English: And these are incredible achievements to be celebrated. Yet we know that there's always more to do. A growing and ageing population places ever-greater demands on our services. The ever-faster rate of medical and technological advancement is creating opportunity and expectation, together with more funding dilemmas for services with finite budgets and a myriad of competing priorities. In many ways, none of this is new. Almost from day one, the NHS has been surrounded by arguments over funding, spiralling budgets, and arguments over structural and organisational arrangements, capacity and the rationing of services. What is different now though is the scale of the challenge, its urgency and the scale of the operation. Last year in Wales there were some 20 million patient contacts, more than 700,000 first out-patient appointments, more than 600,000 in-patient and day cases, more than 479,000 ambulance calls and more than 1 million people seen in our accident and emergency departments, whilst some 82,000 adults and around 16,000 children depended on support from our social care services. Between them, these services have a combined budget of over £9 billion and employ a workforce of over 170,000 staff. And all this for a population of just over 3 million. And when we consider today, of course, we still face the challenges over a range of health inequalities. And I want to recognise now the pioneering work done on the inverse care law in Cwm Taf and Aneurin Bevan health board areas and the signs that they're actually closing a gap on health inequalities, which is a remarkable achievement. And it's worth reflecting, of course, on the passing away of the Welsh GP Julian Tudor Hart at the age of 91 on Sunday. As will others, I've met him and been impressed by him, but, more than that, the impact of his 1971 The Lancet paper on the inverse care law continues to prompt debate and recognition of how we still have a continuing responsibility to tackle health inequalities. We know that meeting these challenges and coping with the different demands that the future will bring means that our services will have to change and adapt, as they have had to do in the past. That's why, with cross-party support, we commissioned the independent parliamentary review to examine our health and care system, and, having taken their advice on what needs to change, we've spent the early part of this year working with stakeholders across Wales to develop our long-term plan for health and social care. So, 'A Healthier Wales' is the first joint health and social care plan in the UK. It sets out actions that we will take as a Government to support our services so that they can deliver the transformation required and ensure that our services are fit for the future. As we reflect on and celebrate our past, we have choices to make for our future. More of the same cannot be the answer. We cannot allow our NHS to be changed by service failure. We have to empower and enable change to improve services and outcomes. And, crucially, we have to listen to our staff and provide them with a platform to lead a debate with the public about the future. When I receive praise for the national health service, the letters and the conversations that I have themselves often refer to the amazing technical capability of the health service. However, they always talk about people. Because the service isn't bricks and mortar - the health service, above all else, is our staff. Because the NHS would survive without me, but it won't survive without our staff - the doctors, the nurses, the therapists, scientists, admin staff, the cooks, the cleaners, the paramedics, the porters and many more - all of the people who keep our service alive with their skill, their commitment and their compassion, and it's a tremendous honour to serve our staff. The other big 70 we celebrate this year is, of