English: Can I thank you, Minister, for your statement? But I have to say that it will bring precious little comfort to people in north Wales, because in spite of your claims of improvement, even in some areas, I do regret that that improvement is not being discerned by many of the patients in north Wales, and I think the statistics speak for themselves. This is a health board that was put into special measures three years ago, and yet, over that period of three years, it has deteriorated in terms of its performance in its emergency department against the four-hour target, it has deteriorated in terms of the 12-hour target, the referral-to-treatment times have gotten worse for the 26-week target, and they've got more patients waiting in excess of a year for treatment than there were three years ago when this health board was put into special measures. In fact, they're not only worse than they were three years ago, they are the worst in Wales against all of those measures. One of the other indications of the difficulties that the health board faces is in terms of its financial management, and you made reference to its financial management just now. Its deficit has ballooned from £26.6 million, in the year immediately prior going into special measures, to £38.8 million, in the financial year that we have just closed. And you may say that we're making more money available to deal with some of these aspects of performance, but the reality is that you clawed back £3.13 million just a few months ago. So, you can't give on the one hand, take it back with the other and expect improvement the other end, because it's not working. Your intervention simply isn't working. You've claimed some progress on mental health, and yet, just a few weeks ago, we saw a HASCAS report that said that they couldn't guarantee that any situation would be different for a patient going into the system now than it was when the Tawel Fan ward scandal broke all those years ago. In addition to that, you made reference to complaints management processes improving. Well, I can tell you from my postbag, and no doubt other north Wales Assembly Members will too, that they are not hitting the 28-day target at all in terms of the Putting Things Right measure that's in place. In fact, many patients are waiting for years for their complaints to be addressed. You made reference to primary care being improved. This, of course, was one of the key areas for which this health board was put into special measures, and yet we have seen general practitioners handing back the keys to their practices and bailing out of the system because of the pressures in it. And it's worse in north Wales than it is anywhere else. Now, I welcome the extra investment that's gone into some of the capital infrastructure, but when are we going to see some doctors so that people can get appointments with those doctors in their GP surgeries? They're not able to get them at the moment. You made reference to investment in some of the hospital estate. Again, I welcome the investment in the hospital estate, but where's the promised brand-new hospital in Rhyl, for example, in the Royal Alexandra, that was promised back in 2011? We're here eight years later, nearly, and there's no sign of any progress on that site - there's not a single bit of work that has been undertaken in terms of improving that particular site. Can you give us an update on that, Minister, perhaps, today? You made reference to the fact that we need to turn this situation around. They've only just appointed a turnaround director. We're three years into the situation. Their mental health strategy was only signed off last November. This is not the sort of progress