English: This year, the pressure on the health and social care system has been absolutely relentless. The direct and indirect impact of the COVID-19 pandemic has made it extremely difficult for dedicated front-line staff. And this winter may, again, be the most challenging in the history of the NHS, with the ongoing demands of the pandemic and increased demands for other health services - the impact of winter respiratory viruses, as Altaf Hussain has just mentioned, the fragility in our social care system that many have mentioned, the need to continue with infection prevention control, and NHS staff who are exhausted, with some of them off sick with COVID. Our approach to managing the pandemic is outlined in the coronavirus control plan, which is revised and reissued as the situation changes. We also issued a looking-forward document in March, demonstrating how we would rebuild the NHS. In the light of increasing pressures, we recently reviewed and reissued our local choices framework to support local decision making to protect patients and staff. And planning expectations are communicated annually to NHS organisations through our planning framework. We asked organisations across Wales to work in partnership to develop plans to safely meet the health and social care requirements of the people of Wales. The fluctuations in COVID-19 case rates add to the complexity of planning services, and we need to remain ready to respond to rapidly changing circumstances. Later this month, as you're aware, we're going to be publishing our comprehensive winter plan for health and social care, setting out our priorities in response to expected and exceptional winter pressures. These priorities are already well known, and some are already being delivered at a local, regional and national level, with a focus on reducing the risk of people needing hospital treatment and keeping people safe and well. I'm pleased to say that many of the points that certainly Rhun ap Iorwerth talked about in terms of the need to look at prevention, making sure that we direct people to the right places - a lot of that is already happening. We have the Help Us to Help You campaign addressing the issues that John Griffiths asked about: how do we tell people where to go? How do we get people to access the right services? So, a lot of that is already being done, and we know that we need to keep that focus on reducing the risk of people needing hospital treatment and keeping people safe and well.
Welsh: Eleni, mae'r pwysau ar y system iechyd a gofal cymdeithasol wedi bod yn gwbl ddi-baid. Mae effaith uniongyrchol ac anuniongyrchol pandemig COVID-19 wedi ei gwneud hi'n anodd tu hwnt i staff rheng flaen ymroddedig. A gall y gaeaf hwn, unwaith eto, fod y mwyaf heriol yn hanes y GIG, gyda gofynion parhaus y pandemig a galwadau cynyddol am wasanaethau iechyd eraill - effaith feirysau anadlol y gaeaf, fel y mae Altaf Hussain newydd ei grybwyll, y bregusrwydd yn ein system gofal cymdeithasol y soniodd sawl un amdano, yr angen i barhau â mesurau rheoli atal heintiau, a gorflinder ymhlith staff y GIG, gyda rhai ohonynt yn absennol o'u gwaith gyda COVID. Amlinellir ein dull o reoli'r pandemig yng nghynllun rheoli'r coronafeirws, sy'n cael ei ddiwygio a'i ailgyhoeddi wrth i'r sefyllfa newid. Gwnaethom hefyd gyhoeddi dogfen edrych ymlaen ym mis Mawrth, yn dangos sut y byddem yn ailadeiladu'r GIG. Yng ngoleuni pwysau cynyddol, gwnaethom adolygu ac ailgyhoeddi ein fframwaith dewisiadau lleol yn ddiweddar i gefnogi penderfyniadau lleol i ddiogelu cleifion a staff. Ac mae disgwyliadau cynllunio yn cael eu cyfleu'n flynyddol i sefydliadau'r GIG drwy ein fframwaith cynllunio. Gofynnwyd i sefydliadau ledled Cymru weithio mewn partneriaeth i ddatblygu cynlluniau i fodloni gofynion iechyd a gofal cymdeithasol pobl Cymru yn ddiogel. Mae'r amrywiadau yng nghyfraddau achosion COVID-19 yn ychwanegu at gymhlethdod cynllunio gwasanaethau, ac mae angen inni barhau i fod yn barod i ymateb i amgylchiadau sy'n newid yn gyflym. Yn ddiweddarach y mis hwn, fel y gwyddoch, byddwn yn cyhoeddi ein cynllun gaeaf cynhwysfawr ar gyfer iechyd a gofal cymdeithasol, i nodi ein blaenoriaethau mewn ymateb i bwysau disgwyliedig ac eithriadol y gaeaf. Mae'r blaenoriaethau hyn eisoes yn hysbys, a chyflawnir rhai ohonynt yn barod ar lefel leol, ranbarthol a chenedlaethol, gyda ffocws ar leihau'r risg y bydd angen triniaeth ysbyty ar bobl a chadw pobl yn ddiogel ac yn iach. Rwy'n falch o ddweud bod llawer o'r pwyntiau y soniodd Rhun ap Iorwerth, yn sicr, amdanynt ynglŷn â'r angen i edrych ar atal, a sicrhau ein bod yn cyfeirio pobl i'r lleoedd iawn - mae llawer o hynny eisoes yn digwydd. Mae gennym ymgyrch Helpwch Ni i'ch Helpu Chi sy'n mynd i'r afael â'r materion y gofynnodd John Griffiths amdanynt: sut y mae dweud wrth bobl ble i fynd? Sut y mae cael pobl i ddefnyddio'r gwasanaethau cywir? Felly, mae llawer o hynny'n cael ei wneud eisoes, a gwyddom fod angen inni gadw'r ffocws ar leihau'r risg y bydd angen triniaeth ysbyty ar bobl a chadw pobl yn ddiogel ac yn iach.