English: So, there is a greater awareness needed of defibrillators, how to use them, where they're located, and supporting the increased availability of them within our communities, and having them available on the Welsh ambulance service's defibrillator mapping system. I do fully support making life-saving equipment, such as defibrillators, more accessible and having appropriate signage to highlight their locations, and, again, consistency in doing so as well. Of course, these are available not only from commercial organisations, but a range of third sector groups like St John Ambulance, the British Heart Foundation, and a range of other smaller - you know, Welsh Hearts and other charities here in Wales as well. I'm interested in both the management and the feasibility of having such a system, but I'm open to receiving further information on how we could see such a system working. It's about the practical ability to take forward an entirely reasonable idea. You'll be aware that, last June, I launched the out-of-hospital cardiac arrest plan for Wales - another one of our snappy titles in the world of health and government in general. We're in the early stages of trying to implement that plan and deliver real improvements. And so there's a sub-group of the heart conditions implementation group, and they're overseeing progress against objectives in that plan. So, the return of spontaneous circulation is already being implemented - the pathway is being implemented by the Welsh ambulance service and health boards. Last month, the Welsh Government helped to arrange an implementation workshop, which I was able to attend for part of as well, to try and generate debate on how we deliver the first three rings in the chain of survival: early recognition, early CPR and early defibrillation. Attendees came from a range of cardiac charities, along with representatives from emergency services, and they listened to speakers talking about implementation in Wales and what we're already doing, as well as learning lessons from Scotland and also international visitors from Seattle as well. The workshop generated some passionate and informed debate. There's something here about how we corral the whole sector together to have that debate together and then agree on some national choices. We want to use the energy and the feedback to further implement and improve the plan that we have, using outcomes from the workshop and drawing on that experience from Scotland as well. I am genuinely happy to learn from other parts of the system within the UK that are the most comparable for us here, of course. Work has commenced to develop a detailed implementation plan to support that collaborative approach to increase the access to CPR training and the use of defibrillators. In addition, we're also establishing a communications group to take forward awareness-raising aspects. They'll look at the issues of awareness of exposure to defibrillators in our communities - again, that point I made earlier about demystifying the use of them. There has been a welcome and significant increase in the number of publicly-available defibrillators that the ambulance service knows about in the last three years. There's a number of campaigns that have helped to do that: Restart a Heart Day, Shoctober, Defibuary are just some of them. Of course, the last two campaigns that I mentioned have led to nearly 13,000 schoolchildren being taught CPR and defibrillator awareness in October last year. I was happy to meet a range of those people in a number of different settings around Wales as part of it. I'd actually launched the Be a Defib Hero campaign in February 2015, when I was the then Deputy Minister for health, and life was perhaps not simpler but easier in one respect, at least. But since then we've had an additional 396 defibrillators to have been logged and mapped onto the Welsh ambulance service dispatch system. There are currently 3,254 defibrillators in total on the system, and they do allow call handlers to direct callers to the nearest one and the availability in the event of a cardiac arrest. We've already had stories, as a result of that system, of not just more defibrillators being there but actually of lives being saved because those