English: I'd like to thank the clerks, the health committee and the Research Service for their assistance during our inquiry. I would also like to thank all those who gave evidence to us during the course of our inquiry. Over the course of our inquiry, the majority of stakeholders told us that, while things were slightly better this year, they were still unprepared for the winter period and facing year-round pressures. The Royal College of Paediatrics and Child Health told us that services were not quite ready. It is abundantly clear that we need to make substantial changes in order to cope with this additional pressure. As a committee, we carefully considered the evidence put before us and cross-examined the witnesses before coming up with just nine recommendations. It is therefore disappointing that the Welsh Government were able to fully accept just three of our recommendations. I'm particularly disappointed that the Cabinet Secretary has rejected recommendation 5. Many of the witnesses to our inquiry highlighted the fact that the current service model for unscheduled care is unsustainable. While the Choose Well campaign is a step in the right direction, it is going to take much longer to totally re-educate the Welsh public. It is so ingrained in the public's mindset that when we get ill we need to see a doctor that convincing people that sometimes a community pharmacy is a much better option is going to take a long time. When you couple this mindset with the fact that it is getting harder to see a GP because of underfunding and overwork, it is no wonder that people inappropriately turn up at A&E. While this is shouldn't be the case, we have to face reality. Until we employ more GPs and have better integrated primary care teams, our hospitals are faced with picking up the slack in the system. It was pressures on A&E that led to the creation of minor injury units, and therefore the co-location of primary care services would seem to be a natural progression. Both the BMA and the Royal College of Emergency Medicine suggested that we look at co-location of primary care services and the use of front-door physicians. We should listen to them. We learnt that up to 30 per cent of those attending A&E would be more appropriately dealt with elsewhere in the health system. We need a better way of dealing with these people. Having a single-point gateway service that can funnel people to the appropriate service is a much better solution than what we currently have and warrants proper investigation. Cabinet Secretary, I urge you to reconsider. You say that this a matter for health boards, but with the majority of our health boards requiring some form of Government intervention, you need to show leadership. This issue is not going away. We can't just sit back and hope that we can solve winter pressures with an ad campaign. Our committee carefully considered the evidence put before us and we have suggested solutions based upon that evidence. I would hope that the Welsh Government will heed our report. Diolch yn fawr.
Welsh: Hoffwn ddiolch i'r clercod, y pwyllgor iechyd a'r Gwasanaeth Ymchwil am eu cymorth yn ystod ein hymchwiliad. Hoffwn hefyd ddiolch i bawb a roddodd dystiolaeth i ni drwy gydol ein hymchwiliad. Yn ystod ein hymchwiliad, dywedodd mwyafrif y rhanddeiliaid wrthym fod pethau ychydig yn well eleni, ond eto i gyd, nid oeddent yn barod ar gyfer y gaeaf ac ar gyfer wynebu pwysau drwy gydol y flwyddyn. Dywedodd y Coleg Brenhinol Pediatreg ac Iechyd Plant wrthym nad oedd y gwasanaethau yn hollol barod. Mae'n gwbl amlwg fod angen i ni wneud newidiadau sylweddol er mwyn ymdopi â'r pwysau ychwanegol hwn. Fel pwyllgor, buom yn ystyried y dystiolaeth a gyflwynwyd yn ofalus ac yn croesholi tystion cyn llunio naw argymhelliad yn unig. Felly, mae'n siomedig mai tri yn unig o'n hargymhellion y gallodd Llywodraeth Cymru eu derbyn yn llawn. Rwy'n arbennig o siomedig fod Ysgrifennydd y Cabinet wedi gwrthod argymhelliad 5. Amlygodd llawer o'r tystion i'n hymchwiliad y ffaith fod y model gwasanaeth presennol ar gyfer gofal heb ei drefnu yn anghynaladwy. Er bod yr ymgyrch Dewis Doeth yn gam i'r cyfeiriad cywir, mae'n mynd i gymryd llawer mwy o amser i lwyr ailaddysgu'r cyhoedd yng Nghymru. Mae'n rhan o mor annatod o feddylfryd y cyhoedd fod angen i ni weld meddyg pan fyddwn yn sâl fel bod argyhoeddi pobl fod fferyllfa gymunedol yn opsiwn llawer gwell weithiau yn mynd i gymryd amser hir. Pan gysylltwch y meddylfryd hwn â'r ffaith ei bod yn mynd yn anos gweld meddyg teulu oherwydd tangyllido a gorweithio, nid yw'n syndod fod pobl yn mynd i adrannau damweiniau ac achosion brys yn amhriodol. Er na ddylai hyn ddigwydd, mae'n rhaid i ni wynebu realiti. Hyd nes y byddwn yn cyflogi mwy o feddygon teulu a chael timau gofal sylfaenol sydd wedi'u hintegreiddio'n well, mae ein hysbytai'n mynd i orfod dal y slac yn dynn yn y system. Pwysau ar adrannau damweiniau ac achosion bryd a arweiniodd at greu'r unedau mân anafiadau, ac felly buasai cydleoli gwasanaethau gofal sylfaenol i'w weld yn ddilyniant naturiol. Awgrymodd Cymdeithas Feddygol Prydain a'r Coleg Brenhinol Meddygaeth Frys y dylem ystyried cydleoli gwasanaethau gofal sylfaenol a'r defnydd o feddygon drws blaen. Dylem wrando arnynt. Dysgasom y gellid trin hyd at 30 y cant o'r bobl sy'n mynychu adrannau damweiniau ac achosion brys yn fwy priodol mewn mannau eraill yn y system iechyd. Mae arnom angen ffordd well o ymdrin â'r bobl hyn. Mae cael gwasanaeth un pwynt mynediad sy'n gallu sianelu pobl at y gwasanaeth priodol yn ateb llawer gwell na'r hyn sydd gennym ar hyn o bryd ac yn haeddu ei archwilio'n briodol. Ysgrifennydd y Cabinet, rwy'n eich annog i ailystyried. Rydych yn dweud bod hwn yn fater i fyrddau iechyd, ond gyda'r rhan fwyaf o'n byrddau iechyd angen rhyw fath o ymyrraeth ar ran y Llywodraeth, mae angen i chi ddangos arweiniad. Nid yw'r broblem yn mynd i ddiflannu ohoni'i hun. Ni allwn eistedd yn ôl a gobeithio y gallwn ddatrys pwysau'r gaeaf gydag ymgyrch hysbysebu. Ystyriodd ein pwyllgor y dystiolaeth a roddwyd ger ein bron yn ofalus, ac rydym wedi awgrymu atebion yn seiliedig ar y dystiolaeth honno. Buaswn yn gobeithio y bydd Llywodraeth Cymru yn talu sylw i'n hadroddiad. Diolch yn fawr.