Hywel Dda Health Board: Board responds to plans for judicial review application / Y Bwrdd Iechyd yn ymateb i alw am gais am adolygiad barnwrol

We understand that people are anxious about the future of their health and care but we would like to reassure that these are three proposals presented by our clinicians as the starting point for a conversation. They are open to influence and we actively welcome any new ideas or views that could provide a better solution to maximise opportunities for improving health and care and overcome the challenges we face. There is free text sections available in the questionnaire for anyone to make their suggestions and we are also particularly interested to hear from people who may have additional proposals to make and would invite them to come and talk us through them so we can listen and discuss. We have already heard some useful insight, challenge and new ideas and our clinicians will thoughtfully consider everything, as they develop a model to present to the Board for a decision in September.  If you have a new proposal you want to share with the health board, please contact us by phoning 01554 899 056.

We would also like to reassure our population that through our design phase, options to provide emergency and urgent care for the south of Hywel Dda either from Withybush Hospital, in Haverfordwest, or Glangwili Hospital, in Carmarthen, were considered. They were eliminated due to the distance of travel for this type of care that would be required for people in the neighbouring county (i.e. travel too great for people in Carmarthenshire when cited at Withybush and travel too great for people in Pembrokeshire when cited in Glangwili). Further detail can be found in our technical document: http://www.wales.nhs.uk/sitesplus/documents/862/BC-TD16-OptionsDevelopment-Version1.pdf

Our consultation is wide ranging and proposes a whole system change which is not solely about one hospital or one service but rather transforming the way we support people’s health and care needs. Doing nothing is not an option because by staying the same our health and care services will not be able to deal with the growing demand and expectation. In the face of ongoing staff shortages and the pressure on the money available to us, doing nothing would likely mean lower safety standards, worsening impact on health and reduced survival rates. We do not want to see this happen in the Hywel Dda area and we do not want to miss the opportunity to transform services to meet the needs of future generations to come. This means we have to make important decisions about how to do things differently across our community services and hospitals, so that we can save more lives and improve the care that people receive. The need to change applies just as strongly to community services as it does to hospital services and we want to provide much more in our communities than we currently do.

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Deallwn fod pobl yn bryderus ynghylch ddyfodol eu gwasanaethau iechyd a gofal, ond hoffem sicrhau pobl mai pwynt cychwyn ar gyfer sgwrs yw’r tri chynnig hwn a gyflwynir gan ein clinigwyr. Bydd yr ymgynghoriad yn dylanwadu arnynt ac rydym yn croesawu unrhyw syniadau neu farn newydd a allai ddarparu gwell ateb i wneud y mwyaf o gyfleoedd i wella iechyd a gofal a goresgyn yr heriau yr ydym yn eu hwynebu. Mae yna ofodau testun yn yr holiadur fel y gall unrhyw un nodi eu hawgrymiadau ac mae gennym ddiddordeb arbennig hefyd i glywed gan bobl a allai fod â chynigion ychwanegol, ac rydym yn eu gwahodd i ddod i siarad ni drwyddynt fel y gallwn wrando a thrafod. Rydym eisoes wedi clywed rhywfaint o wybodaeth a syniadau defnyddiol a heriau, a bydd ein clinigwyr yn ystyried popeth yn ofalus wrth iddynt ddatblygu model i’w gyflwyno i’r Bwrdd am benderfyniad ym mis Medi. Os oes gennych gynnig newydd yr hoffech ei rannu gyda’r bwrdd iechyd, cysylltwch â ni trwy ffonio 01554 899 056. Hoffem hefyd sicrhau ein poblogaeth, yr ystyriwyd darparu gofal argyfyngol a brys ar gyfer de Hywel Dda nail ai o Ysbyty Lleynhelyg, Hwlffordd neu o Ysbyty Glangwili, Caerfyrddin yn ystod ein cyfnod dylunio.

Cawsant eu dileu oherwydd y pellter teithio ar gyfer y math hwn o ofal i bobl yn y sir gyfagos (h.y. taith rhy bell i bobl yn Sir Gaerfyrddin pan y lleolwyd Llwynhelyg, a thaith rhy hir i bobl yn Sir Benfro pan y lleolwyd yn Glangwili). Mae mwy o fanylion i’w gweld yn ein dogfen dechnegol: http://www.wales.nhs.uk/sitesplus/documents/862/BC-TD16-OptionsDevelopment-Version1.pdf Mae ein hymgynghoriad yn eang ac yn cynnig newid system gyfan nad yw’n ymwneud ag un ysbyty neu un gwasanaeth yn unig, ond yn hytrach yn trawsnewid y ffordd yr ydym yn cefnogi anghenion iechyd a gofal pobl. Nid yw gwneud dim yn opsiwn oherwydd trwy aros yr un fath ni fydd ein gwasanaethau iechyd a gofal yn gallu ateb y galw a’r disgwyliad cynyddol. Yn wyneb prinder staff parhaus a’r pwysau ariannol, byddai gwneud dim yn debygol o olygu safonau diogelwch is, effaith waeth ar iechyd a chyfraddau goroesi is. Nid ydym am weld hyn yn digwydd yn ardal Hywel Dda ac nid ydym am golli’r cyfle i drawsnewid gwasanaethau i ddiwallu anghenion cenedlaethau’r dyfodol.

Mae hyn yn golygu bod yn rhaid inni wneud penderfyniadau pwysig ynghylch sut i wneud pethau’n wahanol ar draws ein gwasanaethau cymunedol ac ysbyty, fel y gallwn achub mwy o fywydau a gwella’r gofal y mae pobl yn ei gael. Mae’r angen i newid yr un mor berthnasol i wasanaethau cymunedol ag y mae i wasanaethau ysbyty, ac rydym am ddarparu llawer mwy yn ein cymunedau nag yr ydym yn ei wneud ar hyn o bryd.