techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: You're absolutely right to say that we do take a very different approach to the one that we see in England in terms of our support for social services because, of course, the UK Government has abdicated its responsibility for social services in putting the burden on councils to raise council tax to pay for social care locally, which I think is an unfair approach and one that we wouldn't be seeking to adopt here. On delayed transfers of care, we are seeing improvements in those figures and I think that is the result of the work that we are doing through the intermediate care fund. But with regard to the specifics on why we are seeing fewer aids and adaptations, I couldn't tell you why we're seeing that because people should be having their needs met through the Social Services and Well-being (Wales) Act 2014, which does require an individual assessment of each person's needs, which will include aids and adaptations, and they should be available to the people who need them.
Welsh: Rydych yn hollol gywir i ddweud bod gennym ddull o weithredu sy'n wahanol iawn i'r un a welwn yn Lloegr o ran ein cefnogaeth i wasanaethau cymdeithasol oherwydd, wrth gwrs, mae Llywodraeth y DU wedi ymwrthod â'i chyfrifoldeb dros y gwasanaethau cymdeithasol drwy roi'r baich ar gynghorau i godi'r dreth gyngor i dalu am ofal cymdeithasol yn lleol, a chredaf fod hwnnw'n ddull annheg ac yn un na fuasem yn ceisio'i fabwysiadu yma. Ar oedi wrth drosglwyddo gofal, rydym yn gweld gwelliannau yn y ffigurau a chredaf fod hynny'n deillio o'r gwaith a wnawn drwy'r gronfa gofal canolraddol. Ond o ran y manylion penodol ynglŷn â pham y gwelwn lai o gymhorthion ac addasiadau, ni allwn ddweud wrthych pam y gwelwn hynny gan y dylai pobl fod yn cael eu hanghenion wedi'u diwallu drwy Ddeddf Gwasanaethau Cymdeithasol a Llesiant (Cymru) 2014, sy'n ei gwneud yn ofynnol i gynnal asesiad unigol o anghenion pob unigolyn, a fydd yn cynnwys cymhorthion ac addasiadau, a dylent fod ar gael i'r bobl sydd eu hangen.
English: Perhaps the Minister should be trying to find out why those adaptations have been declining and why the equipment has not been going out at rates at which it has in the past because that all has an effect and a knock-on further down the line within our health and social care system. Let me draw your attention to another service that is vastly underappreciated - that of unpaid carers. Last year, Carers UK found that 55 per cent of carers in Wales found that their own physical health had suffered because of their caring duties. That's the highest percentage anywhere in the UK. The amount of respite care provided in Wales - the number of nights of care provided in Wales - has dropped a staggering 24 per cent since 2011. This has happened at the same time as this and the previous Government presided over a programme, of course, of closing community hospitals, with an overall decline in the number of NHS beds available in Wales of 7 per cent. These community hospital beds, I need not point out, could have provided a smooth transition for patients back to the community, tackling delayed transfers of care, as well, of course, as providing desperately needed respite care for the army of unpaid carers that keeps our system afloat. So, will the Minister now admit that the drive to close community hospitals has been a big mistake and that, in the main, and for the sake of strengthening our social care system, it's time to start reversing that programme?
