English: Can I thank you, Minister, for an advanced copy of your statement this afternoon? I'm very pleased to see that cash is being invested in transforming our health services here in Wales. We know that we are behind, in some respects, some other parts of the UK in terms of taking forward particularly closer working between health and social care. But it is encouraging that we're finally investing in these newer models of care in order to get improved outcomes for our patients. The cash, though, that's been spent so far is a bit of a drop in the ocean as far as the overall health budget is concerned, as we all know. So, I think the expectation that you have about this being a catalyst for significant change over the course of this Assembly perhaps is a little bit too ambitious. Now, I note that you said that you have already approved seven proposals, and I think that that's good. I think in the last statement, only two had been actually confirmed at that time. Can you tell us: have all of these now commenced? You've referred to the fact that they are proposals that reflect all parts of Wales, that there's something operating in each individual regional partnership area, but you've given us precious little detail other than two or three sentences about what is particularly going on in different places. And nor have you given us a breakdown as to where the £41.2 million is actually being spent. So, can I ask you in which health board areas and which regional partnership board areas is that £41.2 million being spent? Is it being spent equally in all parts of Wales, or are some benefiting more than others? I also wonder, in particular, what is new about the cash that's being invested, because from what you describe - for example, the use of assistive technology, community assets, intergenerational activity, some of the preventative work that's going on, non-scheduled post-hospital care - a lot of that is going on anyway in our health board areas, and quite rightly. They ought to be investing in these sorts of things because there's a saving to be made further down the line. So, how can you be sure that these are projects that are adding value to the work that's already going on in our health board areas and not simply supporting those health boards, who perhaps may be a little bit lazy about transforming the services in their own areas? You've mentioned workforce planning, or workforce development, being a strong theme. Pleased to hear that, because we know that we've been abysmal here in Wales when it comes to workforce planning, whether that's the nursing workforce, the midwifery workforce, the GP workforce. I mean, I raised earlier on the fact that you're turning people away who want to train as GPs and come to work in Wales. I mean, it's absolutely barmy, to be honest, that you're not simply just creating more training places to fulfil the need that we have in Wales in terms of the shortages that we've got in some of these disciplines. Can you tell us precisely how many additional staff you expect might be recruited and developed as a result of the proposals that are currently being implemented? You haven't either given us any indication as to what the split of investment is between social care, community care, primary care, secondary care. I mean, we know that when you invest in primary care and community services, that tends to take the pressure off secondary care, which can often be more expensive. So, where is this cash aimed at? Is it in the hospital end of care, or is it in that primary and community care, which I think is where it may need to be focused? You made reference to the rapid