English: Yesterday, a suite of interventions, too weak, too late, were announced by Welsh Government - a Welsh Government that has failed to address the problems of Betsi Cadwaladr time and time again. The suite of interventions was in response to more damning reports - hugely damning reports. But where's the next report? Experience tells us that it may not be very far away. Betsi Cadwaladr University Health Board was established in October 2009, the largest of Wales's new health boards, both geographically and in terms of population. It's a complex health board. But it was only a little over five years later that it was put in special measures. As we moved into the 2020s, the board found that it had been in special measures for around half of its existence. After five years and more of special measures, those measures cease to be special. They become the normal state of affairs. I and many of us question how ready it was to be brought out of special measures then, conveniently in the approach to the last election. But even then it was only a move to another lower level of targeted intervention, extended yesterday, though, as I say, not far enough. There's continued intervention for mental health services - not surprising after the scandals of Hergest, of Tawel Fan, the suppression of the Holden report. Vascular services at Ysbyty Glan Clwyd are under targeted intervention. What on earth took the Minister so long, waiting three months to see if something might happen? Even a glance at that damning report published in February told you that urgent action was needed. Another critical report leads to placing the emergency department at Ysbyty Glan Clwyd in special measures. Of course, there's been criticism of services elsewhere, not covered by targeted intervention. There's a report from the ombudsman saying that Betsi Cadwaladr caused injustice to eight prostate cancer patients after failing to undertake appropriate monitoring of their care and treatment. I recently raised concerns about intimidation or bullying of nurses at Ysbyty Gwynedd; nurses being moved away from their areas of expertise, concerns that triggered an immediate review. And, of course, I hear regular concerns of patients and staff worried about the unsustainability of services. I was discussing a constituent's case this morning. Her son had a fit, she couldn't get an ambulance, she couldn't praise staff enough as they treated her son in the corridor in the ED whilst 13 ambulances waited outside - I think it was 14 yesterday according to a physician. Are these Betsi Cadwaladr problems or are they just wider NHS issues? You see, the problem we have is that we have a fundamental lack of confidence that this cumbersome health board is the best way of delivering healthcare in the north of Wales. And it gets worse, that lack of confidence, with every report. At the end of the day, it's about patient safety. Staff leave, recruiting is difficult, patients complain. Minister, you'll have seen the same figures as I've seen, showing Betsi going from below average complaint numbers in 2012 to twice the average in 2017. And you will have seen the national reporting and learning system figures collated by your own delivery unit, showing that, since 2007, Betsi reported far more severe incidents and almost as many deaths as the rest of Wales put together. Something is not right, and I'm afraid that we have to be ready to think outside the box to try to sort things out. Our amendment calls for an independent review to be commissioned to consider the possible benefits of replacing Betsi Cadwaladr with new structures to deliver healthcare in the north of Wales. This Government has tried special measures and it has failed. It is trying a few targeted interventions, and as I said yesterday, I hope that they can make a difference, but let's at least look for an alternative. We owe it to the people of the north of Wales to have that conversation on how we could bring healthcare back closer to the people.
