English: Of course, there are improvements in some parts of the health service in Wales, but in other respects we seem to be going backwards. So, in spite of all the money that is spent and the fact that half the health boards are either in special measures or in targeted intervention - in some cases, like Betsi Cadwaladr have been, for many years - progress is, at best, painfully slow. So, this, surely, gives us pause for thought as to whether the system itself is working or, indeed, can ever be made to work. But I'd like to focus my next question in this respect particularly on Betsi Cadwaladr, just to pick up on answers to Mandy Jones at the start of questions today. One of the features of Betsi Cadwaladr is that more and more GP practices are being taken in-house and managed directly, most recently in Porthmadog two weeks ago - yet another practice taken directly under the wing of Betsi Cadwaladr. We've now got nearly 100,000 patients in north Wales who are under the direct management, ultimately, of the health board. What I would like to know is what performance reviews have been conducted on directly managed GP practices in Wales and what impacts it's thought that this management change has had upon patient care? When I met with GP representatives many, many months ago, they expressed some concern about this because, in particular, one of the problems that's developed is that individual patients no longer feel that they've got a personally accountable GP, because a lot of these practices are populated by locums. That leads to a growing lack of confidence not just in the hospital system, but also in the provision of primary care at the local level.
Welsh: Wrth gwrs, mae gwelliannau mewn rhai rhannau o'r gwasanaeth iechyd yng Nghymru, ond mewn rhannau eraill mae'n ymddangos ein bod yn symud tuag at yn ôl. Felly, er gwaethaf yr holl arian sy'n cael ei wario a'r ffaith bod hanner y byrddau iechyd naill ai'n destunau mesurau arbennig neu ymyrraeth wedi'i thargedu - ers blynyddoedd lawer mewn rhai achosion, fel Betsi Cadwaladr - mae cynnydd, ar y gorau, yn boenus o araf. Felly, does bosib nad yw hwn yn gyfle inni feddwl a yw'r system ei hun yn gweithio neu'n wir, a oes modd inni wneud iddi weithio o gwbl. Ond hoffwn ganolbwyntio fy nghwestiwn nesaf yn benodol ar Betsi Cadwaladr, er mwyn mynd ar drywydd yr atebion a roddwyd i Mandy Jones ar ddechrau'r cwestiynau heddiw. Un o nodweddion Betsi Cadwaladr yw bod mwy a mwy o bractisau meddygon teulu yn cael eu gweithredu'n fewnol a'u rheoli'n uniongyrchol, yn fwyaf diweddar ym Mhorthmadog bythefnos yn ôl - bwrdd iechyd Betsi Cadwaladr yn cymryd practis arall o dan ei adain yn uniongyrchol. Bellach, mae bron i 100,000 o gleifion yng ngogledd Cymru o dan reolaeth uniongyrchol y bwrdd iechyd. Hoffwn wybod pa adolygiadau perfformiad a gynhaliwyd ar bractisau meddygon teulu a reolir yn uniongyrchol yng Nghymru a pha effeithiau y credir bod y newid hwn yn y trefniadau rheoli wedi'u cael ar ofal cleifion? Pan gyfarfûm â chynrychiolwyr meddygon teulu sawl mis yn ôl, roeddent yn eithaf pryderus ynglŷn â hyn oherwydd, yn benodol, un o'r problemau sydd wedi datblygu yw'r ffaith nad yw cleifion unigol bellach yn teimlo bod ganddynt feddyg teulu sy'n atebol iddynt yn bersonol, gan mai staff locwm a welir yn llawer o'r practisau hyn. Mae hynny'n arwain at ddiffyg hyder cynyddol, nid yn unig yn y system ysbytai, ond hefyd mewn gofal sylfaenol ar lefel leol.