English: I also welcome greatly this debate brought forward by David Rees AM. It is factual that we are making real advances in this country, but it still remains the case, as has been said by many, that Wales is behind comparable countries for cancer survival, despite a decline in death rates. Late detection of many cancers is thought to be the main factor around this lag, and it has been stated by Cancer Research Wales that late diagnosis is both complex and multifactorial, and can result from the lack of awareness of symptoms, patients embarrassed to see their GP, or, commonly, having to make several visits over a large period of time before the GP refers the patient for specialised examination. The red flag system, as has been mentioned by Dai opposite, will aid that medical profession doing that particular task. The Welsh Government and its health Minister, Vaughan Gething, have understood the importance of this area of delay and also will act to address this very real challenge. The important single cancer pathway introduced in June 2019 as a new metric to measure cancer waiting times will also be an additional factor. But it is imperative that we do build underlying systems and diagnostics within the single cancer pathway to diagnose and treat as many patients as early as possible, and a new cancer strategy, as has been outlined by many, will supersede the current delivery plan - it's a point in time where we could focus on and emphasise this critical early diagnosis as well, and, equally, specialised workforce planning and training around specialised cancer routes, for example, endoscopy and many others. The new focus on prevention and early diagnosis will be key in catching symptoms of disease early, treating early and improving survival rates, and the new treatment fund and the implementation of the specialist key worker to support cancer patients will aid and improve, again, those current survival rates. But this debate today is not about statistics. As others have stated, this is about real people, like my Dad, who was recently with early-stage bowel cancer. Due to this early diagnosis and an excellent patient-centred care plan, he is now in remission. He is lucky, and his journey must now be further replicated through all new approaches across Wales.
Welsh: Rwyf innau'n croesawu'r ddadl hon a gyflwynwyd gan David Rees AC. Mae'n wir ein bod yn gwneud cynnydd gwirioneddol yn y wlad hon, ond mae'n wir o hyd, fel y mae llawer wedi'i nodi, fod Cymru ar ei hôl hi o gymharu â gwledydd tebyg o ran cyfraddau goroesi canser, er gwaethaf y gostyngiad yn y cyfraddau marwolaeth. Credir mai'r prif ffactor sy'n gyfrifol am yr oedi hwn yw'r ffaith bod llawer o ganserau'n cael eu canfod yn hwyr, ac mae Ymchwil Canser Cymru wedi dweud bod diagnosis hwyr yn gymhleth ac yn aml-ffactor, ac y gall ddeillio o ddiffyg ymwybyddiaeth o symptomau, cleifion yn teimlo gormod o embaras i weld eu meddyg teulu, neu fel arfer, yn gorfod gwneud sawl ymweliad dros gyfnod hir o amser cyn bod y meddyg teulu'n atgyfeirio'r claf i gael archwiliad arbenigol. Bydd system y faner goch, fel y nodwyd gan Dai gyferbyn, yn cynorthwyo'r proffesiwn meddygol i wneud y dasg benodol honno. Mae Llywodraeth Cymru a'i Gweinidog iechyd, Vaughan Gething, wedi deall pwysigrwydd yr oedi hwn, a bydd hefyd yn cymryd camau i fynd i'r afael â'r her real hon. Bydd y llwybr canser sengl pwysig a gyflwynwyd ym mis Mehefin 2019 fel dull newydd o fesur amseroedd aros canser yn ffactor ychwanegol hefyd. Ond mae'n hanfodol ein bod yn adeiladu diagnosteg a systemau sylfaenol o fewn y llwybr canser sengl i neud diagnosis a thrin cynifer o gleifion cyn gynted â phosibl, a bydd strategaeth ganser newydd, fel y nododd llawer ohonoch, yn disodli'r cynllun cyflawni presennol - mae'n adeg lle gallem ganolbwyntio ar y diagnosis cynnar critigol hwn a'i bwysleisio, ac yn yr un modd, gwneud gwaith ar gynllunio'r gweithlu arbenigol a hyfforddiant ar lwybrau canser arbenigol, er enghraifft, endosgopi a llawer o rai eraill. Bydd y ffocws newydd ar atal a diagnosis cynnar yn allweddol er mwyn nodi symptomau clefyd yn gynnar, eu trin yn gynnar a gwella cyfraddau goroesi, a bydd y gronfa triniaethau newydd a gweithredu'r gweithiwr allweddol arbenigol i gynorthwyo cleifion canser yn helpu ac yn gwella, unwaith eto, y cyfraddau goroesi fel y maent ar hyn o bryd. Ond nid ar ystadegau y mae sylw'r ddadl hon heddiw. Fel y mae eraill wedi dweud, mae'n ymwneud â phobl go iawn, fel fy nhad, a gafodd ddiagnosis cam cynnar o ganser y coluddyn yn ddiweddar. Oherwydd y diagnosis cynnar a chynllun gofal rhagorol sy'n canolbwyntio ar y claf, mae bellach yn gwella. Mae'n lwcus, ac mae'n rhaid i'w daith gael ei hailadrodd yn awr drwy bob dull newydd ledled Cymru.