission to stroke units, highlights some concerning trends in Welsh hospitals. Their scores range from A, or hospital meets the highest standards for almost all patients, to E, or hospital does not meet the highest standards for almost all patients. The latest overall scores for Welsh hospitals were D for all hospitals apart from Withybush, which scored a C, with, for example, all three district hospitals in north Wales scoring E for admission to stroke units in their latest disclosed figures.
Welsh: Diolch, Lywydd. Mae ein cynnig heddiw yn argymell bod y Senedd yn nodi bod Diwrnod Strôc y Byd yn cael ei gynnal ar 29 Hydref 2022, yn cydnabod yr ymateb brys sydd ei angen i atal perygl i fywyd pobl sy'n dioddef strôc, ac yn cyfarwyddo Pwyllgor Iechyd a Gofal Cymdeithasol y Senedd i gynnal adolygiad o fanteision a heriau ail-gategoreiddio strôc fel coch, galwadau sy'n peryglu bywyd ar unwaith, o dan y model ymateb clinigol. Cynhelir Diwrnod Strôc y Byd ar 29 Hydref bob blwyddyn. Mae'n gyfle i godi ymwybyddiaeth o natur ddifrifol a chyfraddau uchel strôc, ac i siarad am ffyrdd y gallwn leihau baich strôc drwy well ymwybyddiaeth gyhoeddus o ffactorau risg ac arwyddion strôc. Mae hefyd yn gyfle i ddadlau dros gamau gan wneuthurwyr penderfyniadau ar lefel fyd-eang, ranbarthol a chenedlaethol, sy'n hanfodol i wella gwaith i atal strôc, mynediad at driniaeth acíwt a chefnogaeth i oroeswyr a'r rhai sy'n gofalu. Ar gyfer 2021 a 2022, mae'r ymgyrch yn canolbwyntio ar godi ymwybyddiaeth o arwyddion strôc a'r angen am driniaeth strôc amserol o ansawdd da. Ar draws y DU, mae strôc yn digwydd bob pum munud. Amcangyfrifir bod 7,400 o bobl y flwyddyn yng Nghymru yn cael strôc - y pedwerydd prif achos marwolaeth yng Nghymru. Hefyd, mae 70,000 o oroeswyr strôc yn byw yng Nghymru, a heb ymyrraeth gynnar a diagnosis, mae perygl o niwed sylweddol i'r claf, neu farwolaeth, yn cynyddu - a hynny'n sylweddol. Yn ôl y Gymdeithas Strôc, ceir tri math gwahanol o strôc: isgemig, y math mwyaf cyffredin o strôc, a geir mewn tua 85 y cant o achosion, ac a achosir gan rwystr sy'n torri'r cyflenwad gwaed i'r ymennydd; gwaedlifol, a achosir gan waedu yn yr ymennydd neu o'i amgylch ac sy'n digwydd mewn 15 y cant o achosion - dyma'r math mwyaf difrifol o strôc; a phwl o isgemia dros dro, a elwir hefyd yn strôc fach, lle nad yw'r symptomau ond yn para am gyfnod byr. Mae strôc yn gyflwr lle mae'r awr euraidd yn hanfodol. Mae gan rai cyflyrau acíwt, gan gynnwys strôc, 60 munud lle mae'n rhaid cael gofal diffiniol. Gall ymateb diweddarach gynyddu niwed, gan gynnwys niwed i'r ymennydd, anabledd corfforol a marwolaethau, yn sylweddol. Mae safonau ansawdd ar gyfer strôc mewn oedolion, a gyhoeddwyd gan y Sefydliad Cenedlaethol dros Ragoriaeth mewn Iechyd a Gofal, hefyd yn tynnu sylw at y ffaith y dylai cleifion sydd wedi cael strôc acíwt gael triniaeth ddelweddu'r ymennydd o fewn awr i gyrraedd yr ysbyty os oes ganddynt unrhyw ddangosyddion ar gyfer delweddu ar unwaith. Mae NICE a'r Gymdeithas Strôc yn argymell defnyddio thrombolysis, neu feddyginiaeth chwalu clotiau, o fewn pedair awr a hanner i gael strôc isgemig. Yn ôl cyngor y GIG, mae alteplase, y feddyginiaeth a ddefnyddir ar gyfer triniaeth, yn fwyaf effeithiol os yw'n dechrau cyn gynted â phosib ar ôl i'r strôc ddigwydd, ac yn sicr o fewn pedair awr a hanner. Mae'r GIG yn nodi ymhellach nad argymhellir meddyginiaeth fel y cyfryw os oes mwy na phedair awr a hanner wedi mynd heibio, gan nad yw'n glir pa mor fuddiol yw hi pan gaiff ei defnyddio ar ôl yr amser hwn, a'i bod yn hanfodol gwneud sgan ar yr ymennydd i gadarnhau diagnosis o strôc isgemig, gan y gall y feddyginiaeth wneud gwaedu sy'n digwydd mewn strôc waedlifol yn waeth. Mae data diweddaraf y Rhaglen Archwilio Genedlaethol ar gyfer Strôc Sentinel, neu ddata SSNAP, sy'n dangos perfformiad mewn ysbytai ar reoli strôc ar draws Cymru a Lloegr, yn tynnu sylw at ostyngiad mewn gofal priodol i gleifion strôc. Ar ôl cyrraedd yr ysbyty, rhaid sganio cleifion strôc o fewn awr yn ôl NICE, ac eto fe wnaeth tri ysbyty yng Nghymru gymryd mwy o amser na'r amser targed hwn i sganio claf. Mae data SSNAP, sy'n sgorio ymatebion GIG Cymru i ddangosyddion allweddol, megis amser i sganio, amser i driniaeth ac amser i gael mynediad i unedau strôc, yn tynnu sylw at rai tueddiadau pryderus yn ysbytai Cymru. Mae eu sgoriau'n amrywio o A, neu ysbyty sy'n bodloni'r safonau uchaf i bron bob claf, i E, neu ysbyty nad yw'n cyrraedd y safonau uchaf i bron pob claf. Y sgoriau cyffredinol diweddaraf ar gyfer ysbytai Cymru oedd D i bob ysbyty heblaw am Lwynhelyg, a sgoriodd C, gyda phob un o'r tri ysbyty dosbarth yng ngogledd Cymru, er enghraifft, yn sgorio E ar gyfer derbyn i unedau strôc yn y ffigyrau diweddaraf a ryddhawyd.