English: Thank you, Deputy Presiding Officer. As others have said in this Chamber, it's a very sad day, actually, that we're standing here four years after the Betsi Cadwaladr University Health Board was put into special measures, yet still this organisation has not made sufficient progress to come out of them. As has been said, a quarter of the population in Wales is served by this particular health board, but it's breaking records, and it's breaking them for all the wrong reasons: record-breaking poor performance when it comes to emergency departments; record-breaking waiting times for people waiting for orthopaedic surgery; and, of course, as we've already heard, a record length of time in special measures for those particular services and aspects of the health board that are in special measures. You know, the front-line staff in our hospitals in Wales - in all of our hospitals, including in north Wales - are absolutely heroic. They are trying to do their best in difficult circumstances each and every day. I mentioned the fact that I had visited Wrexham Maelor Hospital on Monday, and I saw what people were having to deal with in the emergency department there. They are amazing and incredibly talented people, but that doesn't take away from the fact that all of the evidence points to the fact that special measures in the Betsi Cadwaladr board are not working. They're not working. We've seen some improvement, yes, in maternity care, but that's because people marched on the street in order to secure those improvements - it was nothing to do with you, frankly, Minister. The reality is that unless we'd marched on those streets, those changes would have been implemented. There has been some improvement, very lately, in terms of GP recruitment, or certainly training, in terms of securing more training. But, the fact remains that the GP out-of-hours services, which you have de-escalated, still have big gaps on their rotas on a frequent basis. I understand that one of the reasons why they are more able to meet their targets now is because if you phone the GP out-of-hours service, instead of having to get back to somebody within half an hour, as was previously the case, the target is now an hour. Well, of course, it's easier when you're moving the goalposts to be able to meet those targets, which is why you've managed to de-escalate that particular service. But, the Public Accounts Committee report, the Donna Ockenden comments and a whole host of other evidence point to the fact that these special measures don't work. So, five out of seven health boards are in some sort of intervention or another, and that, to me, suggests that there's a systematic problem in the Welsh Government in terms of the way that it tries to bring improvement in our health service. It doesn't seem to learn from good practice and it doesn't seem to learn from its mistakes. We know that Cwm Taf, for example, recently entered into special measures, and one of the reasons it entered into special measures was because it repeated many of the mistakes that had taken place in Betsi Cadwaladr. I've got to conclude. I will say this: I agree with the Minister on this one thing. I don't think we need reorganisation in north Wales. I do think that the name 'Betsi Cadwaladr' has been tarnished, and I think you ought to think about a change of the name of that health board in order to restore its reputation out there in the world. But you are the person who's been responsible for this ministerial oversight for the past four years. You've failed to turn this situation around, and the NHS seems to be slipping further into these intervention arrangements in all sorts of other ways across Wales. I think you ought to accept responsibility, carry the can and step down from office.