Welsh: Efallai y dylai'r Gweinidog geisio darganfod pam y mae nifer yr addasiadau hynny wedi bod yn gostwng a pham nad yw'r offer wedi bod yn mynd allan i'r un graddau ag yn y gorffennol gan fod hyn i gyd yn cael effaith ganlyniadol ymhellach yn nes ymlaen yn ein system iechyd a gofal cymdeithasol. Gadewch i mi dynnu eich sylw at wasanaeth arall nad yw'n cael ei werthfawrogi o gwbl - gofalwyr di-dâl. Y llynedd, canfu Carers UK fod 55 y cant o ofalwyr yng Nghymru yn teimlo bod eu hiechyd corfforol eu hunain wedi dioddef oherwydd eu dyletswyddau gofalu. Dyna'r ganran uchaf yn y DU drwyddi draw. Mae faint o ofal seibiant a ddarperir yng Nghymru - nifer y nosweithiau o ofal a ddarperir yng Nghymru - wedi gostwng 24 y cant ers 2011, sy'n ostyngiad syfrdanol. Mae hyn wedi digwydd ar yr un adeg ag y bu'r Llywodraeth hon a'r un flaenorol yn llywyddu dros raglen o gau ysbytai cymunedol, wrth gwrs, gyda gostyngiad cyffredinol o 7 y cant yn nifer y gwelyau GIG sydd ar gael yng Nghymru. Nid oes raid i mi nodi y gallai'r gwelyau hyn mewn ysbytai cymunedol fod wedi sicrhau pontio llyfn i gleifion yn ôl i'r gymuned, gan fynd i'r afael ag oedi wrth drosglwyddo gofal, yn ogystal, wrth gwrs, â darparu gofal seibiant y mae ei ddirfawr angen ar y fyddin o ofalwyr di-dâl sy'n cadw ein system i fynd. Felly, a wnaiff y Gweinidog gyfaddef yn awr fod yr ymgyrch i gau ysbytai cymunedol wedi bod yn gamgymeriad mawr ac at ei gilydd, er mwyn cryfhau ein system gofal cymdeithasol, ei bod hi'n bryd dechrau gwrthdroi'r rhaglen honno?
English: Well, just to pick up on the comment you made on aids and adaptations, I think that we should be looking at whether people's needs are being met, not whether or not there has been an increase or a decrease in the percentage of certain aids and adaptations that are being installed. If you have specific examples locally as to where people haven't had their needs met through aids and adaptations, then by all means please raise them with me. I share your admiration for unpaid carers. They're doing an absolutely wonderful job across Wales. We wouldn't be where we are without them. This is why we have committed, as a Government, to introducing and to developing a national respite strategy, because we know that provision for respite locally does differ across Wales. When we listen to carers, they tell us that, more than anything, the one thing that they need and that they want is access to respite. This is why, when we asked the Family Fund to look at the kind of support they offer to families here in Wales, we asked them to focus on respite and short breaks, because these are the things that disabled families have been asking us to focus our attentions on. You'll be aware as well that we're currently refreshing our carers strategy, and, again, this is through listening to carers as to what their priorities are. Early priorities that are emerging from those discussions, as you would expect, include respite. They also include young carers, older carers and carers of older people as well.
Welsh: Wel, i fynd ar ôl y sylw a wnaethoch am gymhorthion ac addasiadau, rwy'n meddwl y dylem edrych i weld a yw anghenion pobl yn cael eu diwallu, yn hytrach na gweld a fu cynnydd neu ostyngiad yn y ganran o'r cymhorthion a'r addasiadau sy'n cael eu darparu. Os oes gennych enghreifftiau penodol yn lleol o bobl nad yw eu hanghenion wedi'u diwallu drwy gymhorthion ac addasiadau, yna ar bob cyfrif, dowch â hwy i fy sylw os gwelwch yn dda. Rhannaf eich edmygedd o ofalwyr di-dâl. Maent yn gwneud gwaith hollol wych ar draws Cymru. Ni fuasem wedi cyrraedd lle yr ydym hebddynt. Dyma pam rydym wedi ymrwymo, fel Llywodraeth, i gyflwyno ac i ddatblygu strategaeth seibiant genedlaethol, oherwydd gwyddom fod darpariaeth leol ar gyfer gofal seibiant yn amrywio ar draws Cymru. Pan fyddwn yn gwrando ar ofalwyr, maent yn dweud wrthym mai'r un peth sydd ei angen arnynt a'r un peth y maent ei eisiau yw'r gallu i gael gofal seibiant. Dyma pam y gofynasom i Gronfa'r Teulu, pan oeddent yn edrych ar y math o gefnogaeth y maent yn ei chynnig i deuluoedd yma yng Nghymru, roi ffocws ar ofal seibiant a seibiannau byr, gan mai dyma'r pethau y mae teuluoedd pobl anabl wedi bod yn gofyn i ni ganolbwyntio ein sylw arnynt. Fe fyddwch yn ymwybodol hefyd ein bod yn adnewyddu ein strategaeth ofalwyr ar hyn o bryd, ac unwaith eto, gwnawn hyn drwy wrando ar ofalwyr ynglŷn â beth yw eu blaenoriaethau. Mae'r blaenoriaethau cynnar sy'n dod yn amlwg o'r trafodaethau hynny, fel y buasech yn disgwyl, yn cynnwys seibiant. Maent hefyd yn cynnwys gofalwyr ifanc, gofalwyr hŷn a rhai sy'n gofalu am bobl hŷn yn ogystal.
