English: I have real concerns about the four-hour figures from each of the three centres in north Wales, but I've never tried to hide from those concerns. They're absolutely part of the conversations I've had with the new chair about the need to see improvement. They have got a 90-day improvement plan, but the point that I have made is, 'It's fine to have a plan, but you obviously need to be able to deliver on it and to deliver improvement, and to take the staff with you'. The worst thing that we could do would be simply to say, 'People need to try and work harder' and that's it. Actually, there are changes about how the services are organised, about getting people to the right place within our heath and care system, and having the right capacity within the system as well. It's instructed to me that there's something here about supporting good clinical leadership, because if you look across north Wales, then, at present, the area, certainly in the recent past, that has had the greatest physical challenges is Ysbyty Gwynedd. Yet, actually, often, their performance is better than the other two sites. So, it isn't simply about the physical settings, but sometimes the physical setting does matter. It is about having the right clinicians in the right place and about leadership and actually about persuading members of the public to try and use different points in the system at the right point in time. But I expect that you and other Members from every party will continue to not just question me but to ask again - once we've had a 90-day plan, I expect to come back and have questions about that and what difference it has made. I do think the national arrangements we put in place with the national clinical lead, with Jo Mower, have been helpful, because, of course, she has the credibility of still being a serving clinician in an emergency department. So, I'm cautiously optimistic that we'll see improvement, if not in the busy time of winter, because that really is a hostage to fortune, but I expect over the next year that your constituents and others can have a better experience with shorter waits within emergency departments. But this is a longer term challenge and not something I'll be able to resolve with a click of my fingers, as much as I would like to be able to do so.
Welsh: Mae gennyf bryderon gwirioneddol ynghylch y ffigurau pedair awr ym mhob un o'r tair canolfan yng ngogledd Cymru, ond nid wyf erioed wedi ceisio cuddio rhag y pryderon hynny. Maent yn bendant yn rhan o'r trafodaethau rwyf wedi eu cael gyda'r cadeirydd newydd ynglŷn â'r angen i weld gwelliant. Mae ganddynt gynllun gwella 90 diwrnod, ond y pwynt rwyf wedi'i wneud yw, 'Mae'n iawn cael cynllun, ond yn amlwg, dylech allu ei gyflawni a sicrhau gwelliant, a mynd â'r staff gyda chi'. Y peth gwaethaf y gallem ei wneud fyddai dweud, 'Mae angen i bobl geisio gweithio'n galetach' a dyna ni. Mewn gwirionedd, mae yna newidiadau o ran sut y trefnir y gwasanaethau, sut i sicrhau bod pobl yn mynd i'r lle iawn yn ein system iechyd a gofal, a sut i sicrhau bod capasiti digonol ar gael yn y system hefyd. Dywedir wrthyf fod rhywbeth yma ynghylch cefnogi arweinyddiaeth glinigol dda, oherwydd os edrychwch ar draws gogledd Cymru, ar hyn o bryd, yr ardal sydd wedi wynebu'r heriau ffisegol mwyaf, yn sicr yn y gorffennol diweddar, yw Ysbyty Gwynedd. Serch hynny, mae eu perfformiad yn well na'r ddau safle arall yn aml. Felly, nid yw'n ymwneud â'r lleoliadau ffisegol yn unig, ond weithiau, mae'r lleoliad ffisegol yn ffactor. Mae'n ymwneud â sicrhau bod y clinigwyr cywir yn y lleoedd cywir, ag arweinyddiaeth, ac â pherswadio aelodau o'r cyhoedd i geisio defnyddio pwyntiau gwahanol yn y system ar yr adeg iawn. Ond rwy'n disgwyl y byddwch chi ac Aelodau eraill o bob plaid nid yn unig yn parhau i fy holi ond yn gofyn eto - pan fyddwn wedi cael cynllun 90 diwrnod, rwy'n disgwyl dod yn ôl yma i ateb cwestiynau ynglŷn â hynny a pha wahaniaeth y mae wedi'i wneud. Credaf fod y trefniadau cenedlaethol a roesom ar waith gyda'r arweinydd clinigol cenedlaethol, Jo Mower, wedi bod yn ddefnyddiol, oherwydd, wrth gwrs, mae'n ennyn hyder am ei bod yn dal i fod yn glinigydd gweithredol mewn adran achosion brys. Felly, rwy'n ochelgar obeithiol y byddwn yn gweld gwelliant, os nad dros gyfnod prysur y gaeaf, gan fod y cyfnod hwnnw yn ddibynnol iawn ar ffawd, ond rwy'n disgwyl dros y flwyddyn nesaf y gall eich etholwyr ac eraill gael gwell profiad gydag amseroedd aros byrrach mewn adrannau argyfwng. Ond mae hon yn her fwy hirdymor ac nid yw'n rhywbeth y gallaf ei ddatrys drwy glicio fy mysedd, er cymaint y carwn allu gwneud hynny.