publicly-available defibrillators have been used. And, of course, ambulance staff and volunteers have been working in their local communities on defibrillator acquisition, placement and CPR, resuscitation, training. Again, in my own constituency, I attended an event in the old Eastern High School, a former pupil whose own life had been saved by the health service, and she's giving lots back, both in undertaking - she's a physiotherapist and a personal trainer who is undertaking work on pulmonary rehab. She's also raised money, and she's providing a defibrillator for her old school, which is going to be placed in the new school that's just been opened. There should, then, be something available both in the publicly-accessible part of the school that'll be available out of hours, as well as within the other side of the school that is going to be more restricted to in-hours as well. That's a good example of what we know is already taking place in a number of communities around the country. So, there will need to be time to see the progress that we make with our out-of hospital cardiac arrest plan and to build on the momentum that we do have with stakeholders, charitable organisations, the public sector and, indeed, a range of businesses that are happy to have their defibrillators mapped on that public system. I hope that Members will engage with and promote the Welsh ambulance service's new Defibuary campaign, obviously starting tomorrow, on 1 February, which is easier to say, and the campaign is about raising awareness of early defibrillation and to encourage everyone to find out where their nearest defibrillators are and then to share that on social media. We do recognise that every one second counts when someone goes into cardiac arrest, so I think all of us will have a shared mission about how we help raise awareness of the importance of early CPR and defibrillation, and, of course, we'll continue to talk about that in this place and to see whether we've made the progress we want to and whether there are other measures that we could take, including - and I know the Member's preference - having a legislative ability to do some of this as well.
Welsh: Felly, mae angen mwy o ymwybyddiaeth o ddiffibrilwyr, sut i'w defnyddio, lle maent wedi'u lleoli, a chefnogi'r ymgyrch i gael mwy ohonynt yn ein cymunedau, a'u bod ar gael ar system fapio diffibrilwyr gwasanaeth ambiwlans Cymru. Rwy'n llwyr gefnogi camau i wneud offer achub bywyd, megis diffibrilwyr, yn fwy hygyrch a chael arwyddion priodol i dynnu sylw at eu lleoliadau, ac unwaith eto, cysondeb wrth wneud hynny hefyd. Wrth gwrs, mae'r rhain ar gael nid yn unig gan sefydliadau masnachol, ond gan amrywiaeth o grwpiau trydydd sector hefyd fel Ambiwlans Sant Ioan, Sefydliad Prydeinig y Galon, ac amryw o rai eraill llai o faint - wyddoch chi, Calonnau Cymru ac elusennau eraill yma yng Nghymru. Mae gennyf ddiddordeb yn nhrefn a dichonoldeb cael system o'r fath, ond rwy'n agored i dderbyn mwy o wybodaeth ar sut y gallem weld system o'r fath yn gweithio. Mae'n ymwneud â gallu ymarferol i ddatblygu syniad hollol resymol. Fis Mehefin diwethaf, fe fyddwch yn gwybod fy mod wedi lansio ein cynllun ar gyfer ataliad y galon y tu allan i'r ysbyty yng Nghymru - un arall o'n teitlau bachog yn y byd iechyd a llywodraeth yn gyffredinol. Rydym yn y camau cynnar o geisio gweithredu'r cynllun hwnnw a sicrhau gwelliannau go iawn. Ac felly ceir is-grŵp o'r grŵp gweithredu ar gyfer cyflyrau ar y galon, ac maent yn goruchwylio cynnydd yn erbyn yr amcanion yn y cynllun hwnnw. Felly, mae dychweliad cylchrediad naturiol yn cael ei weithredu eisoes - mae'r llwybr yn cael ei weithredu gan wasanaeth ambiwlans Cymru a'r byrddau iechyd. Y mis diwethaf, cynorthwyodd Llywodraeth Cymru gyda'r gwaith o drefnu gweithdy gweithredu, a gellais fynychu rhan ohono hefyd, er mwyn ceisio ennyn trafodaeth ynglŷn â sut rydym yn cyflawni'r tair dolen gyntaf yn y gadwyn oroesi: nodi cynnar, CPR cynnar a diffibrilio cynnar. Roedd pobl yno o ystod o elusennau clefyd y galon, ynghyd â chynrychiolwyr o'r gwasanaethau brys, a chlywyd siaradwyr yn sôn am weithredu yng Nghymru a'r hyn rydym yn ei wneud eisoes, yn ogystal â dysgu gwersi o'r Alban ac ymwelwyr rhyngwladol o Seattle yn ogystal. Cynhyrchodd y gweithdy