English: Can I thank Plaid Cymru for bringing forward this very important debate? I think most of the points that I wanted to cover have now been dealt with. So, I'm going to confine my contribution to this particular debate to the part of the motion that deals specifically with community hospitals and, in particular, the importance of developing the integration agenda. I guess, like me, everybody places great value on our local community hospitals, but unfortunately, I think the wording of the motion implies that keeping every existing community hospital open is the answer to delivering community-based health services and social care. It's quite possible that some existing community hospitals could provide the base for some community-based schemes, not just providing a range of healthcare services, such as GP practices, dental services, opticians and pharmacies, but being the base for social care provision. But, a blanket policy of keeping open every community hospital could, in some instances, actually be a barrier to initiatives for the better integration of health and care services. There are great examples already out there, and Sian Gwenllian mentioned some in her constituency, of one-stop centres for health and social care provision. In my constituency I have two great examples, one of which is the Keir Hardie Health Park in Merthyr, and the other is the integrated health and social care centre in Rhymney. I believe that that should be the general direction of travel, in terms of community provision. From the contributions we've heard from Mark Isherwood and from Hannah Blythyn, I know how emotive proposals to close community hospitals can be, but that shouldn't deflect us from the need to take forward the process of social care and health integration, and it shouldn't deflect us in the short term, just for political expediency, to unjustifiably keep open unsustainable community hospitals, if doing so prevents the development of local, sustainable integrated health and care services.
Welsh: Hoffwn ddiolch i Blaid Cymru am gyflwyno'r ddadl bwysig hon. Rwy'n credu bod y rhan fwyaf o'r pwyntiau yr oeddwn am eu nodi wedi cael sylw bellach. Felly, fe gyfyngaf fy nghyfraniad i'r ddadl hon i'r rhan o'r cynnig sy'n ymdrin yn benodol ag ysbytai cymuned ac yn arbennig, pwysigrwydd datblygu'r agenda integreiddio. Rwy'n tybio bod pawb, fel minnau, yn rhoi pwys mawr ar ein hysbytai cymuned lleol, ond yn anffodus, rwy'n meddwl bod geiriad y cynnig yn awgrymu mai cadw pob ysbyty cymuned presennol ar agor yw'r ateb ar gyfer darparu gwasanaethau iechyd a gofal cymdeithasol yn y gymuned. Mae'n ddigon posibl y gallai rhai ysbytai cymuned presennol ddarparu'r sylfaen ar gyfer rhai cynlluniau yn y gymuned, gan ddarparu ystod o wasanaethau gofal iechyd, fel practisau meddygon teulu, gwasanaethau deintyddol, optegwyr a fferyllfeydd, a bod yn sylfaen hefyd ar gyfer darparu gofal cymdeithasol. Ond mewn gwirionedd gallai polisi cyffredinol o gadw pob ysbyty cymuned ar agor fod yn rhwystr, mewn rhai achosion, i gynlluniau ar gyfer integreiddio gwasanaethau iechyd a gofal yn well. Mae yna enghreifftiau gwych i'w cael yn barod, a soniodd Sian Gwenllian am rai yn ei hetholaeth, canolfannau un stop ar gyfer darparu iechyd a gofal cymdeithasol. Yn fy etholaeth mae gennyf ddwy enghraifft wych, ac un ohonynt yw Parc Iechyd Keir Hardie ym Merthyr Tudful, a'r llall yw'r ganolfan iechyd a gofal cymdeithasol integredig yn Rhymni. Credaf mai i'r cyfeiriad hwnnw y dylid teithio, yn gyffredinol, o ran darpariaeth gymunedol. O'r cyfraniadau a glywsom gan Mark Isherwood a Hannah Blythyn, rwy'n gwybod pa mor emosiynol y gall cynigion i gau ysbytai cymuned fod, ond ni ddylai hynny ein rhwystro rhag yr angen i fwrw ymlaen â'r broses o integreiddio gofal cymdeithasol ac iechyd, a ni ddylai beri i ni, yn y tymor byr ac er hwylustod gwleidyddol yn unig, i gadw ysbytai cymuned anghynaladwy yn agored heb gyfiawnhad, os yw gwneud hynny'n atal y gwaith o ddatblygu gwasanaethau iechyd a gofal integredig lleol cynaliadwy.