English: Minister, I'd like to understand what your ambition is for the health of the people of Wales. Fifty-one per cent of our population at present are battling with some form of illness. I would like to understand where you would like to see that position by the year 2021. Reading through your 'Taking Wales Forward' document, I've noticed again that you major on the fact that you'd like to establish a parliamentary review into the long-term future of health and social care in Wales. I've had the great good fortune to have had a number of discussions with the Cabinet Secretary on this. I would like to make it very clear, though, that, whilst the Welsh Conservatives believe that this has the opportunity to deliver a blueprint for national leadership and strategic planning, I would not like to see this parliamentary review as an opportunity to kick a number of difficult decisions the NHS in Wales will have to take into the long grass. So, Minister, can you assure us that this parliamentary review will not deflect you from putting an enormous amount of energy into resolving the crises that we have in primary healthcare? I've noted in your programme, 'Taking Wales Forward', that you're going to put a lot of effort into the recruitment of GPs - something we've discussed, and something I've discussed with the Cabinet Secretary - but I would also like you to come back and ask or perhaps tell us whether you're going to be putting the same kind of levels of effort into ensuring that we have adequate nurses, physiotherapists, clinical psychologists and occupational therapists, because we do have a real crisis brewing there. Hywel Dda Local Health Board: 30 per cent of their general practice nurses have indicated that they're going to be leaving in the next five years. That's an enormous number, and that's just one health board. You talk about increasing investment in facilities to reduce waiting times. First Minister, waiting times is one of the areas that I think the Welsh Labour Government have failed in substantially: 14.3 per cent of Wales's total population remains on a waiting list. What I would like to understand is: how do you anticipate reducing these waiting times, and where does it stack up in your priority for healthcare? I'd like to, finally, Presiding Officer, turn to your commentary here on mental health and well-being. I would say to you that mental health has been, for some time, the poor relation in health service provision in Wales. Children's mental health has a very poor level of funding. At present, it's about £13.50 per head of population of children. In comparison, £65 is spent per head on older people's mental health services. First Minister, do you intend to put more funding into mental health services? Do you intend to put more funding into child and adolescent mental health services? Are you able to tell us today when you intend to bring forward the additional learning needs Bill? First Minister, will you be considering bringing forward an autism Act, and will you accept that mental health services are very difficult to deliver in a rural model as, indeed, are all health services? So, I'd finally like to ask you: will you commit to looking at - or do you intend to look at - how we might be able to develop a rural health model that can sit alongside the national health service so that people in the rural areas of Wales, which are substantially, in terms of land mass, by far and away the greater part of Wales - they may not be so in population terms - actually enjoy equality and freedom and the right to access healthcare services as near to them as possible and in a really timely manner? Because they are in danger of becoming yet another orphan within the NHS family.
