English: I must say, Mike Hedges, I think you've pretty much eviscerated the independence call on finances. Minister, I would like to address my contribution today to the need to increase any consequentials due to the NHS into the NHS, and not for them just to be absorbed by the Government. A common refrain from your benches, when any criticisms are raised of NHS failures, is that if you had more money you could deliver the services long promised. You say that, with better funding, waiting lists would be reduced, ambulances would be able to spend more time treating patients and spend less time queuing outside hospitals to discharge patients, and everybody who wanted an NHS dentist would get one. The Labour manifesto last week demonstrated the old socialist doctrine that government knows best, but after 20 years, we still appear to be facing the same old arguments and failing to take Wales forward at the same pace as other parts of the UK. And we should remember that, since devolution, a Labour-led Government has been in power all the time in Cardiff Bay and for a substantial amount of time in Westminster, so we'd be foolish to blame the ideological differences between the two Governments for the underfunding of the NHS. The real issue is how can we use any extra funds to improve the NHS for patients in Wales. And I would like to, at this point, make the comment that we need to all pay tribute to the hardworking and dedicated NHS workforce, and my contribution is designed to encourage you to push the extra investment into areas that many of those people have identified. We all know that last year the NHS in Wales reported a deficit of £97 million, showing clearly that the current funding system is not working. We're not addressing adequately the areas of new demand, such as mental health services. We put extra pressure on our already overworked staff who are crying out for sustainable, long-term, multi-year funding plans. We welcome the extra £385 million that's been pledged to the health service in Wales, but this Government is running out of time. You are running out of time to prove that you can spend it in the right areas to make a real difference to the delivery for the Welsh NHS. If we just think about it, if we just used a proportion of the £114 million wasted on the consultation on the M4 relief road, we could have supported an awful lot of nurses. In my own constituency, there was a ragworm farm - it's one of the biggest frauds perpetrated in Welsh history against the Government. It was almost £6 million. That could have trained over 100 million nurses - sorry, 100 more nurses, not million nurses; please don't tweet that. There wouldn't be enough room in our country - we'd have to put them all on the mountains. [ Laughter.] It could have helped reduce ambulance waiting times, which would have saved my 91-year-old constituent from having to wait on a floor for seven hours for an ambulance, and my 94-year-old constituent only last week, who waited 12 hours. That's what we're trying to do; that's where the money needs to be deployed. Let's be honest, if the NHS was really well managed, we would not see four out of seven health boards operating under Government intervention. We must make sure the money's spent in the right way. I believe that the major areas that can do with the most improvement involve the training and recruitment of the workforce, the retention of the workforce, and better support for primary care to ensure that the number of patients using secondary care is reduced. And we also have to look at spending the money in