course, Windrush 70. Many of the Windrush generation played a pivotal role in shaping our national health service, the same incredible people who are being denied their place in the Britain that they helped to create. This country is their home, and our countries are better places for the Windrush generation, and they have been poorly repaid for their loyalty. We cannot and will not allow their fate to stain the hands of this generation. Our NHS and social care sector is lucky to have such a skilled and diverse workforce. We have a rich history of welcoming people who were born or trained both in and outside Europe. We should not simply value them for their public service but for the contribution that they make as our friends and neighbours in each community that we live in and represent. Bevan was famously quoted as saying: 'no society can legitimately call itself civilised if a sick person is denied medical aid because of lack of means.' This Government still holds true to that principle today, as it was then. There will always be more for us to improve here in Wales, but I am proud that we have stayed true to Bevan's ideals. We rejected the market in favour of a planned system, we have increased budgets faster than across our border over the last five years, we abolished prescription charges and capped the costs of social care. But Bevan himself was not simply a man of fine words and principle. He compromised with reality to deliver an achievement of lasting value that touches and improves the lives of every one of us. If he were here today I think he would recognise the need to improve and not to get stuck with what we have instead of what we deserve. I think he would recognise the battle of ideas and the clash of values. I am certain that he would recognise our values, support them and fight for them.
Welsh: Ac mae'r rhain yn llwyddiannau anhygoel y dylid eu dathlu. Ond eto rydyn ni'n gwybod bod rhagor i'w wneud bob amser. Mae poblogaeth sy'n tyfu ac yn heneiddio yn rhoi mwy a mwy o bwysau ar ein gwasanaethau. Mae cyfradd datblygiad technolegol a meddygol, sy'n gyflymach nag erioed, yn creu cyfle a disgwyliad, ynghyd â mwy o gyfyngderau cyllido ar gyfer gwasanaethau â chyllidebau cyfyngedig a llu o flaenoriaethau sy'n cystadlu. Mewn llawer o ffyrdd, does dim o hyn yn newydd. Bron o'r diwrnod cyntaf un, mae'r GIG wedi cael ei amgylchynu â dadleuon dros arian, cynyddu cyllidebau, a dadleuon dros drefniadau strwythurol a sefydliadol, capasiti a dogni gwasanaethau. Yr hyn sy'n wahanol nawr, fodd bynnag, yw maint yr her, ei brys a maint y gweithrediad. Y llynedd yng Nghymru roedd tuag 20 miliwn o gysylltiadau â chleifion, mwy na 700,000 o apwyntiadau cleifion allanol cyntaf, mwy na 600,000 o achosion cleifion mewnol a dydd, mwy na 479,000 o alwadau am ambiwlans a mwy na 1 miliwn o bobl yn cael eu gweld yn ein hadrannau damweiniau ac achosion brys, tra'r oedd tuag 82,000 o oedolion a thuag 16,000 o blant yn dibynnu ar gymorth gan ein gwasanaethau gofal cymdeithasol. Rhyngddynt, mae gan y gwasanaethau hyn gyllideb gyfunol o dros £9 biliwn ac maen nhw'n cyflogi gweithlu o dros 170,000 o staff. A hyn oll ar gyfer poblogaeth o ychydig dros 3 miliwn. A phan ystyriwn heddiw, wrth gwrs, ein bod yn dal i wynebu heriau dros ystod o anghydraddoldebau iechyd. Hoffwn gydnabod nawr y gwaith arloesol sydd wedi cael ei wneud ar y ddeddf gofal gwrthgyfartal yn ardaloedd bwrdd iechyd Cwm Taf ac Aneurin Bevan a'r arwyddion eu bod wir yn cau bwlch ar anghydraddoldebau iechyd, sy'n gamp ryfeddol. Ac mae'n werth myfyrio, wrth gwrs, ar farwolaeth y meddyg teulu o Gymru, Julian Tudor Hart, yn 91 oed ddydd Sul. Fel eraill, cwrddais ag ef a gwnaeth argraff arnaf, ond, yn fwy na hynny, mae effaith ei bapur yn The Lancet yn 1971 ar ddeddf gofal gwrthgyfartal yn parhau i ysgogi dadl a chydnabyddiaeth o'r cyfrifoldeb sydd gennym o hyd i ymdrin ag