English: Diolch, Lywydd. Cabinet Secretary, one of our most effective weapons for fighting cancer is population-level screening. I welcome the recent announcement made by the Minister for public health about the move to better methods of screening for both bowel and cervical cancer. However, no matter how we improve the screening techniques, our biggest battle is convincing the public to participate in screening programmes. What plans does your Government have to reverse the downward trend in cervical screening and improve uptake in bowel cancer screening?
Welsh: Diolch, Lywydd. Ysgrifennydd y Cabinet, un o'n harfau mwyaf effeithiol ar gyfer ymladd canser yw sgrinio ar lefel y boblogaeth. Croesawaf y cyhoeddiad diweddar a wnaed gan y Gweinidog iechyd y cyhoedd ynghylch y newid i ddulliau gwell o sgrinio ar gyfer canser y coluddyn a chanser ceg y groth. Fodd bynnag, ni waeth sut y byddwn yn gwella'r technegau sgrinio, ein brwydr fwyaf yw argyhoeddi'r cyhoedd i gymryd rhan mewn rhaglenni sgrinio. Pa gynlluniau sydd gan eich Llywodraeth i wrthdroi'r duedd ar i lawr mewn sgrinio ceg y groth a chynyddu'r nifer sy'n cael eu sgrinio am ganser y coluddyn?
English: I thank the Member for the question. As you know, the Minister leads on our population health screening programmes as part of her public health responsibilities. We, too, are concerned about the figures confirming that cervical screening rates have lowered, and we expect there to be more public information, but also conversations between health professionals and individuals about the real benefit of undergoing screening for a range of different potential conditions. On bowel screening, I actually think we will see an uptake because the test is easier to administer. Without going into the details of the old test and the newer test, it's an easier test to administer, and we expect that we will see a rise in the number of men, in particular, who will undergo that particular screening programme.
Welsh: Diolch i'r Aelod am y cwestiwn. Fel y gwyddoch, mae'r Gweinidog yn arwain ar ein rhaglenni sgrinio iechyd y boblogaeth fel rhan o'i chyfrifoldebau iechyd cyhoeddus. Rydym ninnau hefyd yn pryderu am y ffigurau sy'n cadarnhau bod cyfraddau sgrinio ceg y groth wedi gostwng, ac rydym yn disgwyl gweld mwy o wybodaeth gyhoeddus, a thrafodaethau hefyd rhwng gweithwyr iechyd proffesiynol ac unigolion ynghylch y budd gwirioneddol a geir o sgrinio ystod o wahanol gyflyrau posibl. Ar sgrinio'r coluddion, rwy'n meddwl y byddwn yn gweld y nifer sy'n manteisio ar y gwasanaeth yn cynyddu am fod y prawf yn haws i'w weinyddu. Heb fynd i fanylion ynglŷn â'r hen brawf a'r prawf mwy newydd, mae'n brawf sy'n haws ei weinyddu, ac rydym yn disgwyl y byddwn yn gweld cynnydd yn nifer y dynion, yn arbennig, a fydd yn cymryd rhan yn y rhaglen sgrinio benodol honno.
English: Thank you for that answer, Cabinet Secretary. One area that could benefit from improved screening is prostate cancer. A recent study published in 'The Lancet' showed that using multiparametric MRI on men who had high prostate-specific antigen levels increases detection of aggressive tumours, and spares many from the need to have a biopsy and its associated side-effects. What plans does your Government have to roll out this new technique across the Welsh NHS?
Welsh: Diolch i chi am yr ateb hwnnw, Ysgrifennydd y Cabinet. Un maes a allai elwa o well sgrinio yw canser y prostad. Dangosodd astudiaeth ddiweddar a gyhoeddwyd yn 'The Lancet' fod defnyddio MRI amlbarametrig ar ddynion a oedd â lefelau uchel o antigenau prostad-benodol yn cynyddu'r gallu i ganfod tiwmorau ymosodol, ac yn arbed llawer rhag yr angen i gael biopsi a'i sgil-effeithiau cysylltiedig. Pa gynlluniau sydd gan eich Llywodraeth i gyflwyno'r dechneg newydd hon ar draws y GIG yng Nghymru?
