English: They do indeed and, in fact, it is these dedicated and hard-working staff who have, over the last 10 days, raised a significant number of concerns with me. We've had royal colleges coming out with commentary and statements about the enormous pressure their staff have been under. I've met with royal colleges in the last few days, I've met with doctors, nurses, front-line staff and an ambulance worker. They all talk about the same thing: comments such as they've 'never seen the Welsh NHS in such a bad way', their colleagues 'are at breaking point' and front-line staff 'are under immense pressure'. The BMA themselves have said that one health board area in Wales had absolutely no cover whatsoever in terms of GP doctors. We've lost over 2,000 ambulance hours in the last seven or eight days. The Royal College of Emergency Medicine said that some people are waiting over 80 hours in emergency departments before being admitted into hospital. Cabinet Secretary, this is an enormous issue. I absolutely accept that you are not personally responsible for front-line issues that go wrong. I absolutely accept that there has been an uplift in problems this winter and that this winter was a bit tougher than everyone thought it was going to be. But, my concerns are that you've given some £50 million prior to winter to prepare for this and what I would like to ask you is to undertake an urgent assessment of how that £50 million was spent. Did it get to the front line and, if so, where, how, and what did it ameliorate? Did managers involve the right people in planning? Because GPs say they were not involved in winter preparation. Hospital doctors say they were not involved in winter preparations. Emergency department unit leads say they were not involved in winter preparations. There was no account taken of the three, four days, so, effectively, we had two whole weeks with very, very light bank holiday-style cover. Social services were basically absent for two weeks. We had enormous delayed transfers of care. The Heath themselves had two whole wards full of people waiting to go home. Would you please also accept, or look at the managers within the NHS, because we seem to be great on strategy, but putting it into action is difficult? When you have a nurse or a bed manager saying, 'I'm not going to open up a bed, put an extra bed on that ward, because that one bed will make that ward risky', I totally accept that, but risk is about the balance of risk. So, what is worse: having one bed open on a ward, or having a person on a trolley for 80 hours in an A&E department? So, Cabinet Secretary, I'm asking you to make sure that we are holding the management, the management of the NHS, holding their feet to the fire on those issues. You've just awarded, in the last few days, another £10 million. That is incredibly welcome, but we need to make sure that that £10 million goes to the front line and solves these problems. The Health and Social Care Committee held an excellent inquiry. We came up with a strong report on winter preparedness. The people came to us and told us they weren't being involved. They're still saying it today. You need to find out what went wrong, and I would ask you to really, really drill down into this, because something somewhere just didn't work. And as you started off saying, we have a lot of excellent people who are working their socks off and are under immense pressure. It's our job to lift that pressure off their shoulders.
