English: I thank the Member for his question. I think, with respect, we have already addressed that in what we've said. I understand the fears of different service and interest groups, and I understand very well the position the RCN have taken. They're right that they and all of us should be concerned about the reality of staff absences. I've just come from a call with health boards and local government leaders from across the broad south Wales area, and the Aneurin Bevan health board have just confirmed that they have a staff absence rate of 11 per cent. Now, that has a significant impact on our ability to provide services, and if you're having that sort of staff absence, then you can't carry on providing all services. It also means that it isn't an option for that health board or for others who are facing up to similar challenges to continue opening extra provision with the staff that they have, and so, there are very real challenges. And, again, if you were talking to local government leaders, they'd also be describing the sort of pressures they have with staff absences too, and we know that police and crime commissioners and chief constables are facing similar pressures too. So, that's why we've introduced the framework of action. It isn't just about individual health boards making a choice for themselves and ignoring other services, because we know that mutual aid is already taking place. Cardiff and Vale health board, for example, are already assisting Cwm Taf Morgannwg health board to manage some of their pressures. We know that cancer services often take place on a regional footprint. There are a range of other specialist services that take place across health board boundaries, and the message that I've been giving and health boards have been reflecting back is that, within the choices they are making to manage local pressures, they are already sighted on the challenges for regional services. Regional services have yet to be affected by any of those choices, but health board chief execs talk regularly about this. There was a conversation yesterday at the NHS board, chaired by the NHS Wales chief executive. There are regular means for people to have those conversations across the services. I should say, for people to understand the concern about cancer services, cancer services are being maintained where it is safe to do so. It's that point about the safety of the service. So, cancer services are not being downgraded. We are having to manage against the real pressures that we face, and it is entirely possible that, in the near future, I may need to make a national decision about how services are managed. We do know, though, that the position in Hywel Dda is rising, the position is different in Powys, because they commission their secondary care, and we know that the position is slightly different in north Wales too. So, if I were to make a national choice at this point, that might affect people in north Wales, in particular, who might be able to manage some of those services for an extended period of time. But I'm afraid that if coronavirus rates continue to rise in the manner they do, then we will see a time when we may need to go back to where we were on 13 March with a national choice on services. We're not there at this point in time, but I take on board the Member's constructive points. We should not lose sight of the fact that local choices have to be considered within a wider context.
Welsh: Diolch i'r Aelod am ei gwestiwn. Rwy'n credu, gyda pharch, ein bod eisoes wedi mynd i'r afael â hynny yn yr hyn rydym wedi'i ddweud. Rwy'n deall ofnau gwahanol grwpiau diddordeb a gwasanaethau, ac rwy'n deall safbwynt y Coleg Nyrsio Brenhinol yn dda iawn. Maent yn iawn i ddweud y dylent hwy, a phob un ohonom, boeni am realiti absenoldebau staff. Rwyf newydd fod mewn galwad gyda byrddau iechyd ac arweinwyr llywodraeth leol o bob rhan o ardal de Cymru yn gyffredinol, ac mae bwrdd iechyd Aneurin Bevan newydd gadarnhau bod ganddynt gyfradd absenoldeb staff o 11 y cant. Nawr, mae hynny'n cael effaith sylweddol ar ein gallu i ddarparu gwasanaethau, ac os oes cynifer â hynny o staff yn absennol, ni allwch barhau i ddarparu'r holl wasanaethau. Mae hefyd yn golygu nad oes gan y bwrdd iechyd hwnnw, na rhai eraill sy'n wynebu heriau tebyg, opsiwn i barhau i agor darpariaeth ychwanegol gyda'r staff sydd ganddynt, ac felly, ceir heriau gwirioneddol. Ac unwaith eto, pe baech yn siarad ag arweinwyr llywodraeth leol, byddent hwy hefyd yn disgrifio'r math o bwysau sydd arnynt gydag absenoldebau staff, a gwyddom fod comisiynwyr heddlu a throseddu a phrif gwnstabliaid yn wynebu pwysau tebyg hefyd. Felly, dyna pam ein bod wedi cyflwyno'r fframwaith gweithredu. Mae'n ymwneud â mwy na byrddau iechyd unigol yn gwneud dewis drostynt eu hunain yn unig gan anwybyddu gwasanaethau eraill, oherwydd gwyddom fod cyd-gymorth eisoes yn digwydd. Mae bwrdd iechyd Caerdydd a'r Fro, er enghraifft, eisoes yn cynorthwyo bwrdd iechyd Cwm Taf Morgannwg i reoli rhywfaint o'r pwysau sydd arnynt. Gwyddom fod gwasanaethau canser yn aml yn digwydd yn ôl patrwm rhanbarthol. Mae amrywiaeth o wasanaethau arbenigol eraill yn digwydd ar draws ffiniau byrddau iechyd, a'r neges rwyf wedi bod yn ei rhoi, a'r neges y mae byrddau iechyd wedi bod yn ei hadlewyrchu'n ôl, yw eu bod, o fewn y dewisiadau y maent yn eu gwneud i reoli pwysau lleol, eisoes yn edrych ar yr heriau i wasanaethau rhanbarthol. Nid oes unrhyw un o'r dewisiadau hynny wedi effeithio ar wasanaethau rhanbarthol eto, ond mae prif swyddogion byrddau iechyd yn siarad yn rheolaidd am hyn. Cafwyd sgwrs ddoe ym mwrdd y GIG, dan gadeiryddiaeth prif weithredwr GIG Cymru. Mae ffyrdd rheolaidd i bobl gael y sgyrsiau hynny ar draws y gwasanaethau. Dylwn ddweud, er mwyn i bobl ddeall y pryder am wasanaethau canser, fod gwasanaethau canser yn cael eu cynnal lle mae'n ddiogel i wneud hynny. Mae'n ymwneud â diogelwch y gwasanaeth. Felly, nid yw gwasanaethau canser yn cael eu hisraddio. Rydym yn gorfod ymdopi yn erbyn y pwysau gwirioneddol sy'n ein hwynebu, ac mae'n gwbl bosibl, yn y dyfodol agos, y bydd angen imi wneud penderfyniad cenedlaethol ynglŷn â sut y caiff gwasanaethau eu rheoli. Gwyddom, serch hynny, fod y sefyllfa yn Hywel Dda yn cynyddu, mae'r sefyllfa'n wahanol ym Mhowys, oherwydd maent yn comisiynu eu gofal eilaidd, a gwyddom fod y sefyllfa ychydig yn wahanol yng ngogledd Cymru hefyd. Felly, pe bawn yn gwneud dewis cenedlaethol ar hyn o bryd, gallai hynny effeithio ar bobl yng ngogledd Cymru, yn enwedig, a fyddai'n gallu rheoli rhai o'r gwasanaethau hynny am gyfnod estynedig o bosibl. Ond os bydd cyfraddau coronafeirws yn parhau i godi yn y modd y maent yn ei wneud, mae arnaf ofn ar ryw bwynt y bydd angen i ni fynd yn ôl i'r sefyllfa roeddem ynddi ar 13 Mawrth gyda dewis cenedlaethol ynglŷn â gwasanaethau. Nid ydym yn y sefyllfa honno ar hyn o bryd, ond rwy'n ystyried pwyntiau adeiladol yr Aelod. Ni ddylem golli golwg ar y ffaith bod rhaid ystyried dewisiadau lleol o fewn cyd-destun ehangach.