English: I welcome the opportunity to speak in the debate this afternoon. It's an opportunity to look at an issue that affects all health services across the whole of the United Kingdom, and indeed across the whole of the western world, about creating a modern staffing environment and the multidisciplinary teams that form the backbone of the health service in whatever western country you happen to live in. But, Wales does seem to have had a perennial problem in attracting and, importantly, retaining staff to make sure that those multidisciplinary teams can continue to work and deliver the service. Very often, there's little or no point in having 90 per cent of that team intact when the one important component, the 10 per cent, is away, because the whole team falls down then. I really did learn that when we were in the third Assembly, when the health committee then did an inquiry into stroke services, and Dai Lloyd came along with me to the Cardiff Royal Infirmary stroke unit, which I think we're all very pleased has been replaced, because the facilities there were very antiquated - it's been moved up to Llandough now. Just by witnessing how that team interacted with each other, we saw if you just took one cog out of that multidisciplinary team, then the bulk of the rehabilitation that was on offer to the patients who presented basically was just put on hold and the patient was just left in limbo, through no fault of the team, but through maybe illness, absence or just an inability to attract that key worker, such as that key speech therapist, as Suzy Davies touched on - that key individual who can drive forward the rehabilitation and the reinvigoration of that individual's life. This debate today, which was opened by Angela Burns, really is looking now to the Cabinet Secretary for health to try to map out, with a five-year plan, what he wants to achieve by addressing some of the demons - let's call them that - that have really blighted the health service here in Wales, about the attraction that the health service needs to have to retain people in a very stressful environment that has people working at the top of their game, rolling up their sleeves and delivering for the public good, but who ultimately are feeling that, year on year, week on week, day in, day out, that pressure is getting more and more like a pressure cooker environment. They're either walking away from that environment or they're having to take long bouts of time off for sickness and they're not getting the support that would allow them to function at the top of their game. I do believe that this is an opportunity now, with the election behind us and we're in the early stages of this Government, for some of these real tough nuts that haven't been cracked over successive governments to be addressed. The important thing here is to make sure that we create an environment that people can have confidence in to look after their long term interest, create an ability to progress their careers, but, above all, respond to the ever increasing demands that the health service faces day in, day out today here in Wales and, indeed, across the United Kingdom. It was in yesterday's Plenary session that Julie Morgan touched upon the fact that the population of Cardiff each year is expanding by between 10,000 and 15,000 people. That is a huge increase in just one area - in an area that can most probably reach out and attract new people. But, when you spread that out across the rest of Wales and, in particular, into some of the more rural areas of Wales there is a real issue about getting people to travel to the furthest parts of west Wales, for example. Withybush hospital, as my colleagues, Paul Davies and Angela Burns, have championed here, is finding it difficult to fill those rotas and fill those rosters. It just cannot be good enough that