Category Archives: Health and Social Care

Can health and social care in Wales ever be genuinely integrated?

This is a cross-post from Think. Improve. Change. A blog from Macmillan Cancer Support’s team of researchers, policy analysts and public affairs experts.

Greg Pycroft, Macmllan in Wales Policy Officer

Greg Pycroft, Macmllan in Wales Policy Officer

Greg Pycroft on the Parliamentary Review and what we want to see for cancer services in Wales.

Health and social care services are under the microscope in Wales following the Welsh Health Secretary’s  announcement in November last year that he will be commissioning a wide ranging review.

Commanding cross-party support, the Parliamentary Review has been asked to  advise on how to delivery change and build on the best of the current system.  

The Review Panel is expected to set out a vision for the future and come up with the seemingly impossible – a solution for health and social care to work in a more genuinely integrated way.

Its findings are expected to influence the tone, shape and content of Welsh health and social care policy and legislation for the rest of this – the fifth – Assembly term, and long into the future.

Cabinet Secretary for Health, Well-being and Sport

Cabinet Secretary for Health, Well-being and Sport

The Review has just over a year to investigate and report back to Assembly Members. An interim report is expected this summer and we should see the final report towards the end of 2017/early 2018.

Early indications are that the Review Panel are rightly focussing on areas of challenge and our fingers are crossed that their recommendations will be workable to take forward improvements to the way health and social care services are delivered in Wales.

The Review Panel reviewing health and social care in Wales

The Review Panel

This is a great opportunity for us at Macmillan to highlight our main campaign areas and call on the Review to ensure person centred care is put front and centre of recommendations for the future. While these themes reflect our insights on cancer services, they’re largely universal to other conditions.

In responding to the call for evidence stakeholders were invited to respond to eleven questions. We maintained our focus on delivering person centred care to improve the lives of people living with cancer.  

Alongside the critical issues of coordinating care and the impact cancer has on finances, we focussed on the changing cancer story and the crucial role the professional cancer workforce has in improving the quality of life for people with cancer.    

We were also invited to speak to members of the Review Panel and were asked for our views on how best to provide patient information and how technology could enhance this experience for patients to enable them to feel more in control of their own care.  

They also expressed an interest in learning from best practice and how this could be spread to deliver a Once for Wales approach.  Our focus on service re-design was welcomed and we were asked to expand upon some of Macmillan’s innovative programme of work delivered across the UK.

The chamber in the Senedd

The chamber in the Senedd

As the formal evidence gathering ends the Review moves onto its deliberative phase and we expect an interim report in July. The final report is anticipated to arrive in December, and we hope to see the case being made for significant reforms over the next decade to the health and social care system in Wales.  

We want to see recommendations that can be implemented relatively swiftly; leadership and real change to ensure Wales delivers person-centred care for people with cancer that is fit for the 21st century.

However, we temper our enthusiasm with a note of caution; we have experience in Wales of similar, large scale reviews – for instance, the Williams Commission’s review of public services – ending up left on the shelf after exposure to party political posturing.

Health and social care in Wales depends on the cross-party support for change holding and the case for change being persuasive enough to allow meaningful reform to start from the point the Review publishes its final recommendations.    Watch this space!

The Review Panel

Dyfodol iechyd a gofal cymdeithasol yng Nghymru?

Mae hwn yn draws bost gan Meddwl.  Gwella.  Newid.  Blog gan dîm Cymorth Canser Macmillan o ymchwilwyr, dadansoddwyr polisi ac arbenigwyr materion cyhoeddus.

Swyddog Polisi (Cymru)

Swyddog Polisi (Cymru)

Greg Pycroft ar yr Adolygiad Seneddol a’r hyn yr ydym eisiau ei weld ar gyfer gwasanaethau canser yng Nghymru.

Mae gwasanaethau iechyd a gofal cymdeithasol o dan y chwyddwydr yng Nghymru yn dilyn cyhoeddiad Ysgrifennydd Iechyd Cymru ym mis Tachwedd y llynedd y bydd yn comisiynu adolygiad pellgyrhaeddol .

Yn galw am gefnogaeth ar draws y pleidiau, gofynnwyd i’r Adolygiad Seneddol gynghori ynghylch sut i gyflawni newid a datblygu’r elfennau gorau o’r system bresennol. Disgwylir i’r Panel Adolygu osod gweledigaeth ar gyfer y dyfodol a chreu ateb – sy’n ymddangos yn amhosibl – ar gyfer gwaith iechyd a gofal cymdeithasol mewn ffordd mwy integredig.

