English: Thank you, Deputy Presiding Officer, and thank you, Minister, for your statement. I'm very pleased to see that there's been some increase in GP recruitment over the past 18 months or so, but I have to say it is a case of too little too late. We have known for a very long time that we have had significant shortages of individuals coming into the GP workforce and, in fact, the unions and the Royal College of General Practitioners were warning as much as a decade ago that we were not training sufficient numbers of people to replace those who were leaving the profession due to retirement. Whilst I commend the efforts that are being made belatedly by the Welsh Government and I'm pleased to see that there are some increases, I still don't think it's going to be sufficient to be able to plug the gap that's been caused by those who are leaving the profession at the moment. Of course, the 'Train. Live. Work.' campaign, which is a commendable campaign, is responsible for securing some of these increases in interest in coming to live and work as a GP here in Wales, yet you fail to recognise the significant damage that has been done to that campaign as a result of your announcement yesterday, on April fool's day, of all days, in relation to the GP indemnity package, which you have decided to launch unilaterally without the agreement of the GP workforce. Because we know that that GP workforce is very, very unhappy indeed with what you are proposing. You're proposing, of course, to top-slice from the general medical services contract the £11 million or so that you need to be able to fund this indemnity scheme, at a time when GPs over the border in England are getting increases in the funding that is available to them in their surgeries. Now, this is isn't me that's saying these things. This is stuff that can be visible for everybody to see on social media, including from Dr Dylan Parry, one of my own constituents, a GP in Old Colwyn, who fronted the 'Train. Work. Live.' campaign, who's now saying he feels as though he is sort of selling a false story about the hope and the goodness that can come from relocating to Wales. And I don't want him to be in that position. I want him to be able to sell Wales as a place to come to live and work, with your family, and to be a GP and to have a successful career in the NHS. But this indemnity insurance scheme, which you announced yesterday, without the backing of most GPs or their representative bodies in Wales, I think, is very, very shameful indeed. You're reducing the amount of funding that is available for GP practices here in Wales. It's going to have a significant impact, particularly on those practices that are just about managing at the moment, and I would urge you as a Welsh Government to reconsider your position on this, to get back to the discussions with the BMA and the Royal College of General Practitioners and others, in order that we can resolve this in a satisfactory way, which is fair to GP practices across Wales and doesn't penalise them for the fact that they've been trying to work with you in order to secure the right results. And I would just remind you about the current state of play in terms of GP practices. Between October 2015 and January 2019, we saw 24 GP practices close across Wales. We saw 29 enter into management by their local health boards because GPs gave the keys back, effectively, to their practices. We're told by the BMA that, according to their heat map, there are 85 practices that are at risk of closure. Now, your announcements on indemnity insurance yesterday are going to tip even more into those situations, and more and more patients are going to have their GP services impacted as a result. Now, you referred to the increase, Minister, in the number of GP training places. Can you explain to the National Assembly and to the medical committees across Wales why it is that eligible individuals who want to come and live and work and be trained in Wales, which is what the aspirations of your campaign are, are being turned away when they actually make applications? Why is it that 50 per cent of eligible applicants in north Wales, for example, in the last two years have been turned away at a time when GP practices are closing the doors because they cannot recruit? Why is it that you haven't found sufficient capacity within the system to help to train sufficient numbers for the needs of our national health service? And when can we expect you to ramp up those training places in order that it can be more attractive to come to train, live and work here in Wales? I could go on with more and more statistics, but I'm not going to. What I will simply do is this, Minister, and this is my parting plea: listen to the voice of GPs. They're very unhappy at the moment. They're warning of an exodus from Wales into other parts of the UK, particularly to England from border parts of our country, because of this indemnity scheme that you have announced yesterday. Think it through. You're doing the wrong thing, and you need to back up now.
