{"id":599,"date":"2022-07-05T14:43:00","date_gmt":"2022-07-05T14:43:00","guid":{"rendered":"https:\/\/www.q-bital.com\/?p=599"},"modified":"2023-10-20T11:38:10","modified_gmt":"2023-10-20T11:38:10","slug":"endoscopy-and-diagnostic-waiting-lists-what-can-be-done","status":"publish","type":"post","link":"https:\/\/www.q-bital.com\/cy_gb-wls\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/","title":{"rendered":"Endosgopi a rhestrau aros diagnostig: beth ellir ei wneud"},"content":{"rendered":"

Mae'r GIG heddiw yn wynebu nifer o bwysau sylweddol, gan gynnwys y boblogaeth sy'n heneiddio'n gyflym a'r cyd-forbidrwydd a all ddod, lledaeniad anghyfartal o ofal hygyrch ledled y DU a phwysau cynyddol am arferion gofal iechyd mwy cynaliadwy. Roedd tyfu rhestrau aros yn broblem ymhell cyn y pandemig Covid-19, gyda llawer o weithdrefnau gofal wedi'i gynllunio'n cael eu canslo o ganlyniad i flinedig a 'dadfeilio'<\/a> seilwaith ysbytai. Gyda rhestrau aros ar gyfer gwasanaethau diagnostig yn cyrraedd 435,000<\/a> yn Lloegr ym mis Ionawr 2022, mae\u2019n amlwg bod yr arbenigedd hwn yn benodol wedi\u2019i effeithio\u2019n fawr gan y cyfyngiadau a osodwyd gan seilwaith sydd wedi dyddio a\u2019r ffaith bod gwasanaethau endosgopi wedi dod i ben drwy gydol pandemig Covid-19.<\/p>\n

Dros y blynyddoedd mae adeiladau\u2019r GIG wedi\u2019u haddasu a\u2019u datblygu i fodloni\u2019r galw cynyddol ers sefydlu\u2019r Gwasanaeth Iechyd ym 1948, ond mae\u2019r gallu i addasu\u2019r hen seilwaith yn gyfyngedig i gyd-fynd \u00e2 datblygiadau mewn arferion gofal iechyd. Yn wir, roedd costau mynd i\u2019r afael \u00e2\u2019r \u00f4l-groniad o waith cynnal a chadw\u2019r GIG yn sefyll fel y maent \u00a39.2 biliwn<\/a> ar ddiwedd 2020\/21, fodd bynnag, oherwydd y cynnydd diweddar mewn mesurau rheoli heintiau, mae contractwyr wedi\u2019i chael yn fwyfwy anodd cyflawni gwaith o\u2019r fath mewn amgylcheddau byw\u2019r GIG. Mae nifer y digwyddiadau clinigol sydd wedi digwydd oherwydd seilwaith hen ffasiwn wedi treblu<\/a> yn y 5 mlynedd diwethaf, yn ddiweddar adroddiad<\/a> wedi darganfod.<\/p>\n

Yn wir, mae rhestrau aros ysbytai wedi bod ar gynnydd ers hynny 2009<\/a>, 11 mlynedd cyn i'r pandemig achosi aflonyddwch mewn gofal. Ym mis Ebrill 2022 cyrhaeddodd rhestrau aros ysbytai y lefel uchaf erioed o 6.2 miliwn, gyda rhagfynegiadau a fydd yn parhau i gynyddu i 10.7 miliwn erbyn mis Mawrth 2024<\/a>. I ychwanegu at hyn, safodd nifer yr unigolion a oedd yn aros am brofion diagnostig allweddol yn Lloegr 369,100<\/a> ym mis Awst 2021, gyda hyn wedyn yn codi i\u2019r 435,000 a grybwyllwyd erbyn 2022, gan ddangos y gwir \u00f4l-groniad y mae\u2019r arbenigedd hwn yn ei wynebu. At hynny, amlygodd adroddiad Rhyddid Gwybodaeth diweddar gyflwr gwasanaethau endosgopi GIG Lloegr, gyda 41% o 105 o ymatebwyr yn nodi bod eu hystafelloedd dadheintio naill ai'n agos\u00e1u at oes 10 mlynedd y gwneuthurwr neu'n mynd y tu hwnt iddo. O'r Ymddiriedolaethau hyn, methodd 87% \u00e2 chyrraedd targedau aros 6 wythnos rhwng mis Ebrill 2018 a mis Mawrth 2019. Mae hyn yn dangos ie, er bod pandemig Covid-19 ac oedi gofal dewisol ledled y DU wedi rhwystro rhestrau aros ysbytai, ni ellir rhoi'r bai yn llwyr ar hyn. gan fod y mater yn ymestyn yn \u00f4l ymhellach.<\/p>\n

