English: I stand and wish to place on record my formal and utmost thanks and gratitude to our ambulance staff and crew, our switchboard operators, and those nursing staff waiting at the other side of the A&E doors who are collectively attempting to combat the handover waiting times. We all know that handovers from ambulance to our A&E staff are crucial to ensuring that patients receive the emergency care they need, including appropriate equipment and beds for recovery and treatment. Over recent weeks, I have witnessed the aftermath of a lady who fell backwards on a moving escalator in a local store, who was then waiting for several hours injured and bleeding from the head. After intervening with the Welsh Ambulance Service NHS Trust myself, such was my concern, I was so relieved to see paramedics arrive, only to find that they then had to wait themselves for an ambulance because they were unable to offer the appropriate treatment required. Another of my constituents was left in considerable pain and unable to move for approximately five hours whilst awaiting an ambulance, having fractured their hip at a well-known local adventure park. They had to close the ride for all that time, and she was stuck on this ride. Another of my elderly constituents, 96 years old, fell at approximately 10 o'clock in the morning, but was waiting until 6 o'clock for an ambulance to arrive, only then to be stuck outside A&E for a further six hours, due to the practice of ambulance stacking. And another lady was left injured in a rural lane after badly falling off a horse at 11 o'clock in the morning, only to have to wait until 4.30 p.m. for the ambulance to arrive, and then endured a further five and a half hours outside Ysbyty Glan Clwyd. This isn't rumour or conjecture, these are real-life scenarios and situations that are now being caused by a lack of Welsh Government intervention and support for this much-valued emergency service. During the first six months of 2021, a staggering 47,871 hours were lost by ambulance crews waiting more than 15 hours to hand over to A&E staff. In my own health board, Betsi Cadwaladr, 16,937 hours were lost between January and June 2021. This Welsh Government's so-called NHS recovery plan leaves much of the detail up to local health boards and clinicians to deliver. With winter pressures already appearing to bite in September, Minister, what steps are you taking to review this plan so that a renewed focus can be placed on the stacking-up issue of ambulances? In terms of the service itself, with 8.4 per cent of the workforce being absent due to sickness between January and March 2021, and a high staff turnover - is it any wonder that there is a high staff turnover with, as has been mentioned, morale being so low - a comprehensive workforce plan is now required, and this is actually endorsed by Healthcare Inspectorate Wales. So, Minister, what inroads are you making - tell us today, please - to bring forward such a plan? This is needed now. As noted by my colleague Peter Fox yesterday, the lack of ambulance support is now having a horrific impact on the ability of our education facilities -
Welsh: Rwy'n codi ac rwy'n dymuno cofnodi fy niolchgarwch enfawr yn ffurfiol i'n staff a'n criw ambiwlans, ein gweithredwyr switsfwrdd, a staff nyrsio ar yr ochr draw i ddrysau'r adrannau damweiniau ac achosion brys sydd gyda'i gilydd yn ceisio mynd i'r afael â'r amseroedd aros cyn trosglwyddo. Gwyddom i gyd fod trosglwyddo o ambiwlansys i'n hadrannau damweiniau ac achosion brys yn allweddol er mwyn sicrhau bod cleifion yn cael y gofal brys sydd ei angen arnynt, gan gynnwys cyfarpar priodol a gwelyau ar gyfer gwella a chael triniaeth. Dros yr wythnosau diwethaf, bûm yn dyst i'r hyn a ddigwyddodd wedi i ddynes syrthio'n ôl ar risiau symudol mewn siop leol, ac a fu'n aros am sawl awr wedi'i hanafu a'i phen yn gwaedu. Ar ôl siarad ag Ymddiriedolaeth GIG Gwasanaeth Ambiwlans Cymru fy hun, gan fy mod mor bryderus, roedd yn rhyddhad gweld parafeddygon yn cyrraedd, dim ond i ganfod bod yn rhaid iddynt hwy aros am ambiwlans wedyn am na allent gynnig y driniaeth briodol angenrheidiol. Gadawyd un arall o fy etholwyr mewn poen sylweddol a heb allu symud am oddeutu pum awr tra'n aros am ambiwlans ar ôl torri ei chlun mewn parc antur adnabyddus lleol. Bu'n rhaid iddynt gau'r reid am yr holl amser hwnnw, ac roedd hi'n sownd ar y reid. Cafodd un arall o fy etholwyr oedrannus, 96 oed, gwymp tua 10 o'r gloch y bore, ond bu'n aros tan 6 o'r gloch i ambiwlans gyrraedd, cyn gorfod aros y tu allan i'r adran ddamweiniau ac achosion brys am chwe awr arall, oherwydd yr arfer o bentyrru ambiwlansys. A gadawyd dynes arall wedi'i hanafu ar lôn wledig ar ôl cwymp gas oddi ar geffyl am 11 o'r gloch y bore, a bu'n rhaid iddi aros tan 4.30 p.m. i'r ambiwlans gyrraedd, a dioddef pum awr a hanner arall y tu allan i Ysbyty Glan Clwyd. Nid sibrydion na dychymyg yw'r rhain, mae'r rhain yn senarios a sefyllfaoedd go iawn sydd bellach yn cael eu hachosi gan ddiffyg ymyrraeth a chefnogaeth gan Lywodraeth Cymru i'r gwasanaeth brys gwerthfawr hwn. Yn ystod chwe mis cyntaf 2021, collwyd 47,871 awr oherwydd bod criwiau ambiwlans yn aros mwy na 15 awr cyn trosglwyddo cleifion i adrannau damweiniau ac achosion brys. Yn fy mwrdd iechyd fy hun, Betsi Cadwaladr, collwyd 16,937 o oriau rhwng mis Ionawr a mis Mehefin 2021. Mae cynllun adfer y GIG, fel y'i gelwir, Llywodraeth Cymru yn gadael llawer o'r manylion i fyrddau iechyd lleol a chlinigwyr eu cyflawni. Gyda phwysau'r gaeaf eisoes i'w weld yn gwasgu ym mis Medi, Weinidog, pa gamau a gymerir gennych i adolygu'r cynllun hwn fel y gellir canolbwyntio o'r newydd ar broblem pentyrru ambiwlansys? O ran y gwasanaeth ei hun, gydag 8.4 y cant o'r gweithlu'n absennol oherwydd salwch rhwng mis Ionawr a mis Mawrth 2021, a throsiant staff uchel - a yw'n syndod bod trosiant staff yn uchel gyda morâl mor isel, fel y soniwyd yn gynharach - mae angen cynllun gweithlu cynhwysfawr yn awr, ac mae Arolygiaeth Gofal Iechyd Cymru yn cymeradwyo hyn mewn gwirionedd. Felly, Weinidog, pa gynnydd a wneir gennych - dywedwch wrthym heddiw, os gwelwch yn dda - tuag at gyflwyno cynllun o'r fath? Mae angen hwn yn awr. Fel y nodwyd gan fy nghyd-Aelod Peter Fox ddoe, mae'r diffyg cymorth ambiwlans bellach yn cael effaith erchyll ar allu ein cyfleusterau addysg -