Rwyf wedi cymryd cyngor gan gydweithwyr proffesiynol, gan gynnwys Prif Weithredwyr a Chyfarwyddwyr Meddygol y Gwasanaeth Iechyd Gwladol er mwyn llywio fy mhenderfyniad i weithredu nawr i sicrhau y gellir gwneud ein paratoadau mewn ffordd drefnus a phwyllog. Felly, rwyf wedi cytuno ar fframwaith o gamau gweithredu y gall darparwyr iechyd a gofal cymdeithasol lleol eu defnyddio i wneud penderfyniadau:Gohirio apwyntiadau cleifion allanol nad ydynt yn rhai brys a sicrhau bod apwyntiadau brys yn cael blaenoriaethGohirio derbyniadau a gweithdrefnau llawfeddygol nad ydynt yn rhai brys (gan sicrhau mynediad ar gyfer llawdriniaethau brys ac mewn argyfwng)Blaenoriaethu’r defnydd o Wasanaethau Cludo Cleifion Mewn Achosion Nad Ydynt yn Rhai Brys i ganolbwyntio ar ryddhau pobl o’r ysbyty ac ar ymatebion ambiwlans mewn argyfwngCyflymu camau i ryddhau cleifion agored i niwed o ysbytai acíwt a chymunedolLlacio targedau a threfniadau monitro yn y system iechyd a gofal drwyddi drawLleihau gofynion rheoleiddio ar gyfer lleoliadau iechyd a gofalCyflymu lleoliadau i gartrefi gofal drwy atal y protocol presennol sy’n rhoi’r hawl i ddewis cartrefCaniatâd i ganslo digwyddiadau mewnol a phroffesiynol, gan gynnwys absenoldeb astudio, i ryddhau staff ar gyfer paratoadauLlacio trefniadau contractau a threfniadau monitro ar gyfer meddygfeydd ac ymarferwyr gofal sylfaenolAm y tro, peidio â darparu cymorth gan wasanaeth brys y GIG a gwirfoddolwyr iechyd mewn cynulliadau a digwyddiadau torfol.
I have taken advice from professional colleagues, including NHS Chief Executives and Medical Directors to inform my decision to act now to ensure our preparations can be made in a planned and measured way. I have therefore agreed a framework of actions, within which local health and social care providers can make decisions:Suspend non-urgent outpatient appointments and ensure urgent appointments are prioritisedSuspend non-urgent surgical admissions and procedures (whilst ensuring access for emergency and urgent surgery)Prioritise use of Non-Emergency Patient Transport Services to focus on hospital discharge and ambulance emergency responseExpedite discharge of vulnerable patients from acute and community hospitalsRelax targets and monitoring arrangements across the health and care systemMinimise regulation requirements for health and care settingsFast track placements to care homes by suspending the current protocol which gives the right to a choice of homePermission to cancel internal and professional events, including study leave, to free up staff for preparations.Relaxation of contract and monitoring arrangements for GPs and primary care practitioners.Suspend NHS emergency service and health volunteer support to mass gatherings and events