English: Diolch, Dirprwy Lywydd. I shall endeavour - . First of all, I shall thank all those who've taken part in this debate, and, clearly, there are some very serious passions involved with regard to this debate, so I'm going to take a little time and try to repeat some of the things that people have been saying. First of all, Paul Davies asked the Cabinet Secretary to intervene and oppose the closure of the A&E department at Withybush, but the decision had already been made, so this could not be a consultation process. He also remarked about the continual erosion of services in Pembrokeshire, and that this could not continue. Rhun ap Iorwerth reiterated Paul Davies's assertion with regard to the downgrading of services, also noting that emergency services are critical to every community. He also mentioned the pressure on the ambulance service due to the centralisation of hospital services. Again, he pointed out a perceived lack of alternative contingencies. Lee Waters spoke of Hywel Dda's consultation process, and he was pleased that option B was taken rather than option A. Access was key to make any changes work - that's access to hospitals is key to make any changes work. He spoke of using digital communication as offering some solution to increased travel. Angela Burns spoke of the frustration of the 40,000 who signed the petition at not being taken notice of by Hywel Dda over the various so-called consultation processes. And she also spoke of the closure of the A&E at Withybush as being inevitable. Mike Hedges spoke of great opposition to the closure of A&E, and pointed out the difficulty of travel in rural areas, especially in Pembrokeshire in the summer months. He also voiced his concern over the sheer size of the area covered by Hywel Dda. Helen Mary Jones pointed out that there were many who had no confidence in the Hywel Dda board, and spoke of the failure of past promises not being kept, and that her party had alternative proposals that should be looked at before any further actions were taken by Hywel Dda. Joyce Watson spoke of the fear of the people affected by the changes, particularly the proposition of community beds. She mentioned shortages of clinical staff as being part of the mix. Do these changes planned make recruitment of doctors and nurses more difficult, and the possibility of having a brand-new hospital in west Wales? Neil Hamilton mentioned the importance of these matters being comprehensively debated, with the general mix of clinical services moved from east to west, and criticised the complexity of the consultation document. There was no proper alternative to the closure of A&E at Withybush, and no real infrastructure being put in its place. If I come to the Cabinet Secretary and his response, he says that Hywel Dda deserves respect for their attempts to change the health services across the board, and he spoke of the need to centralise specialist services and specialist clinical staff. And he insisted that there is a need for reform, and that there will be people who will always disagree with what's being proposed. He spoke of the need to have care closer to home and, if possible, in the home. I think that I've comprehensively covered most people's comments on this, so, again, I thank the Members for their contributions. I promise them that the Petitions Committee will return to consider the petition again at a future meeting, and in doing so we will seek to consider the petitioners' reaction to the points raised today. We will, of course, be giving consideration to the decisions taken today by Hywel Dda health board. So, on behalf of the Petitions Committee, I'm grateful to all Members for their contributions and for the opportunity to debate this matter today. Thank you.
