English: Thank you, Deputy Presiding Officer. I would like to do just that. I'm very grateful to Plaid Cymru for bringing forward this motion, although I would say to Rhun ap Iorwerth that he shouldn't be quite so sensitive about being ribbed for relying so heavily upon an English survey, when he normally eschews all things English. In fact, Plaid Cymru have taken me to task so many times for using English data when it comes to the NHS. I think that having a target for diagnosis within 28 days is a really laudable aim, and I think it's also a very humane aim, because I cannot think of much that could be more frightening than a GP telling you that you need to go off and have tests because they suspect you have cancer. I know from constituents' stories, they tell me that it consumes them - the wait. And the longer they have to wait, the more worried they and their families become. I think that being able to answer people's fears and either tell them of a battle they have to fight or to let them off and allow them to go back to their normal lives is incredibly important. And anything and everything we can do to bring that diagnosis time down is really, really welcome. I've noted the Government's amendments and I am pleased, Cabinet Secretary, to see that there is more emphasis on early detection, as set out in the cancer delivery plan. I couldn't agree more with that, but I have to say that, overall, you are failing cancer patients throughout Wales. Independent research by Bristol University concludes that patients in England are seven times more likely to access modern cancer drugs than their counterparts in Wales; that, in Wales in total, there's been a 6.1 per cent increase in those waiting for urgent cancer care. So, it's very important to have the early detection, but your point (b) goes on to say that, 'more people than ever are being treated for cancer in Wales and survival rates are at an all-time high'. I welcome that. I think that's absolutely excellent, but, again, we have to look at the fact that only 83.3 per cent of people who should have started their cancer treatment within 62 days are actually being able to do that, and none of Wales's health boards are meeting this target on an individual basis. So there's quite a big gap between the rhetoric of your amendments and the actual delivery out there on the street. We've put forward an amendment that talks about improving access to screening services across the whole of Wales. We would like to acknowledge the role that a national mobile cancer treatment service plays in supporting those with cancer. We believe that we are so far behind in the first part of this motion that we could really move forward by using mobile cancer diagnostic treatment centres much, much more. Twenty point eight per cent of people across Wales are waiting more than eight weeks. In England it's only 1.5 per cent. We have got more new cases of cancer and incidence is continuing to rise in men and women. When you think that four out of every 10 cases of cancer are preventable, where good diagnostics could make such an enormous difference, then we really want to emphasise the point that a national mobile cancer treatment service could make the world of difference. We announced in the 2016 Assembly elections that we would establish just such a thing to prevent long round trips for patients accessing clinics and chemotherapy treatment. We also committed to reducing referrals to secondary care by making much greater use of diagnostic technology in GPs surgeries. It's really interesting, because I went to a cluster group on Friday of last week, and they've actually got a critical reactor diagnostic test machine, and that is one of the keys that will actually tell you in your blood whether or not you might be having something going on that could lead to either a cancer or a sepsis. It's a very rare thing for a GP's clinic to actually bring that in and use that, but by being able to do that they're playing their part in helping to move forward this early diagnostic. There are an awful lot of things that we can do in terms of helping GPs to do much more screening at their level, to then get those referrals going on through into the hospitals. Mobile clinics are absolutely essential, particularly in rural Wales, where it is so very difficult for people to get backwards and forwards. We'd like to look at ideas such as having chemists being able to do blood tests - again, blood tests that can pick up the cancer markers, which can go forward. All of these things just help to speed up the system, and that's what we need to do to be able to move this forward. If we want to be able to try and make that 28-day target, which I think would be absolutely critical for the mental well-being of a potential cancer sufferer, then we need to look at the whole broad-brush spectrum, and I'd be very interested in your views on some of those ideas, Cabinet Secretary.