Vaughan Gething, Ysgrifennydd y Cabinet dros Iechyd, Llesiant a Chwaraeon

Vaughan Gething, Ysgrifennydd y Cabinet dros Iechyd, Llesiant a Chwaraeon

Disgwylir i’w ganfyddiadau ddylanwadu ar gywair, ffurf a chynnwys polisi a deddfwriaeth iechyd a gofal cymdeithasol Cymru am weddill y pumed tymor hwn o’r Cynulliad, ac ymhell i’r dyfodol.

The Review Panel reviewing health and social care in Wales

Mae gan yr Adolygiad ychydig dros flwyddyn i ymchwilio ac adrodd yn ôl i Aelodau’r Cynulliad. Disgwylir adroddiad interim yr haf hwn a dylem weld yr adroddiad terfynol tuag at ddiwedd 2017/dechrau 2018. Yr arwyddion cynnar yw bod y panel Adolygu, yn iawn felly, yn canolbwyntio ar feysydd heriol ac rydym yn croesi ein bysedd y gellir gweithio gyda’r argymhellion er mwyn dwyn y gwelliannau yn eu blaen o ran y ffordd y caiff gwasanaethau iechyd a gofal cymdeithasol eu cyflwyno yng Nghymru.

Mae hwn yn gyfle gwych i ni yn Macmillan i amlygu prif feysydd ein hymgyrch a galw ar yr Adolygiad i sicrhau bod gofal sy’n canolbwyntio ar y person yn cael ei wneud yn flaenllaw ac yn ganolog i’r argymhellion ar gyfer y dyfodol. Er bod y themâu hyn yn adlewyrchu ein mewnwelediad ar wasanaethau canser, maent yn gyffredinol i gyflyrau eraill.

Wrth ymateb i’r alwad am dystiolaeth gwahoddwyd rhanddeiliaid i ymateb i un ar ddeg o gwestiynau. Fe wnaethom barhau i ganolbwyntio ar gyflwyno gofal sy’n canolbwyntio ar y person er mwyn gwella bywydau pobl sy’n byw gyda chanser.  

Ynghyd â materion hanfodol cydlynu gofal a’r effaith y mae canser yn ei gael ar gyllid, fe wnaethom ganolbwyntio ar stori newidiol canser a rôl hanfodol gweithlu proffesiynol canser yn gwella ansawdd bywyd ar gyfer pobl â chanser.    

Cawsom wahoddiad hefyd i siarad ag aelodau’r panel Adolygu a gofynnwyd i ni am ein barn ynghylch y ffordd orau o ddarparu gwybodaeth am ganser a sut y gallai technoleg wella’r profiad hwn i gleifion i’w galluogi i deimlo mwy o reolaeth dros eu gofal eu hunain.  

The chamber in the Senedd

Fe wnaethant hefyd fynegi diddordeb yn dysgu o arfer gorau a sut y gallai hyn ledaenu i ymagwedd Unwaith i Gymru. Cafodd ein ffocws ar ailddylunio gwasanaethau ei groesawu a gofynnwyd i ni ehangu rhywfaint ar waith rhaglen arloesol Macmillan sy’n cael ei gyflwyno ar draws y DU.

Wrth i’r gwaith ffurfiol o gasglu tystiolaeth ddod i ben, mae’r Adolygiad yn symud i gyfnod ymgynghori ac rydym yn disgwyl adroddiad interim ym mis Gorffennaf. Rhagwelir y bydd yr adroddiad terfynol yn cyrraedd ym mis Rhagfyr, ac rydym yn gobeithio bydd yr achos yn cael ei gyflwyno dros ddiwygio sylweddol dros y degawd nesaf o ran y system iechyd a gofal cymdeithasol yng Nghymru.  Rydym eisiau gweld argymhellion y gellir eu gweithredu’n gyflym; arweinyddiaeth a newid gwirioneddol er mwyn sicrhau bod Cymru’n cyflwyno gofal sy’n canolbwyntio ar y person ar gyfer pobl â chanser sydd yn addas ar gyfer yr 21ain ganrif.

Fodd bynnag, mae elfen o rybudd yn ein brwdfrydedd; mae gennym brofiad yng Nghymru o adolygiadau graddfa fawr tebyg – er enghraifft, adolygiad Comisiwn Williams o wasanaethau cyhoeddus – gafodd ei adael ar y silff ar ôl bod yn destun dadlau rhwng y pleidiau gwleidyddol. Mae iechyd a gofal cymdeithasol yng Nghymru yn dibynnu ar gefnogaeth ar draws y pleidiau o ran cynnal newid a bod yr achos dros newid yn ddigon cadarn i ganiatáu i ddiwygio ystyrlon ddechrau pan fydd yr Adolygiad yn cyhoeddi ei argymhellion terfynol.   Mwy i ddilyn.