English: Thank you, Presiding Officer, and I want to thank Members for their largely thoughtful contributions to today's debate. I want to thank Dai Lloyd for his speech and, in particular, reiterating the point that was taken up by some other Members about the importance of vaccination - his own direct experience as a GP, but also parents like myself who have gone and made sure that our children are vaccinated - and the points made about the fact that the conspiracy theories about vaccination continue to be promoted. The current occupant of the White House has taken his turn in trying to do exactly the same thing, and then taken a step back, but it's important that we all have a consistent message about the importance of doing so. I want to turn to Mick Antoniw's contribution. I, too, share your concern about the normalisation of the link between gambling and sport. Sport is such a wide-scale activity, with so many people involved and engaged, we can't protect our children and young people from seeing the pervasive messages there around professional sport, and, indeed, adults, and it does have an influence. People don't advertise the opportunities to gamble freely just for the sake of their own conscience, that they think it's a good thing to do, they advertise it because it has an impact and it draws people in. That's why the chief medical officer has directly engaged with the Advertising Standards Agency and why we continue to do so. And I recognise that there are challenges in this area. The work we're currently doing with directors of public health, the work that we're doing bringing together a range of stakeholders, we set out some of the detail in the report, but we do agree that an integrated approach with other policy areas, like substance misuse, is required to provide an initial framework for action. So, we will continue to look at how we maximise our opportunity to make a difference, bearing in mind not all of the powers we would like to have rest within this place. There was much of what Janet Finch-Saunders said that I wouldn't disagree with, but I would say that, any time people call for an increase in a budget, they can't expect to be taken seriously unless they say where that money will come from. We are in an environment where there is less money available. The health service gains the largest share of that. So, if we're going to call for extra money, let's be clear about where that will come from and what that means - either to call for an increase in the budget provided to this place in the first place, or to set out which areas people prefer to see cut to do so. And, on Huw Irranca-Davies's points, I'm more than happy to agree with him on the point about mental health, but also more generally the point about equity in the delivery of health care, recognising the challenges that particular groups of people have in having a genuinely fair service from our health service. And I do agree that the report from the Equality and Human Rights Commission is a helpful reminder for us across the whole service. I'm also, of course, happy to reiterate my commitment to deliver the vision set out in 'A Healthier Wales', to do better, to improve the experience and the outcomes across a range of measures, because that is what the people of Wales deserve. I won't repeat many of the points that I've already made on a number of occasions about the challenges that lie ahead of us, however it is helpful to consider the CMO's report and his recommendations as part of the solution. So, we're looking generally to deliver on the promise of prudent healthcare through value-based healthcare. That is something that would be of great benefit to all of us, to unlock significant resource within our system and to direct that towards better outcomes. I would, therefore, in ending, Presiding Officer, like to thank, again, the chief medical officer for his analysis and recommendations, and I look forward to his continued advice, challenge and support as we move forward with improving health and social care services and shaping a healthier and happier Wales.
