English: Can I take the opportunity to put on record the thanks of everybody on the Welsh Conservative benches to those front-line members of NHS staff in north Wales who've been working so hard, particularly during this pandemic? It's a great shame, Minister, that you didn't have the courtesy to brief any Members on opposition benches today about your decision, and in fact, you even gave the great discourtesy of not even sharing your statement until a moment before it was actually read from your lips. The reality is that today's announcement appears to have more to do with the prospects of the Labour Party in north Wales at next year's Senedd elections than it does with any evidence of real improvement on the ground in north Wales. Your decision to remove special measures cannot be justified and you cannot fool or hoodwink the people of north Wales into thinking that everything is hunky-dory. Your description of improvement bears absolutely no resemblance to the reality of patient experiences across the region. Let's look at the facts. The Betsi Cadwaladr University Health Board was in its sixth year of special measures. In that time, it's had a revolving door in terms of its senior leadership team, with a number of chief executives, a number of finance directors, and a number of directors of mental health. In fact, the current director of mental health departs his role at the end of this month, another notch on Betsi's bedpost. Since 2015, A&E performance has gotten worse, waiting lists and waiting times have deteriorated and gotten longer, and the financial position of the health board has also deteriorated. The recent figures show that Betsi still has the worst emergency department performance in the whole of Wales, with one in 10 people waiting more than 12 hours before they're able to be discharged after arriving in A&E, and over half, almost half the population who turn up not being able to be released within four hours. We know that GP services are still fragile in the region, with more managed practices than any other health board area in Wales. And, of course, we now know that dentistry services are fragile across north Wales as well, with 20,000 patients being given notice that their NHS services are going to stop early next year. This is not a health board that is fit to come out of the special measures arrangements. You referred to a number of reasons when this health board was put into special measures, and governance, leadership and oversight was one. We know that there are still weaknesses there because there's been a recent outbreak of coronavirus in two of the hospitals in north Wales, none of which came to light because of the situation in the health board, but because local Members of the Senedd had written raising concerns. Mental health services are still not out of the woods. In spite of the promises of new, shiny buildings, the culture in those departments is still the same. We've got 1,600 patients who, earlier this year, were discharged from services without their knowledge, or being made aware. Bed capacity is still a huge problem. Child and adolescent and mental health services are still not adequate, with patients still being sent hundreds of miles for in-patient treatment. And a quarter - a quarter - of all mental health safety incidents in the Welsh NHS are incidents in the Betsi Cadwaladr University Health Board. This is not a health board that is fit to come out of special measures. Just a few weeks ago, last month, you said that there were still big challenges in north Wales. Just a few