services are temporarily suspended for another couple of months because this issue has reared its head again. There must be a solution that can be put in place by the Government who do have the mandate to deliver a functioning NHS here in Wales that people want to work in. It was only yesterday that we actually had the figures that, regrettably, show that there's been a 15 per cent decline in students going forward into medicine here in Wales. That decline has been across the United Kingdom, I accept that, but here in Wales that decline is more marked than other parts of the United Kingdom. That must be a source of great concern when you think over the last five or 10 years the various initiatives that have come forward to try and make medicine a more attractive profession, a more attractive way of bringing people into Wales - we're not doing that. We're not seeing that happening on the ground by those very figures. But, importantly as well, whilst it's important to reflect on attracting staff, retention is a really, really important part of, surely, what a modern workforce should be about. We invest and the Government invest and the health boards invest a huge amount of money in developing the skills and talents of individuals in a highly complex environment and, yet, very often through poor management and neglect, those individuals walk away from that career, and a career that very often is only 50 per cent the way through or maybe even three quarters of the way through what potentially could offer so much more back. So, I hope the Cabinet Secretary will use the opportunity to respond to the genuine points that have been put forward, because he does have a new mandate. He has a mandate to deliver and I do hope that he will engage in giving us some feeling of how he will take forward the proposals of the new Government in addressing some of these long-term structural problems that have been at the very heart of providing a modern twenty-first century health service here in Wales.
Welsh: Croesawaf y cyfle i siarad yn y ddadl y prynhawn yma. Mae'n gyfle i edrych ar fater sy'n effeithio ar yr holl wasanaethau iechyd ar draws y Deyrnas Unedig gyfan, ac yn wir ar draws y byd gorllewinol cyfan, ynglŷn â chreu amgylchedd staffio modern a'r timau amlddisgyblaethol sy'n ffurfio asgwrn cefn y gwasanaeth iechyd ym mha wlad orllewinol bynnag rydych yn digwydd byw ynddi. Ond mae'n ymddangos bod gan Gymru broblem barhaus gyda denu ac yn bwysig, gyda chadw staff i wneud yn siŵr y gall timau amlddisgyblaethol o'r fath barhau i weithio a darparu'r gwasanaeth. Yn aml iawn, nid oes fawr o bwynt os o gwbl mewn cael 90 y cant o'r tîm yn gyfan pan fydd yr un elfen bwysig, y 10 y cant, i ffwrdd, gan fod y tîm cyfan yn disgyn ar adegau felly. Dysgais hynny yn y trydydd Cynulliad, pan gynhaliodd y pwyllgor iechyd ymchwiliad i wasanaethau strôc, ac aeth Dai Lloyd a minnau i'r uned strôc yn Ysbyty Brenhinol Caerdydd, ac rwy'n credu ein bod i gyd yn falch iawn ein bod wedi cael uned newydd gan fod y cyfleusterau yno'n hynafol iawn - mae wedi cael ei symud i Landochau yn awr. Trwy weld sut oedd y tîm yn rhyngweithio â'i gilydd, gwelsom fod tynnu un elfen allan o'r tîm amlddisgyblaethol yn golygu y byddai'r rhan fwyaf o'r gwasanaeth adsefydlu a oedd ar gael i'r cleifion yn cael ei ohirio yn y bôn a byddai'r claf yn cael ei adael mewn limbo, heb unrhyw fai ar y tîm, ond oherwydd salwch efallai, neu absenoldeb neu anallu syml i ddenu gweithiwr allweddol, fel yn achos y therapydd lleferydd allweddol y soniodd Suzy Davies amdano - yr unigolyn allweddol a all hybu'r adsefydlu ac ailfywiogi bywyd y person hwnnw. Mae'r ddadl hon heddiw, a agorwyd gan Angela Burns, yn gofyn yn awr i Ysgrifennydd y Cabinet dros iechyd geisio mapio, gyda chynllun pum mlynedd, yr hyn y mae am ei gyflawni drwy fynd i'r afael â rhai o'r melltithion - gadewch i ni eu galw'n hynny - sydd wedi andwyo'r gwasanaeth iechyd yma yng Nghymru, am yr atyniad sydd angen i'r gwasanaeth iechyd ei gael i gadw pobl yn eu swyddi mewn amgylchedd llawn straen lle mae pobl yn gweithio ar eu gorau, gan dorchi llewys a chyflawni er lles y cyhoedd, ond sy'n teimlo yn y bôn, o flwyddyn i flwyddyn, wythnos ar ôl wythnos, o ddydd i ddydd, fod y pwysau'n mynd yn fwyfwy tebyg i amgylchedd coginio dan bwysedd. Maent naill ai'n troi cefn ar yr amgylchedd hwnnw neu'n gorfod cymryd cyfnodau hir o amser o'r gwaith oherwydd salwch ac nid ydynt yn cael y cymorth a fyddai'n caniatáu iddynt weithredu ar eu gorau. Rwy'n credu bod hwn yn gyfle yn awr, gyda'r etholiad y tu ôl i ni a ninnau yng nghamau cynnar y Llywodraeth hon, i roi sylw i rai o'r problemau anodd iawn hyn nad ydym wedi llwyddo i'w datrys dros lywodraethau olynol. Y peth pwysig yma yw sicrhau ein bod yn creu amgylchedd lle gall pobl gael hyder i ofalu am eu lles yn y tymor hir, i greu gallu i gamu ymlaen yn eu gyrfa, ond yn anad dim, i ymateb i'r galwadau cynyddol y mae'r gwasanaeth iechyd yn eu hwynebu ddydd ar ôl dydd heddiw yma yng Nghymru ac yn wir, ledled y Deyrnas Unedig. Yn y Cyfarfod Llawn ddoe soniodd Julie Morgan am y ffaith fod cynnydd o rhwng 10,000 a 15,000 o bobl ym mhoblogaeth Caerdydd bob blwyddyn. Mae'n gynnydd enfawr mewn un ardal yn unig - mewn ardal sy'n gallu estyn allan a denu pobl newydd yn ôl pob tebyg. Ond pan estynwch hynny dros weddill Cymru ac yn arbennig, i rai o ardaloedd mwy gwledig Cymru, mae yna broblem wirioneddol gyda chael pobl i deithio i rannau pellaf gorllewin Cymru, er enghraifft. Mae Ysbyty Llwynhelyg, fel y mae fy nghyd-Aelodau, Paul Davies ac Angela Burns, wedi amlygu yma, yn ei chael hi'n anodd llenwi rotas a rhestrau dyletswyddau. Ni all fod yn ddigon da fod gwasanaethau'n cael eu hatal dros dro am ychydig o fisoedd eto am fod y mater hwn wedi codi'i ben eto. Rhaid cael ateb y gellir ei roi ar waith gan y Llywodraeth sydd â mandad i ddarparu GIG sy'n gweithio yma yng Nghymru, gwasanaeth y mae pobl eisiau gweithio ynddo. Ddoe ddiwethaf yn wir cawsom y ffigurau sydd, yn anffodus, yn dangos bod gostyngiad o 15 y cant wedi bod yn nifer y myfyrwyr sy'n mynd ymlaen i astudio meddygaeth yma yng Nghymru. Gwelwyd y gostyngiad hwnnw ar draws y Deyrnas Unedig, rwy'n derbyn hynny, ond yma yng Nghymru mae'r gostyngiad yn fwy amlwg na rhannau eraill o'r Deyrnas Unedig. Rhaid bod hynny'n ffynhonnell pryder mawr pan feddyliwch am y mentrau amrywiol a gyflwynwyd i geisio gwneud meddygaeth yn broffesiwn mwy deniadol dros y pump neu 10 mlynedd diwethaf, yn ffordd fwy deniadol o ddod â phobl i mewn i Gymru - nid ydym yn gwneud hynny. Nid ydym yn gweld hynny'n digwydd ar lawr gwlad yn ôl y ffigurau hynny. Ond yn bwysig hefyd, er ei bod yn bwysig meddwl am ddenu staff, mae cadw staff yn rhan wirioneddol bwysig, 'does bosibl, o'r hyn y dylai gweithlu modern ymwneud ag ef. Rydym yn buddsoddi ac mae'r Llywodraeth yn buddsoddi a'r byrddau iechyd yn buddsoddi swm enfawr o arian i ddatblygu sgiliau a thalentau unigolion mewn amgylchedd hynod gymhleth ac eto, yn aml iawn drwy reoli gwael ac esgeulustod, mae'r unigolion hynny'n troi cefn ar yr yrfa honno, a gyrfa nad ydynt yn aml iawn wedi mynd ymhellach na hanner ffordd drwyddi neu efallai dri chwarter y ffordd drwy'r hyn a allai, o bosibl, gynnig cymaint mwy yn ôl. Felly, rwy'n gobeithio y bydd Ysgrifennydd y Cabinet yn defnyddio'r cyfle i ymateb i'r pwyntiau dilys a roddwyd gerbron, oherwydd mae ganddo fandad newydd. Mae ganddo fandad i'w gyflawni ac rwy'n gobeithio y bydd yn rhoi rhyw deimlad i ni sut y bydd yn bwrw ymlaen â chynigion y Llywodraeth newydd i fynd i'r afael â rhai o'r problemau strwythurol hirdymor hyn sydd wedi bod wrth wraidd y gwaith o ddarparu gwasanaeth iechyd modern ar gyfer yr unfed ganrif ar hugain yma yng Nghymru.