English: I thank the Member for the question. Prostate cancer is a particular area of focus, and not just because there is a very active - and I welcome their activity - third sector organisation around prostate cancer, who regularly encourage us to find out more for ourselves and to encourage others to think about the current ways of understanding whether people do have prostate cancer and the potential treatment options. Part of the challenge is that we currently have a less than adequate test for prostate cancer, and it's part of the uncertainty that goes into that. We are interested in advancing the evidence base for more effective tests to understand whether people have prostate cancer and what particular type of prostate cancer, and the evidence you cite from 'The Lancet' is just one of those. We need to understand all of that evidence, and understand how much of that goes into diagnosis and how much goes into screening as well. This is one of those areas where demand and a desire to have a wider screening test - we need to know whether there's evidence that the screening test is actually the right thing to do, as opposed to different forms of diagnosis where there is a suspicion of prostate cancer. As ever, in this area and others, we will continue to be guided by the very best evidence and the very best return in terms of patient outcomes from any new form of screening or diagnosis.
Welsh: Diolch i'r Aelod am y cwestiwn. Mae canser y prostad yn faes ffocws arbennig, ac nid yn unig oherwydd bod yna fudiad trydydd sector gweithgar iawn - ac rwy'n croesawu eu gweithgarwch - yn gysylltiedig â chanser y prostad, sy'n ein hannog yn rheolaidd i ddarganfod mwy drosom ein hunain ac i annog eraill i feddwl am y ffyrdd presennol o ddeall a oes canser y prostad ar bobl a'r opsiynau posibl o ran triniaeth. Rhan o'r her yw bod gennym brawf ar gyfer canser y prostad sy'n llai na digonol ar hyn o bryd, ac mae'n rhan o'r ansicrwydd sydd ynghlwm wrth hynny. Mae gennym ddiddordeb mewn hyrwyddo'r sylfaen dystiolaeth ar gyfer profion mwy effeithiol er mwyn deall a oes gan bobl ganser y prostad a pha fath penodol o ganser y prostad, ac un o'r rheini yw'r dystiolaeth y cyfeiriwch ati yn 'The Lancet'. Mae angen i ni ddeall yr holl dystiolaeth honno, a deall faint o hynny sy'n mynd i mewn i ddiagnosis a faint sy'n mynd i mewn i sgrinio hefyd. Dyma un o'r meysydd hynny lle y mae'r galw a'r awydd i gael prawf sgrinio ehangach - mae angen i ni wybod a oes tystiolaeth mai'r prawf sgrinio mewn gwirionedd yw'r peth iawn i'w wneud, yn hytrach na gwahanol fathau o ddiagnosis lle y ceir amheuaeth o ganser y prostad. Fel erioed, yn y maes hwn ac eraill, byddwn yn parhau i gael ein harwain gan y dystiolaeth orau a'r manteision gorau o ran canlyniadau i gleifion o unrhyw fath newydd o sgrinio neu ddiagnosis.
English: Finally, Cabinet Secretary, the holy grail in cancer screening is the development of a reliable testing regime for lung cancer. Cardiff University, in a recent trial, found that the use of low-dose CT scans for lung cancer screening has no long-term psychosocial impact on patients, making it an excellent tool for detecting lung cancer early, when there's a better chance of survival. Does the Welsh Government have any plans to look at the feasibility of using low-dose CT lung screening for high-risk individuals?
Welsh: Yn olaf, Ysgrifennydd y Cabinet, y greal sanctaidd ym maes sgrinio am ganser yw datblygu cyfundrefn brofi ddibynadwy ar gyfer canser yr ysgyfaint. Gwelodd Prifysgol Caerdydd, mewn treial diweddar, nad yw'r defnydd o sganiau CT dos isel ar gyfer sgrinio canser yr ysgyfaint yn cael unrhyw effaith seicogymdeithasol hirdymor ar gleifion, gan ei wneud yn offeryn ardderchog ar gyfer canfod canser yr ysgyfaint yn gynnar, pan fo gwell gobaith o oroesi. A oes gan Lywodraeth Cymru unrhyw gynlluniau i edrych ar y posibilrwydd o ddefnyddio sgrinio CT dos isel ar gyfer canser yr ysgyfaint i unigolion risg uchel?