weeks ago, you said, and I quote, 'Specifically, the group wanted some further assurance from the health board in respect of progress in mental health services.' This is just a few weeks ago. Now, either this really is the most miraculous recovery since Lazarus was raised from the dead or you're trying to hoodwink the people of north Wales into thinking that services are better, when the reality is that they're not. So I ask you, Minister, how can you justify your position given that many of the issues on that original list - and I quote one, for example: reconnecting with the public and regaining the public confidence. That's one of the reasons it was put into special measures. I can tell you what, the public in north Wales have no confidence whatsoever in your ability to improve their services. They've only seen them deteriorate, as I've just pointed out to you, in terms of some of those facts on the ground. So how can you say that that item has been dealt with? How can you say, when there are so many GP services that are fragile, and so many health board intervened and managed services, that the concerns about GP and primary care services have been dealt with, especially with the looming crisis now in dentistry care as well? And how on earth can you say that governance has been addressed when the health board itself didn't know the rate of hospital-acquired infections in relation to COVID until I pointed it out to them? And how on earth can you say that mental health services are better when, frankly, they're just as bad now as they were back in 2015?
Welsh: A gaf i fanteisio ar y cyfle hwn i ddiolch ar goedd ar ran pawb ar feinciau Ceidwadwyr Cymru i'r aelodau hynny o staff rheng flaen y GIG yn y gogledd sydd wedi bod yn gweithio mor galed, yn enwedig yn ystod y pandemig hwn? Trueni mawr, Gweinidog, na fuoch chi mor gwrtais â briffio unrhyw Aelodau ar feinciau'r gwrthbleidiau heddiw ynglŷn â'ch penderfyniad, ac mewn gwirionedd, fe fuoch chi mor anghwrtais, hyd yn oed, â pheidio â rhannu eich datganiad nes yn union cyn ichi ei ddarllen yn gyhoeddus. Y gwir amdani yw ei bod hi'n ymddangos bod gan y cyhoeddiad heddiw fwy i'w wneud â rhagolygon y Blaid Lafur yn y gogledd yn etholiadau'r Senedd y flwyddyn nesaf nag ydyw ag unrhyw dystiolaeth o welliant gwirioneddol ar lawr gwlad yn y gogledd. Ni ellir cyfiawnhau eich penderfyniad i ddiddymu mesurau arbennig ac ni allwch dwyllo na chamarwain pobl y gogledd i feddwl bod popeth yn iawn. Nid yw eich disgrifiad chi o welliant yn debyg o gwbl i realiti profiadau cleifion ledled y rhanbarth. Gadewch inni edrych ar y ffeithiau. Roedd Bwrdd Iechyd Prifysgol Betsi Cadwaladr yn ei chweched flwyddyn o fesurau arbennig. Yn y cyfnod hwn, mae'r bwrdd wedi gweld newidiadau parhaus o ran ei uwch dîm arwain, gyda nifer fawr o brif weithredwyr, nifer fawr o gyfarwyddwyr cyllid, a nifer fawr o gyfarwyddwyr iechyd meddwl. Yn wir, mae'r cyfarwyddwr iechyd meddwl presennol yn gadael ei swydd ddiwedd y mis hwn, rhicyn arall ym mhostyn gwely Betsi. Ers 2015, mae perfformiad adrannau damweiniau ac achosion brys wedi gwaethygu, mae rhestrau aros ac amseroedd aros wedi dirywio ac wedi mynd yn hwy, ac mae sefyllfa ariannol y bwrdd iechyd wedi dirywio hefyd. Mae'r ffigurau diweddar yn dangos mai gan Betsi y mae'r adrannau achosion brys sy'n perfformio waethaf o hyd yng Nghymru gyfan, gydag un o bob 10 o bobl yn aros mwy na 12 awr cyn y gellir eu rhyddhau nhw ar ôl cyrraedd yr adran damweiniau ac achosion brys, ac ni ellir rhyddhau dros hanner, bron hanner y boblogaeth sy'n cyrraedd yno o fewn pedair