English: Well, the problem, of course, is, Llywydd, that nobody disbelieves the Minister when he's saying these things, but the problem is that he's been saying a variety of them, and his predecessors have been saying a variation on a theme. It may very well be, and I'm not questioning his figures, that we have, for example, had an exceptional number of vulnerable patients, but that begs the question about why those patients are becoming so vulnerable, why they're not receiving the care in the community that they ought to be receiving, and it brings us back to this whole issue of an abject failure to deliver the whole-systems approach. We need to be very clear, Llywydd, that this is not an attack on the staff. We know that staff are doing excellent work. We also know that, in some places, local authorities are co-operating well or less well with their local health boards, and that where they are co-operating well that that is delivering change. But my question would be: where is the national leadership to scale up that change? Now, the Minister will no doubt talk again about the transformation fund, but I would again remind this Chamber that he or his party have been in charge of this for 20 years, and I am no more reassured by what he said this afternoon than I have been about all the other things that he's said over the preceding years. But I want to bring us back to a specific. So, the Minister has just acknowledged, as the First Minister said, that one of the issues around discharging patients from ambulances into hospitals - one of the reasons for the pressures - is that there is a need for a whole-systems approach. So, I'm a little bit surprised in that regard that the Minister has decided to set up yet another task and finish group to review the ambulance service. If the problems are not in the ambulance service but are actually in social care, in delayed transfers of care - and I would argue in the capacity that's been stripped out of the system - why is it going to be helpful to have yet another review of the ambulance service, which on other occasions he's told me is perfectly all right? I am somewhat at a loss. I'm not particularly interested to hear what the Minister says to defend the decision, to be completely honest. But what I would ask him factually is: who are the members of this task and finish review going to be? He's told us who the chair and the vice-chair are going to be - or joint chairs, I apologise. Well, who are the members of this going to be? How is the voice of patients, and particularly the most vulnerable patients like older people and people with learning disabilities, going to be heard in this review? And when does he expect it to report? Because I think we're all losing patience with task and finish groups and reviews. What I would like to see is a health Minister who's prepared to make a decision.
Welsh: Wel, y broblem, wrth gwrs, Lywydd, yw nad oes unrhyw un yn amau'r Gweinidog pan fo'n dweud y pethau hyn, ond y broblem yw ei fod wedi bod yn dweud amrywiaeth ohonynt, ac mae ei ragflaenwyr wedi bod yn dweud amrywiadau ar y thema. Efallai'n wir, ac nid wyf yn cwestiynu ei ffigurau, fod gennym, er enghraifft, nifer anarferol o gleifion agored i niwed, ond mae hynny'n arwain at y cwestiwn pam fod y cleifion hynny'n dod mor agored i niwed, pam nad ydynt yn derbyn y gofal yn y gymuned y dylent fod yn ei gael, a daw â ni'n ôl at holl fater y methiant llwyr i sicrhau dull system gyfan. Mae angen i ni ddweud yn glir iawn, Lywydd, nad ymosodiad ar y staff mo hwn. Gwyddom fod y staff yn gwneud gwaith rhagorol. Gwyddom hefyd fod awdurdodau lleol, mewn rhai lleoedd, yn cydweithredu'n dda neu ddim cystal â'u byrddau iechyd lleol, a lle maent yn cydweithredu'n dda, fod hynny'n sicrhau newid. Ond fy nghwestiwn fyddai: ble mae'r arweinyddiaeth genedlaethol i ddarparu'r newid hwnnw ar raddfa fwy? Nawr, heb os, bydd y Gweinidog yn siarad eto am y gronfa trawsnewid, ond hoffwn atgoffa'r Siambr eto ei fod ef neu ei blaid wedi bod yn gyfrifol am hyn ers 20 mlynedd, ac nid yw'r hyn a ddywedodd y prynhawn yma yn rhoi mwy o sicrwydd i mi na'r holl bethau eraill y mae wedi'u dweud dros y blynyddoedd blaenorol. Ond hoffwn ddychwelyd at un peth penodol. Felly, mae'r Gweinidog newydd gydnabod, fel y dywedodd y Prif Weinidog, mai un o'r problemau mewn perthynas â rhyddhau cleifion o ambiwlansys i ysbytai - un o'r rhesymau dros y pwysau - yw bod angen dull system gyfan. Felly, rwy'n synnu braidd yn hynny o beth fod y Gweinidog wedi penderfynu sefydlu grŵp gorchwyl a gorffen arall eto fyth i adolygu'r gwasanaeth ambiwlans. Os nad yn y gwasanaeth ambiwlans y mae'r problemau mewn gwirionedd, ond mewn gofal cymdeithasol, gydag oedi wrth drosglwyddo gofal - a'r capasiti sydd wedi'i ddileu o'r system, buaswn yn dadlau - pam y bydd cael adolygiad arall eto fyth o'r gwasanaeth ambiwlans yn ddefnyddiol, rhywbeth y mae wedi dweud wrthyf ar adegau eraill ei fod yn berffaith iawn? Rwyf wedi drysu braidd. Nid oes gennyf ddiddordeb arbennig mewn clywed yr hyn y mae'r Gweinidog yn ei ddweud i amddiffyn y penderfyniad, a bod yn gwbl onest. Ond yr hyn y buaswn yn ei ofyn iddo'n ffeithiol yw: pwy fydd aelodau'r adolygiad gorchwyl a gorffen hwn? Mae wedi dweud wrthym pwy fydd y cadeirydd a'r is-gadeirydd - neu gyd-gadeiryddion, rwy'n ymddiheuro. Wel, pwy fydd yr aelodau? Sut y bydd llais cleifion, ac yn enwedig y cleifion mwyaf agored i niwed fel pobl hŷn a phobl ag anableddau dysgu, yn cael ei glywed yn yr adolygiad? A phryd y mae'n disgwyl iddo adrodd? Oherwydd credaf fod pob un ohonom yn colli amynedd gydag adolygiadau a grwpiau gorchwyl a gorffen. Yr hyn yr hoffwn ei weld yw Gweinidog iechyd sy'n barod i wneud penderfyniad.