Welsh: Diolch, Llywydd, ac rwyf eisiau diolch i'r Aelodau am eu cyfraniadau meddylgar ar y cyfan i'r ddadl heddiw. Hoffwn ddiolch i Dai Lloyd am ei araith ac, yn enwedig, am ailadrodd y sylw y mae rhai o'r Aelodau eraill wedi ei wneud ynglŷn â phwysigrwydd brechu - ei brofiad uniongyrchol ei hun fel meddyg teulu, ond hefyd rhieni fel fi sydd wedi mynd ati a gwneud yn siŵr bod ein plant wedi'u brechu - a'r sylwadau a wnaed am y ffaith bod y damcaniaethau cynllwyn am frechu yn parhau i gael eu hyrwyddo. Mae deiliad presennol y Tŷ Gwyn wedi cymryd ei dro i geisio gwneud yr un peth yn union, ac yna wedi encilio, ond mae'n bwysig bod gan bob un ohonom ni neges gyson am bwysigrwydd gwneud hynny. Hoffwn droi at gyfraniad Mick Antoniw. Rwyf innau hefyd yn rhannu eich pryder am normaleiddio'r cysylltiad rhwng gamblo a chwaraeon. Mae chwaraeon yn weithgaredd mor eang, gyda chymaint o bobl yn cymryd rhan ac yn ymwneud, ni allwn ni amddiffyn ein plant a'n pobl ifanc rhag gweld y negeseuon treiddiol ynghylch chwaraeon proffesiynol, nac yn wir, oedolion, ac mae hynny yn cael dylanwad. Nid yw pobl yn hysbysebu'r cyfleoedd i gamblo'n rhydd er mwyn eu cydwybod eu hunain, eu bod yn credu ei fod yn beth da i'w wneud, maen nhw'n ei hysbysebu oherwydd ei fod yn cael effaith ac yn cyflyru pobl. Dyna pam fod y prif swyddog meddygol wedi ymgysylltu'n uniongyrchol â'r Asiantaeth Safonau Hysbysebu a dyna pam ein bod ni'n parhau i wneud hynny. Ac rwy'n cydnabod bod yna heriau yn y maes hwn. Y gwaith yr ydym ni'n ei wneud ar hyn o bryd gyda chyfarwyddwyr iechyd cyhoeddus, y gwaith yr ydym ni'n ei wneud i ddwyn ynghyd amrywiaeth o randdeiliaid, fe wnaethom ni nodi rhai o'r manylion yn yr adroddiad, ond rydym ni yn cytuno bod angen mynd ati mewn modd sy'n cynnwys meysydd polisi eraill, fel camddefnyddio sylweddau, er mwyn darparu fframwaith cychwynnol ar gyfer gweithredu. Felly, byddwn ni'n parhau i ystyried sut yr ydym ni'n manteisio i'r eithaf ar ein cyfle i wneud gwahaniaeth, gan gofio nad yw pob un o'r pwerau yr hoffem ni fod â nhw yn y lle hwn. Roedd llawer o'r hyn a ddywedodd Janet Finch-Saunders na fyddwn i'n anghytuno ag ef, ond byddwn i'n dweud, unrhyw bryd y bydd pobl yn galw am gynnydd mewn cyllideb, na allan nhw ddisgwyl cael eu cymryd o ddifrif oni fyddant yn dweud o ble y daw'r arian hwnnw. Rydym ni mewn sefyllfa lle mae llai o arian ar gael. Y gwasanaeth iechyd sy'n cael y gyfran fwyaf o hwnnw. Felly, os ydym ni'n mynd i alw am arian ychwanegol, gadewch inni fod yn glir o ble daw hwnnw a beth yw ystyr hynny - naill ai galw am gynnydd yn y gyllideb y mae'r lle hwn yn ei chael yn y lle cyntaf, neu nodi pa feysydd y mae'n well gan bobl eu gweld cwtogi arnyn nhw er mwyn gwneud hynny. Ac, o ran sylwadau Huw Irranca-Davies, rwy'n fwy na pharod i gytuno ag ef o ran ei sylw am iechyd meddwl, ond hefyd yn fwy cyffredinol y sylw am degwch wrth ddarparu gofal iechyd, gan gydnabod yr heriau sydd gan grwpiau penodol o bobl o ran cael gwasanaeth gwirioneddol deg gan ein gwasanaeth iechyd. Ac rwy'n cytuno bod yr adroddiad gan y Comisiwn Cydraddoldeb a Hawliau Dynol yn ddefnyddiol i'n hatgoffa ni ym mhob rhan o'r gwasanaeth. Rwyf hefyd, wrth gwrs, yn falch o ailadrodd fy ymrwymiad i gyflawni'r weledigaeth a nodir yn 'Cymru Iachach', i wneud yn well, i wella'r profiad a'r canlyniadau mewn ystod o fesurau, oherwydd dyna y mae pobl Cymru yn ei haeddu. Ni wnaf ailadrodd llawer o'r sylwadau yr wyf eisoes wedi'u gwneud ar sawl achlysur ynghylch yr heriau sydd o'n blaenau, ond mae'n ddefnyddiol ystyried adroddiad y prif swyddog meddygol a'i argymhellion yn rhan o'r ateb. Felly, rydym ni'n edrych yn gyffredinol ar wireddu'r addewid o ofal iechyd darbodus drwy ofal iechyd sy'n seiliedig ar werthoedd. Mae hynny'n rhywbeth a fyddai o fudd mawr i bob un ohonom ni, i ryddhau adnoddau sylweddol yn ein system ac i gyfeirio hynny at well canlyniadau. Felly, wrth gloi, Llywydd, hoffwn ddiolch, unwaith eto, i'r prif swyddog meddygol am ei ddadansoddiad a'i argymhellion, ac edrychaf ymlaen at ei gyngor, ei her a'i gefnogaeth barhaus wrth inni fwrw ymlaen i wella gwasanaethau iechyd a gofal cymdeithasol a llunio Cymru iachach a hapusach.