English: Thank you to the Cabinet Secretary for his statement. I will also note my thanks to the chief medical officer, Dr Frank Atherton, for his second report. It's important, despite that, that I draw attention to the fact that we're having a statement here today on this report, while in the past, including last year, we had debates on the report of the chief medical officer. I would encourage the Government to return to that practice and not let the political balance here and the fragility of that balance to decide in what way important matters with regard to health in our nation are discussed here at the Assembly. We could go into several different areas, almost any area with regard to health in Wales here, as a result of this report. I will keep to what has been mentioned in the statement itself by the Cabinet Secretary today. The statement has noted there are many factors that influence public health. That has been discussed several time here. But possibly these reports and what we've heard from the Government in general could give greater clarity for us about the true effect that austerity and expenditure decisions in areas separate to health can have on health outcomes. Cuts to social care, housing and so on are cuts to the health service in general as well and I would ask for ways of having an evaluation to measure exactly what the effects of those cuts are on the health service in future. I will move to the main body of the statement today, which is on gambling. The report does shed light on the problems that are caused by people becoming addicted to gambling and it notes the progress with regard to betting advertisements on television. We are aware of the hypocrisy of the football association in England banning players from gambling on games whilst drawing a great deal of sponsorship from gambling companies. Your statement, Cabinet Secretary, says that you regret that gambling is being regulated at a British level. I would agree that, when something is regulated at a UK level, that should be the cause of regret because very often it means that regulation happens for the benefit of industry rather than the benefit of the public. I would hope that that's something that we could look at in Wales in future. But, there are some things that the Government could do. The chief medical officer's report notes that the Wales Act does give powers for Welsh Ministers with regard to fixed-odds betting terminals to decrease the highest stake from £100 to £10 in B2 categories. I would ask whether you will do that. Is that something that you would wish to do? Also, there are powers available to local government with regard to giving planning consent for the change of use of shops to betting shops. Research here with regard to discussions on a potential Bill has found that several local authorities are very careful and are concerned about using the powers that they have to increase the number of betting shops, in case of legal steps that might be taken against them. Will you ask the Cabinet Secretary for local government to give greater clarity and certainty for local authorities who want to take steps to prevent the increase that there has been in the number of betting shops? I will finish, if I may, by referring to what you said about hepatitis C. As one of the champions of the issues related to hepatitis C in the Chamber - I and many other Members - it's good to see that Wales is in the vanguard in this area. Very often, the situation that we face is finding those people who have hepatitis C - finding enough patients to go through our system. It's a good problem to have, but it is an issue that we need to solve. May I take this opportunity - and I often find, as do other Members, an opportunity to do this - to press you to make a statement today, perhaps, to be even more ambitious with regard to the need to move forward with getting rid of hepatitis C in Wales?
