The challenge now is how the system is supported to evolve to a place where an effective process of collaborative improvement allows for both, but which is primarily focused on improvement and impact.
Yr her yn awr yw sut i gefnogi’r system i esblygu i’r pwynt lle mae proses effeithiol o welliant cydweithredol yn caniatáu ar gyfer y ddau, ond yn canolbwyntio'n bennaf ar welliant ac effaith.