English: I'm grateful for the opportunity to contribute to this debate. The statistics are clearly worrying, and the survival rates of out-of-hospital cardiac arrest should be enough, on their own, to get us to act. There are a few challenges, however. Firstly, I do not believe that our nation is working quickly enough to build more capacity into our network of defibrillators. During the summer recess, I visited a community pharmacy and was shocked at the slow progress in rolling out a sufficient supply of defibrillators throughout the brilliant local pharmacies. In supporting the call for funding to be made available to venues throughout Wales to provide a network of defibrillators, I want the Government to commit to ensuring that every community pharmacy has access to support, as a key and essential part of our health service. Community pharmacies contain a number of staff with the skills to respond to the needs of the local population. Why not make better use of community pharmacies, which are a key part of our towns and villages, and professionals who come into contact with many people on a daily basis? Could the Minister today confirm how many community pharmacies have defibrillators today, compared to two or three years ago? Secondly, according to the British Heart Foundation, less than 5 per cent of out-of-hospital cardiac arrests receive bystander defibrillation, and tens of thousands of defibrillators are currently not known by the ambulance services because they are not registered. Clearly, knowing a defibrillator's location can be the difference between life and death. Whilst we need to address the overall number of defibrillators, we also need to ensure that every unit is registered to allow the emergency services to locate them, and perhaps one way to find a defibrillator once it is activated by a member of the public would be similar to the AA phones on motorways, which give the exact location. Thirdly, the Resuscitation Council UK makes a strong case for an improvement in information and advice to people to build confidence amongst the population to use a defibrillator in an emergency. This is true in the delivery of CPR in the absence of a defibrillator too, and more challenging because of the direct action required on the part of the individual to administer the routine. I would also ask the Government to review its own out-of-hospital cardiac arrest plan, published in 2017. It clearly states that one of the plan's key outcomes is that defibrillators are, 'readily available and accessible to the public.' It also sets out the goal that the public, 'are aware defibrillators are easy to use and can do no harm'. That's written in this. I would ask the Minister, if we had any benchmarking that applied to the 2017 plan being written, and where we are now in securing the improvement to have the ability and accessibility. The plan is sensible and the intentions are clear, but the chapter on the implementation is weak on explaining what success would look like. It says, 'Whilst considerable work on some elements of the pathway have been taken forward, focus and pace is now required to develop the detail across the whole plan and embed its implementation across Wales.' A report published by the Welsh Government in 2018 looked at public knowledge, attitude and behaviour towards CPR and defibrillators. The survey concluded that the proportion trained to use a defibrillator was much lower than in CPR, with only 23 per cent of all respondents reporting that they had undergone training. Although over 50 per cent of people said that they would like to receive some training. In the use of defibrillators, the level of confidence was lower than for those administering CPR, with only 38 per cent of respondents saying that they would be confident. Confidence levels were higher among those trained in CPR or in how to use defibrillators at 55 per cent and 88 per cent respectively. Worryingly, however, was the proportion of respondents - that's 55 per cent - who did not know the location of their nearest defibrillator. Even among those who were defibrillator trained, 35 per cent reported that they did not know the location of their nearest defibrillators -
