English: Can I thank the Minister for her statement today, and also take the opportunity to pay tribute to the NHS as it marks its seventy-fourth birthday today, and 74 years of remarkable service? Can I thank you, Minister, for the statement today and say I'm very pleased to hear that you, of course, recognise the inequalities that exist, inequalities that perhaps 18 months ago, before I took the health brief on, and before my role on the Health and Social Care Committee, I would have had little understanding of myself. But certainly, I appreciate the need for the plan. I'm not overly impressed with the quality statement itself, but the women's health plan that will flow from that I certainly look forward to in the autumn. When it comes to the Health and Social Care Committee, we carried out our own consultation last summer asking our stakeholders about their priorities, and women's health and girls' health was very, very high on the agenda. As a result of that, we made a point of making sure that women and girls' health is a priority for the Health and Social Care Committee for this Senedd term, over the next five years. I should also say we also undertook some research when we invited the women's health Wales coalition to come in back in March, and present to us, which was useful in informing certainly my views. What the coalition did say to us - and you touched on this in your statement today - is that when we study hearts and heart attacks, we're studying male hearts and male heart attacks. And actually, women need to be involved in that, and we need to think about these diseases as being something that impacts both. Of course, as you've pointed out yourself, Minister, there's perhaps an under-representation of women in clinical trials. We also know, or certainly the coalition told us, that women are 50 per cent more likely to receive an initial misdiagnosis of a heart attack, and we don't know why that is. So, Minister, can you confirm that the health plan will include a commitment to increasing the representation of women in clinical trials in Wales? You also pointed out that the plan will be developed with women groups, and that's very much welcome, of course, but, certainly, when we hear about the experiences of women in developing that implementation plan, can I also ask whether you're going to build into that those women's voices, and into governance and leadership structures within the NHS as well? We've heard a lot of issues around miscommunication. Changes to the cervical screening programme have highlighted the importance of clear and accurate communication. On that point, I wonder, in terms of improving communication, whether you can clarify how the plan is going to improve communication with women? There was some evidence presented to us as well that, sometimes, as women are recovering, many patients would have their surgery and then the consultant would come around to talk to them whilst they were in recovery, and whilst they were semi-conscious and couldn't remember what had been said. So, on the importance of communication, I'd be interested in your further thoughts about how the plan is going to improve communication in that element as well. Then, of course, there's the issue about prevention as well. I know that you will probably agree with that assessment, but I'd be interested to know, Minister, how your plan is going to incorporate prevention and how that will fit, also, with 'Healthy Weight: Healthy Wales'. You also, Minister, mention in your quality statement that 'Health boards will ensure appropriate levels of diagnostic, therapeutic and surgical capacity to enable women who require interventions for health needs specific to women and girls including menstrualand menopause, to receive care as close as possible to home without significant waits.' I'm just interested in how that will be developed, bearing rural areas in mind as well. Of course, those might be very easy to roll out in Cardiff, but when we think of rural areas, I'm just interested in how your plan will develop in terms of ensuring that we have enough capacity in rural areas as well. And -
