English: Dirprwy Lywydd, thank you for the opportunity to outline how we plan to transform and modernise the way the NHS provides planned care here in Wales. I am today publishing a plan that will help to reduce the long waiting times that have unfortunately built up during the pandemic. It will ensure that people get the right treatment the first time and make sure that they are cared for as close to home as possible, with fewer visits to hospital. The pandemic has had a massive impact on our health and care services. It has stretched the NHS to its limits, not just here in Wales but across the UK. The NHS has been fantastic in the way it has responded to the pandemic. It's provided incredible care under extraordinarily difficult circumstances and, on top of that, it's delivered the life-saving COVID-19 vaccination programme. We've seen the very best of the NHS and its staff during the pandemic. They've worked tirelessly to keep as many services going as possible. They are the reason we came out on our doorsteps to clap every week at the start of the pandemic. But the pandemic has brought many changes to the NHS. At the very beginning of the pandemic, we made the difficult decision to cancel planned appointments and treatments to enable staff to focus on caring for all those very sick people with COVID-19. Each subsequent wave of infections has meant that the NHS has had to focus on COVID-19 instead of being able to provide the full and normal mixture of out-patient appointments and planned operations. Services have also had to adapt to the great many infection control procedures and practices, all necessary measures to help keep patients and staff safe. These have also limited how many people can be seen and can receive treatment at any one time. As we start to move beyond the emergency response to the pandemic, the NHS is providing more planned care than at any point during the pandemic. But, even today, there are almost 1,400 COVID-19 related patients in hospital beds, although only around 16 per cent of these are being actively treated for COVID. At this level, these pandemic pressures continue to affect the amount and type of planned care that the NHS can provide. Before the pandemic, waiting times were steadily falling across Wales. Today, unfortunately, too many people are waiting far too long for treatment, and this is the same situation in every part of the United Kingdom. There are nearly 700,000 open pathways, with many people waiting for more than 52 weeks. These numbers will keep on growing as people rightly continue to come forward to see their GP. It will take a full Senedd term and a lot of hard work to recover from the impact of the pandemic. This is now my priority and it is the health service's priority. The planned care recovery plan is backed by an additional £170 million a year of Welsh Government funding. It will reset and transform planned care services and it's been developed with clinicians. It sets out a wide range of actions to redesign services and, in many cases, redesign what people can expect from the NHS when they are referred by their GP or another healthcare professional for planned treatment. For those who are already waiting, we'll ensure there is support in place. For those coming into the system, we will help them to manage their own condition and, wherever appropriate, we'll provide more treatment alternatives so that surgery isn't the only option available. We'll also do more to address inequalities in care. I am today making four commitments to people, to help them access the advice and services they need in a timely manner. We'll increase the capacity of the health services. There will be better access to doctors, nurses, dentists and other healthcare professionals closer to home, so people receive the right care from the right person. We'll prioritise diagnosis and treatment. There'll be faster access to treatments and diagnostic procedures. We'll prioritise people with suspected cancer and other urgent conditions and we'll prioritise children. Clinicians will work with people to make sure treatment options are the best for them.