improving our social care services, in getting more people into social care, so that we can get people out of hospital. I have a lady in my constituency who's currently sitting in hospital because we cannot find a carer for 45 minutes in the morning and 15 minutes in the evening. That's all she needs. But instead she's taking up a hospital bed - not her fault - with the cost that that entails. So, what I'd like to talk about is the fact that, with £109 million, for example, you would be able to fill a new cohort of freshly trained nurses, which would actually give us another 1,600 nurses. That's the vacancy rate we currently have in Wales. So, for £109 million, put the training into progress, train them for three years - that, actually, will go an enormous way forward to tackling some of the pressures that we have. The same issues surround GP and doctor recruitment. We've only got 186 training places available. Hospital doctors - it's just the same. As far as workforce retention goes, we need to really not pay lip service to involving the workforce, giving them work, and understanding the enormous working pressures that they are under. This is why the workforce is leaving in droves - they cannot cope with the stress because they are under so much pressure. With that money, you can do an awful lot to alleviate that. You can put into process NHS support and improvement programmes to support our NHS staff to keep them in the NHS. Please, Minister, I'm asking you for nothing else except to spend those consequentials that come and will come from a Conservative Government in Westminster on the NHS in Wales. It's the least the staff there deserve, and it's certainly the least the patients of Wales deserve.
Welsh: Mae'n rhaid i mi ddweud, Mike Hedges, rwy'n credu eich bod wedi diberfeddu'r ddadl annibyniaeth ar gyllid i bob pwrpas. Weinidog, yn fy nghyfraniad heddiw hoffwn drafod yr angen i gynyddu unrhyw symiau canlyniadol sy'n ddyledus i'r GIG i'r GIG yn hytrach na'u bod yn cael eu hamsugno gan y Llywodraeth. Un peth cyffredin o'ch meinciau chi, pan fydd unrhyw feirniadaethau'n cael eu mynegi ynghylch methiannau yn y GIG, yw pe bai gennych fwy o arian y gallech ddarparu'r gwasanaethau a addawyd ers tro. Gyda gwell cyllid, dywedwch y byddai rhestrau aros yn lleihau, byddai ambiwlansys yn gallu treulio mwy o amser yn trin cleifion a threulio llai o amser yn ciwio y tu allan i ysbytai yn aros i drosglwyddo cleifion, a byddai pawb a oedd am gael gwasanaeth deintydd GIG yn ei gael. Roedd maniffesto Llafur yr wythnos diwethaf yn dangos yr hen athrawiaeth sosialaidd mai'r Llywodraeth sy'n gwybod orau, ond ar ôl 20 mlynedd, mae'n ymddangos ein bod yn dal i wynebu'r un hen ddadleuon ac yn methu symud Cymru ymlaen ar yr un cyflymdra â rhannau eraill o'r DU. A dylem gofio, ers datganoli, fod Llywodraeth dan arweiniad Llafur wedi bod mewn grym drwy'r amser ym Mae Caerdydd ac am gryn dipyn o amser yn San Steffan, felly byddem yn ffôl i feio'r gwahaniaethau ideolegol rhwng y ddwy Lywodraeth am dangyllido'r GIG. Y broblem go iawn yw sut y gallwn ddefnyddio unrhyw arian ychwanegol i wella'r GIG i gleifion yng Nghymru. Ac ar y pwynt hwn, hoffwn wneud y sylw fod angen i bawb ohonom dalu teyrnged i weithlu ymroddedig a gweithgar y GIG, ac mae fy nghyfraniad wedi'i gynllunio i'ch annog i wthio'r buddsoddiad ychwanegol tuag at feysydd y mae llawer o'r bobl hynny wedi'u nodi. Gwyddom oll fod y GIG yng Nghymru wedi cofnodi diffyg o £97 miliwn y llynedd, gan ddangos yn glir nad yw'r system ariannu bresennol yn gweithio. Nid ydym yn mynd i'r afael yn ddigonol â meysydd galw