Welsh: Ddoe, cyhoeddwyd cyfres o ymyriadau rhy wan a rhy hwyr gan Lywodraeth Cymru - Llywodraeth Cymru sydd wedi methu mynd i'r afael â phroblemau Betsi Cadwaladr dro ar ôl tro. Cyhoeddwyd y gyfres o ymyriadau mewn ymateb i ragor o adroddiadau damniol - adroddiadau eithriadol o ddamniol. Ond ble mae'r adroddiad nesaf? Mae profiad yn dweud wrthym efallai nad yw'n bell iawn. Sefydlwyd Bwrdd Iechyd Prifysgol Betsi Cadwaladr ym mis Hydref 2009, y mwyaf o fyrddau iechyd newydd Cymru, yn ddaearyddol ac o ran poblogaeth. Mae'n fwrdd iechyd cymhleth. Ond ychydig dros bum mlynedd yn ddiweddarach, cafodd ei wneud yn destun mesurau arbennig. Wrth inni symud i mewn i'r 2020au, canfu'r bwrdd ei fod wedi bod yn destun mesurau arbennig am oddeutu hanner ei fodolaeth. Ar ôl pum mlynedd a mwy o fesurau arbennig, nid yw'r mesurau hynny'n arbennig mwyach. Maent yn dod yn sefyllfa arferol. Rwyf fi a llawer ohonom yn cwestiynu pa mor barod ydoedd i gael ei dynnu allan o drefn mesurau arbennig bryd hynny, yn gyfleus iawn wrth nesu at yr etholiad diwethaf. Ond hyd yn oed bryd hynny, symud i lefel is arall o ymyrraeth wedi'i thargedu a wnaed, lefel a gafodd ei hestyn ddoe, er nad oedd, fel y dywedais, yn mynd yn ddigon pell. Ceir ymyrraeth barhaus ar gyfer gwasanaethau iechyd meddwl - nid yw'n syndod ar ôl sgandalau Hergest, Tawel Fan, atal adroddiad Holden. Mae gwasanaethau fasgwlaidd yn Ysbyty Glan Clwyd o dan drefn ymyrraeth wedi'i thargedu. Pam ar y ddaear y cymerodd gymaint o amser i'r Gweinidog, a arhosodd am dri mis i weld a fyddai rhywbeth yn digwydd? Roedd hyd yn oed cipolwg ar yr adroddiad damniol a gyhoeddwyd ym mis Chwefror yn dweud wrthych fod angen gweithredu ar frys. Mae adroddiad beirniadol arall yn arwain at osod adran achosion brys Ysbyty Glan Clwyd dan drefn mesurau arbennig. Wrth gwrs, cafwyd beirniadaeth o wasanaethau mewn mannau eraill nad ydynt wedi'u cynnwys mewn ymyriadau wedi'u targedu. Mae adroddiad gan yr ombwdsmon yn dweud bod Betsi Cadwaladr wedi achosi anghyfiawnder i wyth claf canser y prostad ar ôl methu monitro eu gofal a'u triniaeth yn briodol. Codais bryderon yn ddiweddar ynglŷn ag achosion o fygwth neu fwlio nyrsys yn Ysbyty Gwynedd; nyrsys yn cael eu symud o'u meysydd arbenigedd, pryderon a sbardunodd adolygiad ar unwaith. Ac wrth gwrs, clywaf bryderon rheolaidd am gleifion a staff sy'n poeni bod gwasanaethau yn anghynaliadwy. Roeddwn yn trafod achos etholwr y bore yma. Cafodd ei mab ffit, ni allai gael ambiwlans, ni allai ganmol digon ar staff wrth iddynt drin ei mab yn y coridor yn y adran argyfwng tra bod 13 ambiwlans yn aros y tu allan - rwy'n credu ei fod yn 14 ddoe yn ôl meddyg. Ai problemau Betsi Cadwaladr yw'r rhain neu broblemau ehangach y GIG? Welwch chi, y broblem sydd gennym yw bod gennym ddiffyg hyder sylfaenol mai'r bwrdd iechyd trafferthus hwn yw'r ffordd orau o ddarparu gofal iechyd yng ngogledd Cymru. Ac mae'r diffyg hyder yn gwaethygu gyda phob adroddiad. Yn y pen draw, mae'n ymwneud â diogelwch cleifion. Mae staff yn gadael, mae recriwtio'n anodd, mae cleifion yn cwyno. Weinidog, fe fyddwch wedi gweld yr un ffigurau ag a welais i, sy'n dangos Betsi'n mynd o niferoedd cwynion is na'r cyfartaledd yn 2012 i ddwywaith y cyfartaledd yn 2017. A byddwch wedi gweld ffigurau'r system adrodd a dysgu genedlaethol a gesglir gan eich uned gyflawni eich hun, sy'n dangos bod Betsi, ers 2007, wedi cofnodi mwy o ddigwyddiadau difrifol a bron cymaint o farwolaethau â gweddill Cymru gyda'i gilydd. Mae rhywbeth o'i le, ac mae arnaf ofn fod yn rhaid inni fod yn barod i feddwl y tu allan i'r bocs i geisio datrys pethau. Mae ein gwelliant yn galw am gomisiynu adolygiad annibynnol i ystyried manteision posibl cael strwythurau newydd yn lle Betsi Cadwaladr i ddarparu gofal iechyd yn y gogledd. Mae'r Llywodraeth hon wedi rhoi cynnig ar fesurau arbennig ac mae wedi methu. Mae'n rhoi cynnig ar ychydig o ymyriadau wedi'u targedu, ac fel y dywedais ddoe, rwy'n gobeithio y gallant wneud gwahaniaeth, ond gadewch inni o leiaf chwilio am ddewis arall. Ein dyletswydd i bobl gogledd Cymru yw cael y sgwrs honno ar sut y gallem ddod â gofal iechyd yn ôl yn nes at y bobl.