Mae'r\u00a0Cyfrifiad Cenedlaethol 2021 y DU ar gyfer Endosgopi<\/a>\u00a0edrych ar wasanaethau endosgopi a dadheintio ledled y DU, gan ddatgelu bod angen gwaith adeiladu ychwanegol ar 42.7% o ddarparwyr gofal iechyd a arolygwyd er mwyn cynyddu effeithiolrwydd dadheintio hyd at 20%. Yn ogystal, dywedodd 59% o ymatebwyr fod angen ailbroseswyr endosgop ychwanegol a chabinetau sychu i gynyddu'r gallu i ddadheintio. Mae cyfleusterau dadheintio wedi\u2019u lleoli\u2019n rheolaidd o fewn gwasanaethau endosgopi ysbytai, fodd bynnag, gellir gosod cyfleusterau annibynnol a\u2019u cysylltu\u2019n ddi-dor \u00e2\u2019r prif ysbyty i ychwanegu at gapasiti a sicrhau mwy o effeithlonrwydd gwasanaethau endosgopi, gan leihau\u2019r rhestrau aros. Mae hyn yn arbennig o ddefnyddiol yn ystod cyfnodau o adnewyddu, gyda chyflwyno cyfleusterau diheintio symudol a modiwlaidd i gynnal capasiti. Datgelodd yr ymchwiliad hefyd fod amharodrwydd i fynychu ac yna \u201cddim yn mynychu neu DNAs\u201d ar gyfer triniaethau ar ei ail lefel uchaf ers 2019, a rheswm posibl am hyn yw ofn contractio Covid-19 wrth ymweld \u00e2\u2019r ysbyty. Mae hyn felly'n cynyddu'r angen i fod yn annibynnol\u00a0gwasanaethau endosgopi<\/a>, ar wah\u00e2n i safle\u2019r prif ysbyty, sy\u2019n cynyddu hyder cleifion ac felly\u2019n cynorthwyo i fynd i\u2019r afael \u00e2 rhestrau aros.<\/p>\n

\"\"<\/figure>\n

Mae disgwyliad oes cyfartalog yn y DU yn codi flwyddyn ar \u00f4l blwyddyn, gan godi 0.15%<\/a> rhwng 2021 a 2022, ac, er bod hyn yn rhywbeth i\u2019w ddathlu, mae\u2019n golygu bod niferoedd uwch o unigolion sy\u2019n byw gyda chyflyrau cronig, megis dementia a diabetes, sydd angen mwy o ofal hirdymor. Mae hyn wedi creu pwysau dwysach ar wasanaethau\u2019r GIG, yn enwedig gan y cydnabuwyd bod y costau cyfartalog ar gyfer pobl 90 oed o gwmpas 7 gwaith<\/a> cymaint i ofalu amdano na'r person cyffredin 30 oed. O ganlyniad, bu galwadau am wella a gweithredu gwasanaethau diagnostig ledled y DU er mwyn galluogi pobl i aros yn iachach am gyfnod hwy ac felly gael gwared ar y straen ar wasanaethau\u2019r GIG. Yn ogystal, mae datblygiad canolfannau diagnostig cymunedol<\/a> ledled y wlad yn dod \u00e2 gwasanaethau\u2019n agosach at gleifion, gan leihau\u2019r pwysau ar safleoedd ysbytai ac\u00edwt a chael effaith gadarnhaol ar anghydraddoldebau iechyd rhanbarthol drwy sicrhau bod cyfleusterau diagnostig yn fwy hygyrch.<\/p>\n

At hynny, datgelodd cyfrifiad cenedlaethol y DU ar gyfer gwasanaethau endosgopi hefyd, er bod amseroedd aros am driniaethau yn dal i godi, bod gwahaniaethau rhanbarthol clir yma:<\/p>\n

