English: It's a pleasure to participate in this important debate this afternoon and I'm pleased to hear the Conservatives alluding to Plaid Cymru very frequently in their speech this afternoon. As we've already heard from Rhun, there are a number of challenges facing the health service, and very often they are at their most intense in the rural and most deprived areas. It's quite obvious, and has been for some time, that we need an integrated health and social care system in Wales. We can't spend time and money battling about who should pay for what and who should do what whilst the person and the family requiring that service are forgotten in the midst of the bureaucratic system. As a family, we had direct experience of the arguments that arise too often as care plans are established for individuals. We were trying to get my father home at the end of his life. It took quite a bit of energy to move things on, to get agreement about who paid for which element of the care, and many people would have given up. That would have been contrary to my father's wishes, and he was the patient. It would also have meant significantly higher costs for the health service because, of course, keeping a patient in a hospital bed is much more expensive than looking after them at home. After my father was at last discharged from the hospital, we had a peerless service, with the health service, the voluntary sector, social services and ourselves as a family working together. The problem was before that, namely getting to the point where that collaboration was possible. So, it's high time that we seriously set about integrating the services in a real way, on the ground, rather than in partnership boards and talking shops. There are good examples of good practice available - planned services that are patient-centric. There's one excellent scheme working at the Alltwen Hospital in Gwynedd and it would be good to learn from that experience there and in other places, and, more importantly, to take action on what works well. As the Government looks again at how local government will be reconfigured in future, here's an excellent opportunity to address this seriously and an excellent opportunity to restructure in a way that truly improves how we provide and deliver services to our people, and that should be at the root of any reorganisation. We are all living longer, which is excellent news, but very often we are living longer whilst facing chronic conditions that need to be controlled and managed outside of hospital, and this, as Rhun has already said, means more services in the primary care sector, including more GPs, more community nurses and coordinated social services. I mentioned at the outset the challenges facing rural areas, and Rhun has said that we mustn't use the word 'crisis' too lightly. But I am going to use it about the circumstances that exist in some of the areas. There is a real crisis in some areas because of the lack of general practitioners. In Dwyfor, for example, almost half the GPs are about to retire. Plaid Cymru have outlined a number of policies to attract and retain GPs. We do need a long-term plan in order to train doctors, including GPs, in Wales. We need a national solution to expand the provision in Cardiff and Swansea and to create a new medical school in north Wales as part of a pan-Wales plan. Doctors stay on to work where they have trained - there's a great deal of evidence to back that statement. The idea of having a north Wales medical school is fast attracting support. I believe that we can create a model of a unique medical school with a focus on rural medicine. Wales can be in the vanguard on this, innovating with the use of new technology and creating new models of rural medical provision. Thank you for allowing me to participate, and I hope that everybody will support the motion.
