English: Thank you, Deputy Presiding Officer, and I won't. Can I, first of all, thank the Cabinet Secretary for his statement this afternoon? It gives me an opportunity to put on record my thanks and appreciation to all the NHS staff who have worked over those 70 years and who are still working and will be working in the years ahead of us. Again I put on record, Deputy Presiding Officer, that my wife is one of those members of staff at this point in time. Can I also pay tribute to Dr Julian Hart, who passed away on Sunday? Of course, he was a GP in Glyncorrwg in my Afan Valley. He actually worked alongside Dr Brian Gibbons, my predecessor, and also former health Minister. So, he is well-known to many of us, and his loss is a sad loss to society because of the work he did for deprived communities, particularly in the Valleys. Cabinet Secretary, you've highlighted many issues, and I think one of the biggest things you've highlighted is perhaps the understanding that there is a need for change and we have to empower that change, both within the service and also within the public. Part of our role as politicians is to take that challenge on board and to lead that change - [ Inaudible.] - anywhere else and to recognise that we can't always keep on saying, 'Well, it worked better 10 years ago, so that's the way it has to stay', but in doing so we need also therefore to look at strategies for that change. Clearly, recently, in my own area, we've seen a change in the strategy of bed closures as an example, but we don't have a clinical strategy. The Welsh Government has put together fantastic programmes and plans - the cancer care delivery plan, the respiratory care plan, and many others - but the question I want ask is: where's the joined-up thinking to ensure that all these plans can work together to deliver a clinical strategy for the whole of the service, and how do the health boards also ensure they have a clinical strategy? So, when we come across a service that is working better, that is improving because of efficiency measures, instead of closing beds we look at how we can best use those beds to improve the strategies in other areas to deliver the service for our patients. I think that is an important way forward because I - like Angela Burns - want to see it, not for 30 years or 70 years - and I won't be around in 70 years - but for years ahead, so our children, their grandchildren and their children beyond that will have a service that they can rely upon as free at the point of need. I have a sister in America, who doesn't have that service, and, believe you me, we don't want to see anything like that. We need to ensure that the health service continues, but we do have to embrace change, but also change that carries us with it, and carries the patients with it. So, therefore, that's important. Can I also ask the question: the South Wales Programme was clearly one of these mechanisms by which we would see this change, but I'm seeing very little as a consequence of the South Wales Programme, so when will we see more on that to ensure that the service change, which was led by clinicians, will actually deliver those changes we so desperately want? Because we know that there is a difficult challenge ahead of us. We know the resources are difficult. Finally, on the workforce, I think Rhun ap Iorwerth highlighted a very important point about how we develop it, and you answered quite well. It's not just about nurses and not just about doctors; it's a wide range of staff. Can you assure that Health Education and Improvement Wales covers that wide range of staff, and, if we are talking about new equipment, we also have the additional staff to resource that new equipment? Because a positron emission tomography scanner in a new hospital is fantastic, but it needs staff to work that PET scanner, and those staff are important to delivery.
