English: For over 154,000 people in Flintshire and over 675,000 people across north Wales, Betsi Cadwaladr health board provides life-saving operations, cares for our most vulnerable and elderly, supports our friends and families through the trauma of death, whilst also supporting mothers and fathers bringing new life into this world. So, Deputy Llywydd, I'd like to start by acknowledging that and thanking every single NHS staff member across Wales, across the UK, for their work and the leadership they show in their communities, as well as the part they play in the health and social care service. I know, as other Members across this Chamber who represent north Wales will know as well, that the care that many of our constituents receive from the health board is up there with the best. When I speak to certain patients and my own constituents, many tell me that they have received excellent care and of the professionalism of the staff members. But I also have too many who turn to me for help having been let down. Firstly, I think the health board has made some very positive steps by recognising the risks to its performance, namely the failure to maintain the quality of patient services, maintain financial sustainability, develop plans and reconnect with the wider public. When constituents get in touch with me, it's more often than not relating to GP out-of-hours, primary care services, mental health services and ambulance response times. So, touching briefly on primary care, I know that, in my constituency, the issues are recognised and that more does need to be done to ensure a sustainable primary care workforce. Equally, on GP out-of-hours, I know there has been significant investment and that performance is comparatively good when viewed with the rest of Wales, but Members for north Wales will also know that several challenges remain in relation to the workforce, performance, risk management and finance of such services. Members will also know that I've spoken a lot about new technology and how that can assist our public services in the future. Deputy Llywydd, I genuinely believe that if we are bold and brave enough, Betsi Cadwaladr is well placed to lead on the new technology, and will benefit from doing so, whether that is letting them lead on certain technological trials or by using more online services to reduce the pressure points within the GP services. On mental health, which is, of course, one of the most personal issues for me, I know the significant scale of the ongoing challenge to improve those services across north Wales. The Minister will know that, since I was elected, I've had a lot of casework on mental health, and I particularly look forward to his reply to my recent query on the availability of dialectical behaviour therapy in north Wales, something that will help many of my constituents. Finally, on the issue of the health board's make-up as it is - because I know this has been a controversial topic of discussion in the past, but, from the correspondence I continue to receive and the meetings that I have had, I believe it would be wrong to shelve completely the idea of reorganising Betsi Cadwaladr. For me, any change needs to weigh up the evidence - not political, but clinical, and led by professionals. At the same time, we need to make sure that any such changes wouldn't have unintended consequences or impact on the difficulties it already faces. Ultimately, our goal should be ensuring Betsi Cadwaladr health board gets out of special measures and regains the confidence of those who feel let down. I'll finish my contribution shortly, Deputy Llywydd, but I'm also very keen to ensure that patients across north Wales, particularly my constituents, continue to be able to receive cross-border services, just as we are happy to welcome English patients to Wales. But I want to take this opportunity to say thank you for bringing everyone together, because we shouldn't be using the health service and debates about the health service as a political football, but we should speak openly and honestly about the issues whilst respecting the hard-working NHS staff. That is the way I see change and it's the way we all need to see change. Diolch.