that the people of north Wales deserve. We need to see more rapid improvement in the Betsi Cadwaladr health board. I want to pay tribute to the staff that are working hard, grafting on the front line, trying desperately to deliver the services that they want to deliver, but I'm afraid that there has been an absolute failure by the Welsh Government to sort the problems in this health board out over a three-year period, now. You've set out an 18-month period ahead in which to turn things around. This is probably going to be the longest example of any NHS organisation ever in the UK being in special measures for such a long period of time. I think that's a shameful thing for you and for the Welsh Government that you haven't managed to turn these situations around. So, when are we going to see the improvements? When can we expect your targets, which you set as a Government, to be hit in terms of referral-to-treatment times, in terms of emergency department times? When can we see Betsi moving from being the worst in Wales to at least being one of the average ones in Wales in terms of performance against those things? And when are we going to see the fundamental improvements in mental health care that people expected a rapid result on in the wake of the Tawel Fan scandal? One final question: you made reference in here to the need for them to accept the recommendations in the Ockenden report - I assume that that's the new Ockenden report, which is yet, of course, to be published. I assume, therefore, you've had sight of that report and the recommendations that it makes. When can we have sight of that report? When are we going to be able to see that? When are the public going to be able to see that, so that they can have some confidence in this system that is yet to deliver the improvements that they need to see?
Welsh: A gaf i ddiolch ichi, Gweinidog, am eich datganiad? Ond mae'n rhaid imi ddweud na fydd yn rhoi fawr ddim cysur i bobl yn y gogledd, oherwydd er gwaethaf eich honiadau o welliant, hyd yn oed mewn rhai meysydd, mae'n ofid imi nad yw llawer o gleifion yn y gogledd yn gweld y gwelliant hwnnw, ac rwy'n credu fod yr ystadegau yn siarad drostynt eu hunain. Dyma fwrdd iechyd a roddwyd mewn mesurau arbennig dair blynedd yn ôl, ac eto, dros y cyfnod o dair blynedd, mae wedi dirywio o ran ei berfformiad yn ei adran achosion brys yn erbyn y targed pedair awr, mae wedi dirywio o ran y targed 12 awr, mae'r amseroedd atgyfeirio-i-driniaeth wedi gwaethygu o ran y targed 26 wythnos, ac mae ganddyn nhw fwy o gleifion yn aros dros flwyddyn am driniaeth nag a oedd dair blynedd yn ôl pan roddwyd y bwrdd iechyd hwn mewn mesurau arbennig. Mewn gwirionedd, dydyn nhw ddim yn unig yn waeth nag yr oedden nhw dair blynedd yn ôl, nhw yw'r gwaethaf yng Nghymru o ran pob un o'r mesurau hynny. Un o'r arwyddion eraill o anawsterau mae'r bwrdd iechyd yn eu hwynebu yw o ran ei reolaeth ariannol, ac fe wnaethoch chi gyfeirio at ei reolaeth ariannol gynnau. Mae ei ddiffyg wedi cynyddu o £26.6 miliwn, yn y flwyddyn yn union cyn cyflwyno mesurau arbennig, i £38.8 miliwn yn y flwyddyn ariannol sydd newydd ddod i ben. Ac hwyrach eich bod yn dweud ein bod yn neilltuo mwy o arian i ymdrin â rhai o'r agweddau hyn ynglŷn â pherfformiad, ond y gwir amdani yw ichi hawlio £3.13 miliwn yn ôl ychydig fisoedd yn ôl. Felly, ni allwn ni roi ar y naill law, a chymryd yn ôl gyda'r llall a disgwyl gwelliant y pen arall, oherwydd nid yw'n gweithio. Mae hi'n amlwg nad yw eich ymyriad yn gweithio. Rydych chi wedi honni y bu rhywfaint o gynnydd o ran iechyd meddwl, ac eto, ychydig wythnosau yn ôl, gwelsom adroddiad HASCAS yn dweud na allent warantu y byddai unrhyw sefyllfa yn wahanol pe byddai