Adolygiad Cenedlaethol Gwella
Iechyd
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National Health Improvement
Review
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Pam mae’r adolygiad hwn yn cael ei
gynnal?
2011 cynhaliodd yr Athro Syr Mansel Aylward
adolygiad o nifer o Raglenni Gwella Iechyd
cenedlaethol allweddol ar gais y Gweinidog Iechyd a
Gofal Cymdeithasol.
Yn
Un o argymhellion allweddol yr adolygiad hwn oedd y
dylai’r cyllid ar gyfer y rhaglenni hyn barhau am
ddeuddeg mis ychwanegol ond yn y cyfamser y dylid
rhoi mwy o amser i ystyried cyfeiriad rhaglenni gwella
iechyd yng Nghymru yn y dyfodol yn fwy manwl
Adolygiad Cenedlaethol Gwella Iechyd
Why is this review happening?
In 2011 Professor Sir Mansel Aylward undertook a
review of a number of key national Health
Improvement Programmes at the request of the
Minister for Health and Social Care.
One of the key recommendations of this review was
that funding for these programmes should continue for
an additional twelve months but that in the
intervening period further time should be taken to
more fully consider the future directions for health
improvement programmes in Wales.
National Health Improvement Review
Nod, Amcanion a Chwmpas
Nod
‘Adolygu gwella iechyd a rhaglenni gwella iechyd yng Nghymru’
Amcanion:
Gallu gwneud argymhellion ar:
• Gyfeiriad gwella iechyd yn y dyfodol
• Y ffordd fwyaf effeithiol o gyflenwi gwella iechyd / rhaglenni er mwyn cael y
canlyniadau gorau
• Cyfleoedd i gryfhau cyflwyno gwella iechyd yn gyfannol a sicrhau gwerth am
arian
• Rôl Iechyd Cyhoeddus Cymru a chyfranwyr eraill yn cyflenwi gwella iechyd
Cwmpas:
Cynnwys yr holl raglenni neu fentrau gwella iechyd a ariennir gan Iechyd
Cyhoeddus Cymru ac Adran Iechyd, Gwasanaethau Cymdeithasol a Phlant
LlC.
Adolygiad Cenedlaethol Gwella Iechyd
Aim, Objectives & Scope
Aim
‘To review health improvement and health improvement programmes in Wales’
Objectives:
To be able to make recommendations on:
• The future direction of health improvement
• The most effective means of delivering sustainable health improvement /
programmes to achieve the best outcomes
• Opportunities to strengthen the holistic delivery of health improvement and
ensure VFM
• The role of Public Health Wales and other contributors in delivering health
improvement
Scope:
To include all health improvement programmes or initiatives funded by
Public Health Wales and WG DHSSC.
National Health Improvement Review
Trefniadau Llywodraethu
Llywodraeth Cymru yw ‘noddwr’ yr adolygiad.
Mae Bwrdd Iechyd Cyhoeddus Cymru yn arolygu’r adolygiad gyda
chyfrifoldeb wedi ei ddiprwyo am gynnal yr adolygiad wedi ei roi i’r
Grŵp Cynghori ar Wella Iechyd (HIAG). Mae’r aelodaeth i’w gytuno
Bydd Bwrdd Iechyd Cyhoeddus Cymru yn gwneud argymhellion i
Lywodraeth Cymru a’r Gweinidog trwy’r Prif Swyddog Meddygol.
Bydd y Tîm Cyflenwi Gweithredol (EDT) yn cefnogi’r HIAG a
byddant, yn eu tro, yn creu nifer o grwpiau gorchwyl a gorffen i
gyflenwi ffrydiau gwaith penodol.
Gweler atodiad a
Adolygiad Cenedlaethol Gwella Iechyd
Governance Arrangements
The Welsh Government is the ‘sponsor’ of the review.
Public Health Wales Board has oversight of the review with
delegated responsibility for undertaking the review given to a Health
Improvement Advisory Group (HIAG). Membership to be agreed
The Public Health Wales Board will make recommendations to Welsh
Government and the Minister via the Chief Medical Officer.
Support to the HIAG will come from an Executive Delivery Team
(EDT) who in turn will create a number of task and finish groups to
deliver specific workstreams.