Welsh: I fwy na 154,000 o bobl yn Sir y Fflint a thros 675,000 o bobl ar draws gogledd Cymru, mae bwrdd iechyd Betsi Cadwaladr yn darparu llawdriniaethau sy'n achub bywydau, yn gofalu am ein pobl fwyaf bregus a'n henoed, yn cefnogi ein ffrindiau a'n teuluoedd drwy drawma marwolaeth, a hefyd yn cynorthwyo mamau a thadau i ddod â bywyd newydd i'r byd hwn. Felly, Ddirprwy Lywydd, hoffwn ddechrau drwy gydnabod hynny a diolch i bob aelod o staff y GIG ledled Cymru, ar draws y DU, am eu gwaith a'r arweiniad y maent yn ei ddangos yn eu cymunedau, yn ogystal â'r rhan y maent yn ei chwarae yn y gwasanaeth iechyd a gofal cymdeithasol. Rwy'n gwybod, fel y bydd Aelodau eraill ar draws y Siambr hon sy'n cynrychioli gogledd Cymru yn gwybod, fod y gofal a gaiff llawer o'n hetholwyr gan y bwrdd iechyd gystal â'r gorau. Pan fyddaf yn siarad â chleifion a fy etholwyr fy hun, mae llawer yn dweud wrthyf eu bod wedi cael gofal rhagorol ac yn sôn am broffesiynoldeb y staff. Ond mae gennyf ormod hefyd sy'n troi ataf am help ar ôl cael eu siomi. Yn gyntaf, rwy'n credu bod y bwrdd iechyd wedi gwneud peth cynnydd cadarnhaol iawn drwy gydnabod y risgiau i'w berfformiad, sef y methiant i gynnal ansawdd gwasanaethau i gleifion, cynnal cynaliadwyedd ariannol, datblygu cynlluniau ac ailgysylltu â'r cyhoedd yn ehangach. Pan fydd etholwyr yn cysylltu â mi, yn amlach na pheidio mae'n ymwneud â meddygon teulu y tu allan i oriau arferol, gwasanaethau gofal sylfaenol, gwasanaethau iechyd meddwl ac amseroedd ymateb ambiwlansys. Felly, gan gyffwrdd yn fyr â gofal sylfaenol, gwn fod y problemau'n cael eu cydnabod yn fy etholaeth a bod angen gwneud mwy i sicrhau gweithlu gofal sylfaenol cynaliadwy. Yn yr un modd, o ran meddygon teulu y tu allan i oriau arferol, gwn fod buddsoddiad sylweddol wedi'i wneud a bod perfformiad yn gymharol dda o edrych arno gyda gweddill Cymru, ond bydd Aelodau gogledd Cymru hefyd yn gwybod bod sawl her yn parhau o ran y gweithlu, perfformiad, rheoli risg a chyllido gwasanaethau o'r fath. Bydd yr Aelodau hefyd yn gwybod fy mod wedi siarad llawer am dechnoleg newydd a sut y gall hynny gynorthwyo ein gwasanaethau cyhoeddus yn y dyfodol. Ddirprwy Lywydd, rwy'n credu'n wirioneddol, os ydym yn ddigon dewr, fod Betsi Cadwaladr mewn sefyllfa dda i arwain ar y dechnoleg newydd, ac y bydd yn elwa o wneud hynny, boed drwy adael iddynt arwain ar dreialon technolegol penodol neu drwy ddefnyddio mwy o wasanaethau ar-lein i leihau'r pwysau yn y gwasanaethau meddyg teulu. Ar iechyd meddwl, sydd, wrth gwrs, yn un o'r materion mwyaf personol i mi, gwn beth yw maint sylweddol yr her barhaus i wella'r gwasanaethau hynny ar draws gogledd Cymru. Bydd y Gweinidog yn gwybod, ers imi gael fy ethol, fy mod wedi cael llawer o waith achos ar iechyd meddwl, ac edrychaf ymlaen yn arbennig at ei ateb i fy ymholiad diweddar ar argaeledd therapi ymddygiad dialectig yng ngogledd Cymru, rhywbeth a fydd o gymorth i lawer o fy etholwyr. Yn olaf, ar fater cyfansoddiad y bwrdd iechyd fel y mae - oherwydd gwn fod hwn yn bwnc trafod dadleuol yn y gorffennol, ond o'r ohebiaeth rwy'n dal i'w chael a'r cyfarfodydd a gefais, credaf y byddai'n anghywir rhoi'r gorau'n llwyr i'r syniad o ad-drefnu Betsi Cadwaladr. I mi, mae angen i unrhyw newid bwyso a mesur y dystiolaeth - nid tystiolaeth wleidyddol, ond y dystiolaeth glinigol, ac wedi'i harwain gan weithwyr proffesiynol. Ar yr un pryd, mae angen i ni wneud yn siŵr na fyddai unrhyw newidiadau o'r fath yn arwain at ganlyniadau anfwriadol neu'n effeithio ar yr anawsterau y mae eisoes yn eu hwynebu. Yn y pen draw, rhaid inni ganolbwyntio ar sicrhau bod bwrdd iechyd Betsi Cadwaladr yn dod allan o fesurau arbennig ac yn adennill hyder y rhai sy'n teimlo eu bod wedi cael cam. Rwyf am orffen fy nghyfraniad gyda hyn, Ddirprwy Lywydd, ond rwyf hefyd yn awyddus iawn i sicrhau bod cleifion ar draws gogledd Cymru, yn enwedig fy etholwyr, yn parhau i allu cael gwasanaethau trawsffiniol, yn union fel rydym ni'n falch o groesawu cleifion o Loegr i Gymru. Ond hoffwn fanteisio ar y cyfle hwn i ddweud diolch am ddod â phawb at ei gilydd, oherwydd ni ddylem fod yn defnyddio'r gwasanaeth iechyd a dadleuon am y gwasanaeth iechyd fel pêl wleidyddol, ond dylem siarad yn agored ac yn onest am y materion hyn gan barchu staff gweithgar y GIG. Dyna'r ffordd rwy'n gweld newid a dyma'r ffordd y mae angen i bob un ohonom weld newid. Diolch.