drafodaethau angerddol a gwybodus. Mae rhywbeth yma ynghylch y modd y down â'r sector cyfan at ei gilydd i gael y drafodaeth honno ac yna cytuno ar ddewisiadau cenedlaethol. Rydym am ddefnyddio'r egni a'r adborth i weithredu a gwella'r cynllun sydd gennym ymhellach, gan ddefnyddio canlyniadau o'r gweithdy a manteisio ar y profiad o'r Alban hefyd. Rwy'n wirioneddol falch o ddysgu o rannau eraill o'r system yn y DU sydd fwyaf tebyg i ni yma, wrth gwrs. Mae gwaith wedi dechrau ar ddatblygu cynllun gweithredu manwl i gefnogi'r dull cydweithredol hwnnw o gynyddu mynediad at hyfforddiant CPR a'r defnydd o ddiffibrilwyr. Yn ogystal, rydym yn sefydlu grŵp cyfathrebu i ddatblygu agweddau ar godi ymwybyddiaeth. Byddant yn edrych ar faterion yn ymwneud ag ymwybyddiaeth o ddiffibrilwyr yn ein cymunedau - unwaith eto, y pwynt a wneuthum yn gynharach am symleiddio'r defnydd ohonynt. Bu cynnydd sylweddol sydd i'w groesawu yn ystod y tair blynedd diwethaf yn nifer y diffibrilwyr sydd ar gael i'r cyhoedd y gŵyr y gwasanaeth ambiwlans amdanynt. Mae nifer o ymgyrchoedd wedi helpu i wneud hynny: Diwrnod Adfywio Calon, Shoctober, Defibuary yn eu plith. Wrth gwrs, arweiniodd y ddwy ymgyrch ddiwethaf a nodais at ddysgu CPR ac ymwybyddiaeth o ddiffibrilwyr i bron 13,000 o blant ysgol yn ystod mis Hydref y llynedd. Pleser oedd cael cyfarfod ag amryw o'r bobl hyn mewn nifer o leoliadau gwahanol ledled Cymru fel rhan ohono. Mewn gwirionedd fe lansiais yr ymgyrch 'Byddwch yn Arwr Diffib' ym mis Chwefror 2015, pan oeddwn yn Ddirprwy Weinidog Iechyd ar y pryd, ac efallai nad oedd bywyd yn symlach, ond roedd yn haws ar un ystyr, o leiaf. Ond ers hynny rydym wedi cael 396 o ddiffibrilwyr ychwanegol wedi'u cofnodi a'u mapio ar system ddosbarthu gwasanaeth ambiwlans Cymru. Ceir cyfanswm o 3,254 o ddiffibrilwyr ar y system ar hyn o bryd, ac maent yn caniatáu i'r sawl sy'n ateb galwad gyfeirio pobl sy'n ffonio at yr un agosaf a'r argaeledd os yw rhywun yn dioddef ataliad ar y galon. Eisoes rydym wedi clywed straeon, o ganlyniad i'r system honno, nid yn unig fod mwy o ddiffibrilwyr yno, ond am fywydau'n cael eu hachub oherwydd bod y diffibrilwyr hynny sydd ar gael i'r cyhoedd wedi cael eu defnyddio. Ac wrth gwrs, mae staff ambiwlans a gwirfoddolwyr wedi bod yn gweithio yn eu cymunedau lleol ar gaffael a lleoli diffibrilwyr, a hyfforddiant dadebru CPR. Unwaith eto, yn fy etholaeth fy hun, bûm mewn digwyddiad yn hen Ysgol Uwchradd y Dwyrain, gyda chyn-ddisgybl yr oedd ei bywyd ei hun wedi'i achub gan y gwasanaeth iechyd, ac mae'n rhoi llawer yn ôl, yn gwneud - mae'n ffisiotherapydd a hyfforddwr personol sy'n gwneud gwaith adsefydlu gyda chleifion yr ysgyfaint. Mae hi hefyd wedi codi arian, ac mae'n darparu diffibriliwr ar gyfer ei hen ysgol, sy'n mynd i gael ei leoli yn yr ysgol newydd a agorodd yn ddiweddar. Dylai fod rhywbeth ar gael felly yn y rhan o'r ysgol sy'n hygyrch i'r cyhoedd, a bydd ar gael y tu allan i oriau yn ogystal â'r ochr arall i'r ysgol sy'n mynd i fod yn fwy cyfyngedig i oriau gwaith. Mae honno'n enghraifft dda o'r hyn y gwyddom ei fod eisoes yn digwydd mewn nifer o gymunedau ledled y wlad. Felly, bydd angen amser i weld y cynnydd a wnawn gyda'n cynllun ar gyfer ataliad y galon y tu allan i'r ysbyty ac i adeiladu ar y momentwm sydd gennym gyda rhanddeiliaid, sefydliadau elusennol, y sector cyhoeddus, ac amrywiaeth o fusnesau, yn wir, sy'n hapus i gael eu diffibrilwyr wedi'u mapio ar y system gyhoeddus. Gobeithio y bydd yr Aelodau'n cymryd rhan ac yn hyrwyddo ymgyrch newydd Defibuary gwasanaeth ambiwlans Cymru, sydd wrth gwrs yn dechrau yfory ar 1 Chwefror, ac mae'r ymgyrch yn ymwneud â chodi ymwybyddiaeth o ddiffibrilio cynnar ac annog pawb i ganfod lle mae eu diffibrilwyr agosaf a rhannu hynny ar y cyfryngau cymdeithasol. Rydym yn cydnabod bod pob eiliad yn cyfrif pan fydd rhywun yn dioddef ataliad ar y galon, felly credaf y bydd gan bob un ohonom genhadaeth gyffredin o ran y modd yr awn ati i helpu i godi ymwybyddiaeth o bwysigrwydd CPR a diffibrilio cynnar, ac wrth gwrs, byddwn yn parhau i sôn am hynny yn y lle hwn a gweld a ydym wedi gwneud y cynnydd a ddymunwn ac a oes camau eraill y gallem eu rhoi ar waith, gan gynnwys - a gwn beth fyddai orau gan yr Aelod - cael y gallu deddfwriaethol i wneud peth o hyn yn ogystal.