Brîff 7 Munud - Rheoliad 28 – Adroddiad y Crwner Regulation 28 – Coroner Report - 7 Minute Briefing

1. BETH YDYW? 1. WHAT IS IT? Rheoliad 28 sy’n berthnasol pan mae crwner o dan ddyletswydd i wneud adroddiad. Yn y rheoliad hwn, ystyr adroddiad yw adroddiad er mwyn atal marwolaethau eraill. Ni ellir gwneud adroddiad ond ar ôl i’r crwner ystyried yr holl ddogfennau, tystiolaeth a gwybodaeth sydd yn ei farn ef neu hi yn berthnasol i’r ymchwiliad. Regulation 28 is the regulation that applies when a coroner is under a duty to make a report. In this regulation a reference to report means a report to prevent other deaths. A report may not be made until the coroner has considered all the documents, evidence and information that in the opinion of the coroner are relevant to the investigation

2. Beth ydyw? 2. What it is Mae’r rheoliad hwn yn berthnasol pan mae rhywun o dan ddyletswydd i ymateb i adroddiad er mwyn atal marwolaethau eraill a wnaethpwyd yn unol â pharagraff 7 (1) o Atodlen 5. Mae’n rhaid darparu’r ymateb i’r crwner a wnaeth yr adroddiad ymhen 56 diwrnod wedi’r dyddiad yr anfonir yr adroddiad. This regulation applies where a person is under a duty to give a response to a report to prevent other deaths made in accordance with paragraph 7 (1) of Schedule 5. The response must be provided to the coroner who made the report within 56 days of the date on which the report is sent.

3. Beth ydyw? 3. What it is? Wrth ymateb i adroddiad mae’n rhaid cynnwys- Manylion unrhyw gamau gweithredu a gymerwyd neu y cynigir eu cymryd gan y sawl sy’n rhoi’r ymateb, p’un a yw hynny mewn ymateb i’r adroddiad neu beidio, a gosod amserlen ar gyfer y camau gweithredu a gymerwyd neu y bwriedir eu cymryd neu Esboniad ynglŷn â pham na chynigir unrhyw gamau gweithredu. The response to a report must contain- Details of any action plan that has been taken or which it is proposed will be taken by the person giving the response or any person whether in response to the report or otherwise and set out a timetable of the action taken or proposed to be taken or An explanation as to why no action is proposed.

4. Beth sy’n dod nesaf 4. What’s next Mae’n rhaid i’r crwner anfon copi o’r adroddiad at y Prif Grwner a phawb sydd â diddordeb a ddylai dderbyn yr adroddiad ym marn y crwner, gan gynnwys Bwrdd Diogelu Gogledd Cymru. Gall y Prif Grwner gyhoeddi copi o’r adroddiad, neu grynodeb ohono, fel y gwêl y Prif Grwner sydd orau. The coroner must send a copy of the report to the Chief Coroner and every interested person who in the coroner’s opinion should receive it including the North Wales Safeguarding Board. Chief Coroner may publish a copy of the report, or a summary of it, in such a manner as the Chief Coroner thinks it.

5. Dysgu’n Lleol 5. Local Learning Y peth mwyaf allweddol sydd wedi’i nodi yng ngogledd Cymru yw amseroedd ymateb ambiwlansys. Cwtogi ar yr amser y mae Ambiwlansys yn ei gymryd wrth drosglwyddo cleifion i adrannau brys. Gwella llif y cleifion drwy adrannau brys ac asesu cleifion yn brydlon. Gwella’r drefn o ryddhau cleifion/trosglwyddo eu gofal pan ddaw eu cyfnod yn yr ysbyty acíwt i ben. The key issue in North Wales that has been identified is around ambulance response times. Improvement of handover times to emergency departments by Ambulance Improvements in Emergency department patient flow and timely assessments of patients Improvement of the discharge/ transfer of care of patients at the end of their acute hospital stay

6. Materion cenedlaethol 6. National Issues Diffyg cadw cofnodion Methu â gwneud diagnosis Diffyg dilyniant gofal Diffyg apwyntiadau meddyg teulu Dim cofnodion clinigol wedi'u gwneud Asesu clinigol gwael Poor record keeping Missed diagnosis Lack of continuity of care Lack of GP appointments No clinical records made Poor clinical assessment

7. Mwy o wybodaeth 7.Further Information I weld adroddiadau Rheoliad 28 dilynwch y dolenni cyswllt canlynol: https://www.judiciary.gov.uk www.wwl.nhs/about_us/coroners_re gulation_28_reports.aspx To access Regulation 28 reports please access via the following web links: https://www.judiciary.gov.uk www.wwl.nhs/about_us/coroners_reg ulation_28_reports.aspx