newydd, fel gwasanaethau iechyd meddwl. Rhown bwysau ychwanegol ar ein staff sydd eisoes dan bwysau ac sy'n gweiddi am gynlluniau ariannu cynaliadwy, hirdymor ac aml-flwydd. Rydym yn croesawu'r £385 miliwn ychwanegol a addawyd i'r gwasanaeth iechyd yng Nghymru, ond mae'r Llywodraeth hon yn mynd yn brin o amser. Nid oes gennych fawr o amser ar ôl i brofi y gallwch ei wario yn y meysydd cywir i wneud gwahaniaeth gwirioneddol i'r modd y caiff y GIG yng Nghymru ei ddarparu. Os meddyliwn am y peth, pe baem ond yn defnyddio cyfran o'r £114 miliwn a wastraffwyd ar yr ymgynghoriad ar ffordd liniaru'r M4, gallem fod wedi cynnal llawer iawn o nyrsys. Yn fy etholaeth i, roedd yna fferm abwyd melys - mae'n un o'r achosion twyll mwyaf a gyflawnwyd yn hanes Cymru yn erbyn y Llywodraeth. Roedd bron yn £6 miliwn. Gallai hynny fod wedi hyfforddi dros 100 miliwn o nyrsys - mae'n ddrwg gennyf, 100 yn fwy o nyrsys, nid miliwn o nyrsys; peidiwch â thrydar hynny. Ni fyddai digon o le yn ein gwlad - byddai'n rhaid inni eu rhoi i gyd ar y mynyddoedd. [ Chwerthin. ] Gallai fod wedi helpu i leihau amseroedd aros am ambiwlansys, a fyddai wedi achub etholwr i mi a oedd yn 91 oed rhag gorfod aros ar lawr am saith awr am ambiwlans, ac etholwr arall 94 oed, yr wythnos diwethaf, a arhosodd am 12 awr. Dyna beth rydym ni'n ceisio ei wneud; dyna lle mae angen defnyddio'r arian. Gadewch i ni fod yn onest, pe bai'r GIG yn cael ei reoli'n dda iawn, ni fyddem yn gweld pedwar o'r saith bwrdd iechyd yn gweithredu o dan ymyrraeth y Llywodraeth. Rhaid inni wneud yn siŵr bod yr arian yn cael ei wario yn y ffordd iawn. Credaf mai'r prif feysydd a allai wneud â'r gwelliant mwyaf yw hyfforddi a recriwtio gweithlu, cadw gweithlu, a gwell cymorth ar gyfer gofal sylfaenol er mwyn sicrhau bod nifer y cleifion sy'n defnyddio gofal eilaidd yn lleihau. Ac mae'n rhaid inni edrych hefyd ar wario'r arian ar wella ein gwasanaethau gofal cymdeithasol, cael mwy o bobl i mewn i ofal cymdeithasol, fel y gallwn gael pobl allan o'r ysbyty. Mae gennyf ddynes yn fy etholaeth sy'n eistedd yn yr ysbyty ar hyn o bryd oherwydd na allwn ddod o hyd i ofalwr am 45 munud yn y bore a 15 munud gyda'r nos. Dyna'r cyfan sydd ei angen arni. Ond yn lle hynny, mae hi'n mynd â gwely ysbyty - nid ei bai hi - gyda'r gost sydd ynghlwm wrth hynny. Felly, yr hyn yr hoffwn ei drafod yw'r ffaith y byddech, gyda £109 miliwn er enghraifft, yn gallu llenwi cohort newydd o nyrsys wedi'u hyfforddi, a fyddai mewn gwirionedd yn rhoi 1,600 o nyrsys eraill inni. Dyna'r gyfradd swyddi gwag sydd gennym yng Nghymru ar hyn o bryd. Felly, am £109 miliwn, rhowch yr hyfforddiant ar waith, a'u hyfforddi am dair blynedd - bydd hynny'n mynd yn bell iawn tuag at leddfu peth o'r pwysau sydd arnom. Mae'r un problemau'n ymwneud â recriwtio meddygon teulu a meddygon. Dim ond 186 o leoedd hyfforddi sydd ar gael gennym. Meddygon ysbyty - yr un fath. O ran cadw gweithlu, mae angen inni wneud mwy na dim ond siarad am gynnwys y gweithlu, rhoi gwaith iddynt, a deall y pwysau gwaith enfawr sydd arnynt. Dyna pam y mae'r gweithlu'n gadael yn lluoedd - ni allant ymdopi â'r straen oherwydd eu bod dan gymaint o bwysau. Gyda'r arian hwnnw, gallwch wneud llawer iawn i liniaru hynny. Gallwch roi rhaglenni cymorth a gwella'r GIG ar waith i gefnogi staff y GIG i'w cadw yn y GIG. Os gwelwch yn dda, Weinidog, nid wyf yn gofyn i chi am ddim byd arall heblaw gwario'r symiau canlyniadol hynny sy'n dod ac a ddaw gan Lywodraeth Geidwadol yn San Steffan ar gyfer y GIG yng Nghymru. Dyna'r lleiaf y mae'r staff yno yn ei haeddu, ac yn sicr dyna'r lleiaf y mae cleifion Cymru yn ei haeddu.