Welsh: Mae hynny'n wir, ac mewn gwirionedd, y staff ymroddedig a gweithgar hyn sydd wedi dwyn nifer sylweddol o bryderon i fy sylw dros y 10 diwrnod diwethaf. Rydym wedi gweld colegau brenhinol yn cyflwyno sylwebaeth a datganiadau am y pwysau enfawr sydd wedi bod ar eu staff. Rwyf wedi cyfarfod â cholegau brenhinol yn yr ychydig ddyddiau diwethaf, rwyf wedi cyfarfod â meddygon, nyrsys, staff rheng flaen a gweithiwr ambiwlans. Mae pob un ohonynt yn sôn am yr un peth: sylwadau fel 'nid wyf erioed wedi gweld GIG Cymru yn y fath gyflwr', fod eu cydweithwyr 'ar ymyl y dibyn' a bod staff rheng flaen 'o dan bwysau aruthrol'. Mae Cymdeithas Feddygol Prydain eu hun wedi dweud nad oedd gan un ardal bwrdd iechyd yng Nghymru unrhyw staff llanw o gwbl o ran meddygon teulu. Rydym wedi colli dros 2,000 o oriau ambiwlans yn ystod y saith neu wyth diwrnod diwethaf. Dywedodd y Coleg Brenhinol Meddygaeth Frys bod rhai pobl yn aros dros 80 awr mewn adrannau achosion brys cyn cael eu derbyn i'r ysbyty. Ysgrifennydd y Cabinet, mae hwn yn fater enfawr. Rwy'n derbyn yn llwyr nad ydych chi yn bersonol yn gyfrifol am faterion rheng flaen sy'n mynd o chwith. Rwy'n derbyn yn llwyr y cafwyd mwy o broblemau yn ystod y gaeaf hwn a bod y gaeaf hwn gryn dipyn yn llymach nag y rhagwelodd pawb. Ond fy mhryder i yw eich bod wedi neilltuo tua £50 miliwn cyn y gaeaf i baratoi ar gyfer hyn a hoffwn ofyn i chi gynnal asesiad brys o sut y gwariwyd y £50 miliwn hwnnw. A gyrhaeddodd yr arian y rheng flaen, ac os felly, ble a sut, a beth y llwyddodd i'w wella? A lwyddodd y rheolwyr i gynnwys y bobl gywir yn y gwaith cynllunio? Oherwydd mae meddygon teulu yn dweud nad oeddent yn rhan o'r paratoadau ar gyfer y gaeaf. Mae meddygon ysbyty yn dweud nad oeddent yn rhan o'r paratoadau ar gyfer y gaeaf. Mae arweinwyr unedau achosion brys yn dweud nad oeddent yn rhan o'r paratoadau ar gyfer y gaeaf. Ni chafwyd cyfrif o'r tri neu bedwar diwrnod, felly, i bob pwrpas, cawsom bythefnos gyfan gydag ond ychydig iawn o staff llanw tebyg i'r hyn a geir ar wyliau banc. Roedd gwasanaethau cymdeithasol yn absennol am bythefnos i bob pwrpas. Gwelsom oedi enfawr wrth drosglwyddo gofal. Roedd gan ysbyty Mynydd Bychan ddwy ward gyfan yn llawn o bobl yn aros i fynd adref. A fyddech chi hefyd yn derbyn, neu'n edrych ar y rheolwyr o fewn y GIG, oherwydd mae'n ymddangos ein bod yn gwneud yn wych o ran strategaeth, ond rydym yn ei chael hi'n anodd rhoi'r strategaeth honno ar waith? Pan fo gennych nyrs neu reolwr gwelyau yn dweud, 'Nid wyf am agor gwely a rhoi gwely ychwanegol ar y ward honno oherwydd bydd y gwely hwnnw'n creu risg i'r ward honno', rwy'n derbyn hynny'n llwyr, ond mae risg yn ymwneud â chydbwysedd risg. Felly, pa un yw'r gwaethaf: cael un gwely ar agor ar ward, neu gael person ar droli am 80 awr mewn adran damweiniau ac achosion brys? Felly, Ysgrifennydd y Cabinet, rwy'n gofyn i chi sicrhau ein bod yn dwyn y rheolwyr, rheolwyr y GIG, i gyfrif am y materion hynny. Rydych newydd ddyfarnu £10 miliwn arall yn ystod y dyddiau diwethaf. Mae hynny i'w groesawu'n fawr, ond mae angen i ni wneud yn siŵr fod y £10 miliwn hwnnw yn mynd i'r rheng flaen ac yn datrys y problemau hyn. Cynhaliwyd ymchwiliad rhagorol gan y Pwyllgor Iechyd a Gofal Cymdeithasol. Llwyddasom i greu adroddiad cryf ar barodrwydd ar gyfer y gaeaf. Daeth y bobl atom a dweud wrthym nad oeddent yn cael eu cynnwys. Maent yn parhau i ddweud hynny heddiw. Mae angen i chi ddarganfod beth aeth o'i le, a buaswn yn gofyn i chi geisio mynd at wraidd hyn mewn gwirionedd, oherwydd mae rhywbeth yn rhywle heb weithio. Ac fel y dywedoch hi ar y cychwyn, mae gennym lawer o bobl ragorol sy'n gweithio'n galed iawn ac sydd o dan bwysau aruthrol. Ein gwaith ni yw codi'r pwysau hwnnw oddi ar eu hysgwyddau.