English: Thank you for the wide range of questions. Some of your broader points were about capacity across the system - you started and ended on those points. On capacity within the beds part of the system, and not just within the hospital setting, but the ability to flex bed capacity, that requires staff, and that's the biggest limiting factor, rather than the physical beds and space themselves. But there are also beds in different parts of the system, so a focus on reablement beds, to get people out of hospital if they need an intermediate setting before going back to their own home wherever that may be, whether it's a private residence or if they're in the residential care sector. There's always capacity to make better use of the capacity within the pharmacy sector too, which I've outlined in the statement. There are more services that pharmacies can provide than many people are aware of. We want to make the best possible use of that service. I've outlined in both the amber review and in today's statement some of where that extra capacity will be - for example, more clinicians available to service the clinical desk with the Welsh ambulance service, where lots of demand ends up being filtered through during this time of year, and, where the 111 service has been rolled out, there is more resilience in the out-of-hours service and not just people interacting with the emergency ambulance service as well. So, we will have more staff to help make that work. That partly follows on from the statement last week on the amber review. Today, for example, you know that, across the system, the successful pilot of advanced paramedic practitioners in north Wales is being rolled out through the service. So, that's extra capacity but not just numbers, but the sorts of people making use of the skill that those advanced paramedics have. Local health boards have decided with their local authority partners where best to deploy the skills of those advanced paramedics. So, yes, there are going to be more staff in and around our system, and we really are trying to learn lessons from the last winter. It should be a positive that that lesson learning takes place between professional staff and leaders of staff, so I'm not getting drawn into the operational detail of that because, actually, that's not where a politician should be. It's about the assurance that we are providing them with the resources they need to deal with the capacity and where they need that capacity to try and deliver a more resilient system through this winter. But it would be foolish of any health Minister in any Government to try and provide an absolute guarantee that the system won't come under pressure or strain during the winter, and that includes our ability to provide out-of-hours services and how all parts of the system flex with each other. That's why we need to make better use of integrating the whole system together, because otherwise I recognise that that pressure goes into different areas. That's why we are looking to provide more capacity across the social care side of the system, because the dedication of our staff has to be in all of those sectors. If we achieve greater flow through the healthcare system, as we expect to do and as we want to do, that means that people will arrive in the social care sector more rapidly than before. We need capacity in that sector, not just in beds but in staff to do their job too. On some of the specific points you made, on the operational plans that health boards are delivering, I do expect them to cover the estate within our hospitals so people can actually move around that estate - that's staff and patients and visitors too. On the assurances on the maternity services, we have received assurances, and I'll be providing a written note for Members to confirm that those assurances have been received about the staff members on maternity services around the country. And then, on the flu vaccine, there was significant additional demand for the manufacture this year. Every year, public health organisations agree on the right strains of the flu vaccine to target. There's a slightly different vaccine available depending on different age groups and the efficacy of that. The manufacturer had some short-term supply issues at the start of the season. They're being resolved and the batches are being released across England, Wales and the rest of the UK as well. So, if anyone has not had the flu jab who wants it they should re-contact either their GP or their local community pharmacy and they can give them local information about when to have the jab and when it will be readily available in each area of the country. But we've actually got ahead this year in our flu campaign. We expect and want to vaccinate more of our staff and more of the public, and there should be more opportunities to do that in different locations around the country too.
