English: Deputy Presiding Officer, I was told off earlier for speaking for too long, so I'll keep my comments very brief. There have been three years now since special measures were put in place and your statement is quite honest, truth be told, that very little progress has been made over those past three years. You use the words yourself: 'some evidence of recovery', 'some recent progress'. I think that we should be able to expect a little bit more than that after three years. You describe that support from the Government has included greater scrutiny and oversight, of appointing specialist consultants, but the first question is: is this tantamount to you taking responsibility for what is happening at Betsi Cadwaladr health board after three years of special measures being put in place? What I see are patients waiting longer. The figures confirm that - patients waiting much more than a year for treatments that they genuinely need in order to improve their quality of life; people who are waiting far too long for mental health care; young people waiting far too long for mental health care. The evidence is all there, which proves how much further we have to go. I'll ask three questions. Do you, as Cabinet Secretary, believe that the current structure to deliver health and social care across the north, with one health board, seven local authorities and external providers as well, is fit for purpose, if you like? If it's not now, is that kind of structure likely to develop to be fit for purpose in the near future? Do you believe, as a second question, that significant improvements to the referral-to-treatment times and waiting times for emergency departments are possible without improvements in social care services, including beds one step down in the community? Third, your statement refers to new health and social care centres, but can these centres and services genuinely deliver what they could, in principle, whilst there is that temptation for the board to continue to throw money at hospitals, at the secondary level of healthcare, in order to tackle waiting times? That is, that funds are sucked somehow into some kind of bottomless pit. If we can't deal with that, how can we strengthen primary care? Because I think that it's only through strengthening primary healthcare that a health board that serves a predominantly rural area can improve its performance significantly.
Welsh: Dirprwy Lywydd, mi ges i row yn gynharach am siarad am rhy hir, felly mi wnaf i gadw fy sylwadau i'n fyr iawn. Mae yna dair blynedd bellach ers cyflwyno'r stad yma o fesurau arbennig ac mae eich datganiad chi yn eithaf onest, a dweud y gwir, mai prin iawn ydy'r cynnydd sydd wedi bod yn y tair blynedd yna. Mi ydych chi'n defnyddio'r eirfa eich hunain: ' some evidence of recovery ', ' some recent progress '. Rydw i'n meddwl y dylem ni fod yn gallu disgwyl ychydig mwy na hynny ar ôl tair blynedd. Yr ydych chi'n disgrifio bod cefnogaeth y Llywodraeth yma wedi cynnwys lefel uwch o sgrwtini ac o oruchwyliaeth, o benodi ymgynghorwyr arbennig, ond y cwestiwn cyntaf ichi: a ydy hyn gyfystyr â'ch bod chi yn cymryd cyfrifoldeb am yr hyn sy'n digwydd ym mwrdd iechyd Betsi Cadwaladr ar ôl tair blynedd o fesurau arbennig? Beth rydw i'n ei weld ydy cleifion yn aros yn hirach. Mae'r ffigurau yn cadarnhau hynny - cleifion yn aros ymhell dros flwyddyn am driniaethau y maen nhw yn wirioneddol eu hangen er mwyn codi safon eu bywydau nhw; pobl sy'n aros yn llawer rhy hir am ofal iechyd meddwl; pobl ifanc yn aros yn rhy hir am ofal iechyd meddwl. Mae'r dystiolaeth i gyd yno, sy'n profi faint o ffordd sydd yna i fynd. Ond mi ofynnaf i dri chwestiwn ichi. A ydych chi, fel Ysgrifennydd Cabinet, yn credu bod y strwythur presennol i ddelifro iechyd a gofal cymdeithasol ar draws y gogledd, sef un bwrdd iechyd, saith awdurdod lleol, darparwyr allanol hefyd, yn ffit i bwrpas, os liciwch chi? Os nad ydyw o rŵan, a ydyw'r math yna o strwythur yn debyg o ddatblygu i fod yn ffit ar gyfer pwrpas yn y dyfodol agos? A ydych chi'n meddwl, fel ail gwestiwn, fod gwelliannau sylweddol i'r amseroedd referral to treatment ac amseroedd aros eich adrannau achosion brys yn bosib heb wellhad sylweddol mewn gwasanaethau gofal cymdeithasol, gan gynnwys gwelyau un gris i lawr o fewn y gymuned? Ac yn drydydd, mae'ch datganiad chi yn cyfeirio at ganolfannau iechyd a gofal cymdeithasol newydd, ond a all y canolfannau i'r gwasanaethau yma wirioneddol ddelifro yr hyn y gallan nhw, mewn egwyddor, tra bod yna'r demtasiwn fawr yna ar y bwrdd i gario ymlaen i daflu arian at ysbytai, at lefel eilradd o ofal iechyd, er mwyn trio taclo amseroedd aros? Hynny ydy, bod arian yn cael ei sugno rhywsut i mewn i ryw bwll diwaelod. Oni bai bod modd delio efo hynny, sut ydych chi'n gallu cryfhau gofal sylfaenol? Achos dim ond drwy - rydw i'n meddwl - gryfhau gofal sylfaenol y gall bwrdd iechyd mewn ardal sydd, ar y cyfan, yn wledig, wella ei berfformiad yn sylweddol.