English: Diolch, Llywydd. I'd like to thank everyone who took part in today's debate, and I'd particularly like to thank David for drawing us all together, cross party, to make representations. I think we have to be crystal clear about that word 'cancer', it is something that still today strikes fear and panic in most people's hearts. We still see it as 'the big C', the thing that can come out and get us. And yet, as both Caroline and Rhianon very clearly have shown, there are opportunities out there, there are success stories, there are pathways that lead to better outcomes than we used to have. So, it's not just a gloomy story; there is real progress being made. I would just like to give a quick shout out to some of the researchers that we have at Cardiff University. I would particularly like to name Professor Andrew Sewell and the Cardiff University team, because they've discovered this T-cell inside blood that has the ability to cruise around your body and go, 'Aha, that is not a good cell heading our way.' And if they can just harness it - and they think they can - then they can use it to really target in a highly specific way a wide number of cancers, in a way that the current immunotherapy can't do. And so, we've got great scientists here in Wales who are really working on positive outcomes for Welsh citizens, and I think that we need to, Minister, really try to support these people and make sure that they have funding. I'd also like to briefly talk about immunotherapy, because it is one of the modern medicines. Dai, in your contribution, you referenced modern techniques, modern medicines, but unfortunately you can still have situations where the National Institute for Health and Care Excellence will say you can only access immunotherapy once you've gone through chemotherapy. Then, your consultant will say things to you like, 'But I can tell you now, because you've got a very nasty bladder cancer and we've only just discovered it and you're T4, you've got to go through the chemotherapy to get to the immunotherapy, which can probably prolong your life, but the chemotherapy's not going to do anything for you.' That's nonsense. We need to really work on that, so that if there's something that can help somebody they get access to it without having to jump through a useless, painful hoop of chemotherapy. So, Minister, I'd be very grateful if you might take that one away as well and talk about it. I was delighted with your response about the cancer delivery plan. This is wonderful because, actually, the questions I was going to ask you were about the NHS exec not being formed; were we going to have to wait; what was the gap; and of course coronavirus pulling officials away to concentrate on this and not being able to concentrate on that. So, it's very good news, not only that the Welsh Government's going to start it, but, actually, that it's also applying to the other delivery plans. And those that you haven't been able to work on yet will be extended for one more year. I think that gives real comfort to people. There were some great contributions. Dai, again, you made that point about the rapid diagnostic centre, and about the fact that GPs who have trained for years and years and years, and then have loads and loads of experience in their clinics, don't get that kudos; they don't get that, 'Right, Dai Lloyd, if you say that this person needs to be looked at, I'll go and have a look at them.' It's this form filling, red box ticking. But a rapid diagnostic centre: six days, as Suzy said, as opposed to 84 days - what a difference. And, of course, Suzy went on to look at best practice in other European countries. And not only did she make the point that that best practice saves lives because you can get in more quickly; you can get your result quicker; you can start your treatment more quickly; but, of course, when you've got that kind of NHS service offering, you've got more staff who want to come and work