English: I think my closing comments to your previous question still hold. We look at all of the evidence available as to what is an appropriate way of either understanding our diagnosis where there is suspected lung cancer, or potential population screening. But I think, actually, with lung cancer, our biggest challenge is the fact that there is late presentation for lung cancer. It's a really big concern. In particular, we recognise there is a real differential in terms of the most deprived groups and our least deprived communities, and those who are most likely to present and seek help. That is our biggest challenge, and it's a challenge that the cancer implementation group has recognised themselves. Clinicians within the service and cancer charities and campaign groups recognise that we need to do more to get people to present at an earlier stage, on lung cancer in particular, when there is a better prospect of people having their life saved. But, as I say, I look forward to the evidence on what we could and should do, and how we then implement that progressively and successfully across the whole service.
Welsh: Rwy'n meddwl bod fy sylwadau olaf i'ch cwestiwn blaenorol yn dal i sefyll. Rydym yn edrych ar yr holl dystiolaeth sydd ar gael ynglŷn â'r ffordd briodol naill ai o ddeall ein diagnosis lle y ceir amheuaeth o ganser yr ysgyfaint, neu'r posibilrwydd o sgrinio'r boblogaeth. Ond rwy'n credu, mewn gwirionedd, gyda chanser yr ysgyfaint, mai ein her fwyaf yw'r ffaith nad yw pobl yn mynd at y meddyg yn ddigon buan mewn achosion o ganser yr ysgyfaint. Mae'n bryder mawr iawn. Yn arbennig, rydym yn cydnabod bod gwahaniaeth gwirioneddol rhwng y grwpiau mwyaf difreintiedig a'n cymunedau lleiaf difreintiedig, a'r rhai sydd fwyaf tebygol o ofyn am gymorth. Dyna yw ein her fwyaf, ac mae'n her y mae'r grŵp gweithredu ar gyfer canser wedi ei chydnabod eu hunain. Mae clinigwyr o fewn y gwasanaeth ac elusennau canser a grwpiau ymgyrchu yn cydnabod bod angen i ni wneud mwy i gael pobl i fynd at y meddyg yn gynharach, ar ganser yr ysgyfaint yn arbennig, pan fo mwy o obaith o achub bywydau. Ond fel y dywedais, rwy'n edrych ymlaen at y dystiolaeth ar yr hyn y gallem ac y dylem ei wneud, a sut rydym yn gweithredu hynny wedyn yn gynyddol ac yn llwyddiannus ar draws y gwasanaeth cyfan.
English: I expect health boards in South Wales Central to provide safe and effective out-of-hours services. This includes ensuring that all patients are dealt with within a clinically appropriate time.
Welsh: Rwy'n disgwyl i fyrddau iechyd yng Nghanol De Cymru ddarparu gwasanaethau y tu allan i oriau sy'n ddiogel ac yn effeithiol. Mae hyn yn cynnwys sicrhau bod pob claf yn cael eu trin o fewn amser sy'n briodol yn glinigol.
English: Okay. The problem is - and this comes from people in the service - that there have been times over the last 12 months in Cardiff when there has been no doctor available at all in the out-of-hours general practice service. What can be done to make sure that that doesn't happen in future?
Welsh: Iawn. Y broblem yw - a daw hyn gan bobl yn y gwasanaeth - fod adegau dros y 12 mis diwethaf yng Nghaerdydd pan na fu unrhyw feddyg ar gael o gwbl yn y gwasanaeth meddyg teulu y tu allan i oriau. Beth y gellir ei wneud i sicrhau nad yw hynny'n digwydd yn y dyfodol?
English: Cabinet Secretary, you talked about making the service more sustainable, the GP service and, indeed, the out-of-hours service. Obviously, the backbone of that is having doctors on the ground who can perform the service when it's required. I heard, in a previous answer that you gave to Nathan Gill, about the insurance, and indemnity insurance in particular, for doctors who are coming to the end of their career who might wish to practise part time and could offer this service back into the NHS, thus alleviating some of the staff pressures. Are you going to bring forward a national indemnity insurance scheme, such as is available in other parts of the UK that is paid out of the NHS risk pool? This would go a long way towards actually tapping into that huge resource of retired doctors who would wish to continue to practise but, because of the cost they face in insuring themselves, it is just not financially viable for them to do that.
