English: I thank Helen, Dai and David for tabling this debate. As I've said many, many times before, nurses are the backbone of our NHS. Unfortunately, successive Governments have failed to recruit and retain enough nurses, and Wales has an abysmal record on workforce planning, and we are seeing the results, because there are more nurses leaving the profession than joining. The fact that we needed to introduce legislation to ensure that wards have sufficient nurses on hospital wards to allow time to care is damning enough, but the fact that the law doesn't apply to all wards and all health settings is a travesty. The nurse staffing levels Act was introduced to improve patient safety. It is a fact that low nursing numbers can contribute up to a quarter more patient deaths. Here in Wales, we spend nearly 12 per cent of our GVA on health, our health spending - second only to Scotland at £2,310 per person - is nearly £200 more per person than in England. Yet, we wait longer, and we have had to pass legislation to ensure that we have safe staffing levels, not because we don't invest enough in our NHS - half the Welsh budget is spent on health. And this legislation of safe staffing levels was introduced by an opposition AM, precisely because mismanagement had led to unsafe practices in hospitals across Wales. A lack of nationwide workforce planning and botched reorganisation has left the Welsh NHS in a state of disarray. Health organisations and clinicians have complained about the different approaches taken by local health boards. National policies get implemented in seven different ways, with patients facing an ever-increasing postcode lottery of healthcare. We can see this clearly in how the nurse staffing levels Act is being implemented, because local health boards are all at differing levels of compliance with the Act. Betsi Cadwaladr states that compliance with the Act is high risk and not cost effective within its existing model. In my own region, Cwm Taf has no retention plan and, despite being ruled as compliant, wards at the Princess of Wales Hospital in Bridgend have staff shortages, which will impact upon patient safety. Swansea Bay has had 11 falls, resulting in serious harm or death, in which a failure to maintain staffing levels was considered to be a factor. This is simply not good enough. Our constituents deserve and demand safe levels of staff in our hospitals. Welsh Government has to accept that the buck does stop with them. The nurse staffing levels Act has to be fully implemented in every health setting. We need a well-planned recruitment and retention strategy that makes nursing appealing to every person who wants to train as a nurse, in order to address the fact that nurses are leaving the profession in droves. We have a safe staffing levels Act in place for a reason. We need safe staffing levels across all healthcare settings and not just on certain wards. How many more patients have to be seriously injured or lose their lives because of bad management and poor planning? So I urge colleagues to back this motion.
Welsh: Diolch i Helen, Dai a David am gyflwyno'r ddadl hon. Fel rwyf wedi'i ddweud sawl gwaith o'r blaen, nyrsys yw asgwrn cefn ein GIG. Yn anffodus, mae Llywodraethau olynol wedi methu recriwtio a chadw digon o nyrsys, ac mae gan Gymru hanes gwael o gynllunio'r gweithlu, ac rydym yn gweld y canlyniadau, oherwydd mae mwy o nyrsys yn gadael y proffesiwn na sy'n ymuno. Mae'r ffaith bod angen inni gyflwyno deddfwriaeth i sicrhau bod digon o nyrsys ar wardiau ysbytai i ganiatáu amser i ofalu yn ddigon damniol, ond mae'r ffaith nad yw'r gyfraith yn berthnasol i bob ward a phob lleoliad iechyd yn warth. Cyflwynwyd y Ddeddf lefelau staff nyrsio i wella diogelwch cleifion. Gallai niferoedd isel o nyrsys arwain at hyd at chwarter yn fwy o farwolaethau cleifion. Yma yng Nghymru, rydym yn gwario bron i 12 y cant o'n gwerth ychwanegol gros ar iechyd, ein gwariant iechyd - yn ail i'r Alban sydd ar £2,310 y pen - bron £200 yn fwy y pen na Lloegr. Ac eto, rydym yn aros yn hwy, ac rydym wedi gorfod pasio deddfwriaeth i sicrhau bod gennym lefelau staffio diogel, nid oherwydd nad ydym yn buddsoddi digon yn ein GIG - gwerir hanner cyllideb Cymru ar iechyd. A chyflwynwyd y ddeddfwriaeth lefelau staffio diogel gan AC yr wrthblaid oherwydd bod camreoli wedi arwain at arferion anniogel mewn ysbytai ledled Cymru. Mae diffyg cynllunio'r gweithlu yn genedlaethol a methiannau ad-drefnu wedi gadael GIG Cymru mewn anhrefn. Mae sefydliadau iechyd a chlinigwyr wedi cwyno am y gwahanol ddulliau sy'n cael eu mabwysiadu gan fyrddau iechyd lleol. Mae polisïau cenedlaethol yn cael eu gweithredu mewn saith ffordd wahanol, gyda chleifion yn wynebu loteri cod post cynyddol mewn perthynas â gofal iechyd. Gallwn weld hyn yn glir yn y ffordd y mae'r Ddeddf lefelau staff nyrsio yn cael ei gweithredu, oherwydd mae'r byrddau iechyd lleol i gyd ar lefelau gwahanol o ran cydymffurfio â'r Ddeddf. Dywed Betsi Cadwaladr fod risg uchel ynghlwm wrth gydymffurfio â'r Ddeddf ac nad yw'n gosteffeithiol o fewn y model presennol. Yn fy rhanbarth i, nid oes gan Gwm Taf unrhyw gynllun cadw staff ac er y dyfarnwyd ei fod yn cydymffurfio, mae prinder staff ar wardiau Ysbyty Tywysoges Cymru ym Mhen-y-bont ar Ogwr, a bydd hynny'n effeithio ar ddiogelwch cleifion. Mae Bae Abertawe wedi cael 11 o gwympiadau yn arwain at anaf difrifol neu farwolaeth, lle barnwyd bod methu cynnal lefelau staffio yn ffactor. Nid yw hyn yn ddigon da. Mae ein hetholwyr yn haeddu ac yn galw am lefelau staffio diogel yn ein hysbytai. Mae'n rhaid i Lywodraeth Cymru dderbyn bod y cyfrifoldeb ar eu hysgwyddau hwy. Mae'n rhaid gweithredu'r Ddeddf lefelau staff nyrsio yn llawn ym mhob lleoliad iechyd. Rydym angen strategaeth recriwtio a chadw staff sydd wedi'i chynllunio'n dda ac sy'n gwneud nyrsio'n ddeniadol i bob unigolyn sydd eisiau hyfforddi fel nyrs, er mwyn mynd i'r afael â'r ffaith bod nyrsys yn gadael y proffesiwn yn heidiau. Mae gennym Ddeddf lefelau staffio diogel ar waith am reswm. Mae angen lefelau staffio diogel ar draws yr holl leoliadau gofal iechyd ac nid ar wardiau penodol yn unig. Faint yn rhagor o gleifion a gaiff eu hanafu'n ddifrifol neu a fydd yn colli eu bywydau oherwydd rheolaeth wael a chynllunio gwael? Felly, rwy'n annog fy nghyd-Aelodau i gefnogi'r cynnig hwn.