English: Thank you for the comments and the substantial question at the end about the IT system in general practice. I recognise what you said about the nurse rostering and organisation system in Wrexham. I still maintain an interest in that and want to see that properly developed in the hospital service. I guess for the hospital discharge part, that's about the discharge between secondary care back into primary care. There is certainly more that we could and should do, and I will have more to say as we're looking for more pilot work to be done in that area. But as the substantial questions were about what's happened with the IT system in general practice, and in particular with EMIS, who have not been successful in the recent tendering exercise, I am, as I said last week, still limited in what I can say. Today is the last day of a potential 10-day legal challenge period, so if that challenge is not made, then there's more that we can say, but I am restricted in what I can say. But I recognise the very practical nature of the challenge for those practices who have taken up EMIS as a system. It was raised with me on my recent visit to north Wales when I met doctors at the Bethesda practice. They are an EMIS practice and they were talking about - they were concerned about the practical reality of having to migrate to a new system, even if, to be fair, they did recognise that we'd indicated there would be support provided through the NHS Wales Informatics Service for them. In meeting that group of doctors, I think they see that there's a long enough future in the profession for them that they would go through that. They don't particularly welcome the change, but part of my real concern and recognition is that, if you are within a few years of retiring in any event, then this is the sort of change where some people may seriously consider actually not coming back, or actually accelerating their plans to retire. I recognise there is a real risk of that, and that's something that has been raised both by the Royal College of General Practitioners and by the British Medical Association as well. They're practical things they want people to talk through to try and make the transition as easy as possible for their members, and I expect to be meeting - if I'm not meeting them directly, an official will be meeting with them in the near future to talk through where we are as we get through the period of challenge. It is worth highlighting again, though, that I expect there to be a robust process to try and deliver proper value for the public purse and the actual service that that then procures and provides, and the general practice committee of the BMA were engaged as part of the decision-making architecture around this and they supported the choice, even though they recognised it would cause real difficulty for their members. They still think it was the right choice to make. In the coming days, as I said, once we get past today, I may well be in a position where I can say more and provide a fuller explanation, not just to yourself but to general practitioners themselves. I'm keen that we can do that so that people can see the context in which that choice has been made, and then to actually deal with the practical challenge that we are nevertheless left with, regardless of the propriety of the choice that has been made.
Welsh: Diolch ichi am y sylwadau a'r cwestiwn sylweddol ar y diwedd am y system TG mewn meddygfeydd teulu. Rwy'n cydnabod yr hyn a ddywedasoch chi ynghylch y system amserlennu a threfnu nyrsys yn Wrecsam. Rwy'n dal i fod â diddordeb yn honno ac rwyf eisiau gweld honno'n cael ei datblygu yn briodol yn y gwasanaeth ysbytai. Mae'n debyg o ran rhyddhau o'r ysbyty, mae hynny'n ymwneud â rhyddhau o ofal eilaidd yn ôl i ofal sylfaenol. Yn sicr, mae mwy y gallem ni ei wneud ac y dylem ni ei wneud, a bydd gennyf fwy i'w ddweud gan ein bod yn bwriadu gwneud mwy o waith treialu yn y maes hwnnw. Ond gan fod y cwestiynau sylweddol ynghylch yr hyn sydd wedi digwydd â'r system TG meddygon teulu, ac yn benodol â EMIS, na fu'n llwyddiannus yn yr ymarfer tendro diweddar, rwyf i, fel y dywedais yr wythnos diwethaf, wedi fy nghyfyngu o ran yr hyn y gallaf ei ddweud. Heddiw yw diwrnod olaf y cyfnod 10 diwrnod o her gyfreithiol bosibl, felly os na wneir yr her honno, yna mae mwy y gallwn ni ei ddweud, ond rwyf wedi fy nghyfyngu o ran yr hyn y gallaf ei ddweud. Ond rwy'n cydnabod natur ymarferol iawn yr her ar gyfer y practisiau hynny sydd wedi dechrau defnyddio EMIS fel system. Codwyd hyn gyda mi yn ystod fy ymweliad diweddar â'r gogledd pan gyfarfûm â meddygon yn y practis ym Methesda. Maent yn bractis EMIS ac roedden nhw'n sôn am - roedden nhw'n pryderu am realiti ymarferol gorfod symud i system newydd, hyd yn oed, i fod yn deg, eu bod yn cydnabod ein bod wedi nodi y byddai cymorth yn cael ei ddarparu drwy Gwasanaeth Gwybodeg GIG Cymru ar eu cyfer. O gyfarfod y grŵp hwnnw o feddygon, rwy'n credu eu bod yn gweld bod dyfodol digon hir yn y proffesiwn iddynt y byddent yn mynd drwy hynny. Dydyn nhw ddim yn croesawu'r newid yn arbennig, ond rhan o'm pryder a'm cydnabyddiaeth wirioneddol yw, os ydych chi o fewn ychydig flynyddoedd o ymddeol beth bynnag, yna mae hwn yn fath o newid lle gallai rhai pobl efallai ystyried o ddifrif peidio â dod yn ôl, neu mewn gwirionedd, cyflymu eu cynlluniau i ymddeol. Rwy'n cydnabod bod yna berygl go iawn o hynny, ac mae hynny'n rhywbeth sydd wedi'i godi gan Goleg Brenhinol yr Ymarferwyr Cyffredinol a Chymdeithas Feddygol Prydain hefyd. Maen nhw'n bethau ymarferol y maen nhw eisiau i bobl eu trafod er mwyn ceisio gwneud y cyfnod pontio mor hawdd â phosibl ar gyfer eu haelodau, ac rwy'n disgwyl cwrdd - os na fyddaf yn cwrdd â nhw yn uniongyrchol, bydd swyddog yn cwrdd â nhw yn y dyfodol agos i drafod lle yr ydym wrth i ni fynd drwy'r cyfnod o her. Mae'n werth amlygu unwaith eto, fodd bynnag, fy mod yn disgwyl y bydd proses gadarn i geisio cyflawni gwerth priodol ar gyfer y pwrs cyhoeddus a'r union wasanaeth y mae hwnnw wedyn yn ei gaffael ac yn ei ddarparu, ac roedd pwyllgor meddygon teulu Cymdeithas Feddygol Prydain yn cymryd rhan fel rhan o'r drefn o wneud penderfyniadau sy'n ymwneud â hyn, ac roedden nhw o blaid y dewis, er eu bod yn cydnabod y byddai'n achosi anhawster go iawn i'w haelodau. Maen nhw'n dal i feddwl mai hwn oedd y dewis iawn i'w wneud. Yn y dyddiau nesaf, fel y dywedais, ar ôl heddiw, efallai y byddaf mewn sefyllfa lle gallaf ddweud mwy a rhoi esboniad llawnach, nid yn unig i chi, ond i'r meddygon teulu eu hunain. Rwy'n awyddus i ni allu gwneud hynny fel bod pobl yn gallu gweld cyd-destun y dewis hwnnw, ac yna i ymdrin mewn gwirionedd â'r her ymarferol sydd gennym serch hynny, waeth beth fo priodoldeb y dewis a wnaed.