Welsh: Dirprwy Lywydd, diolch am y cyfle i amlinellu sut yr ydym ni'n bwriadu trawsnewid a moderneiddio'r ffordd y mae'r GIG yn darparu Gofal a Gynlluniwyd yma yng Nghymru. Heddiw, rwy'n cyhoeddi cynllun a fydd yn helpu i leihau'r amseroedd aros hir sydd, yn anffodus, wedi cronni yn ystod y pandemig. Fe fydd hwn yn sicrhau bod pobl yn cael y driniaeth iawn ar y tro cyntaf ac yn sicrhau eu bod nhw'n cael gofal mor agos i'w haelwyd â phosibl, â llai o ymweld ag ysbytai. Mae'r pandemig wedi cael effaith enfawr ar ein gwasanaethau iechyd a gofal ni. Mae wedi ymestyn y GIG i'r eithaf, nid yn unig yma yng Nghymru ond ledled y DU. Mae'r GIG wedi bod yn wych yn y ffordd y mae wedi ymateb i'r pandemig. Mae wedi darparu gofal anhygoel o dan amgylchiadau eithriadol o anodd ac, ar ben hynny, mae wedi cyflawni'r rhaglen frechu COVID-19 sy'n achub bywydau. Rydym ni wedi gweld y gorau o'r GIG a'i staff yn ystod y pandemig. Maen nhw wedi gweithio yn ddiflino i gynnal cymaint o wasanaethau â phosibl. Y nhw yw'r rheswm yr aethom ni i sefyll ar garreg y drws i gymeradwyo bob wythnos ar ddechrau'r pandemig. Ond fe ddaeth y pandemig â llawer o newidiadau i'r GIG. Ar ddechrau'r pandemig, fe wnaethom ni'r penderfyniad anodd i ganslo apwyntiadau a thriniaethau a gynlluniwyd i ganiatáu staff i ganolbwyntio ar ofalu am yr holl bobl sâl iawn hynny oherwydd COVID-19. Mae pob ton ddilynol o heintiau wedi golygu bod y GIG wedi gorfod canolbwyntio ar COVID-19 yn hytrach na gallu darparu'r gymysgedd lawn ac arferol o apwyntiadau cleifion allanol a llawdriniaethau a gynlluniwyd. Bu'n rhaid i wasanaethau addasu hefyd oherwydd y nifer fawr o weithdrefnau ac arferion i reoli heintio, a'r holl fesurau angenrheidiol i helpu i gadw cleifion a staff yn ddiogel. Mae'r rhain hefyd wedi cyfyngu ar niferoedd y bobl y gellir eu gweld ac sy'n gallu cael triniaeth ar unrhyw amser arbennig. Wrth i ni ddechrau symud y tu hwnt i'r ymateb brys i'r pandemig, mae'r GIG yn darparu mwy o ofal a gynlluniwyd nawr nag ar unrhyw amser arall yn ystod y pandemig. Ond, hyd yn oed heddiw, mae bron i 1,400 o gleifion sy'n gysylltiedig â COVID-19 mewn gwelyau ysbyty, er mai dim ond tua 16 y cant o'r rhain sy'n cael eu trin yn weithredol oherwydd COVID. Ar y lefel hon, mae pwysau'r pandemig hwn yn parhau i effeithio ar faint a math y gofal a gynlluniwyd y gall y GIG ei ddarparu. Cyn y pandemig, roedd amseroedd aros yn gostwng yn gyson ledled Cymru, yn anffodus, heddiw mae gormod o bobl yn aros yn rhy hir o lawer am driniaeth, a honno yw'r sefyllfa ym mhob rhan o'r Deyrnas Unedig. Mae bron i 700,000 o lwybrau agored, gyda llawer o bobl yn aros am fwy na 52 wythnos. Fe fydd y rhifau hyn yn parhau i gynyddu wrth i bobl, yn briodol felly, barhau i fynd i weld eu meddygon teulu. Fe fydd hi'n cymryd tymor Senedd llawn a llawer o waith caled i adfer wedi effaith y pandemig. Honno yw fy mlaenoriaeth i erbyn hyn a blaenoriaeth y gwasanaeth iechyd. Mae'r cynllun i adfer Gofal a Gynlluniwyd yn cael ei gefnogi gan £170 miliwn ychwanegol y flwyddyn o gyllid oddi wrth Lywodraeth Cymru. Fe fydd yn ailgychwyn ac yn trawsnewid gwasanaethau Gofal a Gynlluniwyd ac fe gafodd ei ddatblygu gyda mewnbwn gan glinigwyr. Mae'n nodi ystod eang o gamau gweithredu i ailgynllunio gwasanaethau ac, mewn llawer o achosion, ailgynllunio'r hyn y gall pobl ei ddisgwyl gan y GIG wrth gael eu hatgyfeirio gan eu meddygon teulu neu weithiwyr gofal iechyd proffesiynol arall ar gyfer triniaeth a gynlluniwyd. I'r rhai sydd eisoes yn disgwyl, fe fyddwn ni'n sicrhau bod y gefnogaeth ar gael. I'r rhai sy'n dod i mewn i'r system, fe fyddwn ni'n eu helpu nhw i reoli eu cyflyrau eu hunain a, lle bynnag y bo hynny'n briodol, fe fyddwn ni'n darparu mwy o ddewisiadau triniaeth amgen fel nad llawdriniaeth yw'r unig ddewis sydd ar gael. Fe fyddwn ni'n gwneud mwy hefyd i fynd i'r afael ag anghydraddoldebau mewn gofal. Heddiw, rwyf i'n gwneud pedwar ymrwymiad i bobl, i'w helpu nhw i gael gafael ar y cyngor a'r gwasanaethau sydd eu hangen arnyn nhw mewn da bryd. Fe fyddwn ni'n cynyddu gallu'r gwasanaethau iechyd. Fe fydd hi'n haws cael mynd at feddygon, nyrsys, deintyddion a gweithwyr gofal iechyd proffesiynol eraill yn nes adref, felly mae pobl yn cael y gofal cywir gan yr unigolyn cywir. Fe fyddwn ni'n blaenoriaethu diagnosis a thriniaeth. Fe fydd triniaethau a gweithdrefnau diagnostig ar gael yn gynt. Fe fyddwn ni'n blaenoriaethu pobl a allai fod â chanser a chyflyrau brys eraill ac fe fyddwn ni'n blaenoriaethu plant. Fe fydd clinigwyr yn gweithio gyda phobl i wneud yn siŵr mai dewis triniaeth yw'r peth gorau iddyn nhw.