Welsh: Diolch, Ddirprwy Lywydd. Hoffwn wneud hynny. Rwy'n ddiolchgar iawn i Blaid Cymru am gyflwyno'r cynnig hwn, er y byddwn yn dweud wrth Rhun ap Iorwerth na ddylai fod mor sensitif am gael tynnu ei goes am ddibynnu mor drwm ar arolwg o Loegr, ag yntau fel arfer yn osgoi pob peth Seisnig. Yn wir, mae Plaid Cymru wedi fy ngheryddu cymaint o weithiau am ddefnyddio data o Loegr mewn perthynas â'r GIG. Credaf fod cael targed ar gyfer cael diagnosis o fewn 28 diwrnod yn nod canmoladwy iawn, ac rwy'n credu ei fod hefyd yn nod trugarog iawn, gan na allaf feddwl am lawer a allai fod yn fwy brawychus na meddyg teulu yn dweud wrthych fod angen i chi fynd i gael profion am eu bod yn amau bod gennych ganser. Rwy'n gwybod o straeon etholwyr, maent yn dweud wrthyf ei fod yn eu difa - yr aros. A pho hiraf sy'n rhaid iddynt aros, y mwyaf pryderus y maent hwy a'u teuluoedd yn mynd i fod. Rwy'n meddwl bod gallu ateb ofnau pobl a naill ai dweud wrthynt am y frwydr sy'n rhaid iddynt ei hymladd neu eu rhyddhau a gadael iddynt ddychwelyd at eu bywydau arferol yn hynod o bwysig. Ac mae unrhyw beth a phopeth y gallwn ei wneud i leihau'r amser diagnosis hwnnw i'w groesawu'n fawr iawn. Rwyf wedi nodi gwelliannau'r Llywodraeth ac rwy'n falch o weld, Ysgrifennydd y Cabinet, fod mwy o bwyslais ar ganfod yn gynnar, fel y nodir yn y cynllun cyflawni canser. Rwy'n cytuno'n llwyr â hynny, ond rhaid i mi ddweud, ar y cyfan, rydych yn gwneud cam â chleifion canser ledled Cymru. Daeth ymchwil annibynnol gan Brifysgol Bryste i'r casgliad fod cleifion yn Lloegr saith gwaith yn fwy tebygol o gael mynediad at gyffuriau canser modern na'u cymheiriaid yng Nghymru; fod cynnydd o 6.1 y cant i gyd wedi bod yng Nghymru yn y nifer sy'n aros am ofal canser brys. Felly, mae'n bwysig iawn gallu canfod yn gynnar, ond mae eich pwynt (b) yn mynd ymlaen i ddweud bod, 'mwy o bobl nag erioed yn cael eu trin am ganser yng Nghymru a bod y cyfraddau goroesi yn uwch nag erioed o'r blaen'. Rwy'n croesawu hynny. Rwy'n credu bod hynny'n hollol wych, ond unwaith eto, mae'n rhaid i ni edrych ar y ffaith mai 83.3 y cant yn unig o bobl a ddylai fod wedi dechrau ar eu triniaeth canser o fewn 62 o ddiwrnodau sy'n gallu gwneud hynny mewn gwirionedd, ac nid oes yr un o fyrddau iechyd Cymru yn cyrraedd y targed hwn ar sail unigol. Felly mae yna fwlch mawr rhwng rhethreg eich gwelliannau a'u cyflawniad allan yno ar lawr gwlad. Rydym wedi cyflwyno gwelliant sy'n sôn am wella mynediad at wasanaethau sgrinio ar draws Cymru gyfan. Hoffem gydnabod y rôl y mae'r gwasanaeth trin canser symudol cenedlaethol yn ei chwarae yn cefnogi pobl sydd â chanser. Rydym yn credu ein bod mor bell y tu ôl yn rhan gyntaf y cynnig hwn fel y gallem symud ymlaen o ddifrif drwy ddefnyddio llawer iawn mwy ar ganolfannau triniaeth diagnostig symudol ar gyfer canser. Mae 20.8 y cant o bobl ledled Cymru yn aros mwy nag wyth wythnos. Yn Lloegr nid yw ond yn 1.5 y cant. Mae gennym fwy o achosion newydd o ganser ac mae nifer yr achosion yn parhau i godi mewn dynion a menywod. Pan feddyliwch fod modd atal pedwar o bob 10 achos o ganser, lle y gallai diagnosteg dda wneud gwahaniaeth mor enfawr, yna rydym o ddifrif eisiau pwysleisio'r pwynt y gallai gwasanaeth trin canser symudol cenedlaethol wneud y byd o wahaniaeth. Cyhoeddasom yn etholiadau'r Cynulliad 2016 y byddem yn sefydlu yn union hynny i atal teithiau hir i gleifion sy'n mynd i glinigau ac yn cael triniaeth cemotherapi. Rydym hefyd wedi ymrwymo i leihau atgyfeiriadau i ofal eilaidd drwy wneud llawer mwy o ddefnydd o dechnoleg ddiagnostig mewn meddygfeydd meddygon teulu. Mae'n ddiddorol iawn, oherwydd euthum i grŵp clwstwr ddydd Gwener yr wythnos diwethaf, ac mae ganddynt beiriant prawf diagnostig adwaith critigol, a dyna un o'r allweddi a fydd yn dweud wrthych yn eich gwaed mewn gwirionedd pa un a oes rhywbeth yn digwydd a allai arwain at naill ai canser neu sepsis. Mae'n beth prin iawn i glinig meddyg teulu ddod â pheiriant felly i mewn a defnyddio hwnnw, ond drwy allu gwneud hynny maent yn chwarae eu rhan yn helpu i symud y diagnosis cynnar hwn yn ei flaen. Mae llawer iawn o bethau y gallwn ei wneud i helpu meddygon teulu i wneud llawer mwy o sgrinio ar eu lefel hwy, a symud yr atgyfeiriadau hyn drwodd i'r ysbytai wedyn. Mae clinigau symudol yn gwbl hanfodol, yn enwedig yng nghefn gwlad Cymru, lle y mae mor hynod o anodd i bobl deithio yn ôl ac ymlaen. Hoffem edrych ar syniadau fel cael cemegwyr sy'n gallu gwneud profion gwaed - unwaith eto, profion gwaed a all nodi'r marcwyr canser, i allu symud ymlaen. Mae pob un o'r pethau hyn yn helpu i gyflymu'r system, a dyna beth sydd angen i ni ei wneud i allu symud hyn yn ei flaen. Os ydym eisiau gallu ceisio cyrraedd y targed hwnnw o 28 diwrnod, rhywbeth y credaf y byddai'n gwbl hanfodol ar gyfer lles meddyliol rhywun a allai fod yn dioddef o ganser, yna mae angen i ni edrych ar y sbectrwm eang cyfan, a byddai gennyf ddiddordeb mawr yn eich barn ar rai o'r syniadau hynny, Ysgrifennydd y Cabinet.