English: Welsh Government has rejected five of the committee recommendations. That's nearly a third. I'm disappointed at that as a committee member. I don't think it's particularly acceptable, in that none of those five, I don't think, are particularly controversial. I don't consider them to have massive financial implications, but, of course, I look forward to hearing the Cabinet Secretary's comments. Let me go through those rejected recommendations. Recommendation 10 - that's about improving planning for national training. Given our frustrations in recent times about workforce planning in Wales, perhaps one obvious and rather cheeky comment would be to say that at least the Government is consistent in refusing to carry that out, but, again, I look forward to hearing more about the rationale. Recommendation 11 says three-year financial planning should be introduced. Why reject that when Government was supportive of LHBs moving in that direction? Recommendation 12 says to review funding streams to ensure maximum impact from funding. It beggars belief why there's anything wrong with that. Recommendation 13 - 'establish clear decision making processes for quickly evaluating and scaling up successful models and ceasing funding for less successful initiatives.' I think, perhaps, this is one of the biggest problems in the NHS. Successful initiatives, and, goodness me, they exist. We've seen plenty of them. We know of plenty of examples of innovations devised by staff within the NHS and managers, but they're not scaled up effectively. We see failed ventures allowed to continue, and I think rejecting the recommendation there suggests to me that we have this persistent problem in that particular area. Recommendation 16, then, says to 'ensure there is a much clearer and more robust mechanism for evaluating cluster work.' Why on earth reject the idea of collecting evidence to see if a policy is working? So, we learned much as a committee. I certainly learnt that the principle of clusters is a principle worth pursuing, and I think it's in the interests of the NHS in Wales to see how we pull different parts, in this case, of the primary care sector together in the interests of Welsh patients. I look forward to hearing more about what the Cabinet Secretary believes he has learnt too.
Welsh: Mae Llywodraeth Cymru wedi gwrthod pump o argymhellion y pwyllgor. Dyna bron i draean. Rwy'n siomedig ynglŷn â hynny fel aelod o'r pwyllgor. Nid wyf yn meddwl ei fod yn arbennig o dderbyniol, gan nad wyf yn meddwl bod yr un o'r pump yn arbennig o ddadleuol. Nid wyf yn ystyried bod iddynt oblygiadau ariannol enfawr, ond wrth gwrs, edrychaf ymlaen at glywed sylwadau Ysgrifennydd y Cabinet. Gadewch i mi fynd drwy'r argymhellion a wrthodwyd. Argymhelliad 10 - mae a wnelo hwnnw â gwella cynllunio ar gyfer hyfforddiant cenedlaethol. O ystyried ein rhwystredigaethau yn ddiweddar ynglŷn â chynllunio'r gweithlu yng Nghymru, efallai mai un sylw amlwg a braidd yn ddigywilydd fyddai dweud bod y Llywodraeth o leiaf yn gyson yn gwrthod gwneud hynny, ond unwaith eto, edrychaf ymlaen at glywed mwy am y sail resymegol. Dywed argymhelliad 11 y dylid cyflwyno cynlluniau ariannol tair blynedd. Pam gwrthod hynny pan oedd y Llywodraeth yn gefnogol i fyrddau iechyd lleol symud i'r cyfeiriad hwnnw? Dywed argymhelliad 12 y dylid adolygu'r ffrydiau ariannu i sicrhau'r effaith fwyaf posibl o'r cyllid. Mae'n anghredadwy fod unrhyw beth o'i le ar hynny. Argymhelliad 13 - 'sefydlu prosesau gwneud penderfyniadau clir ar gyfer gwerthuso a datblygu modelau llwyddiannus yn gyflym a dirwyn i ben arian ar gyfer mentrau llai llwyddiannus.' Credaf, efallai, mai dyma un o'r problemau mwyaf yn y GIG. Mentrau llwyddiannus, a mawredd, maent yn bodoli. Rydym wedi gweld digon ohonynt. Gwyddom am ddigonedd o enghreifftiau o arloesi a ddyfeisiwyd gan staff o fewn y GIG a rheolwyr, ond nid ydynt yn cael eu datblygu'n effeithiol. Gwelwn fentrau aflwyddiannus yn cael eu caniatáu i barhau, a chredaf fod gwrthod yr argymhelliad yn awgrymu bod gennym broblem barhaus yn y maes penodol hwn. Mae argymhelliad 16 wedyn yn dweud y dylid 'sicrhau bod mecanwaith llawer mwy eglur a chadarn ar gyfer gwerthuso gwaith clwstwr.' Pam ar y ddaear y byddem yn gwrthod y syniad o gasglu tystiolaeth i weld a yw polisi'n gweithio? Felly, rydym wedi dysgu llawer fel pwyllgor. Yn sicr, fe ddysgais fod yr egwyddor o glystyrau yn egwyddor gwerth mynd ar ei thrywydd, a chredaf ei bod yn fuddiol i'r GIG yng Nghymru weld sut y tynnwn wahanol rannau, o'r sector gofal sylfaenol yn yr achos hwn, at ei gilydd er budd cleifion Cymru. Edrychaf ymlaen at glywed mwy am yr hyn y cred Ysgrifennydd y Cabinet y mae ef wedi'i ddysgu hefyd.