review, which you've undertaken, into the scale and spread of the proposals. You said that the outcome of that rapid review was encouraging. Can you publish the details of the review? Can you tell us a little bit about how you went about conducting the review, to test what was going on on the ground? I know it's early days for some of these projects, but some have been going for quite a while now, and I think we ought to be able to see pretty quickly whether they are going to be things that have legs or not, and which can be spread in terms of their practice across Wales. You also made reference to the goodwill of partners in delivering the change that is needed. Now, I know that there's been some good and very positive engagement with partners like St John Ambulance and the British Red Cross of late, and that's work that I applaud, which has been going on in different parts of Wales. Can you tell us whether these partners, particularly third sector partners, are actually engaged in any of these projects, and if so, in what way? Because I think it would be good to know whether you're building on what clearly has been, certainly from my impression, a great deal of success with the British Red Cross up in north Wales. I think that they're all the questions that I have for the moment, Deputy Llywydd, but I do want to say that we welcome this investment. We do welcome the shift in the right direction. But I do think we have to make sure that this is investment that is being put in the right places and not simply replacing investment that should be in place already, and work that should be under way already in our health board areas.
Welsh: Diolch, Gweinidog, am gopi o flaen llaw o'ch datganiad y prynhawn yma. Rwy'n falch iawn o weld y buddsoddir arian parod i drawsnewid ein gwasanaethau iechyd yma yng Nghymru. Fe wyddom ni ein bod ni ar ei hôl hi mewn rhai agweddau o gymharu â rhai rhannau eraill o'r DU, yn enwedig o ran datblygu gweithio'n agosach rhwng iechyd a gofal cymdeithasol. Ond mae'n galonogol ein bod o'r diwedd yn buddsoddi yn y modelau newydd hyn o ofal er mwyn cael canlyniadau gwell ar gyfer ein cleifion. Mae'r arian parod, fodd bynnag, a gafodd ei wario hyd yma yn debyg i biso dryw yn y môr o gymharu â'r gyllideb iechyd gyffredinol, fel y gwyddom ni i gyd. Felly, rwy'n credu bod y disgwyliad sydd gennych chi y bydd hwn yn gatalydd ar gyfer newid sylweddol yn ystod y Cynulliad hwn efallai ychydig yn rhy uchelgeisiol. Nawr, sylwaf ichi ddweud eich bod chi eisoes wedi cymeradwyo saith cynnig, ac rwy'n credu bod hynny'n dda. Rwy'n credu yn y datganiad diwethaf, dim ond dau mewn gwirionedd oedd wedi eu cadarnhau ar y pryd. A allwch chi ddweud wrthym ni: a yw pob un o'r rhain wedi dechrau erbyn hyn? Rydych chi wedi cyfeirio at y ffaith eu bod yn gynigion sy'n adlewyrchu pob rhan o Gymru; bod rhywbeth yn gweithredu ym mhob ardal partneriaeth ranbarthol unigol, ond nid ydych chi wedi rhoi llawer iawn o fanylion ac eithrio dwy neu dair brawddeg am yr hyn sy'n digwydd yn benodol mewn gwahanol leoedd. Ac nid ydych chi chwaith wedi rhoi dosraniad inni o'r £41.2 miliwn i ddangos yn lle y mae'r arian yn cael ei wario mewn gwirionedd. Felly, rwy'n gofyn ichi ym mha ardaloedd byrddau iechyd ac ardaloedd byrddau partneriaeth rhanbarthol y mae'r £41.2 miliwn hwnnw yn cael ei wario? A yw'n cael ei wario'n hafal ym mhob rhan o Gymru, neu a oes rhai yn elwa mwy nag eraill? Tybed hefyd, yn benodol, beth sy'n newydd ynghylch yr arian a fuddsoddir, oherwydd o'r hyn a ddisgrifiwch - er enghraifft, y defnydd o dechnoleg gynorthwyol, asedau cymunedol, gweithgareddau ar draws y cenedlaethau, rhywfaint o'r gwaith