\"\"
Ravindran S, Thomas-Gibson S, Bano M, et al, Cyfrifiad cenedlaethol o wasanaethau endosgopi y DU 2021, Gastroenteroleg Rheng Flaen Cyhoeddwyd Ar-lein Cyntaf: 09 Mai 2022. doi: 10.1136\/flgastro-2022-102157<\/figcaption><\/figure>\n<\/p>\n

Mae anghydraddoldebau gofal iechyd rhanbarthol wedi bod yn broblem ers tro, fodd bynnag, gwaethygodd y pandemig Covid-19 a\u2019r \u00f4l-groniad o ofal wedi\u2019i gynllunio dilynol hyn ymhellach. Mae anghydraddoldebau gofal iechyd yn derm amlweddog sy'n ymdrin \u00e2 sut mae hygyrchedd gofal iechyd wedi'i ddosbarthu'n anghyfartal rhwng gwahanol grwpiau o bobl. Yn y pen draw, mae anghydraddoldebau iechyd yn ymwneud ag effaith statws unigolyn ar eu hiechyd. Gall hyn gynnwys statws iechyd, hygyrchedd gwasanaethau gofal, ansawdd gofal a niwed ehangach i iechyd, er enghraifft tai. Bydd sicrhau bod gwasanaethau gofal a diagnostig ar gael yn fwy cyfleus i\u2019r claf yn effeithio\u2019n gadarnhaol ar ganlyniadau cleifion drwy ddiagnosis cynharach ac, fel y crybwyllwyd yn flaenorol, bydd yn lleddfu\u2019r pwysau ar brif safleoedd ysbytai, gan effeithio\u2019n gadarnhaol ar ganlyniadau cleifion ar restrau aros ar gyfer arbenigeddau eraill.<\/p>\n

Adlewyrchir ymrwymiad y GIG i ddarparu seilwaith mwy cynaliadwy Llyfr Chwarae Adeiladu 2020<\/a> lle mae'n manylu ar y defnydd ehangach o Ddulliau Adeiladu Modern (MMC) i gynorthwyo i gyflawni targedau carbon sero net. Yn Hydref 2020 gwnaeth y llywodraeth addewid i adeiladu 40 o ysbytai newydd yn Lloegr erbyn 2030, pob un gan ddefnyddio arferion seilwaith cynaliadwy a fydd yn helpu'r symudiad tuag at gyrraedd allyriadau sero net erbyn 2040. Yn ogystal \u00e2 hyn, bydd 70 o ysbytai eraill yn cael uwchraddio, gyda \u00a3850 miliwn wedi'i addo i wella lleoedd ward, cyfleusterau iechyd meddwl a theatrau llawdriniaeth. Mae'n amlwg bod angen adnewyddu nifer fawr o wasanaethau endosgopi Lloegr yn sylweddol i wella effeithlonrwydd ac mae cyflwyno Mannau Gofal Iechyd symudol, modiwlaidd a chymysg, boed wedi'u lleoli ar safle'r ysbyty neu o fewn y gymuned, yn gwasanaethu fel ateb effeithlon o ran amser a chost-effeithiol i gynnal a chynyddu capasiti.<\/p>","protected":false},"excerpt":{"rendered":"

Gyda rhestrau aros ar gyfer gwasanaethau diagnostig yn cyrraedd 435,000 yn Lloegr ym mis Ionawr 2022, mae\u2019n amlwg bod yr arbenigedd hwn yn benodol wedi\u2019i effeithio\u2019n fawr gan y cyfyngiadau a osodwyd gan seilwaith sydd wedi dyddio a\u2019r ffaith bod gwasanaethau endosgopi wedi dod i ben drwy gydol pandemig Covid-19.<\/p>","protected":false},"author":1,"featured_media":600,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-599","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"acf":[],"yoast_head":"\nEndoscopy and diagnostic waiting lists: what can be done - Q-bital Healthcare Solutions<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.q-bital.com\/cy_gb-wls\/endoscopy-and-diagnostic-waiting-lists-what-can-be-done\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopy and diagnostic waiting lists: what can be done - 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