Welsh: Diolch i chi am yr amrywiaeth eang o gwestiynau. Roedd rhai o'ch pwyntiau ehangach ynghylch capasiti ar draws y system - fe wnaethoch chi ddechrau a therfynnu ar y pwyntiau hynny. O ran y capasiti gwelyau sy'n rhan o'r system, ac nid dim ond yn lleoliad yr ysbyty, ond y gallu i ymestyn capasiti gwelyau, mae angen staff ar gyfer hynny, a dyna'r ffactor sy'n cyfyngu fwyaf, yn hytrach na'r gwelyau eu hun a'r lle ar eu cyfer. Ond mae yna hefyd welyau mewn gwahanol rannau o'r system, felly mae canolbwyntio ar welyau ailalluogi, i gael pobl allan o'r ysbyty os oes angen iddynt fod mewn lleoliad canolraddol cyn mynd yn ôl i'w cartrefi eu hunain, ble bynnag y bo, boed yn gartref preifat neu os ydyn nhw yn y sector gofal preswyl. Mae bob amser capasiti i wneud gwell defnydd o gapasiti yn y sector fferyllol hefyd, ac amlinellais hyn yn y datganiad. Mae mwy o wasanaethau y gall fferyllfeydd eu darparu nag y mae llawer o bobl yn ymwybodol ohonynt. Rydym ni eisiau gwneud y defnydd gorau posibl o'r gwasanaeth hwnnw. Rwyf wedi amlinellu yn yr adolygiad achosion oren ac yn y datganiad heddiw, rai o'r lleoedd lle bydd y capasiti ychwanegol hwnnw - er enghraifft, mwy o glinigwyr ar gael i wasanaethu'r ddesg glinigol gyda gwasanaeth ambiwlans Cymru, lle mae llawer o'r galw yn mynd yn y pen draw ar yr adeg hon o'r flwyddyn, a, lle mae'r gwasanaeth 111 wedi'i gyflwyno, mae mwy o gydnerthedd yn y gwasanaeth y tu allan i oriau ac nid dim ond pobl yn rhyngweithio â'r gwasanaeth ambiwlans brys hefyd. Felly, bydd gennym ni fwy o staff i helpu i wneud y gwaith hwnnw. Mae hynny'n rhannol yn dilyn ymlaen o'r datganiad yr wythnos diwethaf ar yr adolygiad o achosion oren. Heddiw, er enghraifft, rydych chi'n gwybod, ar draws y system, bod y cynllun treialu llwyddiannus o uwch ymarferwyr parafeddygol yn y gogledd yn cael ei gyflwyno drwy'r gwasanaeth. Felly, mae hynny'n gapasiti ychwanegol ond nid dim ond o ran niferoedd yn unig, ond y math o bobl sy'n defnyddio'r sgiliau hynny sydd gan yr uwch ymarferwyr parafeddygol hynny. Mae byrddau iechyd lleol wedi penderfynu gyda'u partneriaid awdurdod lleol lle yw'r man gorau i ddefnyddio sgiliau'r uwch ymarferwyr parafeddygon hynny. Felly, oes, mae mwy o staff yn mynd i fod yn ein system ac o'i hamgylch, ac rydym ni mewn gwirionedd yn ceisio dysgu gwersi o'r gaeaf diwethaf. Dylai fod yn gadarnhaol bod y dysgu gwersi hynny yn digwydd rhwng staff proffesiynol ac arweinwyr staff, felly nid wyf yn cael fy nhynnu i mewn i'r manylion gweithredol hynny oherwydd, mewn gwirionedd, nid dyna lle y dylai gwleidydd fod. Mae'n ymwneud â'r sicrwydd yr ydym yn ei roi iddynt gyda'r adnoddau y mae eu hangen arnynt er mwyn ymdrin â'r capasiti a lle mae angen y capasiti hwnnw arnyn nhw er mwyn ceisio cyflawni system fwy cydnerth drwy'r gaeaf hwn. Ond byddai'n ffôl i unrhyw Weinidog iechyd mewn unrhyw Lywodraeth geisio rhoi sicrwydd llwyr na fydd y system yn dod o dan bwysau neu straen yn ystod y gaeaf, ac mae hynny yn cynnwys ein gallu i ddarparu gwasanaethau y tu allan i oriau a sut y mae'r holl rannau o'r system yn cyd-addasu gyda'i gilydd. Dyna pam y mae angen inni wneud defnydd gwell o integreiddio'r system gyfan gyda'i gilydd, oherwydd fel arall rwy'n cydnabod bod y pwysau hynny yn mynd i wahanol feysydd. Dyna pam yr ydym ni'n bwriadu rhoi mwy o gapasiti yn ochr gofal cymdeithasol y system, oherwydd mae'n rhaid i ymroddiad ein staff fod ym mhob un o'r sectorau hynny. Os byddwn yn cael mwy o gleifion yn llifo drwy'r system gofal iechyd, fel y disgwyliwn ei wneud ac fel yr ydym ni eisiau ei wneud, mae hynny'n golygu y bydd pobl yn cyrraedd yn y sector gofal cymdeithasol yn gyflymach nag o'r blaen. Mae angen capasiti arnom ni yn y sector hwnnw, nid dim ond gwelyau ond staff i wneud eu gwaith hefyd. Ynglŷn â rhai o'r pwyntiau penodol a wnaethoch chi, ar y cynlluniau gweithredu y mae byrddau iechyd yn eu cyflawni, rwy'n disgwyl iddynt gynwys yr ystad yn ein hysbytai fel y gall pobl, mewn gwirionedd, symud o amgylch yr ystad honno - mae hynny'n cynnwys y staff, y cleifion a'r ymwelwyr hefyd. O ran y sicrwydd ynglŷn â gwasanaethau mamolaeth, rydym ni wedi cael sicrwydd, a byddaf yn rhoi nodyn ysgrifenedig i'r Aelodau gadarnhau y derbyniwyd y sicrwydd hwnnw ynghylch yr aelodau staff ar wasanaethau mamolaeth ledled y wlad. Ac yna, ynglŷn â'r brechlyn ffliw, bu galw ychwanegol sylweddol i'w gynhyrchu eleni. Bob blwyddyn, mae sefydliadau iechyd cyhoeddus yn cytuno ar y mathau cywir o'r brechlyn ffliw i'w targedu. Mae brechlyn ychydig yn wahanol ar gael yn dibynnu ar y grwpiau oedran gwahanol ac effeithiolrwydd hwnnw. Cafodd y gwneuthurwr rai problemau cyflenwi byr dymor ar ddechrau'r tymor. Maen nhw'n cael eu datrys ac mae'r cyflenwadau yn cael eu rhyddhau ledled Cymru, Lloegr a gweddill y DU hefyd. Felly, os oes unrhyw un nad yw wedi cael brechiad rhag y ffliw sydd ei eisiau fe ddylen nhw gysylltu eto â'u meddyg teulu neu eu fferyllfa gymunedol lleol ac fe allan nhw roi gwybodaeth leol iddyn nhw ynglŷn â phryd i gael y pigiad a phryd y bydd ar gael yn rhwydd ym mhob ardal o'r wlad. Ond mewn gwirionedd rydym ni ar y blaen yn ein hymgyrch ffliw eleni. Rydym ni'n disgwyl brechu mwy o'n staff a mwy o'r cyhoedd, ac rydym ni eisiau gwneud hynny, a dylai fod mwy o gyfleoedd i wneud hynny mewn gwahanol leoliadau o amgylch y wlad hefyd.