anghydraddoldebau iechyd. Rydym yn gwybod bod ateb yr heriau hyn ac ymdopi â'r gwahanol ofynion a ddaw yn y dyfodol yn golygu y bydd ein gwasanaethau'n gorfod newid ac addasu, fel y maent wedi gorfod ei wneud yn y gorffennol. Dyna pam, gyda chefnogaeth drawsbleidiol, y gwnaethom gomisiynu'r arolwg seneddol annibynnol i edrych ar ein system iechyd a gofal, ac, ar ôl cymryd eu cyngor ar yr hyn y mae angen ei newid, rydym wedi treulio rhan gynnar y flwyddyn hon yn gweithio gyda rhanddeiliaid ledled Cymru i ddatblygu ein cynllun hirdymor ar gyfer iechyd a gofal cymdeithasol. Felly, 'Cymru Iachach' yw'r cynllun iechyd a gofal cymdeithasol ar y cyd cyntaf yn y DU. Mae'n nodi camau gweithredu y byddwn yn eu cymryd fel Llywodraeth i gefnogi ein gwasanaethau fel y gallant sicrhau'r trawsnewid sydd ei angen a sicrhau bod ein gwasanaethau'n addas i'r dyfodol. Wrth i ni fyfyrio ar ein gorffennol a'i ddathlu, mae gennym ddewisiadau i'w gwneud ar gyfer ein dyfodol. Ni all yr ateb fod yn fwy o'r un peth. Ni allwn ganiatáu i fethiant gwasanaethau newid ein GIG. Rhaid inni rymuso a galluogi newid i wella gwasanaethau a chanlyniadau. Ac, yn hollbwysig, rhaid inni wrando ar ein staff a rhoi llwyfan iddynt i arwain dadl gyda'r cyhoedd am y dyfodol. Pan fyddaf yn cael canmoliaeth am y gwasanaeth iechyd gwladol, mae'r llythyrau a'r sgyrsiau a gaf ynddynt eu hunain yn aml yn cyfeirio at allu technegol anhygoel y gwasanaeth iechyd. Fodd bynnag, maent bob amser yn sôn am bobl. Oherwydd nid brics a morter yw'r gwasanaeth - ein staff, yn anad dim, yw'r gwasanaeth iechyd. Byddai'r GIG yn goroesi hebof fi, ond ni wnaiff oroesi heb ein staff - y meddygon, y nyrsys, y therapyddion, y gwyddonwyr, y staff gweinyddol, y cogyddion, y glanhawyr, y parafeddygon, y porthorion a llawer mwy - yr holl bobl sy'n cadw ein gwasanaeth yn fyw â'u sgiliau, eu hymrwymiad a'u cydymdeimlad, ac mae'n fraint aruthrol i wasanaethu ein staff. Wrth gwrs, y 70 mawr arall yr ydyn ni'n ei ddathlu eleni yw Windrush 70. Chwaraeodd llawer o'r genhedlaeth Windrush ran ganolog wrth lunio ein gwasanaeth iechyd gwladol, yr un bobl anhygoel sy'n cael gwrthod eu lle yn y Brydain y gwnaethant helpu i'w chreu. Y wlad hon yw eu cartref, ac mae ein gwledydd yn lleoedd gwell oherwydd cenhedlaeth Windrush, ac maent wedi cael eu had-dalu'n wael am eu teyrngarwch. Ni allwn, ac ni wnawn, ganiatáu i'w tynged nhw staenio dwylo'r genhedlaeth hon. Mae ein GIG a'n sector gofal cymdeithasol yn ffodus o'i weithlu sydd mor fedrus ac amrywiol. Mae gennym hanes cyfoethog o groesawu pobl a gafodd eu geni neu eu hyfforddi y tu mewn a thu allan i Ewrop. Dylem eu gwerthfawrogi am fwy na'u gwasanaeth cyhoeddus ond am eu cyfraniad fel ein ffrindiau a'n cymdogion ym mhob cymuned yr ydyn ni'n byw ynddynt ac yn eu cynrychioli. Dyfyniad enwog gan Bevan yw: 'ni all unrhyw gymdeithas alw ei hun yn gymdeithas wâr mewn gwirionedd os yw'n gwrthod cymorth meddygol i rywun sâl oherwydd diffyg adnoddau.' Mae'r Llywodraeth hon yn cadw at yr egwyddor honno heddiw, fel bryd hynny. Bydd mwy inni ei wella yma yng Nghymru bob amser, ond rwy'n falch ein bod wedi aros yn driw i ddelfrydau Bevan. Rydyn ni wedi gwrthod y farchnad o blaid system wedi'i chynllunio, rydyn ni wedi cynyddu cyllidebau'n gyflymach na dros y ffin yn ystod y pum mlynedd diwethaf, rydyn ni wedi diddymu taliadau presgripsiwn ac wedi capio costau gofal cymdeithasol. Ond nid dim ond dyn o eiriau da ac egwyddor oedd Bevan ei hun. Roedd yn rhaid iddo gyfaddawdu â realiti i gyflawni'r gamp o werth parhaol sy'n cyffwrdd ac yn gwella bywydau pob un ohonom. Pe bai yma heddiw, rwy'n credu y byddai'n cydnabod yr angen i wella ac i beidio â chael ein gadael gyda'r hyn sydd gennym yn hytrach na'r hyn yr ydym yn ei haeddu. Rwy'n credu y byddai'n cydnabod y frwydr o syniadau a'r gwrthdaro rhwng gwerthoedd. Rwy'n sicr y byddai'n cydnabod ein gwerthoedd, yn eu cefnogi ac yn ymladd drostynt.