Welsh: Diolch, Dirprwy Lywydd, a diolch i chi, Gweinidog, am eich datganiad. Rwy'n falch iawn o weld bod rhywfaint o gynnydd wedi digwydd o ran recriwtio meddygon teulu dros y 18 mis diwethaf, ond rhaid imi ddweud ei fod yn rhy ychydig yn rhy hwyr. Rydym wedi gwybod ers amser hir iawn bod prinder sylweddol o unigolion yn dod i mewn i'r gweithlu meddygon teulu ac, yn wir, roedd yr undebau a Choleg Brenhinol yr Ymarferwyr Cyffredinol yn rhybuddio gymaint â degawd yn ôl nad oeddem ni'n hyfforddi niferoedd digonol o bobl i gymryd lle'r rhai a oedd yn gadael y proffesiwn oherwydd ymddeoliad. Er fy mod i'n canmol yr ymdrechion y mae Llywodraeth Cymru yn eu gwneud o'r diwedd a fy mod i'n falch o weld rhywfaint o gynnydd, dydw i ddim yn credu y bydd yn ddigon i allu llenwi'r bwlch sydd wedi'i achosi gan bobl sy'n gadael y proffesiwn ar hyn o bryd. Wrth gwrs, yr ymgyrch 'Hyfforddi. Byw. Gweithio.', sy'n ymgyrch glodwiw, sy'n gyfrifol am sicrhau rhywfaint o'r cynnydd hwn yn y diddordeb mewn dod i fyw a gweithio fel meddyg teulu yma yng Nghymru, ond eto rydych chi'n methu â chydnabod y difrod sylweddol sydd wedi'i wneud i'r ymgyrch honno gan eich cyhoeddiad ddoe, ar ddydd ffŵl Ebrill, o bob dydd, ynglŷn â'r pecyn indemniad meddyg teulu, yr ydych wedi penderfynu ei lansio'n unochrog heb gytundeb y gweithlu meddygon teulu. Oherwydd ein bod yn gwybod bod y gweithlu meddygon teulu'n anfodlon iawn, iawn wir â'r hyn yr ydych chi'n ei gynnig. Rydych chi'n cynnig, wrth gwrs, brigdorri o'r contract gwasanaethau meddygol cyffredinol, yr £11 miliwn fwy neu lai sydd ei angen arnoch chi i allu ariannu'r cynllun indemniad hwn, ar adeg pan fo meddygon teulu dros y ffin yn Lloegr yn cael cynnydd yn y cyllid sydd ar gael iddyn nhw yn eu meddygfeydd. Nawr, nid fi sy'n dweud y pethau hyn. Mae hyn i'w gael i bawb ar y cyfryngau cymdeithasol, yn gynnwys Dr Dylan Parry, un o'm hetholwyr, meddyg teulu yn Hen Golwyn, a fu'n arwain yr ymgyrch 'Hyfforddi. Gweithio. Byw.', sydd erbyn hyn yn dweud ei fod yn teimlo ei fod yn gwerthu rhyw fath o stori ffug am y gobaith a'r daioni a all ddod o adleoli i Gymru. A dydw i ddim eisiau iddo fod yn y sefyllfa honno. Hoffwn i iddo allu gwerthu Cymru fel lle i ddod i fyw a gweithio, gyda'ch teulu, a bod yn feddyg teulu a chael gyrfa lwyddiannus yn y GIG. Ond mae'r cynllun yswiriant indemniad hwn, a gyhoeddwyd gennych chi ddoe, heb gefnogaeth y mwyafrif o feddygon teulu na'u cyrff cynrychioliadol yng Nghymru, rwy'n credu, yn warthus iawn, iawn wir. Rydych chi'n lleihau swm y cyllid sydd ar gael i feddygfeydd teulu yma yng Nghymru. Bydd yn cael effaith sylweddol, yn enwedig ar y meddygfeydd hynny sydd prin yn ymdopi ar hyn o bryd, a byddwn i'n eich annog fel Llywodraeth Cymru i ailystyried eich safbwynt ar hyn, i fynd yn ôl at drafodaethau gyda Chymdeithas Feddygol Prydain a Choleg Brenhinol yr Ymarferwyr Cyffredinol ac eraill, fel y gallwn ni ddatrys hyn mewn ffordd foddhaol, sy'n deg i feddygfeydd teulu ledled Cymru heb eu cosbi nhw am y ffaith eu bod nhw wedi ceisio gweithio gyda chi er mwyn sicrhau'r canlyniadau cywir. A hoffwn eich atgoffa chi o'r sefyllfa bresennol o ran meddygfeydd teulu. Rhwng mis Hydref 2015 a mis Ionawr 2019, gwelsom 24 o feddygfeydd teulu'n cau ledled Cymru. Fe welsom 29 yn mynd i ddwylo eu byrddau iechyd lleol oherwydd bod meddygon teulu wedi rhoi allweddi eu meddygfeydd yn ôl, i bob diben. Yn ôl y BMA, mae eu map gwres yn dweud bod 85 o feddygfeydd mewn perygl o gau. Nawr, mae eich cyhoeddiadau am yswiriant indemniad ddoe'n mynd i roi mwy fyth ohonyn nhw yn y sefyllfaoedd hynny, ac o ganlyniad bydd hyn yn effeithio ar wasanaethau meddyg teulu mwy a mwy o gleifion. Nawr, fe wnaethoch chi gyfeirio at y cynnydd, Gweinidog, yn nifer y lleoedd hyfforddi meddygon teulu. A wnewch chi egluro i'r Cynulliad Cenedlaethol ac i'r pwyllgorau meddygol ledled Cymru pam mae unigolion cymwys sydd am ddod i fyw a gweithio a chael eu hyfforddi yng Nghymru, sef dyheadau eich ymgyrch, yn cael eu troi ymaith pan wnânt geisiadau? Pam mae 50 y cant o ymgeiswyr cymwys yn y Gogledd, er enghraifft, yn y ddwy flynedd diwethaf wedi eu gwrthod ar adeg pan fo meddygfeydd teulu'n cau drysau am nad ydyn nhw'n gallu recriwtio? Pam nad ydych chi wedi dod o hyd i ddigon o gapasiti yn y system i helpu hyfforddi niferoedd digonol ar gyfer anghenion ein gwasanaeth iechyd gwladol? A phryd y gallwn ni ddisgwyl ichi gynyddu'r lleoedd hyfforddiant hynny fel y gall hi fod yn fwy deniadol i ddod i hyfforddi, byw a gweithio yma yng Nghymru? Fe allwn i fynd ymlaen â mwy a mwy o ystadegau, ond ni wnaf i hynny. Yr hyn a wnaf i yn syml yw hyn, Gweinidog, a dyma fy mhle olaf: gwrandwch ar lais meddygon teulu. Maen nhw'n anhapus iawn ar hyn o bryd. Maen nhw'n rhybuddio am ymadawiad â Chymru i rannau eraill o'r DU, yn enwedig i Loegr o ardaloedd ar ororau ein gwlad, oherwydd y cynllun indemniad hwn a gyhoeddwyd gennych ddoe. Meddyliwch am y peth. Rydych chi'n gwneud y peth anghywir, ac mae angen ichi gamu'n ôl nawr.