Welsh: Weinidog, hoffwn ddeall beth yw eich uchelgais ar gyfer iechyd pobl Cymru. Mae pum deg un y cant o'n poblogaeth ar hyn o bryd yn brwydro rhyw fath o salwch. Hoffwn ddeall sut y byddech yn hoffi gweld y sefyllfa honno erbyn y flwyddyn 2021. Wrth ddarllen trwy eich dogfen 'Symud Cymru Ymlaen', rwyf wedi sylwi eto eich bod yn pwysleisio'r ffaith y byddech yn hoffi sefydlu adolygiad seneddol ar ddyfodol hirdymor iechyd a gofal cymdeithasol yng Nghymru. Rwyf wedi bod yn ddigon ffodus i gael nifer o drafodaethau ag Ysgrifennydd y Cabinet ynglŷn â hyn. Hoffwn ei gwneud yn glir iawn, fodd bynnag, er bod y Ceidwadwyr Cymreig yn credu bod hwn yn gyfle i gyflwyno glasbrint ar gyfer arweinyddiaeth genedlaethol a chynllunio strategol, ni fyddwn i'n hoffi gweld bod yr adolygiad seneddol hwn yn gyfle i roi nifer o'r penderfyniadau anodd y bydd y GIG yng Nghymru yn gorfod eu gwneud o'r neilltu. Felly, Weinidog, a allwch chi ein sicrhau ni na fydd hwn yn adolygiad seneddol a fydd yn eich rhwystro chi rhag rhoi llawer iawn o egni i mewn i ddatrys yr argyfwng sydd gennym mewn gofal iechyd sylfaenol? Rwyf wedi nodi yn eich rhaglen, 'Symud Cymru Ymlaen', eich bod yn mynd i roi llawer o ymdrech i recriwtio Meddygon Teulu - rhywbeth yr ydym wedi ei drafod, a rhywbeth yr wyf wedi ei drafod ag Ysgrifennydd y Cabinet - ond byddwn hefyd yn hoffi i chi ddod yn ôl a gofyn neu efallai dweud wrthym a ydych chi'n mynd i fod yn rhoi yr un lefel o ymdrech i sicrhau bod gennym ddigon o nyrsys, ffisiotherapyddion, seicolegwyr clinigol a therapyddion galwedigaethol, oherwydd mae gennym argyfwng go iawn yn datblygu yno. Bwrdd Iechyd Lleol Hywel Dda: mae 30 y cant o'u nyrsys practis cyffredinol wedi dweud eu bod yn mynd i adael yn ystod y pum mlynedd nesaf. Mae'n nifer enfawr, a dim ond un bwrdd iechyd yw hwnnw. Rydych chi'n sôn am gynyddu buddsoddiad mewn cyfleusterau i leihau amseroedd aros. Brif Weinidog, mae amseroedd aros yn un o'r meysydd lle y mae Llywodraeth Lafur Cymru, yn fy marn i, wedi methu yn sylweddol ynddo: mae 14.3 y cant o gyfanswm poblogaeth Cymru yn parhau i fod ar restr aros. Yr hyn yr hoffwn ei ddeall yw: sut ydych chi'n rhagweld y byddwch yn lleihau'r amseroedd aros hyn, a faint o flaenoriaeth sydd iddo ym maes gofal iechyd? Hoffwn i, yn olaf, Lywydd, droi at eich sylwadau yma ar iechyd meddwl a llesiant. Byddwn i'n dweud wrthych fod iechyd meddwl wedi bod, ers peth amser, yn berthynas dlawd o ran darpariaeth y gwasanaeth iechyd yng Nghymru. Mae'r lefelau cyllid ar gyfer iechyd meddwl plant yn wael iawn. Ar hyn o bryd, mae oddeutu £13.50 y pen yn cael ei wario ar y boblogaeth blant. O'i gymharu, mae £65 y pen yn cael ei wario ar wasanaethau iechyd meddwl pobl hŷn. Brif Weinidog, a ydych chi'n bwriadu rhoi mwy o gyllid i wasanaethau iechyd meddwl? A ydych chi'n bwriadu rhoi mwy o gyllid i wasanaethau iechyd meddwl plant a'r glasoed? A ydych chi'n gallu dweud wrthym heddiw pa bryd yr ydych yn bwriadu cyflwyno'r Bil anghenion dysgu ychwanegol? Brif Weinidog, a fyddwch chi'n ystyried cyflwyno Deddf awtistiaeth, ac a fyddwch yn derbyn bod gwasanaethau iechyd meddwl yn anodd iawn i'w darparu mewn model gwledig fel, yn wir, y mae'r holl wasanaethau iechyd? Felly, hoffwn i ofyn i chi yn olaf: a wnewch chi ymrwymo i edrych ar - neu a ydych chi'n bwriadu edrych ar - sut y gallem ddatblygu model iechyd gwledig a all fodoli ochr yn ochr â'r gwasanaeth iechyd gwladol er mwyn i bobl yn ardaloedd gwledig Cymru, sydd i raddau helaeth yn cynrychioli'r rhan fwyaf o Gymru o bell ffordd o ran arwynebedd tir - efallai nad yw hynny'n wir o ran poblogaeth - mewn gwirionedd, fwynhau cydraddoldeb a rhyddid a'r hawl i ddefnyddio gwasanaethau gofal iechyd sydd mor agos atynt ag y bo modd, a hynny mewn modd prydlon? Oherwydd maent mewn perygl o fod yn blentyn amddifad arall o fewn teulu y GIG.