English: I have to admit that this has been a difficult decision. I must make that point. On the one hand, we have a system of rights that we're trying to extend, and, on the other, we have a sector that isn't ready for meaningful rights, that is, face-to-face communication and provision in the primary care sector. The standards, as they currently exist, do actually contain some unfortunate discrimination between patients that are served by a GP surgery run by the health boards and those going to independent GP surgeries. There are also issues between in-patients and out-patients. Despite a broad-ranging consultation on the draft version of the regulations, the final version wasn't subject to a long period of consultation, and it includes a small number of significant changes. The responses to that brief consultation weren't of the same opinion either. Generally speaking, the standards as they currently stand are clear and can be applied in various different areas of Wales, but we cannot ignore the inherent inconsistencies forever. We have to consider why these weaknesses have appeared in the regulations, and in the past I have said in this Assembly that challenging standards can push stubborn councils to take steps, for example. And, for large parts of the health service, I would say the same thing. They've known that standards were in the pipeline since 2010, and they should have been making preparations for them. Certainly, most of these standards as they currently exist could have been foreseen, and that's why I would like to proceed with these standards now. We can consider why some of the standards haven't been included, when, from the point of view of rights, they should have been. Now, what I would ask is: why is it difficult to recruit practitioners of sufficient quality? Why is that more difficult than recruiting staff to councils? Because that's what's been happening, unfortunately. With so few key relevant practitioners able to speak Welsh in Wales, the right to a consultation through the medium of Welsh at the moment is something that cannot be enforced, and therefore it shouldn't be worded as an inherent right. Unlike local authorities, the cohort of doctors and trainee doctors come from all parts of the world, and I don't see this as a question of the health service ignoring the inherent skills of the workforce; it's a question of ensuring a workforce at all, whatever language they speak. But we won't accept this rationale forever. Minister, we will be supporting these regulations today because something needs to be done after so long, and there are over 100 standards that could be applied at once. But we will hold you to standard 110, and we will expect this to be a step towards any new set of standards in the future - the next part of the jigsaw, as you mentioned. We recognise that, although recruitment is still a problem, it's possible securing rights to face-to-face consultations across all disciplines will still be difficult, but we will expect them to be introduced in key areas such as dementia, mental health, children's services and autism services at least as a result of standard 110, and, if possible, it should be done before the five years is up. So, that's why I was content to sign up to the committee's report, because I am of the view that it's possible to do something before the end of that five years, and that is to do something as soon as is reasonably practicable. We don't have to wait for five years if there is a chance to do something sooner. Thank you.
Welsh: Mae'n rhaid imi gyfaddef, mae hwn wedi bod yn benderfyniad anodd. Mae'n rhaid imi ddweud hynny. Ar yr un llaw, mae gyda ni system o hawliau yr ydym yn ceisio eu hymestyn, ac, ar y llaw arall, mae gyda ni sector sydd ddim yn barod ar gyfer hawliau ystyrlon, sef cyfathrebu wyneb yn wyneb a darpariaeth yn y sector gofal sylfaenol. Mae'r safonau fel ag y maen nhw yn cynnwys gwahaniaethu anffodus rhwng cleifion sy'n mynychu meddygfa a gynhelir gan yr awdurdodau iechyd a'r rhai sy'n mynd i feddygfa annibynnol. Maen nhw'n cynnwys gwahaniaethu anffodus rhwng cleifion mewnol a chleifion allanol. Serch y ffaith bod ymgynghoriad eang ar fersiwn drafft y rheoliadau wedi digwydd, ni chafodd y fersiwn terfynol gyfnod hir o ymgynghori, ac mae'n cynnwys nifer fach o newidiadau o bwys. Nid oedd yr ymatebion i'r ymgynghoriad byr o'r un farn chwaith. Yn gyffredinol, mae'r safonau fel ag y maent yn glir ac yn gallu cael eu cymhwyso'n rhesymol ac yn gyfatebol mewn ardaloedd gwahanol o Gymru, ond rydym yn methu ag anwybyddu'r anghysondebau cynhenid am byth. Serch hynny, mae'n rhaid ystyried y rhesymau pam mae'r gwendidau hyn yn ymddangos. Yn flaenorol, rwyf i wedi dweud yn fan hyn, yn y Cynulliad, bod safonau heriol yn gallu gwthio cynghorau ystyfnig i gymryd camau, er enghraifft. Ac, ar gyfer rhannau mawr o'r gwasanaeth iechyd, dywedwn yr un peth. Roeddem yn gwybod bod safonau ar y ffordd ers 2010, a dylent fod wedi bod yn paratoi ar eu cyfer. Yn sicr, gall y rhan fwyaf o'r safonau fel ag y maent wedi cael eu rhagweld. Dyna pam hoffwn i fwrw ymlaen gyda nhw nawr. Gallwn ni ystyried pam nad yw rhai o'r safonau wedi cael eu cynnwys, pan, o safbwynt hawliau, efallai y dylent fod. Beth rydw i'n gweld yw: pam ydy'n anodd recriwtio ymarferwyr meddygol o safon berthnasol? Pam ydy hwn yn fwy anodd nag yw recriwtio staff i'r cyngor? Achos dyna beth sydd wedi bod yn digwydd, yn anffodus. Gyda chyn lleied o ymarferwyr meddygol allweddol perthnasol sy'n siarad Cymraeg yng Nghymru, mae'r hawl i ymgynghoriad trwy gyfrwng y Gymraeg, ar hyn o bryd, yn rhywbeth ni ellir ei orfodi, ac felly ni ddylied ei eirio fel hawl. Yn wahanol i awdurdod lleol, mae'r garfan o feddygon a meddygon dan hyfforddiant yn dod o bob cornel y byd ac nid wyf yn gweld hwn fel cwestiwn o'r gwasanaeth iechyd yn anwybyddu sgiliau'r gweithlu meddygol; mae'n gwestiwn o sicrhau gweithlu o gwbl, pa bynnag iaith maen nhw'n ei siarad. Ond ni fyddwn yn derbyn y rheswm hwn am byth. Weinidog, byddwn yn pleidleisio dros y rheoliadau heddiw achos mae angen rhywbeth ar ôl cymaint o amser, ac mae dros 100 o safonau y gellir eu cymhwyso ar unwaith. Ond byddwn yn eich cadw at safon 110, a byddwn yn disgwyl i hyn fod yn gam tuag at unrhyw set newydd o safonau maes o law - y rhan nesaf o'r jig-so, fel y dywedoch chi. Rydym ni'n cydnabod, er bod recriwtio'n parhau i fod yn broblem, ei bod yn bosib y bydd sicrhau hawliau i ymgynghoriadau wyneb yn wyneb dros bob disgyblaeth yn dal i fod yn anodd, ond byddwn yn disgwyl iddynt gael eu cyflwyno mewn meysydd allweddol megis dementia, iechyd meddwl, plant ac awtistiaeth o leiaf, fel canlyniad i safon 110, a chyn, os yw'n bosib, i'r pum mlynedd, sef yr hyd y tu mewn i'r safon yna, ddod i ben. Felly, dyna pam roeddwn i'n fodlon arwyddo adroddiad y pwyllgor, achos rwyf i o'r farn ei bod yn bosib gwneud rhywbeth cyn y pum mlynedd, os yw'n bosib, sef pan fo'n ymarferol. Nid oes angen i ni aros am bum mlynedd os oes yna siawns i wneud rhywbeth cyn hynny. Diolch.