Welsh: A gaf i ddiolch i'r Gweinidog am ei datganiad heddiw, a manteisio hefyd ar y cyfle i dalu teyrnged i'r GIG wrth iddo nodi ei ben-blwydd yn 70 oed heddiw, a 74 o flynyddoedd o wasanaeth rhyfeddol? A gaf i ddiolch i chi, Gweinidog, am y datganiad heddiw a dweud fy mod yn falch iawn o glywed eich bod, wrth gwrs, yn cydnabod yr anghydraddoldebau sy'n bodoli, anghydraddoldebau, efallai, 18 mis yn ôl, cyn i mi ymgymryd â'r brîff iechyd, a chyn fy swyddogaeth ar y Pwyllgor Iechyd a Gofal Cymdeithasol, na fyddwn â fawr ddim dealltwriaeth ohonyn nhw fy hun. Ond yn sicr, rwy'n gwerthfawrogi'r angen am y cynllun. Nid yw'r datganiad ansawdd ei hun wedi creu argraff fawr arnaf, ond rwyf yn sicr yn edrych ymlaen at y cynllun iechyd menywod a fydd yn deillio ohono yn yr hydref. O ran y Pwyllgor Iechyd a Gofal Cymdeithasol, fe wnaethom ni gynnal ein hymgynghoriad ein hunain yr haf diwethaf yn gofyn i'n rhanddeiliaid am eu blaenoriaethau, ac roedd iechyd menywod ac iechyd merched yn uchel iawn ar yr agenda. O ganlyniad i hynny, gwnaethom bwynt o sicrhau bod iechyd menywod a merched yn flaenoriaeth i'r Pwyllgor Iechyd a Gofal Cymdeithasol ar gyfer tymor y Senedd hon, dros y pum mlynedd nesaf. Dylwn i ddweud ein bod ni hefyd wedi gwneud rhywfaint o ymchwil pan wnaethom wahodd clymblaid iechyd menywod Cymru i ddod yn ôl ym mis Mawrth, a gwneud cyflwyniad i ni, a oedd yn ddefnyddiol o ran llywio fy marn yn sicr. Yr hyn a ddywedodd y glymblaid wrthym - a chyfeirioch chi at hyn yn eich datganiad heddiw - yw ein bod, pan fyddwn yn astudio calonnau a thrawiadau ar y galon, rydym yn astudio calonnau dynion a thrawiadau ar y galon ymhlith dynion. Ac mewn gwirionedd, mae angen i fenywod fod yn rhan o hynny, ac mae angen i ni ystyried bod y clefydau hyn yn bethau sy'n effeithio ar y ddau. Wrth gwrs, fel yr ydych chi wedi nodi eich hun, Gweinidog, efallai fod tangynrychiolaeth o fenywod mewn treialon clinigol. Rydym yn gwybod hefyd, yn sicr fe ddywedodd y glymblaid wrthym ni, fod menywod 50 y cant yn fwy tebygol o gael camddiagnosis cychwynnol o drawiad ar y galon, ac nid ydym yn gwybod beth yw'r rheswm dros hyn. Felly, Gweinidog, a wnewch chi gadarnhau y bydd y cynllun iechyd yn cynnwys ymrwymiad i gynyddu cynrychiolaeth menywod mewn treialon clinigol yng Nghymru? Dywedoch chi hefyd y bydd y cynllun yn cael ei ddatblygu gyda grwpiau menywod, ac mae hynny i'w groesawu'n fawr, wrth gwrs, ond, yn sicr, pan glywn am brofiadau menywod wrth ddatblygu'r cynllun gweithredu hwnnw, a gaf i hefyd ofyn a ydych chi'n mynd i gynnwys lleisiau'r menywod hynny yn hwnnw ac yn strwythurau llywodraethu ac arwain o fewn y GIG hefyd? Rydym wedi clywed am lawer o broblemau yn ymwneud â chamgyfathrebu. Mae newidiadau i'r rhaglen sgrinio serfigol wedi tynnu sylw at bwysigrwydd cyfathrebu clir a chywir. Ar y pwynt hwnnw, tybed, o ran gwella cyfathrebu, a wnewch chi egluro sut y mae'r cynllun yn mynd i wella cyfathrebu â menywod? Cyflwynwyd rhywfaint o dystiolaeth i ni hefyd, weithiau, wrth i fenywod ymadfer, y byddai llawer o gleifion yn cael eu llawdriniaeth ac yna byddai'r meddyg ymgynghorol yn dod o gwmpas i siarad â nhw wrth iddyn nhw ymadfer, a phan oedden nhw'n lled-ymwybodol ac yn methu cofio'r hyn a ddywedwyd. Felly, o ran pwysigrwydd cyfathrebu, byddai gennyf ddiddordeb yn eich syniadau pellach ynghylch sut y mae'r cynllun yn mynd i wella cyfathrebu yn yr elfen honno hefyd. Yna, wrth gwrs, mae'r mater yn ymwneud ag atal hefyd. Gwn y byddwch, mae'n debyg, yn cytuno â'r asesiad hwnnw, ond byddai gennyf ddiddordeb mewn gwybod, Gweinidog, sut y bydd eich cynllun yn ymgorffori atal a sut y bydd hynny'n cyd-fynd, hefyd, â 'Pwysau Iach: Cymru Iach'. Rydych chi hefyd, Gweinidog, yn sôn yn eich datganiad ansawdd, 'Bydd byrddau iechyd yn sicrhau lefelau priodol o gapasiti diagnostig, therapiwtig a llawfeddygol i alluogi menywod sydd angen ymyriadau ar gyfer anghenion iechyd sy'n benodol i fenywod a merched, gan gynnwys gofal mislifa menopos, i dderbyn gofal mor agos â phosibl at y cartref heb orfod aros am gyfnod helaeth.' Mae gennyf ddiddordeb yn y ffordd y bydd hynny'n cael ei ddatblygu, gan gadw ardaloedd gwledig mewn cof hefyd. Wrth gwrs, efallai y byddai'r rheini'n hawdd iawn eu cyflwyno yng Nghaerdydd, ond pan feddyliwn ni am ardaloedd gwledig, mae gennyf ddiddordeb yn y ffordd y bydd eich cynllun yn datblygu o ran sicrhau bod gennym ddigon o gapasiti mewn ardaloedd gwledig hefyd. Ac -