Prudent healthcare describes the distinctive way of shaping the Welsh NHS to ensure it is always adding value, contributes to improved outcomes and is sustainable.
Mae gofal iechyd darbodus yn disgrifio'r ffordd arbennig o lunio'r GIG yng Nghymru er mwyn sicrhau ei fod yn ychwanegu gwerth, yn cyfrannu at ganlyniadau gwell ac yn gynaliadwy.
The Prudent healthcare principles are:
Egwyddorion gofal iechyd darbodus yw:
Read the case study and identify what makes the actions taken by the ambulance service prudent.
Darllenwch yr astudiaeth achos a nodwch beth sy'n gwneud y camau gweithredu a gymerwyd gan y gwasanaeth ambiwlans yn rhai darbodus.
Lucy is a 35-year-old with severely-reduced mobility following a fall some years previously. Lucy has developed an alcohol dependency over the course of 2013, which culminated in thirty-six 999 calls that year, consuming a total of 1,911 minutes or 31.85 unit hours of ambulance time.
The vast majority of these calls were prioritised as green 1 responses as it was often impossible to illicit the reason for the call as Lucy was so intoxicated.
Clinically, Lucy’s needs were not being met, as many of these calls resulted in Lucy being left at home in the care of relatives. In addition to this, the volume of calls received was adversely affecting the ability of the Cardiff and Vale team to deliver responses to higher acuity calls.
The frequent caller guidance was used and a meeting between the clinical support officer and Lucy's GP practice manager was arranged. Following further meetings between the practice manager and her GP, Lucy was admitted for inpatient treatment with the Cardiff Alcohol Team.
In the three months after Lucy received inpatient treatment, the Welsh Ambulance Service received only three calls from her which were either cancelled by Lucy before an ambulance being dispatched or the calls were managed by NHS Direct Wales.
Source: Prudent Healthcare https://bit.ly/2Q0OozP
Mae Lois yn ferch 35 oed ag anawsterau symud difrifol yn dilyn cwymp rai blynyddoedd yn ôl. Daeth Lois yn ddibynnol ar alcohol yn ystod 2013, ac arweiniodd hyn at 36 galwad 999 y flwyddyn honno, gan gymryd cyfanswm o 1,911 munud neu 31.85 oriau uned o amser y gwasanaeth ambiwlans.
Cafodd mwyafrif helaeth y galwadau hyn eu blaenoriaethu yn ymatebion 'gwyrdd 1' gan ei fod yn aml yn amhosibl canfod y rheswm dros yr alwad gan fod Lois yn feddw.
Yn glinigol, doedd anghenion Lois ddim yn cael eu diwallu, oherwydd canlyniad llawer o'r galwadau hyn cafodd Lois gael ei gadael adref yng ngofal perthnasau. At hyn, roedd cyfanswm y galwadau a dderbyniwyd yn cael effaith niweidiol ar allu tîm Caerdydd a'r Fro i ymateb i alwadau mwy difrifol.
Defnyddiwyd y canllaw galwr rheolaidd a threfnwyd cyfarfod rhwng y swyddog cymorth clinigol a rheolwr meddygfa Lois. Yn dilyn cyfarfodydd pellach rhwng rheolwr y feddygfa a'i meddyg teulu, cafodd Lois ei derbyn ar gyfer triniaeth fel claf mewnol gyda Thîm Alcohol Caerdydd.
Yn ystod y tri mis ers i Lois dderbyn triniaeth fel claf mewnol, derbyniodd Gwasanaeth Ambiwlans Cymru dri galwad yn unig ganddi a chafodd y galwadau hyn un ai eu canslo gan Lois cyn i'r ambiwlans gael ei anfon neu cawson nhw eu rheoli gan Galw Iechyd Cymru.
Ffynhonnell: Gofal iechyd darbodus https://bit.ly/2Q0OozP