Welsh: Diolch yn fawr, Ddirprwy Lywydd. Fel y mae eraill wedi'i ddweud yn y Siambr hon, mae'n ddiwrnod trist iawn, a dweud y gwir, ein bod ni'n sefyll yma bedair blynedd ar ôl i Fwrdd Iechyd Prifysgol Betsi Cadwaladr gael ei roi mewn mesurau arbennig, ond eto nid yw'r sefydliad hwn wedi gwneud digon o gynnydd i ddod allan ohonynt. Fel y dywedwyd, mae chwarter y boblogaeth yng Nghymru'n cael eu gwasanaethu gan y bwrdd iechyd hwn, ond mae'n torri sawl record, ac mae'n eu torri am y rhesymau anghywir: perfformiad gwael gwaeth nag erioed ar adrannau achosion brys; amseroedd aros gwaeth nag erioed i bobl sy'n aros am lawdriniaeth orthopedig; ac wrth gwrs, fel y clywsom eisoes, y cyfnod hwyaf erioed mewn mesurau arbennig ar gyfer y gwasanaethau a'r agweddau hynny ar y bwrdd iechyd sydd mewn mesurau arbennig. Wyddoch chi, mae'r staff rheng flaen yn ein hysbytai yng Nghymru - ym mhob un o'n hysbytai, gan gynnwys y rheini yng ngogledd Cymru - yn gwbl arwrol. Maent yn ceisio gwneud eu gorau mewn amgylchiadau anodd bob dydd. Crybwyllais y ffaith fy mod wedi ymweld ag Ysbyty Maelor Wrecsam ddydd Llun, a gwelais yr hyn yr oedd pobl yn gorfod ymdrin ag ef yn yr adran achosion brys yno. Maent yn bobl ryfeddol a hynod dalentog, ond nid yw hynny'n tynnu oddi ar y ffaith bod yr holl dystiolaeth yn dangos nad yw mesurau arbennig ym mwrdd Betsi Cadwaladr yn gweithio. Nid ydynt yn gweithio. Rydym wedi gweld rhywfaint o welliant, do, ym maes gofal mamolaeth, ond mae hynny oherwydd bod pobl wedi gorymdeithio ar y stryd er mwyn sicrhau'r gwelliannau hynny - nid oedd a wnelo â chi, a dweud y gwir, Weinidog. Oni bai ein bod wedi gorymdeithio ar y strydoedd, y realiti yw na fyddai'r newidiadau hynny wedi cael eu gweithredu. Bu rhywfaint o welliant yn ddiweddar iawn gyda recriwtio meddygon teulu, neu hyfforddiant yn sicr, o ran sicrhau mwy o hyfforddiant. Ond y gwir amdani yw bod y gwasanaethau meddygon teulu y tu allan i oriau arferol, a isgyfeiriwyd gennych, yn dal i fod â bylchau mawr yn eu rotâu yn fynych. Deallaf mai un o'r rhesymau pam y mae'n haws iddynt gyrraedd eu targedau yn awr pan fyddwch yn ffonio'r gwasanaeth meddygon teulu y tu allan i oriau, yw bod y targed ar gyfer dychwelyd at rywun bellach yn awr yn hytrach na hanner awr fel yr arferai fod yn flaenorol. Wel, wrth gwrs, mae'n haws pan fyddwch yn symud y pyst gôl i allu cyrraedd y targedau hynny, a dyna pam eich bod wedi llwyddo i isgyfeirio'r gwasanaeth arbennig hwnnw. Ond mae adroddiad y Pwyllgor Cyfrifon Cyhoeddus, sylwadau Donna Ockenden a chryn dipyn o dystiolaeth arall yn dynodi nad yw'r mesurau arbennig hyn yn gweithio. Felly, mae pump o'r saith bwrdd iechyd yn destun rhyw fath o ymyrraeth neu'i gilydd, ac mae hynny, i mi, yn awgrymu bod problem systematig yn Llywodraeth Cymru o ran y ffordd y mae'n ceisio cyflwyno gwelliannau yn ein gwasanaeth iechyd. Nid yw fel pe bai'n dysgu o arferion da ac nid yw'n ymddangos ei bod yn dysgu o'i chamgymeriadau. Gwyddom fod Cwm Taf, er enghraifft, wedi dod yn destun mesurau arbennig yn ddiweddar, ac un o'r rhesymau am hynny oedd ei fod wedi ailadrodd llawer o'r camgymeriadau a wnaed yn Betsi Cadwaladr. Mae'n rhaid i mi orffen. Fe ddywedaf hyn: rwy'n cytuno â'r Gweinidog ar un peth. Nid wyf yn credu bod angen ad-drefnu yng ngogledd Cymru. Credaf fod yr enw 'Betsi Cadwaladr' wedi cael ei lychwino, a chredaf y dylech feddwl am newid enw'r bwrdd iechyd er mwyn adfer ei enw da yn y byd. Ond chi yw'r person sydd wedi bod yn gyfrifol am yr oruchwyliaeth weinidogol hon ers pedair blynedd. Rydych chi wedi methu trawsnewid y sefyllfa, ac ymddengys bod y GIG yn llithro ymhellach i mewn i'r trefniadau ymyrryd hyn mewn pob math o ffyrdd eraill ledled Cymru. Credaf y dylech ysgwyddo cyfrifoldeb, derbyn y bai ac ymddiswyddo.