Welsh: Diolch ichi, Dirprwy Lywydd, a wnaf i ddim. A gaf i, yn gyntaf oll, ddiolch i Ysgrifennydd y Cabinet am ei ddatganiad y prynhawn yma? Mae'n gyfle i mi gofnodi fy niolch a fy ngwerthfawrogiad o holl staff y GIG sydd wedi gweithio dros y 70 mlynedd hynny ac sy'n dal i weithio ac a fydd yn gweithio yn y blynyddoedd sydd i ddod. Eto rwy'n cofnodi, Dirprwy Lywydd, fod fy ngwraig yn un o'r aelodau staff hynny ar hyn o bryd. A gaf i hefyd dalu teyrnged i Dr Julian Hart, a fu farw ddydd Sul? Wrth gwrs, roedd yn feddyg teulu yng Nglyncorrwg yn fy Nghwm Afan i. Mewn gwirionedd, gweithiodd ochr yn ochr â Dr Brian Gibbons, fy rhagflaenydd, a chyn Weinidog iechyd hefyd. Felly, mae'n adnabyddus i lawer ohonom ni, ac mae ei golli yn golled drist i gymdeithas oherwydd y gwaith a wnaeth dros gymunedau difreintiedig, yn enwedig yn y Cymoedd. Ysgrifennydd y Cabinet, rydych chi wedi tynnu sylw at nifer o faterion, a chredaf efallai mai un o'r pethau mwyaf yr ydych chi wedi tynnu sylw ato yw'r ddealltwriaeth bod angen newid, ac mae'n rhaid inni rymuso'r newid hwnnw, o fewn y gwasanaeth a hefyd o fewn y cyhoedd. Rhan o'n swyddogaeth ni fel gwleidyddion yw derbyn yr her honno ac arwain y newid hwnnw - [ Anghlywadwy.] - unrhyw le arall ac i gydnabod na allwn ni ddal ati i ddweud, 'Wel, roedd yn gweithio'n well 10 mlynedd yn ôl, felly dyna'r ffordd y mae'n rhaid iddo aros', ond wrth wneud hynny, mae angen inni hefyd felly edrych ar strategaethau ar gyfer y newid hwnnw. Yn amlwg, yn ddiweddar, yn fy ardal i fy hun, rydym ni wedi gweld newid yn y strategaeth o gau gwelyau fel enghraifft, ond nid oes gennym ni strategaeth glinigol. Mae Llywodraeth Cymru wedi llunio cynlluniau a rhaglenni gwych - y cynllun cyflawni gofal canser, y cynllun gofal anadlol, a llawer o rai eraill - ond y cwestiwn yr wyf i eisiau ei ofyn yw: ble mae'r ystyriaeth gydgysylltiedig i sicrhau y gall yr holl gynlluniau hyn weithio gyda'i gilydd i gyflawni strategaeth glinigol ar gyfer y gwasanaeth cyfan, a sut mae'r byrddau iechyd hefyd yn sicrhau bod ganddyn nhw strategaeth glinigol? Felly, pan fyddwn yn dod ar draws gwasanaeth sy'n gweithio'n well, sy'n gwella oherwydd mesurau effeithlonrwydd, yn hytrach na chau gwelyau rydym yn ystyried sut orau y gallwn ni ddefnyddio'r gwelyau hynny i wella'r strategaethau mewn meysydd eraill i ddarparu'r gwasanaeth ar gyfer ein cleifion. Rwy'n credu bod hynny'n gam pwysig ymlaen oherwydd yr wyf i - fel Angela Burns - eisiau ei weld, nid dim ond am 30 mlynedd neu 70 o flynyddoedd - a byddaf i ddim yma mewn 70 mlynedd - ond am flynyddoedd i ddod, fel bod gan ein plant ni, eu hwyrion a'u plant hwythau y tu hwnt i hynny wasanaeth y gallan nhw ddibynnu arno am ddim pan fydd ei angen. Mae gen i chwaer yn America, ac nid oes ganddi hi'r gwasanaeth hwnnw. Credwch chi fi, dydyn ni ddim eisiau gweld unrhyw beth tebyg i hynny. Mae angen inni sicrhau bod y gwasanaeth iechyd yn parhau, ond mae'n rhaid inni groesawu newid, ond hefyd newid sy'n mynd â ni gydag ef, ac sy'n cario cleifion gydag ef. Felly, mae hynny'n bwysig. A gaf i hefyd ofyn y cwestiwn: roedd Rhaglen De Cymru yn amlwg yn un o'r dulliau hyn y byddem ni'n gweld y newid hwn yn ei sgil, ond ychydig iawn yr wyf i'n ei weld o ganlyniad i Raglen De Cymru, felly pryd fyddwn ni'n gweld mwy ar hynny i sicrhau y bydd y newid yn y gwasanaeth, a gafodd ei arwain gan glinigwyr, yn sicrhau y newidiadau hynny y mae eu hangen arnom ni mor druenus? Oherwydd rydym ni'n gwybod bod her anodd o'n blaenau. Rydym ni'n gwybod bod yr adnoddau yn anodd. Yn olaf, o ran y gweithlu, rwy'n credu bod Rhun ap Iorwerth wedi codi pwynt pwysig iawn ynghylch sut yr ydym ni'n ei ddatblygu, a gwnaethoch chi ateb yn eithaf da. Nid yw'n ymwneud â nyrsys a meddygon yn unig; mae'n ymwneud ag amrywiaeth eang o staff. A allwch chi sicrhau bod Addysg a Gwella Iechyd Cymru yn cwmpasu'r amrediad eang hwnnw o staff, ac, os ydym ni'n sôn am offer newydd, fod gennym ni hefyd y staff ychwanegol i ddefnyddio'r offer newydd hwnnw? Oherwydd mae sganiwr tomograffeg allyrru positronau mewn ysbyty newydd yn wych, ond mae angen staff i weithredu'r sganiwr PET hwnnw, ac mae'r staff hynny yn bwysig i'r ddarpariaeth.