1. Trosolwg o’r ail Gyfarfod Grŵp Rhanddeiliaid Ardal Leol /
Overview of the second
Locality Stakeholder Group Meeting

2. ‘Gosod y Cyfeiriad’/ ‘Setting the Direction’
‘Bydd creu gwasanaethau iechyd o’r radd flaenaf yng Nghymru yn gofyn am drawsnewid gwasanaethau cychwynnol a chymuned’.
(Dr Chris Jones, Chwef. 2010)
‘ Creating world-class health services in Wales requires the transformation of primary & community services’
(Dr Chris Jones, Feb. 2010)

3. Ardaloedd Lleol / Localities

4. Prif Flaenoriaethau/Key Priorities
Mwy o bwyslais ar Atal wedi’i Dargedu
Darparu Gofal Ychwanegol yng nghartrefi cleifion gyda gwasanaethau’n targedu grwpiau risg uchel penodol
Symud gwasanaethau o ysbytai cyffredinol dosbarth i’r gymuned ar lefel ardal leol
Ymgysylltu a chynnwys pellach ar lefel ardal leol
Greater emphasis on Targeted Prevention
Provision of Enhanced Care in patients homes with services targeting particular high risk groups
Moving services from district general hospitals into the community at a locality level
Further engagement & inclusion at a Locality level

5. Gwasanaethau sydd ar gael mewn Ardal Leol / Services available in a Locality
Trafodwyd / Discussed:
Gofal ychwanegol yn y cartref /Enhanced care at home
Amseroedd teithio / Travel times
Mynediad at wasanaethau presennol mewn Ardal Leol / Access to current services in a Locality
Mwy o fanylion parthed / Further detail regarding:
Gwasanaethau plant / Children’s services
Gwasanaethau iechyd meddwl pobl hŷn / Older people’s mental health services

6. Sefyllfaoedd ar gyfer symud gwasanaethau i’r gymuned / Scenarios for shifting services into the community
Gwasanaethau mân anafiadau
Pelydr-X
Gwasanaethau cleifion allanol
Therapïau
Ymyriadau Therapiwtig
Minor Injury Services
X-Ray
Outpatient Services
Therapies
Therapeutic Interventions

7. Symud gwasanaethau i’r gymuned/ Shift of services to community settings Beth allen ni ei gyflawni?/What could we achieve?
Increased outpatient contact
Better access to diagnostic imaging – more tests, longer hours
More therapy and support services - more services, longer hours
Enhanced Minor Injury Services
Increasing access to day case work – IVs, transfusions
Mwy o gyswllt cleifion allanol
Gwell mynediad at ddelweddu diagnostig – mwy o brofion, oriau hwy
Mwy o wasanaethau therapi a chefnogaeth – mwy o wasanaethau, oriau hwy
Gwasanaethau Mân Anafiadau ychwanegol
Mwy o fynediad at waith achosion dydd – IV, trallwysiadau

8. Cemotherapi mewn ysbytai cymuned Gofal Diwedd Oes
Symud Gwasanaethau - syniadau a gweithredu/ Shifting of Services – some ideas & action
Cemotherapi mewn ysbytai cymuned
Gofal Diwedd Oes
Gwasanaeth Poen Amlddisgyblaethol
Profi yn y Pwynt Gofal
Gwasanaethau Iechyd Meddwl i blant ar lefel gofal cychwynnol
Triniaeth Iechyd Meddwl yn y cartref
Gofal dementia yn y gymuned
Adsefydlu’r ysgyfaint
Awdioleg Adsefydlu i oedolion
Gwrthgeulo
Agweddau o ofal diabetes
Gwasanaeth Methiant y Galon yn y Gymuned
Chemotherapy in community hospitals
End of Life Care
Multidisciplinary Pain Service
Point of Care testing
Mental Health Services for children at a primary care level
Mental Health home treatment
Community dementia care
Pulmonary rehabilitation
Adult Rehabilitative Audiology
Anticoagulation
Aspects of diabetes care
Community Heart Failure Service

9. Symud gwasanaethau i’r gymuned a’r heriau / Shifting services into the community & the challenges
Canolbwyntio ar:
Gwasanaethau mân anafiadau
Pelydr-X
Gwasanaethau cleifion allanol
Therapïau
Ymyriadau Therapiwtig
Heriau:
Mynediad
Mas critigol ar gyfer gwasanaethau
Sgiliau a gallu staff
Materion cyfalaf ac ystad
Os yw cyllid ac adnoddau ar gael
Focus on:
Minor Injury Services
X-Ray
Outpatient Services
Therapies
Therapeutic Interventions
Challenges:
Access
Critical mass for services
Staffing capacity and skills
Capital and estate issues
Finance and resource availability

10. Safbwyntiau Cyffredin sy’n dod yn amlwg /Common Emerging Views
Cautious acceptance of case for change and priority areas
Cautious acceptance of the Locality Service Model
“Safe” implementation of service changes
Rural Proofing
Community Transport
Yr achos dros newid a meysydd blaenoriaeth yn cael eu derbyn yn ofalus
Y Model Gwasanaeth Ardal Leol yn cael ei dderbyn yn ofalus
Gweithredu newidiadau i wasanaethau yn “ddiogel”
Prawfesur Gwledig
Cludiant Cymunedol

11. Pa mor bell mae unigolion yn fodlon teithio
Themâu o gyfarfodydd y Grŵp Rhanddeiliaid Ardal Leol / Themes from Locality Stakeholder Group meetings
Cefnogi hunan ofal
Pa mor bell mae unigolion yn fodlon teithio
Addysg a rhoi grym
Cyfathrebu gwell
Supporting self care
How far individuals are prepared to travel
Education & empowerment
Improved communication

12. Camau nesaf/Next steps
Rhagfyr - Mai - parhau i weithio ar senarios - ymgysylltu ehangach
Mai - Mehefin - mireinio senarios a pharatoi i ymgynghori os bydd angen
Mehefin – Medi - ymgynghori ffurfiol
Awst - Hydref/Tachwedd - dadansoddi ymateb i’r ymgynghoriad ac adolygu cynigion
Tachwedd ymlaen - argymhellion a gweithrediad posibl
December to May - ongoing work on scenarios - wider engagement
May to June - refining scenarios and preparation for consultation if required
July – September - formal consultation
August – October/November - analysis of consultation response and review of proposals
November onwards - recommendations and potential implementation