Welsh: Diolch i Ysgrifennydd y Cabinet am ei ddatganiad. Mi wnaf i hefyd nodi fy niolch i i Brif Swyddog Meddygol Cymru, Dr Frank Atherton, am ei ail adroddiad o. Mae hi yn bwysig, serch hynny, fy mod i'n tynnu sylw at y ffaith mai datganiad sydd gennym ni ar yr adroddiad yma heddiw, tra yn y gorffennol, yn cynnwys y llynedd, dadleuon rydym ni wedi'u cael ar adroddiad y prif swyddog meddygol, ac mi fyddwn i yn annog y Llywodraeth i fynd yn ôl i'r patrwm hwnnw, a pheidio â gadael i fregusdra balansiau gwleidyddol yn fan hyn benderfynu ym mha fodd mae materion pwysig iawn ynglŷn â iechyd ein cenedl ni yn cael eu trafod yma yn y Cynulliad. Mi allwn i fynd i sawl maes gwahanol, mewn difrif - bron unrhyw faes o ran iechyd yng Nghymru - yn sgil yr adroddiad yma. Mi wnaf gadw yn fras at yr hyn sydd wedi cael ei grybwyll yn y datganiad ei hun gan yr Ysgrifennydd Cabinet heddiw. Mae'r datganiad wedi nodi bod yna lawer o ffactorau, wrth gwrs, sydd yn dylanwadu ar iechyd ein poblogaeth ni; mae hynny wedi cael ei drafod ni wn faint o weithiau yn fan hyn. Ond, o bosib, gallai'r adroddiadau yma a'r hyn rydym ni wedi'i glywed gan y Llywodraeth yn gyffredinol roi rhagor o eglurder i ni ynglŷn â gwir effaith llymder a phenderfyniadau gwariant mewn meysydd ar wahân i iechyd ar allbynnau iechyd - bod toriadau i ofal cymdeithasol, tai ac ati, yn doriadau i'r gwasanaeth iechyd yn gyffredinol. Mi fyddwn i'n gofyn am ffyrdd o gael gwerthusiad i fesur yn union beth ydy effaith y toriadau hynny ar y gwasanaeth iechyd yn y dyfodol. Mi symudaf i at brif gorff y datganiad heddiw yma, sef gamblo. Mae'r adroddiad yn bwrw goleuni ar y problemau sy'n cael eu hachosi gan bobl yn mynd yn gaeth i gamblo. Mae o'n nodi y cynnydd sydd yna mewn hysbysebion teledu ar gyfer betio. Wrth gwrs, rydym ni'n ymwybodol hefyd o'r rhagrith o'r gymdeithas bêl-droed yn Lloegr yn gwahardd chwaraewyr rhag gamblo ar gemau tra'n derbyn nawdd mawr iawn gan gwmnïau gamblo ar yr un pryd. Mae'ch datganiad chi, Ysgrifennydd Cabinet, yn dweud eich bod chi'n gresynu bod gamblo yn cael ei reoleiddio ar lefel Brydeinig. Rydw i'n cytuno, pan mae rhywbeth yn cael ei reoleiddio ar lefel Brydeinig, bod hynny'n destun gresynu yn aml iawn, achos yn aml iawn mae o'n golygu bod rheoleiddio'n digwydd er budd diwydiant yn hytrach na'r cyhoedd, ac rydw i'n gobeithio y byddai hynny'n rhywbeth y gallwn ni edrych arno fo yng Nghymru yn y dyfodol. Ond mae yna rai pethau y gall y Llywodraeth ei wneud. Mae adroddiad y prif swyddog meddygol yn nodi bod Deddf Cymru yn rhoi pwerau i Weinidogion Cymru mewn perthynas â fixed-odds betting terminals er mwyn lleihau y stake uchaf o £100 i £10 ar gyfer peiriannau categori B2. Fy nghwestiwn cyntaf, am wn i: a fyddwch chi'n gwneud hynny? A ydy hynny'n rhywbeth y byddech chi'n dymuno ei wneud? Hefyd, mae yna bwerau sydd ar gael i lywodraeth leol pan mae'n dod at roi caniatâd cynllunio ar gyfer newid defnydd siopau i siopau betio. Mae ymchwil yn fan hyn mewn perthynas â thrafodaethau ar Ddeddf bosib ar gynhwysiant ariannol wedi canfod bod llawer o awdurdodau lleol yn ofalus iawn ac yn bryderus am ddefnyddio pwerau sydd ganddyn nhw i gynyddu niferoedd y siopau betio, rhag ofn i gamau cyfreithiol, o bosib, gael eu cymryd yn eu herbyn nhw. A fyddwch chi, neu a wnewch chi ofyn i'r Ysgrifennydd llywodraeth leol roi rhagor o eglurder a sicrwydd i lywodraeth leol sydd eisiau cymryd camau i atal y cynnydd sydd wedi bod yn nifer y siopau betio? Mi wnaf i orffen, os caf i, drwy gyfeirio at yr hyn a ddywedoch chi ynglŷn â hepatitis C. Fel un o bencampwyr hepatitis C yma yn y Siambr - fi a nifer o Aelodau - mae'n dda gweld bod Cymru ar y blaen yn y maes yma, ac yn aml iawn y broblem rŷm ni'n ei hwynebu ydy darganfod y bobl sydd â hepatitis C - darganfod digon o gleifion i ddod drwy ein system ni. Mae'n broblem braf i'w chael, ond mae hi'n broblem sydd angen ei datrys. A gaf i ddefnyddio'r cyfle yma, fel rydw i ac Aelodau eraill yn chwilio am gyfleoedd eraill hefyd yn aml iawn, i bwyso arnoch chi i wneud datganiad eto heddiw, o bosib, ynglŷn â'r angen i fod hyd yn oed yn fwy uchelgeisiol yn yr angen inni symud ymlaen at gael gwared ar hepatitis C yng Nghymru?