claf yn mynd i mewn i'r system yn awr nag yr oedd pan dorrodd sgandal y ward Tawel Fan flynyddoedd yn ôl. Yn ogystal â hynny, fe wnaethoch chi ddweud bod y prosesau rheoli cwynion yn gwella. Wel, gallaf ddweud wrthych o'r negesau rwy'n eu cael, ac nid oes unrhyw amheuaeth y bydd Aelodau Cynulliad eraill o'r gogledd yn dweud hefyd, nad ydyn nhw'n cyrraedd y targed o 28 diwrnod o gwbl o ran y Mesur Gweithio i Wella sydd ar waith. Mewn gwirionedd, mae llawer o gleifion yn aros ers blynyddoedd i gael sylw i'w cwynion. Fe wnaethoch chi sôn bod gofal sylfaenol wedi gwella. Dyma, wrth gwrs, oedd un o'r meysydd allweddol pam y rhoddwyd y Bwrdd Iechyd mewn mesurau arbennig, ac eto rydym ni wedi gweld meddygon teulu yn rhoi'r allweddi yn ôl i'w meddygfeydd ac yn cefnu ar y system oherwydd y pwysau y mae'n ei roi arnynt. Ac mae'n waeth yn y gogledd nag yn unman arall. Nawr, rwy'n croesawu'r buddsoddiad ychwanegol a wnaed mewn rhai agweddau o'r seilwaith cyfalaf, ond pryd ydym ni'n mynd i weld mwy o feddygon fel y gall pobl gael apwyntiadau gyda'r meddygon hynny yn eu meddygfeydd teulu? Allan nhw mo'u cael nhw ar hyn o bryd. Fe wnaethoch chi gyfeirio at fuddsoddi mewn agweddau o ystadau'r ysbytai. Unwaith eto, croesawaf y buddsoddiad yn ystadau'r ysbytai, ond ble mae'r ysbyty newydd sbon yr addawyd yn y Rhyl, er enghraifft, yn y Royal Alexandra, a addawyd yn ôl yn 2011? Dyma ni yma wyth mlynedd yn ddiweddarach, bron, ac nid oes unrhyw arwydd o unrhyw gynnydd ar y safle hwnnw - nid oes unrhyw waith wedi'i wneud o ran gwella'r safle penodol hwnnw. Allwch chi ein diweddaru ni ar hynny, Gweinidog, efallai, heddiw? Fe wnaethoch chi gyfeirio at y ffaith bod angen inni weddnewid y sefyllfa hon. Dim ond newydd benodi cyfarwyddwr trawsnewid maen nhw. Mae'r sefyllfa hon wedi bodoli ers tair blynedd. Llofnodwyd eu strategaeth iechyd meddwl dim ond fis Tachwedd diwethaf. Nid dyma'r math o gynnydd y mae pobl y gogledd yn ei haeddu. Mae angen inni weld gwelliant cyflymach ym mwrdd iechyd Betsi Cadwaladr. Hoffwn dalu teyrnged i'r staff sy'n gweithio'n galed, sy'n torchi eu llewys ar y rheng flaen, yn ymdrechu'n daer i ddarparu'r gwasanaethau maen nhw eisiau eu darparu, ond mae arnaf ofn y bu methiant llwyr gan Lywodraeth Cymru i ddatrys y problemau yn y bwrdd iechyd hwn dros gyfnod o dair blynedd, bellach. Rydych chi wedi nodi cyfnod o 18 mis i drawsnewid pethau. Dyma fwy na thebyg fydd yr enghraifft hiraf o unrhyw sefydliad GIG erioed yn y DU mewn mesurau arbennig am gyfnod gyn hired o amser. Credaf fod hynny'n beth cywilyddus i chi ac i Lywodraeth Cymru, nad ydych chi wedi llwyddo i drawsnewid y sefyllfaoedd hyn. Felly, pryd ydym ni'n mynd i weld y gwelliannau? Pryd allwn ni ddisgwyl gweld cyflawni eich targedau, a osodwyd gennych chi, y Llywodraeth, o ran amseroedd atgyfeirio-i-driniaeth, o ran amseroedd adrannau achosion brys? Pryd allwn ni weld bwrdd iechyd Betsi Cadwaladr yn symud o fod y gwaethaf yng Nghymru i fod o leiaf yn un o'r rhai cyfartalog yng Nghymru o ran perfformiad yn yr agweddau hynny? A phryd fyddwn ni'n gweld y gwelliannau sylfaenol yn y maes gofal iechyd roedd pobl yn disgwyl canlyniad cyflym yn eu cylch yn sgîl sgandal Tawel Fan? Un cwestiwn terfynol: fe wnaethoch chi gyfeirio yma at yr angen am iddyn nhw dderbyn yr argymhellion yn adroddiad Ockenden - cymeraf mai adroddiad newydd Ockenden yw hynny, sydd eto, wrth gwrs, i'w gyhoeddi. Cymeraf, felly, eich bod wedi cael golwg ar yr adroddiad hwnnw a'r argymhellion y mae'n ei wneud. Pryd gawn ni gipolwg ar yr adroddiad hwnnw? Pryd y byddwn ni'n gallu ei weld? Pryd all y cyhoedd ei weld, fel y gallan nhw gael rhywfaint o hyder yn y system hon sydd eto i gyflawni'r gwelliannau y mae angen iddynt eu gweld?