English: Thank you for your statement, Cabinet Secretary, and for the progress update that you've just given to us. There doesn't seem to have been a great deal of progress. I see that the waiting list for planned care has reduced by 45 per cent in a relatively short space of time, and that's a really good headline figure. But let's put it into context, shall we? The reduction that the Cabinet Secretary is referring to is from just under 10,500 people waiting to just over 5,500. Of course, that's a big improvement, and I do commend the hard-working staff who have delivered that achievement, but it still means that nearly 6,000 people are waiting for more than nine months for planned care, and that's a terrible statistic, particularly when you put it against the other statistics that are coming out of Betsi Cadwaladr, such as that the orthopaedic waiting list has increased by 16 per cent over the last year, against a backdrop of a 5,000 per cent historic increase in that waiting list. And we can't forget, and we shouldn't forget, the 1,000 plus children and young people who are currently waiting between 12 and 18 months for a neurodevelopmental assessment, which is going to impact on their educational attainment. So, you know, while the - . The Cabinet Secretary says there have been improvements in various things, including the management of complaints, clinical oversight, and developing and delivering the mental health strategy, so I would ask the Cabinet Secretary to quantify those improvements for the Members here today and for people in north Wales. It's all very well saying in your statement that there have been improvements, but can we have some figures? And can we have actually some detail on that, please? The Cabinet Secretary has detailed the large sums of money spent on Ysbyty Glan Clwyd in particular, on the buildings and facilities there, but I remember that when Ysbyty Glan Clwyd was originally built it was considered by locals to be too large for the area. We were all a little bit suspicious of how big it actually was. But it's now clear that Betsi Cadwaladr, who are the people who have been responsible for that hospital over the years, haven't extended the facilities there to cater for an increased population. So, does the Cabinet Secretary agree with me that the vast amounts of money that he's having to spend on Ysbyty Glan Clwyd now are the result of successive Governments sticking their heads in the sand and failing to ensure that the facilities there kept pace with the likely population? What analysis has the Cabinet Secretary done to ensure that the money spent so far on Betsi is bringing real benefits rather than just assuming that there's a causal link between improvements and spend? The Cabinet Secretary points out that a significant cultural change is required. I take your point there, but can you actually tell us what sort of cultural change is required, and what's currently wrong with the culture at Betsi Cadwaladr at the moment? And what measures are you putting in place to achieve that cultural change? I totally agree with the Cabinet Secretary that the commitment and dedication shown by front-line staff at Betsi Cadwaladr is truly, truly impressive. These front-line staff go into this work to make a difference and to deliver, as you say, quality and compassionate care. But it must be truly, truly soul destroying to have institutional challenges thwart their efforts to do that, and it goes some way to explaining the levels of stress-related absence reported at Betsi Cadwaladr. So, given the number of staff going off sick with stress, what support can you tell us about, Cabinet Secretary, that there is in place, provided by Betsi Cadwaladr, to support front-line staff who are suffering from workplace stress? I'd also be interested to hear what expectations you're going to place on the Betsi Cadwaladr board members, and, in particular, how are you actually going to incentivise that board to deliver on those improvements? Are they going to be at risk of possibly being removed from the board if the board doesn't perform properly? Are heads ever going to roll at Betsi Cadwaladr? And then, turning finally to the anniversary of Betsi Cadwaladr going into special measures, you've had control of that health board now for three years. What lessons have you actually learned? Thank you.