Welsh: Mae'n bleser gennyf i gymryd rhan yn y drafodaeth bwysig hon y prynhawn yma, ac rwy'n falch o weld y Ceidwadwyr yn cyfeirio at Blaid Cymru yn aml iawn yn eu haraith y prynhawn yma. Fel rydym wedi clywed yn barod gan Rhun, mae yna nifer o heriau yn wynebu'r gwasanaeth iechyd, ac yn aml mae'r heriau hynny ar eu mwyaf dwys yn yr ardaloedd gwledig a'r ardaloedd mwyaf difreintiedig. Mae'n hollol amlwg, ers tro, fod angen system gofal ac iechyd integredig yng Nghymru. Fedrwn ni ddim gwastraffu arian ac amser yn brwydro dros bwy sy'n talu am beth a phwy sydd am wneud beth tra bo'r person a'r teulu sydd angen y gwasanaeth yn cael eu hanghofio yng nghanol y broses fiwrocrataidd. Fel teulu, fe gawsom ni brofiad uniongyrchol o'r dadlau sydd yn codi yn llawer rhy aml wrth i becyn gofal gael ei lunio ar gyfer unigolyn. Roeddem ni'n ceisio cael fy nhad adref o'r ysbyty ar ddiwedd ei oes. Cymrodd gryn egni i symud pethau ymlaen, i gael cytundeb ynglŷn â phwy oedd yn talu am ba elfen o'r gofal, a byddai llawer un wedi rhoi'r ffidil yn y to. Mi fyddai hynny wedi mynd yn groes i ddymuniad fy nhad, y claf. Byddai hefyd wedi golygu costau sylweddol uwch i'r gwasanaeth iechyd, gan fod cadw claf mewn gwely yn yr ysbyty llawer drytach, wrth gwrs, na gofalu amdano fo neu hi yn ei gartref neu chartref ei hun. Wedi i fy nhad gael ei ryddhau o'r ysbyty o'r diwedd, cafwyd gwasanaeth heb ei ail, efo'r gwasanaeth iechyd, y sector gwirfoddol, y gwasanaethau cymdeithasol, a ninnau fel teulu yn gweithio efo'n gilydd. Y broblem oedd cyn hynny, sef cyrraedd y pwynt lle roedd y cydweithio yna'n bosib. Felly, mae'n bryd i ni fynd ati o ddifrif i integreiddio'r gwasanaethau, a hynny mewn ffordd real, ar lawr daear, yn hytrach nag mewn byrddau partneriaeth a siopau siarad. Ac mae yna esiamplau o ymarfer da ar gael - gwasanaethau wedi eu llunio efo'r person yn y canol. Mae yna un cynllun gwych ar waith yn Ysbyty Alltwen yng Ngwynedd, er enghraifft, a da o beth fyddai dysgu o'r profiad yn y fan honno ac mewn mannau eraill, ac, yn bwysicach, gweithredu ar yr hyn sydd yn gweithio. Wrth i'r Llywodraeth ailedrych ar sut fydd llywodraeth leol yn edrych i'r dyfodol, dyma ni gyfle gwych i fynd i'r afael â hyn o ddifrif. Dyma gyfle ardderchog i ailstrwythuro mewn modd sydd wir yn gwella'r ffordd yr ydym yn darparu'r gwasanaethau i'n pobl, a hynny ddylai fod wrth wraidd unrhyw ad-drefnu. Rydym ni i gyd yn byw yn hirach - newyddion ardderchog, ond, yn aml, rydym ni'n byw yn hirach tra'n wynebu cyflyrau cronig sydd angen eu rheoli tu allan i'r ysbyty, ac mae hyn, fel mae Rhun wedi sôn amdano eisoes, yn golygu mwy o wasanaethau yn y sector gofal sylfaenol, yn cynnwys mwy o feddygon teulu, mwy o nyrsys cymuned, a gwasanaethau cymdeithasol wedi'u cydlynu. Mi wnes i sôn ar y cychwyn am yr heriau sy'n wynebu'r ardaloedd gwledig, ac mae Rhun wedi sôn i ni beidio defnyddio'r gair 'argyfwng' yn rhy ysgafn. Ond rwyf am ei ddefnyddio fo am yr amgylchiadau sydd yn rhai o'r ardaloedd. Mae gwir argyfwng mewn mannau oherwydd diffyg meddygon teulu. Yn Nwyfor, er enghraifft, mae bron i hanner y meddygon ar fin ymddeol. Mae Plaid Cymru wedi amlinellu nifer o bolisïau i ddenu a chadw doctoriaid. Mae angen cynllun tymor hir hefyd ar gyfer hyfforddi doctoriaid, yn cynnwys meddygon teulu, yng Nghymru. Mae angen datrysiad cenedlaethol i ehangu'r ddarpariaeth yng Nghaerdydd ac Abertawe, ac i greu ysgol feddygol newydd yn y Gogledd fel rhan o gynllun Cymru-gyfan. Mae doctoriaid yn aros i weithio lle mae nhw'n cael eu hyfforddi - mae llawer o dystiolaeth i gefnogi hyn. Mae'r syniad o ysgol feddygol i'r Gogledd yn denu cefnogaeth yn gyflym. Rydw i'n credu bod modd creu model o ysgol feddygol unigryw sydd â ffocws ar feddygaeth wledig. Mae modd i Gymru fod ar flaen y gad efo hyn, yn arloesi efo'r defnydd o'r dechnoleg newydd, er enghraifft, ac yn creu modelau newydd o ddarpariaeth meddygol wledig. Diolch am gael cymryd rhan, a gobeithio gwnaiff pawb gefnogi'r cynnig.