See annex a
National Health Improvement Review
Cynnydd hyd yn hyn
1. Mae’r gwaith o fapio rhaglenni Gwella Iechyd presennol ar y gweill
–
Mae tua 40 o raglenni gwaith wedi cael eu nodi hyd yma
2. Mae ‘strwythur’ yr adolygiad wedi cael ei lunio – mae nifer o isgrwpiau gydag ‘arweinwyr’ wedi eu nodi i gefnogi’r gwaith wedi cael
eu creu;




Is-grŵp Adolygu Tystiolaeth – yn adolygu tystiolaeth yn erbyn blaenoriaethau
allweddol
Is-grŵp Adolygu Economeg Iechyd – dull Cyllido Rhaglenni a Dadansoddi Ymylol
Is-grŵp Cyfathrebu ac Ymgysylltu – Ymgysylltu â’r holl randdeiliaid allweddol
Is-grŵp Adolygu Gwella Iechyd y GIG – nodi cyfleoedd presennol a phosibl i
sefydlu a chryfhau gwella iechyd
3. Mae’r gwaith o ymgysylltu â rhanddeiliaid allweddol bellach ar y
gweill – mae cynlluniau ar waith i sicrhau bod pawb sy’n gysylltiedig yn cael cyfle i
gyfrannu
Adolygiad Cenedlaethol Gwella Iechyd
Progress to date
1. Mapping of existing Health Improvement programmes is underway
– Approx 40 programmes of work identified to date
2. The ‘structure’ of the review has taken shape – a number of subgroups with identified ‘leads’ to support the work have been
created;




Evidence Review Sub Group – reviewing evidence against key priorities
Health Economic Review Sub Group- programme Budgeting and Marginal
Analysis approach
Communication & Engagement Sub Group – Engaging with all key stakeholders
An NHS Health Improvement Review sub group – identifying current and
potential opportunities to embed and strengthen health improvement
3. Engagement with key stakeholders has now begunensure all involved have an opportunity to contribute
National Health Improvement Review
plans being made to
National Health Improvement Review
PURPOSE
RESPONSIBILITIES
Sponsor: Welsh
Government
Public Health
Wales Board
•
•
•
•
•
•
•
•
NATIONAL HEALTH & IMPROVEMENT DEVELOPMENT
PORTFOLIO
The Portfolio is a group of programmes which together aim to
deliver the future Strategic Direction for Health Improvement.
The Health Improvement Advisory Group provides the
strategic steer and objective review for the work .
The Portfolio is managed, co-ordinated & supported by the
Executive Delivery Team
Annex a
•
Health Improvement
Advisory Group(HIAG)
•
•
Executive Delivery Team
•
•
•
•
•
Welsh Government
National Sponsor for work undertaken
National context & boundaries
Portfolio mandate approval
Decision on recommendations made by Public
Health Wales Board
Public Health Wales Board
Oversight of review
Endorsement of decisions and recommendations
to Minister
The HIAG
Take collective responsibility for leading and delivering
change and innovation
Ensure outcomes are delivered more efficiently and
effectively, taking account of recent evidence and
approaches across the UK and internationally, the Welsh
policy context and infrastructure, and development and
innovation designed to improve the health of the population.
Work ethically, guided by values implied in Welsh
Government Policy and Public Health Wales five year
strategy
Ensure that there is appropriate and extensive
communication and engagement with all interested parties
and stakeholders via the implementation of an agreed
stakeholder engagement plan
Ensure that the work programme and its recommendations
are delivered on time and to a high quality
EDT
Key Advisor and delivery vehicle for the HIAG
Responsible for consolidating evidence, identifying innovation
and advising the HIAG on its decision making
Responsible for managing and co-ordinating the delivery of
any task and finish groups work.
Responsible for ensuring wide representation & engagement.
Responsible for advising the Health Improvement Advisory
Groups on progress, ensuring ongoing integrity/transparency
of the process
TASK & FINISH GROUPS
Task and Finish Groups should deliver an agreed set of
outcomes within time, quality, cost and resource
constraints.
Each TFG will be managed by an identified lead
Adolygiad Cenedlaethol Gwella Iechyd
•
•
•
•
Ensuring delivery of agreed outcomes
Cost/benefit & financial monitoring
Reporting to EDT
Benefits identification, monitoring and
reporting
National Health Improvement Review
PURPOSE
RESPONSIBILITIES
Sponsor: Welsh
Government
Public Health
Wales Board
•
•
•
•
•
•
•
•
NATIONAL HEALTH & IMPROVEMENT DEVELOPMENT
PORTFOLIO
The Portfolio is a group of programmes which together aim to
deliver the future Strategic Direction for Health Improvement.
The Health Improvement Advisory Group provides the
strategic steer and objective review for the work .
The Portfolio is managed, co-ordinated & supported by the
Executive Delivery Team
Annex a
•
Health Improvement
Advisory Group(HIAG)
•
•
Executive Delivery Team
•
•
•
•
•
Welsh Government
National Sponsor for work undertaken
National context & boundaries
Portfolio mandate approval
Decision on recommendations made by Public
Health W ales Board
Public Health Wales Board
Oversight of review
Endorsement of decisions and recommendations
to Minister
The HIAG
Take collective responsibility for leading and delivering
change and innovation
Ensure outcomes are delivered more efficiently and
effectively, taking account of recent evidence and
approaches across the UK and internationally, the Welsh
policy context and infrastructure, and development and
innovation designed to improve the health of the population.
W ork ethically, guided by values implied in W elsh
Government Policy and Public Health W ales five year
strategy
Ensure that there is appropriate and extensive
communication and engagement with all interested parties
and stakeholders via the implementation of an agreed
stakeholder engagement plan
Ensure that the work programme and its recommendations
are delivered on time and to a high quality
EDT
Key Advisor and delivery vehicle for the HIAG
Responsible for consolidating evidence, identifying innovation
and advising the HIAG on its decision making
Responsible for managing and co-ordinating the delivery of
any task and finish groups work.
Responsible for ensuring wide representation & engagement.
Responsible for advising the Health Improvement Advisory
Groups on progress, ensuring ongoing integrity/transparency
of the process
TASK & FINISH GROUPS
Task and Finish Groups should deliver an agreed set of
outcomes within time, quality, cost and resource
constraints.
Each TFG will be managed by an identified lead
National Health Improvement Review
•
•
•
•
Ensuring delivery of agreed outcomes
Cost/benefit & financial monitoring
Reporting to EDT
Benefits identification, monitoring and
reporting