awr. Fe wyddom fod gwasanaethau meddygon teulu yn parhau i fod yn fregus yn y rhanbarth, gyda mwy o bractisau a reolir yn unrhyw ardal bwrdd iechyd arall yng Nghymru. Ac, wrth gwrs, fe wyddom ni bellach fod gwasanaethau deintyddiaeth yn fregus ledled y gogledd hefyd, gydag 20,000 o gleifion wedi cael rhybudd y bydd eu gwasanaethau GIG nhw'n dod i ben ddechrau'r flwyddyn nesaf. Nid yw hwn yn fwrdd iechyd sy'n barod ar gyfer dod allan o'r trefniadau mesurau arbennig. Roeddech chi'n cyfeirio at nifer o resymau pam aeth y bwrdd iechyd hwn i fesurau arbennig, ac roedd llywodraethu, arweinyddiaeth a goruchwyliaeth yn un ohonyn nhw. Fe wyddom fod gwendidau yno o hyd oherwydd fe gafwyd achosion diweddar o'r coronafeirws yn torri allan mewn dau o'r ysbytai yn y gogledd, ac ni ddaeth yr un ohonyn nhw i'r amlwg oherwydd sefyllfa'r bwrdd iechyd, ond oherwydd bod Aelodau lleol o'r Senedd wedi ysgrifennu i godi pryderon. Nid yw gwasanaethau iechyd meddwl wedi dod trwy'r gwaethaf eto chwaith. Er gwaethaf addewidion o adeiladau newydd a gwych, mae'r diwylliant yn yr adrannau hynny'n parhau i fod yr un peth. Mae gennym 1,600 o gleifion a gafodd eu rhyddhau o wasanaethau yn gynharach eleni yn ddiarwybod iddyn nhw, heb i neb eu hysbysu nhw. Mae nifer y gwelyau yn parhau i fod yn broblem aruthrol. Nid yw gwasanaethau plant a'r glasoed na'r gwasanaeth iechyd meddwl byth yn ddigonol, gyda chleifion yn parhau i gael eu hanfon gannoedd o filltiroedd i ffwrdd i gael triniaethau fel cleifion mewnol. Ac mae chwarter - chwarter - yr holl achosion diogelwch iechyd meddwl yn GIG Cymru yn achosion ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr. Nid yw hwn yn fwrdd iechyd sy'n addas i ddod allan o fesurau arbennig. Ychydig wythnosau yn ôl, y mis diwethaf, roeddech chi'n dweud bod yna heriau mawr yn parhau yn y gogledd. Ychydig wythnosau yn ôl, roeddech chi'n dweud, ac rwy'n dyfynnu, Yn benodol, roedd y grŵp yn dymuno cael rhywfaint o sicrwydd pellach gan y bwrdd iechyd o ran y cynnydd mewn gwasanaethau iechyd meddwl. Dim ond ychydig wythnosau yn ôl yr oedd hyn. Nawr, ai dyma'r adferiad mwyaf gwyrthiol ers i Lasarus gael ei gyfodi o blith y meirw neu a ydych chi'n ceisio twyllo pobl gogledd Cymru i feddwl bod gwasanaethau wedi gwella, a'r gwirionedd yw nad ydyn nhw wedi gwella? Felly, rwy'n gofyn i chi, Gweinidog, sut allwch chi gyfiawnhau eich safbwynt chi o gofio bod llawer o'r materion ar y rhestr wreiddiol honno - ac rwy'n dyfynnu un, er enghraifft: ailgysylltu â'r cyhoedd ac adennill hyder y cyhoedd. Dyna un o'r rhesymau y cafodd y bwrdd ei roi mewn mesurau arbennig. Fe allaf i ddweud wrthych chi nad oes gan y cyhoedd yn y gogledd hyder o gwbl yn eich gallu chi i wella eu gwasanaethau. Dim ond dirywiad a welwyd ganddyn nhw yno, fel y dywedais i wrthych chi nawr, o ran rhai o'r ffeithiau hynny ar lawr gwlad. Felly sut y gallwch chi ddweud eich bod wedi ymdrin â'r mater hwnnw? Sut allwch chi ddweud, pan mae cynifer o wasanaethau meddygon teulu yn fregus, a chymaint o wasanaethau yn destun ymyriad a rheolaeth gan y bwrdd iechyd, yr ymdriniwyd â'r pryderon hyn am wasanaethau meddygon teulu a gofal sylfaenol, yn arbennig gyda'r argyfwng sydd ar y gorwel nawr ym maes gofal deintyddol hefyd? A sut ar y ddaear allwch chi ddweud yr ymdriniwyd â llywodraethu pan nad oedd y bwrdd iechyd ei hun yn gwybod beth oedd cyfradd yr heintiau a welwyd mewn ysbytai o ran COVID nes i mi dynnu eu sylw nhw at hynny? A sut ar y ddaear allwch chi ddweud bod gwasanaethau iechyd meddwl yn well pan maen nhw, a dweud y gwir, gyn waethed nawr ag yr oedden nhw nôl yn 2015?