for you. I think you were saying that, in Denmark, which was one of the areas that they were looking at, they were actually having staff queuing up wanting to work, wanting to work at best practice. So, we can do that. We're small enough and agile enough. And thanks to the Welsh Conservative secretary for finance, in his budget statement today, there will be more money coming to Wales. So, Minister, I would really ask that you consider deploying that extra money in things like rapid treatment. Because, again, Suzy made that point - if we can help somebody, make them well, give them a good outcome - actually, long term, it's going to save the state so much more money, and they will have a so much better quality of life. The other great cry of the heart was not enough diagnostic staff, and that is something we absolutely need to address: our workforce shortages. David, you made that point with passion and conviction, and it's very, very key. So, again, Minister, I would urge that, when you go back from this debate, you work with Health, Education and Improvement Wales and that they really plan the shortfalls that we have. I'm very keen to end, because I'm sure the Llywydd is very keen that I should end, but I just wanted to say one comment, just to put that into context. The cellular pathway workforce: 36 per cent of the consultants in Wales will be retiring in the next five years. We've got to replace them. We've got to make the plans, implement the plans, and get the new blood coming through. So, Minister, thank you for your very positive response. David, thank you very much for, as I say, collecting us all together to debate this. But I do look forward, Minister, to you perhaps confirming back to us - and what I think we'd really like to have is a Government debate on this issue, about how we can really get to grips with something like the diagnostic workforce. Thank you.
Welsh: Diolch, Lywydd. Hoffwn ddiolch i bawb a gymerodd ran yn y ddadl heddiw, a hoffwn ddiolch yn arbennig i David am ddod â phawb ohonom ynghyd, ar draws y pleidiau, i gyflwyno sylwadau. Rwy'n credu bod yn rhaid inni fod yn hollol glir ynglŷn â'r gair 'canser', mae'n rhywbeth sy'n dal i greu ofn a phanig yng nghalonnau'r rhan fwyaf o bobl. Rydym yn dal i'w weld fel 'yr C fawr', y peth a all ddod allan i'n dal. Ac eto, fel y dangosodd Caroline a Rhianon yn glir iawn, mae cyfleoedd ar gael, mae yna straeon llwyddiant, mae yna lwybrau sy'n arwain at well canlyniadau nag y byddem yn arfer eu gweld. Felly, nid stori dywyll yn unig yw hi; mae cynnydd gwirioneddol yn cael ei wneud. Hoffwn roi sylw sydyn i rai o'r ymchwilwyr sydd gennym ym Mhrifysgol Caerdydd. Yn arbennig, hoffwn enwi'r Athro Andrew Sewell a thîm Prifysgol Caerdydd, oherwydd eu bod wedi darganfod cell mewn gwaed sydd â'r gallu i symud o amgylch eich corff a dweud, 'Aha, nid yw'r gell honno sy'n anelu'r ffordd hon yn un dda.' Ac os gallant ei harneisio - ac maent yn meddwl y gallant - bydd modd iddynt ei defnyddio i dargedu nifer fawr o ganserau mewn ffordd benodol iawn, mewn ffordd nad yw imiwnotherapi presennol yn gallu ei wneud. Ac felly, mae gennym wyddonwyr gwych yma yng Nghymru sy'n gweithio ar ganlyniadau cadarnhaol i ddinasyddion Cymru, ac rwy'n credu bod angen i ni geisio cefnogi'r bobl hyn, Weinidog, a gwneud yn siŵr eu bod yn cael cyllid. Hoffwn sôn yn fyr hefyd am imiwnotherapi, oherwydd mae'n un o'r meddyginiaethau modern. Dai, yn eich cyfraniad, fe gyfeirioch chi at dechnegau modern, meddyginiaethau modern, ond yn anffodus, gallwch gael sefyllfaoedd o hyd lle bydd y Sefydliad Cenedlaethol dros Ragoriaeth mewn Iechyd a Gofal yn dweud mai dim ond ar ôl ichi fynd drwy cemotherapi y gallwch fanteisio ar imiwnotherapi. Yna, bydd eich meddyg ymgynghorol yn dweud pethau tebyg i, 'Ond gallaf ddweud wrthych chi nawr, oherwydd bod gennych chi ganser y bledren cas iawn ac nid ydym ond newydd ei ganfod ac rydych chi'n T4, mae'n rhaid i chi fynd drwy'r cemotherapi i gyrraedd