English: Thank you for the statement. I think I have four questions that I'd be grateful if the Cabinet Secretary could respond to. Survival rates have risen in Wales, as elsewhere. New technology and better treatment have ensured that and, of course, we welcome that, and there has been a clear focus on rolling out these new treatments and on improving survival rates. But the services that are offered post stroke I think need improvement, and I think that point is conceded in the new delivery plan. What is needed is for all stroke survivors, not just some, to be receiving the six-month review, for example, and to receive the appropriate rehabilitation services. This means, inevitably, a need for physios, occupational therapists and ensuring that institutional barriers don't prevent delays in these being provided. But there's a lack of data on how many survivors are actually receiving the reviews. So, my usual data question: when will more data be made available on the six-month reviews? There are also other health problems that can be caused by stroke, and therefore patients would benefit from monitoring closer, post stoke, in case these problems develop. For example, stroke can trigger the onset of dementia. Also, around 20 per cent of stroke patients have depression following a stroke. So, the second question: has the Cabinet Secretary considered what ways can be developed to monitor this, in order to develop intervention? I'll turn to the third sector and draw attention to the tremendous work done by the Stroke Association. Funding cuts - in my constituency, certainly - mean that cuts in staff have become necessary. That means cuts and impacts on services, and in the ability of the Stroke Association to help patients through the recovery process. For example, 1,500 people in my constituency have survived a stroke - above the average. Nearly 1,500 have been diagnosed with atrial fibrillation - again, above the average. That's now; that's the challenge we're facing. In future: over 11,000 have been diagnosed with high blood pressure, so we have many people in high-risk categories, when we have a Stroke Association who want to contribute with the provision of social contact and stimulation, the promotion of physical and mental health and well-being, the reduction in dependency on long-term social services provision and so on - it's a long list. Can I ask, as my third question, what assurance the Cabinet Secretary can give that Government, working with health boards, will give leadership in ensuring that the third sector services can be maintained and enhanced in future, as an integral part of the care system? And finally, survival rates across the UK are dependent upon income. They follow the usual pattern of health inequalities, with people in poorer areas, frankly, less likely to survive a stroke. And whilst, obviously, healthier lifestyles - we can all be agreed on that - would help to prevent some strokes, will the Cabinet Secretary look at whether the rehabilitation services available in poorer communities are as good as elsewhere, and make sure that service provision here doesn't follow the inverse care law?
Welsh: Diolch i chi am y datganiad yna. Rwy'n credu bod gen i bedwar cwestiwn y byddwn yn ddiolchgar pe gallai Ysgrifennydd y Cabinet ymateb iddynt. Mae cyfraddau goroesi wedi cynyddu yng Nghymru, fel mewn mannau eraill. Mae technoleg newydd a gwell triniaeth wedi sicrhau hynny ac, wrth gwrs, rydym ni'n croesawu hynny, a bu pwyslais eglur ar gyflwyno'r triniaethau newydd hyn ac ar wella cyfraddau goroesi. Ond rwy'n credu bod angen gwella'r gwasanaethau a gynigir ar ôl strôc, ac rwy'n meddwl bod y pwynt hwnnw'n cael ei dderbyn yn y cynllun cyflawni newydd. Mae angen i bawb sydd wedi goroesi strôc, nid dim ond rhai, gael yr adolygiad chwe mis, er enghraifft, a chael y gwasanaethau adsefydlu priodol. Mae hyn yn golygu, yn anochel, fod angen ffisiotherapyddion, therapyddion galwedigaethol a sicrhau nad yw rhwystrau sefydliadol yn atal oediadau cyn darparu'r rhain. Ond ceir diffyg data o ran faint o oroeswyr sy'n derbyn yr adolygiadau mewn gwirionedd. Felly, fy nghwestiwn data arferol: pryd y bydd rhagor o ddata ar gael ar yr adolygiadau chwe mis? Ceir problemau iechyd eraill hefyd y gall strôc eu hachosi, ac felly byddai cleifion yn elwa o fonitro agosach, ar ôl strôc, rhag ofn y bydd y problemau hyn yn datblygu. Er enghraifft, gall strôc sbarduno dementia. Hefyd, mae tua 20 y cant o gleifion strôc yn dioddef iselder yn dilyn strôc. Felly, yr ail gwestiwn: a yw Ysgrifennydd y Cabinet wedi ystyried pa ffyrdd y gellir eu datblygu i fonitro hyn, er mwyn datblygu ymyriad? Hoffwn droi at y trydydd sector a thynnu sylw at y gwaith rhagorol a wneir gan y Gymdeithas Strôc. Mae toriadau i gyllid - yn fy etholaeth i, yn sicr - yn golygu y bu'n rhaid cael gwared ar aelodau staff. Mae hynny'n golygu toriadau ac effeithiau ar wasanaethau, ac ar allu'r Gymdeithas Strôc i helpu cleifion drwy'r broses adsefydlu. Er enghraifft, mae 1,500 o bobl yn fy etholaeth i wedi goroesi strôc - sy'n uwch na'r cyfartaledd. Mae bron i 1,500 wedi cael diagnosis o ffibriliad atrïaidd - yn uwch na'r cyfartaledd, unwaith eto. Dyna'r sefyllfa bresennol; dyna'r her yr ydym ni'n ei hwynebu. Yn y dyfodol: mae dros 11,000 wedi cael diagnosis o bwysedd gwaed uchel, felly mae gennym ni lawer o bobl mewn categorïau risg uchel, tra bo gennym ni Gymdeithas Strôc sydd eisiau cyfrannu trwy ddarparu cyswllt ac ysgogiad cymdeithasol, hybu iechyd a llesiant corfforol a meddyliol, lleihau dibyniaeth ar ddarpariaeth gwasanaethau cymdeithasol hirdymor ac yn y blaen - mae'n rhestr hir. A gaf i ofyn, fel fy nhrydydd cwestiwn, pa sicrwydd y gall Ysgrifennydd y Cabinet ei roi y bydd y Llywodraeth, gan weithio gyda byrddau iechyd, yn rhoi arweinyddiaeth o ran sicrhau y gellir cynnal a gwella gwasanaethau'r trydydd sector yn y dyfodol, fel rhan annatod o'r system ofal? Ac yn olaf, mae cyfraddau goroesi ar draws y DU yn ddibynnol ar incwm. Maen nhw'n dilyn patrwm arferol anghydraddoldebau iechyd, ac mae pobl mewn ardaloedd tlotach, a dweud y gwir, yn llai tebygol o oroesi strôc. Ac er, yn amlwg, y byddai ffyrdd iachach o fyw - gallwn ni oll gytuno ar hynny - yn helpu i atal rhai achosion o strôc, a wnaiff Ysgrifennydd y Cabinet ystyried pa un a yw'r gwasanaethau adsefydlu sydd ar gael mewn cymunedau tlotach gystal ag y maent mewn mannau eraill, a gwneud yn siŵr nad yw'r ddarpariaeth o wasanaethau yn hyn o beth yn dilyn y ddeddf gofal gwrthgyfartal?