Er bod y grŵp yn cydnabod bod gan y bwrdd iechyd record dda o ran rheoli arian a chael cymeradwyaeth i’w Gynlluniau Tymor Canolig Integredig, cytunwyd y dylid codi ei statws uwchgyfeirio o ‘trefniadau arferol’ i ‘monitro uwch’ er mwyn cydnabod nifer o feysydd pryder, yn ymwneud â threfniadau llywodraethu ansawdd, gan gynnwys:Pryderon ynglŷn â gwasanaethau mamolaeth, sydd wedi arwain at ddatganiad diweddar gennyf i ac at adolygiad ar y cyd gan Goleg Brenhinol yr Obstetryddion a'r Gynaecolegwyr a Choleg Brenhinol y Bydwragedd, a fydd yn cyflwyno’u hadroddiad yng ngwanwyn 2019;Cydymffurfio â’r Rheoliadau Ymbelydredd Ïoneiddio (Cysylltiad Meddygol), gan i arolygiad diweddar gan Arolygiaeth Gofal Iechyd Cymru ganfod nad oedd y bwrdd iechyd yn cydymffurfio â gofynion y Ddeddf Iechyd a Diogelwch yn y Gwaith;Yr angen i sicrhau bod camau gweithredu ar waith i ymateb i adroddiad diweddar gan yr Awdurdod Meinweoedd Dynol;Pryderon ynglŷn â’r trefniadau llywodraethu ansawdd;Ansawdd y broses o adrodd am ddigwyddiadau difrifol, a arweiniodd at gomisiynu adolygiad allanol o’r broses er mwyn gwella’r mecanweithiau lleol;Mae pryderon wedi’u codi ynghylch ymateb y bwrdd iechyd i gamau gweithredu yn adroddiadau adolygu Arolygiaeth Gofal Iechyd Cymru, sydd wedi canfod nad yw rhai camau wedi’u cwblhau hyd yn oed yn ystod ymweliadau dilynol;Cydymffurfio â’r Ddeddf Staff Nyrsio – yn disgwyl i’r Bwrdd gadarnhau’n ffurfiol ei fod yn cydymffurfio.
Whilst acknowledging the health board has a good track record in terms of financial management and approved IMTPs, it was agreed the health board should have its escalation status raised from ‘routine arrangements’ to ‘enhanced monitoring’ to recognise a number of areas of concern relating to quality governance arrangements, including:Concerns about maternity services which have led to my recent statement and a joint review by the Royal College of Obstetricians and Gynaecologists and Royal College of Midwifery which will report in spring 2019;Ionising Radiation (Medical Exposure) Regulations (IR(ME)R) compliance, with the health board being non-compliant with the Health and Safety at Work Act requirements following a recent HIW inspection;the need to ensure actions are in place to respond to a recent Human Tissue Authority inspection report;concerns in respect of quality governance arrangements;the quality of serious incident reporting requiring an external review of process to be commissioned to improve the local mechanisms;Concerns have been raised around the health board’s response to actions contained within HIW inspection reports, finding that some actions have not been completed on follow-up visits;Compliance with the Nurse Staffing Act and awaiting formal confirmation of compliance from the Board.