Welsh: Rwy'n ddiolchgar am y cyfle i gyfrannu at y ddadl hon. Mae'r ystadegau'n amlwg yn peri pryder, a dylai cyfraddau goroesi ataliad y galon y tu allan i'r ysbyty fod yn ddigon, ar eu pen eu hunain, i'n cael ni i weithredu. Mae yna ychydig o heriau, fodd bynnag. Yn gyntaf, nid wyf yn credu bod ein gwlad yn gweithio'n ddigon cyflym i adeiladu mwy o gapasiti yn ein rhwydwaith o ddiffibrilwyr. Yn ystod toriad yr haf, ymwelais â fferyllfa gymunedol a chefais fy synnu gan y cynnydd araf wrth gyflwyno cyflenwad digonol o ddiffibrilwyr ledled y fferyllfeydd lleol gwych. Wrth gefnogi'r alwad i sicrhau bod cyllid ar gael i leoliadau ledled Cymru i ddarparu rhwydwaith o ddiffibrilwyr, rwyf eisiau i'r Llywodraeth ymrwymo i sicrhau bod gan bob fferyllfa gymunedol fynediad at gymorth, fel rhan allweddol a hanfodol o'n gwasanaeth iechyd. Mae fferyllfeydd cymunedol yn cynnwys nifer o staff sydd â'r sgiliau i ymateb i anghenion y boblogaeth leol. Beth am wneud gwell defnydd o fferyllfeydd cymunedol, sy'n rhan allweddol o'n trefi a'n pentrefi, a gweithwyr proffesiynol sy'n dod i gysylltiad â llawer o bobl bob dydd? A allai'r Gweinidog gadarnhau faint o fferyllfeydd cymunedol sydd â diffibrilwyr heddiw, o gymharu â dwy neu dair blynedd yn ôl? Yn ail, yn ôl Sefydliad Prydeinig y Galon, llai na 5 y cant o bobl sy'n dioddef ataliad y galon y tu allan i'r ysbyty sy'n cael triniaeth ddiffibrilio gan rywun sy'n digwydd bod yno, a cheir degau o filoedd o ddiffibrilwyr nad yw'r gwasanaethau ambiwlans yn ymwybodol ohonynt ar hyn o bryd am nad ydynt wedi'u cofrestru. Yn amlwg, gall gwybod am leoliad diffibriliwr olygu'r gwahaniaeth rhwng byw a marw. Er bod angen inni fynd i'r afael â nifer gyffredinol y diffibrilwyr, mae angen inni hefyd sicrhau bod pob uned wedi'i chofrestru fel y gall y gwasanaethau brys ddod o hyd iddynt, ac efallai mai un ffordd o ddod o hyd i ddiffibriliwr pan fydd aelod o'r cyhoedd yn galw am ddefnyddio un fydd system debyg i'r ffonau AA ar draffyrdd, sy'n rhoi'r union leoliad. Yn drydydd, mae Cyngor Dadebru'r DU yn cyflwyno achos cryf dros wella gwybodaeth a chyngor i bobl er mwyn meithrin hyder ymhlith y boblogaeth i ddefnyddio diffibriliwr mewn argyfwng. Mae hyn yn wir ar gyfer darparu CPR heb fod diffibriliwr ar gael hefyd, ac yn fwy heriol oherwydd y camau uniongyrchol sydd angen i'r unigolyn eu cyflawni i'w ddarparu. Byddwn hefyd yn gofyn i'r Llywodraeth adolygu ei chynllun ei hun ar gyfer ataliad y galon y tu allan i'r ysbyty, a gyhoeddwyd yn 2017. Mae'n nodi'n glir mai un o ganlyniadau allweddol y cynllun yw bod diffibrilwyr, 'ar gael i'r cyhoedd yn hwylus.' Mae hefyd yn nodi'r canlyniad fod y cyhoedd 'yn gwybod ei bod yn hawdd defnyddio diffibrilwyr ac na allant achosi niwed.' Mae hynny wedi'i ysgrifennu yn hwn. Hoffwn ofyn i'r Gweinidog a wnaed unrhyw waith meincnodi mewn perthynas â chynllun 2017 wrth ei ysgrifennu, a lle'r ydym arni yn awr ar sicrhau'r gwelliant i allu a hygyrchedd. Mae'r cynllun yn un synhwyrol ac mae'r bwriad yn glir, ond mae'r bennod ar weithredu yn wan wrth geisio disgrifio llwyddiant. Dywed. 'Er bod gwaith sylweddol wedi'i wneud ar rai elfennau o'r llwybr, mae angen ffocws a chamau buan i ddatblygu'r manylion ar draws y cynllun i gyd a'i roi ar waith ledled Cymru.' Edrychodd adroddiad a gyhoeddwyd gan Lywodraeth Cymru yn 2018 ar wybodaeth, agwedd ac ymddygiad y cyhoedd tuag at CPR a diffibrilwyr. Daeth yr arolwg i'r casgliad fod y gyfran a hyfforddwyd i ddefnyddio diffibriliwr yn llawer is na'r gyfran a hyfforddwyd i roi CPR, gyda dim ond 23 y cant o'r holl ymatebwyr yn nodi eu bod wedi cael hyfforddiant. Er hynny, nododd dros 50 y cant o bobl y byddent yn hoffi cael rhywfaint o hyfforddiant. O ran defnyddio diffibrilwyr, roedd lefel yr hyder yn is nag ar gyfer y rhai sy'n rhoi CPR, gyda dim ond 38 y cant o'r ymatebwyr yn dweud y byddent yn hyderus. Roedd lefelau hyder yn uwch ymhlith y rhai a hyfforddwyd mewn CPR neu sut i ddefnyddio diffibrilwyr, ar 55 y cant ac 88 y cant yn eu tro. Fodd bynnag, mae'n destun pryder nad oedd 55 y cant o'r ymatebwyr yn gwybod lle'r oedd eu diffibriliwr agosaf. Hyd yn oed ymhlith y rhai a gafodd hyfforddiant diffibrilio, nododd 35 y cant nad oeddent yn gwybod lle'r oedd eu diffibrilwyr agosaf -