Welsh: Diolch, Ddirprwy Lywydd. Gwnaf fy ngorau - . Yn gyntaf oll, rhaid diolch i bawb sydd wedi cymryd rhan yn y ddadl hon, ac yn amlwg, mae teimladau angerddol iawn ynghlwm wrth y ddadl hon, felly rwy'n mynd i gymryd peth amser i geisio ailadrodd rhai o'r pethau y mae pobl wedi bod yn eu dweud. Yn gyntaf, gofynnodd Paul Davies i Ysgrifennydd y Cabinet ymyrryd a gwrthwynebu cau'r adran damweiniau ac achosion brys yn Llwynhelyg, ond roedd y penderfyniad wedi'i wneud eisoes, felly ni allai hon fod yn broses ymgynghorol. Hefyd, soniodd am yr erydu parhaus ar wasanaethau yn Sir Benfro, ac na allai hyn barhau. Ailadroddodd Rhun ap Iorwerth honiad Paul Davies ynglŷn ag israddio gwasanaethau, gan nodi hefyd fod gwasanaethau brys yn hanfodol i bob cymuned. Soniodd hefyd am y pwysau ar y gwasanaeth ambiwlans yn sgil canoli gwasanaethau ysbyty. Unwaith eto, tynnodd sylw at y canfyddiad o ddiffyg cynlluniau amgen. Siaradodd Lee Waters am broses ymgynghori Hywel Dda, ac roedd yn falch fod opsiwn B wedi'i gymryd yn hytrach nag opsiwn A. Roedd mynediad yn allweddol ar gyfer gwneud i unrhyw newidiadau weithio - hynny yw bod mynediad i ysbytai yn allweddol i wneud i unrhyw newidiadau weithio. Soniodd am ddefnyddio cyfathrebu digidol i gynnig rhyw fath o ateb i broblem teithiau pellach. Soniodd Angela Burns am rwystredigaeth y 40,000 a lofnododd y ddeiseb wrth i Hywel Dda fethu cymryd sylw ohonynt dros yr amrywiol brosesau ymgynghori fel y'u gelwir. A soniodd hefyd am gau'r adran damweiniau ac achosion brys yn Llwynhelyg fel rhywbeth sy'n anochel. Siaradodd Mike Hedges am y gwrthwynebiad mawr i gau'r adran damweiniau ac achosion brys, a nododd anhawster teithio mewn ardaloedd gwledig, yn enwedig yn Sir Benfro yn ystod misoedd yr haf. Mynegodd ei bryder ynghylch maint yr ardal a gwmpesir gan Hywel Dda hefyd. Nododd Helen Mary Jones fod yna lawer o bobl heb unrhyw hyder ym mwrdd Hywel Dda, a siaradodd am fethiant i gadw addewidion yn y gorffennol a bod argymhellion amgen gan ei phlaid y dylid eu hystyried cyn i Hywel Dda roi unrhyw gamau pellach ar waith. Siaradodd Joyce Watson am ofn y bobl yr effeithir arnynt gan y newidiadau, yn enwedig yr argymhelliad o welyau cymunedol. Soniodd am brinder staff clinigol fel rhywbeth sy'n rhan o'r gymysgedd. A yw'r newidiadau arfaethedig hyn yn gwneud recriwtio meddygon a nyrsys yn anos, a'r posibilrwydd o gael ysbyty newydd sbon yng ngorllewin Cymru? Soniodd Neil Hamilton am bwysigrwydd trafod y materion hyn mewn ffordd gynhwysfawr, gyda'r gymysgedd gyffredinol o wasanaethau clinigol yn cael eu symud o'r dwyrain i'r gorllewin, a beirniadodd gymhlethdod y ddogfen ymgynghorol. Nid oedd unrhyw ddewis amgen priodol yn lle cau'r adran damweiniau ac achosion brys yn Llwynhelyg, ac ni roddir unrhyw seilwaith go iawn yn ei le. Os caf droi at Ysgrifennydd y Cabinet a'i ymateb, mae'n dweud bod Hywel Dda yn haeddu parch am eu hymdrechion i newid y gwasanaethau iechyd ar draws y bwrdd, a soniodd am yr angen i ganoli gwasanaethau arbenigol a staff clinigol arbenigol. A mynnodd fod angen diwygio, ac y bydd yna bobl bob amser yn anghytuno â'r hyn a gaiff ei argymell. Soniodd am yr angen i gael gofal yn nes at adref ac os yn bosibl, yn y cartref. Credaf fy mod wedi ymdrin yn gynhwysfawr â sylwadau'r rhan fwyaf o bobl ar hyn, felly unwaith eto, diolch i'r Aelodau am eu cyfraniadau. Rwy'n addo iddynt y bydd y Pwyllgor Deisebau yn dychwelyd i ystyried y ddeiseb eto mewn cyfarfod yn y dyfodol, ac wrth wneud hynny, byddwn yn ceisio ystyried ymateb y deisebwyr i'r pwyntiau a godwyd heddiw. Wrth gwrs, byddwn yn ystyried y penderfyniadau a wneir heddiw gan fwrdd iechyd Hywel Dda. Felly, ar ran y Pwyllgor Deisebau, rwy'n ddiolchgar i'r holl Aelodau am eu cyfraniadau ac am y cyfle i drafod y mater hwn heddiw. Diolch.