Welsh: Diolch ichi am eich datganiad, Ysgrifennydd y Cabinet, ac am y diweddariad cynnydd yr ydych chi newydd ei roi i ni. Nid yw'n ymddangos y bu llawer iawn o gynnydd. Rwy'n gweld bod y rhestr aros ar gyfer gofal wedi'i gynllunio wedi gostwng 45 y cant mewn cyfnod cymharol fyr o amser, ac mae hwnnw'n ffigur da iawn ar yr olwg gyntaf. Ond gadewch i ni roi hynny ei gyd-destun, ie? Mae'r gostyngiad y mae Ysgrifennydd y Cabinet yn cyfeirio ato o ychydig o dan 10,500 o bobl yn aros i ychydig dros 5,500. Wrth gwrs, mae hynny'n welliant mawr, ac rwyf yn cymeradwyo'r staff gweithgar sydd wedi sicrhau'r cyrhaeddiad hwnnw, ond mae'n dal yn golygu fod bron i 6,000 o bobl yn aros mwy na naw mis am ofal wedi'i gynllunio, ac mae hwnnw'n ystadegyn ofnadwy, yn enwedig pan rydych chi'n cymharu hynny ag ystadegau eraill Betsi Cadwaladr, fel bod y rhestr aros orthopedig wedi cynyddu 16 y cant dros y flwyddyn ddiwethaf, o'i gymharu â chynnydd hanesyddol o 5,000 y cant yn y rhestr aros honno. Ac ni allwn anghofio, ac ni ddylem ni anghofio, am y 1,000 a mwy o blant a phobl ifanc sydd ar hyn o bryd yn aros rhwng 12 a 18 mis am asesiad niwroddatblygiadol, sydd yn mynd i gael effaith ar eu cyrhaeddiad addysgol. Felly, wyddoch chi, er bod y - . Dywed Ysgrifennydd y Cabinet y bu gwelliannau mewn rhai pethau, gan gynnwys rheoli cwynion, goruchwyliaeth glinigol, datblygu a gweithredu'r strategaeth iechyd meddwl, felly rwy'n gofyn i Ysgrifennydd y Cabinet roi ffigyrau ynglŷn â'r gwelliannau hynny i'r Aelodau sydd yma heddiw ac ar gyfer pobl yn y gogledd. Mae'n iawn dweud yn eich datganiad y bu gwelliannau, ond a gawn ni rai ffigurau? Ac a gawn ni mewn gwirionedd ychydig o fanylion ynglŷn â hynny, os gwelwch yn dda? Mae Ysgrifennydd y Cabinet wedi manylu ar y symiau mawr o arian a wariwyd ar Ysbyty Glan Clwyd yn benodol, ar yr adeiladau a'r cyfleusterau yno, ond rwy'n cofio pan adeiladwyd Ysbyty Glan Clwyd yn wreiddiol roedd y bobl leol yn ei ystyried yn rhy fawr ar gyfer yr ardal. Roeddem ni i gyd braidd yn amheus o ba mor fawr oedd y lle mewn gwirionedd. Ond mae'n amlwg bellach nad yw Betsi Cadwaladr, sef y bobl a fu'n gyfrifol am yr ysbyty hwnnw dros y blynyddoedd, wedi ehangu'r cyfleusterau yno i ddarparu ar gyfer poblogaeth gynyddol. Felly, a yw Ysgrifennydd y Cabinet yn cytuno â mi bod y symiau anferth o arian y mae'n rhaid iddo eu gwario ar Ysbyty Glan Clwyd bellach yn ganlyniad i Lywodraethau olynol yn osgoi'r gwirionedd ac yn methu â sicrhau bod y cyfleusterau yno yn cyfateb i niferoedd tebygol y boblogaeth? Pa ddadansoddiad mae Ysgrifennydd y Cabinet wedi ei wneud i sicrhau bod yr arian a wariwyd hyd yn hyn ar fwrdd iechyd Betsi Cadwaladr yn arwain at fanteision gwirioneddol yn hytrach na chymryd yn ganiataol fod cysylltiad rhwng gwelliannau a gwario? Mae Ysgrifennydd y Cabinet yn nodi bod angen newid diwylliannol sylweddol. Derbyniaf y sylw hwnnw o'r eiddoch, ond a allwch chi ddweud wrthym ni mewn gwirionedd pa fath o newid diwylliannol a ddisgwylir, a beth sydd o'i le ar y diwylliant ym mwrdd iechyd Betsi Cadwaladr ar hyn o bryd? A pha fesurau ydych chi'n eu rhoi ar waith i gyflawni'r newid diwylliannol hwnnw? Cytunaf yn llwyr ag Ysgrifennydd y Cabinet bod ymrwymiad ac ymroddiad staff rheng flaen Betsi Cadwaladr yn drawiadol iawn, iawn. Mae'r staff rheng flaen hyn yn ymgymryd â'r gwaith hwn i wneud gwahaniaeth ac i ddarparu, fel y dywedwch chi, gofal tosturiol o ansawdd. Ond mae'n rhaid ei fod yn dreth enfawr ar yr enaid pan fo heriau sefydliadol yn rhwystro eu hymdrechion i wneud hynny, ac mae'n esbonio i raddau y niferoedd absenoldeb sy'n gysylltiedig â straen a gofnodwyd yn Betsi Cadwaladr. Felly, o ystyried nifer y staff sy'n mynd yn sâl o ganlyniad i straen, allwch chi ddweud wrthym ni, Ysgrifennydd y Cabinet, pa gymorth sydd ar gael, y mae Betsi Cadwaladr yn ei gynnig, i gefnogi staff rheng flaen sydd yn dioddef o straen yn y gweithle? Hefyd byddai gennyf ddiddordeb clywed pa ddisgwyliadau yr ydych chi'n mynd i'w gosod ar aelodau bwrdd Betsi Cadwaladr, ac, yn benodol, sut ydych chi mewn gwirionedd yn mynd i gymell y bwrdd i gyflawni'r gwelliannau hynny? A ydyn nhw'n mynd i fod mewn peryg o bosib o gael eu diswyddo o'r bwrdd os nad yw'r bwrdd yn perfformio'n iawn? A fydd yna oblygiadau o gwbl i fwrdd iechyd Betsi Cadwaladr? Ac yna, gan droi yn olaf at ben-blwydd Betsi Cadwaladr yn mynd o dan fesurau arbennig, rydych chi wedi rheoli'r bwrdd iechyd hwnnw bellach am dair blynedd. Pa wersi ydych chi mewn gwirionedd wedi eu dysgu? Diolch.