yr imiwnotherapi, sy'n gallu ymestyn eich bywyd mwy na thebyg, ond nid yw'r cemotherapi yn mynd i wneud dim i chi.' Mae hynny'n nonsens. Mae gwir angen inni weithio ar hynny, felly, os oes rhywbeth a all helpu rhywun, eu bod yn ei gael heb orfod neidio drwy gylchoedd diangen a phoenus o gemotherapi. Felly, Weinidog, buaswn yn ddiolchgar iawn pe gallech chi edrych ar hynny hefyd a siarad am y peth. Roeddwn wrth fy modd gyda'ch ymateb am y cynllun cyflawni ar gyfer canser. Mae hyn yn wych oherwydd, mewn gwirionedd, roedd y cwestiynau roeddwn yn bwriadu eu gofyn i chi yn ymwneud â'r ffaith nad oedd gweithrediaeth y GIG wedi'i ffurfio; a fyddai'n rhaid i ni aros; beth oedd y bwlch; ac wrth gwrs y coronafeirws yn tynnu sylw swyddogion rhag gallu canolbwyntio ar hyn. Felly, mae'n newyddion da iawn, nid yn unig fod Llywodraeth Cymru yn mynd i'w gychwyn, ond ei fod hefyd yn berthnasol i'r cynlluniau cyflawni eraill. A bydd y rhai nad ydych wedi llwyddo i weithio arnynt eto yn cael eu hestyn am flwyddyn arall. Rwy'n credu bod hynny'n rhoi cysur go iawn i bobl. Cafwyd cyfraniadau gwych. Dai, unwaith eto, fe wnaethoch y pwynt am y ganolfan ddiagnosteg gyflym, ac am y ffaith nad yw meddygon teulu sydd wedi hyfforddi am flynyddoedd a blynyddoedd, ac sydd wedi cael llwythi o brofiad wedyn yn eu clinigau, yn cael y bri hwnnw; nid ydynt yn cael, 'Iawn, Dai Lloyd, os ydych chi'n dweud bod angen edrych ar y person hwn, fe wnaf fi gael golwg arnynt.' Llenwi ffurflenni, ticio blychau. Ond canolfan ddiagnosteg gyflym: chwe diwrnod, fel y dywedodd Suzy, o'i gymharu ag 84 diwrnod - am wahaniaeth. Ac wrth gwrs, aeth Suzy ymlaen i edrych ar yr arferion gorau mewn gwledydd Ewropeaidd eraill. Ac fe wnaeth y pwynt fod yr arferion gorau hynny'n achub bywydau oherwydd gallwch fynd i mewn yn gyflymach; gallwch gael eich canlyniad yn gynt; gallwch ddechrau eich triniaeth yn gyflymach; ond, wrth gwrs, pan fydd gennych chi'r math hwnnw o gynnig gan y gwasanaeth GIG, mae gennych chi fwy o staff sydd am ddod i weithio i chi. Credaf eich bod yn dweud, yn Nenmarc, a oedd yn un o'r ardaloedd roeddent yn edrych arni, fod ganddynt staff yn aros eu tro am eu bod eisiau gweithio, ac eisiau cyflawni'r ymarfer gorau. Felly, gallwn wneud hynny. Rydym yn ddigon bach ac yn ddigon hyblyg. A diolch i ysgrifennydd cyllid y Ceidwadwyr Cymreig, yn ei ddatganiad ar y gyllideb heddiw, bydd mwy o arian yn dod i Gymru. Felly, Weinidog, hoffwn ofyn i chi ystyried o ddifrif defnyddio'r arian ychwanegol hwnnw mewn pethau fel triniaeth gyflym. Oherwydd, eto, fe wnaeth Suzy y pwynt - os gallwn ni helpu rhywun, eu gwneud yn iach, rhoi canlyniad da iddynt - yn y tymor hwy, mae'n mynd i arbed cymaint mwy o arian i'r wladwriaeth, a bydd ansawdd eu bywyd yn llawer gwell. Y pryder mawr arall oedd nad oes digon o staff diagnostig i'w cael, ac mae hynny'n rhywbeth y mae angen inni fynd i'r afael ag ef yn bendant: prinder yn ein gweithlu. David, fe wnaethoch y pwynt gydag angerdd ac argyhoeddiad, ac mae'n allweddol iawn. Felly, unwaith eto, Weinidog, pan ewch yn ôl o'r ddadl hon, rwy'n eich annog i weithio gydag Addysg a Gwella Iechyd Cymru a'u bod yn cynllunio ar gyfer y prinder sydd gennym. Rwy'n awyddus iawn i orffen, oherwydd rwy'n siŵr fod y Llywydd yn awyddus iawn imi orffen, ond roeddwn am ddweud un peth, i'w roi yn ei gyd-destun. Gweithlu'r llwybr cellog: bydd 36 y cant o'r meddygon ymgynghorol yng Nghymru yn ymddeol yn ystod y pum mlynedd nesaf. Mae'n rhaid i ni gael meddygon ymgynghorol yn eu lle. Mae'n rhaid i ni wneud y cynlluniau, rhoi'r cynlluniau ar waith, a sicrhau bod gwaed newydd yn dod trwodd. Felly, Weinidog, diolch am eich ymateb cadarnhaol iawn. David, diolch yn fawr iawn, fel y dywedaf, am ddod â ni at ein gilydd i drafod hyn. Ond rwy'n edrych ymlaen, Weinidog, i'ch clywed yn cadarnhau o bosibl - a'r hyn rwy'n credu yr hoffem ei gael yw dadl Llywodraeth ar y mater hwn, ynglŷn â sut y gallwn fynd i'r afael â rhywbeth fel y gweithlu diagnostig. Diolch.