ataliol sy'n mynd rhagddo, gofal heb ei drefnu ar ôl dychwelyd o'r ysbyty - mae llawer o hynny yn digwydd beth bynnag yn ein hardaloedd byrddau iechyd, a hynny'n gwbl briodol. Dylen nhw fod yn buddsoddi yn y mathau hyn o bethau oherwydd mae modd arbed arian yn ddiweddarach. Felly, sut gallwch chi fod yn sicr bod y prosiectau yn ychwanegu gwerth at y gwaith sydd eisoes yn mynd rhagddo yn ein hardaloedd byrddau iechyd ac nid yn cefnogi'r byrddau iechyd hynny yn unig, rhai sydd efallai ychydig yn ddiog eu hagwedd ynghylch trawsnewid gwasanaethau yn eu hardaloedd eu hunain? Rydych chi wedi sôn bod cynllunio gweithlu, neu ddatblygu gweithlu, yn thema gref. Rwy'n falch o glywed hynny, oherwydd fe wyddom ni y buom ni'n warthus yma yng Nghymru o ran cynllunio gweithlu, boed hynny yn weithlu nyrsio, gweithlu bydwreigiaeth, gweithlu meddygon teulu. Fe wnes i grybwyll eisoes y ffaith eich bod chi'n gwrthod pobl sydd eisiau hyfforddi fel meddygon teulu a dod i weithio yng Nghymru. Mae'n gwbl wallgof, i fod yn onest, nad ydych chi'n creu mwy o leoedd hyfforddi i ddiwallu'r angen sydd gennym ni yng Nghymru o ran y prinder yn rhai o'r disgyblaethau hyn. A wnewch chi ddweud yn union faint o staff ychwanegol yr ydych chi'n disgwyl a fydd o bosib yn cael eu recriwtio a'u datblygu o ganlyniad i'r cynigion sy'n cael eu gweithredu ar hyn o bryd? Nid ydych chi chwaith wedi rhoi unrhyw syniad inni o sut y mae'r buddsoddi yn cael ei rannu rhwng gofal cymdeithasol, gofal cymunedol, gofal sylfaenol, gofal eilaidd. Rydym ni'n gwybod, pan fyddwch chi'n buddsoddi mewn gofal sylfaenol a gwasanaethau cymunedol, ei fod yn tueddu i dynnu'r pwysau oddi ar ofal eilaidd, sydd yn aml yn gallu bod yn ddrutach. Felly, ar gyfer pa ran o faes gofal y bwriedir yr arian hwn? A yw ar gyfer gofal ysbyty, neu a yw ar gyfer gofal sylfaenol a chymunedol, sef y lle rwy'n credu y mae angen o bosib inni ganolbwyntio arno? Fe wnaethoch chi gyfeirio at yr adolygiad cyflym yr ydych chi wedi ei wneud, o raddfa a lledaeniad y cynigion. Fe ddywedoch chi fod canlyniad yr adolygiad cyflym yn galonogol. A allwch chi gyhoeddi manylion yr adolygiad? A allwch chi ddweud wrthym sut yr aethoch chi ati i gynnal yr adolygiad, i brofi beth oedd yn digwydd ar lawr gwlad? Fe wn i ei bod hi'n ddyddiau cynnar o ran rhai o'r prosiectau hyn, ond mae rhai wedi bod yn mynd rhagddynt ers cryn amser bellach, ac rwy'n credu y dylem ni weld yn eithaf buan pa un a ydyn nhw'n llwyddo ac yn gynaliadwy neu beidio, a pha rai y gellir eu lledaenu o ran eu hymarfer ledled Cymru. Fe wnaethoch chi hefyd gyfeirio at ewyllys da partneriaid wrth gyflawni'r newid sydd ei angen. Nawr rwy'n gwybod y bu ymgysylltu da a chadarnhaol â phartneriaid fel Ambiwlans Sant Ioan a'r Groes Goch Brydeinig yn ddiweddar, a dyna waith rwy'n ei gymeradwyo, sydd wedi bod yn digwydd mewn gwahanol rannau o Gymru. A allwch chi ddweud wrthym ni a yw'r partneriaid hyn, yn enwedig partneriaid y trydydd sector, mewn gwirionedd yn cymryd rhan yn unrhyw un o'r prosiectau hyn, ac os felly, ym mha ffordd? Oherwydd rwy'n credu y byddai'n dda gwybod a ydych chi'n adeiladu ar yr hyn sy'n amlwg wedi bod, yn sicr o'r argraff a gefais i, yn llwyddiant mawr iawn gyda'r Groes Goch Brydeinig yn y gogledd. Rwy'n credu mai dyna'r cyfan o'r cwestiynau sydd gennyf ar hyn o bryd, Dirprwy Lywydd, ond fe hoffwn i ddweud ein bod yn croesawu'r buddsoddiad hwn. Rydym ni'n croesawu symudiad i'r cyfeiriad cywir. Ond rwyf yn credu bod yn rhaid inni sicrhau bod hyn yn fuddsoddiad yn y mannau priodol ac nid dim ond yn disodli buddsoddiad a ddylai fod ar waith eisoes, a gwaith a ddylai fod yn digwydd eisoes yn ein hardaloedd byrddau iechyd.