English: On amendment 5? I'm going on to amendment 5 now, yes. So, I understand, as I said, that the health board are reflecting upon the outcome of the programme, and they are looking at the current and future population in the area, and of course the reality of staff recruitment. Members across the Chamber will know simply calling for the south Wales programme to end doesn't really answer the problem - it avoids the problem. The health board is responsible for ensuring that they have sufficient staffing to deliver safe services for patients, and it's not for Ministers to intervene in local operational matters. The Government will therefore abstain on amendment 5. While I understand some concerns have been raised about the health board's attempts to recruit, it's important that we recognise that the health board has been actively recruiting to ensure that there is sufficient consultant support, but that has been through a reliance on locums, and more recently utilising some consultants from the Princess of Wales, but this is not a sustainable position going forward. The health Minister has also discussed at length on a number of occasions the challenges of attracting and retaining emergency medicine consultants in what is a shortage profession across the UK. The immediacy of the current position in Cwm Taf Morgannwg has arisen because of staffing shortages, and it would be wrong to ignore the challenges the health board is facing. Health Education and Improvement Wales is already developing a joint health and social care workforce strategy. Four doctors in training are expected to achieve their certificate of completion of training in emergency medicine this summer and take up posts as consultants across Wales. Between 2021 and 2025, a further 62 doctors are expected to achieve their certificate of completion of training. The national unscheduled care board has been established and has reviewed the workforce requirements for emergency medicine and the further expansion of the consultant workforce, supported by Health Education and Improvement Wales. However, that in itself isn't an answer to all the concerns of Members and the public. There are no quick, easy fixes. We know that people care deeply about the future of our NHS, and everyone here does as well. We expect all of our decision makers in the NHS to listen to what their public and their elected representatives have to say, to be open, honest and transparent with the public and their staff. We expect our NHS to make choices and deliver a robust, safe service. The health board will be receiving a further update on the exploratory work being undertaken on the future proposals, including the feedback received during the engagement process, at their next public board meeting at the end of March, where they will decide the next steps. I repeat: no decision has yet been made.
Welsh: Am welliant 5? Rwy'n mynd ymlaen at welliant 5 yn awr. Felly, rwy'n deall, fel y dywedais, fod y bwrdd iechyd yn ystyried canlyniad y rhaglen, ac maent yn edrych ar y boblogaeth yn yr ardal ar hyn o bryd ac yn y dyfodol, ac wrth gwrs, realiti recriwtio staff. Bydd Aelodau ar draws y Siambr yn gwybod nad yw galw'n syml am roi diwedd ar raglen de Cymru yn ateb y broblem mewn gwirionedd - mae'n osgoi'r broblem. Mae'r bwrdd iechyd yn gyfrifol am sicrhau bod ganddo ddigon o staff i ddarparu gwasanaethau diogel i gleifion, ac nid lle Gweinidogion yw ymyrryd mewn materion gweithredol lleol. Bydd y Llywodraeth felly yn ymatal ar welliant 5. Er fy mod yn deall bod rhai pryderon wedi'u codi ynghylch ymdrechion y bwrdd iechyd i recriwtio, mae'n bwysig inni gydnabod bod y bwrdd iechyd wedi bod wrthi'n recriwtio i sicrhau bod digon o gymorth gan feddygon ymgynghorol, ond mae hynny wedi digwydd drwy ddibyniaeth ar staff locwm, ac yn fwy diweddar, defnyddio rhai meddygon ymgynghorol o Ysbyty Tywysoges Cymru, ond nid yw'n sefyllfa gynaliadwy wrth symud ymlaen. Mae'r Gweinidog iechyd hefyd wedi trafod yn fanwl ac ar nifer o achlysuron yr heriau o ddenu a chadw meddygon ymgynghorol ym maes meddygaeth frys mewn proffesiwn lle ceir prinder ledled y DU. Mae uniongyrchedd y sefyllfa bresennol yng Nghwm Taf Morgannwg wedi codi oherwydd prinder staff, a byddai'n anghywir anwybyddu'r heriau y mae'r bwrdd iechyd yn eu hwynebu. Mae Addysg a Gwella Iechyd Cymru eisoes yn datblygu strategaeth gweithlu iechyd a gofal cymdeithasol ar y cyd. Disgwylir i bedwar meddyg dan hyfforddiant gyflawni eu tystysgrif cwblhau hyfforddiant mewn meddygaeth frys yr haf hwn a chael swyddi fel meddygon ymgynghorol ledled Cymru. Rhwng 2021 a 2025, disgwylir i 62 o feddygon eraill gyflawni eu tystysgrif cwblhau hyfforddiant. Mae'r bwrdd cenedlaethol gofal heb ei drefnu wedi'i sefydlu ac mae wedi adolygu gofynion y gweithlu ar gyfer meddygaeth frys ac ehangu'r gweithlu meddygon ymgynghorol ymhellach, gyda chefnogaeth Addysg a Gwella Iechyd Cymru. Fodd bynnag, nid yw hynny ynddo'i hun yn ateb i holl bryderon yr Aelodau a'r cyhoedd. Nid oes unrhyw atebion hawdd a chyflym. Gwyddom fod pobl yn poeni'n fawr am ddyfodol ein GIG, a bod pawb yma'n poeni hefyd. Rydym yn disgwyl i'r holl rai sy'n gwneud penderfyniadau yn y GIG wrando ar yr hyn sydd gan y cyhoedd a'u cynrychiolwyr etholedig i'w ddweud, i fod yn agored, yn onest ac yn dryloyw gyda'r cyhoedd a'u staff. Disgwyliwn i'n GIG wneud dewisiadau a darparu gwasanaeth cadarn a diogel. Bydd y bwrdd iechyd yn cael y wybodaeth ddiweddaraf ar y gwaith archwiliadol sy'n cael ei wneud ar gynigion yn y dyfodol, gan gynnwys yr adborth a gafwyd yn ystod y broses ymgysylltu, yn eu cyfarfod bwrdd cyhoeddus nesaf ar ddiwedd mis Mawrth, lle byddant yn penderfynu ar y camau nesaf. Rwy'n ailadrodd: nid oes penderfyniad wedi'i wneud eto.