English: I agree with those who have already said that primary care needs to get more resources, because we have to remember that 97 per cent of people never go anywhere near a hospital. So, I wouldn't disagree with what Angela Burns said, that we probably need to have it as more than 10 per cent, but it's good to see the Brexit Party supporting a 10 per cent target. It will be interesting to hear what the Minister has got to say on that. Primary care is the last open access service. Often, primary care is dealing with issues such as debt or domestic violence, which of course have a serious detrimental impact on people's health, but aren't issues that necessarily couldn't be dealt with by other agencies. So, we have to get better at ensuring that we've got that multidisciplinary support for people who are turning up in primary care who could be seen by a debt counsellor or could be seen by a social worker, who can help them dig themselves out of very difficult situations. I think one of the frustrations for my constituents is the inconsistency of access to primary care. So, we have some GP surgeries where you're able to book an appointment online, and others where you can't. I think it's quite difficult for patients to understand why that is. I note the uptake of a digital booking system has gone up from about 220,000 to 350,000, but that's well short of the target of over 870,000, and it would be interesting to hear from the Minister as to whether doctors' surgeries are simply refusing to engage with the way in which the world has moved on, technically. People expect that, if they can buy a book online, a ticket to a match, or a piece of clothing, they feel they ought to be able to book a doctor's appointment online, rather than having the frustration of holding onto the phone at 8 o'clock in the morning in the hope that they will get answered before all the places have been booked. I raised in the Assembly a couple of weeks ago the fact that people who need to get their ears syringed were instead being told by GP surgeries that this was no longer in the general medical services contract and they were being diverted to other agencies who were charging up to £95. So that needs sorting out, because these are pretty basic pieces of primary care intervention, just the same as foot care for older people, who can become crippled if they don't have somebody to cut their toenails, if they can no longer reach down and cut them themselves. So I think these are really important things. I acknowledge completely that we've boosted Choose Pharmacy to enable simple primary care tasks to be done on a walk-in basis by the pharmacist, who is a highly trained individual and much underused. But I think that we have to acknowledge that there's much that's going on that's very good. There are some existential threats to the health service arising out of Brexit. The first one is just that we've got over 1,300 NHS workers from Europe employed by the NHS in Wales, including 7 per cent of our doctors. Are we going to be able to retain them if Brexit goes ahead? People might feel they're no longer welcome here and they're certainly able to vote with their feet. These are highly employable anywhere in the world.
Welsh: Rwy'n cytuno â'r rhai sydd eisoes wedi dweud bod angen i ofal sylfaenol gael mwy o adnoddau, oherwydd mae'n rhaid i ni gofio nad yw 97 y cant o bobl byth yn mynd yn agos at ysbyty. Felly, ni fuaswn yn anghytuno â'r hyn a ddywedodd Angela Burns, fod angen i ni ei gael yn fwy na 10 y cant mae'n debyg, ond mae'n dda gweld Plaid Brexit yn cefnogi targed o 10 y cant. Bydd yn ddiddorol clywed yr hyn sydd gan y Gweinidog i'w ddweud ar hynny. Gofal sylfaenol yw'r gwasanaeth mynediad agored olaf. Yn aml, mae gofal sylfaenol yn ymdrin â phroblemau fel dyled neu drais domestig, sydd wrth gwrs yn cael effaith niweidiol ddifrifol ar iechyd pobl, ond nid ydynt o reidrwydd yn faterion na allai asiantaethau eraill ymdrin â hwy. Felly, mae'n rhaid i ni ddod yn well am sicrhau bod gennym y gefnogaeth amlddisgyblaethol honno i bobl sy'n troi at ofal sylfaenol y gallai cwnselydd dyledion neu weithiwr cymdeithasol eu gweld, pobl a allai eu helpu i ddod allan o sefyllfaoedd anodd iawn. Rwy'n credu mai un o'r rhwystredigaethau i fy etholwyr yw anghysondeb mynediad at ofal sylfaenol. Mae gennym rai meddygfeydd lle gallwch drefnu apwyntiad ar-lein, ac eraill lle na allwch wneud hynny. Rwy'n credu ei bod hi'n eithaf anodd i gleifion ddeall pam fod hynny'n digwydd. Nodaf fod y defnydd o system ddigidol ar gyfer trefnu apwyntiad wedi cynyddu o tua 220,000 i 350,000, ond mae hynny'n llawer is na'r targed o dros 870,000, a byddai'n ddiddorol clywed gan y Gweinidog a yw meddygfeydd yn gwrthod cymryd rhan yn y ffordd y mae'r byd wedi symud ymlaen yn dechnolegol. Mae pobl yn disgwyl hynny, ac os gallant brynu llyfr ar-lein, tocyn i gêm, neu ddilledyn, teimlant y dylent allu trefnu apwyntiad meddyg ar-lein, yn hytrach nag wynebu'r rhwystredigaeth o ddal ati ar y ffôn am 8 o'r gloch yn y bore yn y gobaith y byddant yn cael ateb cyn i'r holl apwyntiadau gael eu llenwi. Yn y Cynulliad ychydig wythnosau yn ôl, soniais fod meddygfeydd meddygon teulu yn dweud wrth bobl y mae angen iddynt gael eu clustiau wedi'u chwistrellu nad oedd hyn bellach yn rhan o'r contract gwasanaethau meddygol cyffredinol a'u bod yn cael eu dargyfeirio i asiantaethau eraill a oedd yn codi tâl o hyd at £95. Felly mae angen datrys hynny, oherwydd mae'r rhain ymyriadau gofal sylfaenol eithaf sylfaenol, fel y mae gofal traed i bobl hŷn, sy'n gallu mynd yn gloff os nad oes ganddynt rywun i dorri ewinedd eu traed, ac os na allant estyn i'w torri eu hunain mwyach. Felly rwy'n credu bod y rhain yn bethau pwysig iawn. Rwy'n cydnabod yn llwyr ein bod wedi rhoi hwb i Dewis Fferyllfa i alluogi tasgau gofal sylfaenol syml i gael eu gwneud ar sail alw i mewn gan fferyllwyr, sy'n unigolion tra hyfforddedig na wneir hanner digon o ddefnydd ohonynt. Ond credaf fod yn rhaid i ni gydnabod bod llawer yn digwydd sy'n dda iawn. Ceir bygythiadau enfawr i'r gwasanaeth iechyd yn sgil Brexit. Yr un cyntaf yw fod gennym dros 1,300 o weithwyr GIG o Ewrop yn cael eu cyflogi gan y GIG yng Nghymru, gan gynnwys 7 y cant o'n meddygon. A ydym yn mynd i allu eu cadw os yw Brexit yn digwydd? Efallai y bydd pobl yn teimlo nad oes croeso iddynt yma mwyach ac yn sicr, gallant bleidleisio â'u traed. Mae'r rhain yn gyflogadwy iawn mewn unrhyw ran o'r byd.