Welsh: Ysgrifennydd y Cabinet, fe sonioch am wneud y gwasanaeth yn fwy cynaliadwy, y gwasanaeth meddygon teulu, a'r gwasanaeth y tu allan i oriau yn wir. Yn amlwg, asgwrn cefn hynny yw cael meddygon ar lawr gwlad a all ddarparu'r gwasanaeth pan fo'i angen. Mewn ateb blaenorol a roesoch i Nathan Gill, clywais am yr yswiriant, ac yswiriant indemniad yn benodol, ar gyfer meddygon sy'n dod at ddiwedd eu gyrfa a allai fod eisiau gweithio'n rhan-amser ac a allai gynnig y gwasanaeth hwn yn ôl i'r GIG, a thrwy hynny leddfu peth o'r pwysau ar staff. A ydych yn mynd i gyflwyno cynllun yswiriant indemniad cenedlaethol, fel sydd ar gael mewn rhannau eraill o'r DU y telir amdano o gronfa risg y GIG? Byddai hyn yn mynd yn bell tuag at allu manteisio mewn gwirionedd ar adnodd enfawr meddygon wedi ymddeol a fuasai'n dymuno parhau i ymarfer, ond nad yw'n ymarferol yn ariannol iddynt wneud hynny oherwydd y gost sy'n eu hwynebu wrth yswirio eu hunain.
English: I indicated earlier, as you will have heard in my response to Nathan Gill, that we're having active conversations with the BMA about trying to resolve the issue of indemnity. It's a particular area of concern for them and the whole GP community. It isn't just an issue about the end of a career, either - it is something running through the lifetime of a GP's career, as indemnity costs are rising. I'm not going to spike those conversations by trying to talk halfway through about the range of options there are. But, we're considering a range of options with the BMA, and, as I said, over the coming months, I'm hopeful we'll be able to bring forward a proper proposal that we will have worked through in partnership with the BMA. Again, that's the point - we want to work in partnership with our GPs and the rest of the healthcare community.
Welsh: Nodais yn gynharach, fel y byddwch wedi clywed yn fy ymateb i Nathan Gill, ein bod wrthi'n trafod gyda Chymdeithas Feddygol Prydain ynglŷn â cheisio datrys mater indemniad. Mae'n destun pryder arbennig iddynt hwy ac i gymuned y meddygon teulu yn ei chyfanrwydd. Nid mater sy'n ymwneud â diwedd gyrfa ydyw ychwaith - mae'n rhywbeth sy'n rhedeg ar hyd gyrfa meddyg teulu, wrth i gostau indemniad godi. Nid wyf yn mynd i oedi'r trafodaethau hynny drwy geisio siarad hanner ffordd drwyddynt am yr amrywiaeth o opsiynau sydd ar gael. Ond rydym yn ystyried ystod o opsiynau gyda Chymdeithas Feddygol Prydain, ac fel y dywedais, dros y misoedd nesaf, rwy'n obeithiol y byddwn yn gallu cyflwyno cynnig priodol y byddwn wedi gweithio drwyddo mewn partneriaeth â Chymdeithas Feddygol Prydain. Unwaith eto, dyna'r pwynt - rydym am weithio mewn partneriaeth â'n meddygon teulu a gweddill y gymuned gofal iechyd.
English: Thank you for the question. We are committed to reducing accident and emergency admissions through a number of initiatives, including Choose Well, NHS 111 and a range of falls response services. Health boards and the Welsh Ambulance Services NHS Trust are supporting these and similar initiatives in order to ensure that the service operates at maximum efficiency.
Welsh: Diolch am y cwestiwn. Rydym wedi ymrwymo i leihau derbyniadau damweiniau ac achosion brys drwy nifer o fentrau, gan gynnwys Dewis Doeth, GIG 111 ac ystod o wasanaethau ymateb i gwympiadau. Mae'r byrddau iechyd ac Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru yn cefnogi hyn a mentrau tebyg er mwyn sicrhau bod y gwasanaeth yn gweithredu mor effeithlon â phosibl.