English: Formally. Diolch, Dirprwy Lywydd. I thank Plaid Cymru for tabling this debate today. For those who didn't attend the BMA's briefing on the current state of general practice in Wales, let's just say that the message was dire. As alluded to in my amendment to this motion, nearly 120,000 GP patients are covered by practices at risk. The BMA produced a heat map covering all health boards, highlighting practices that have closed and those under threat of closure. Aneurin Bevan has 32 practices with an uncertain future. GPs at the event expressed concern that general practice might never recover from the damage being done by underinvestment and mismanagement by local health boards. Practices are simply handing back their contracts because they cannot cope. GPs are being asked to do much more with a lot less. We are spending more than ever on healthcare, yet the share given to primary care has continued to shrink. Despite 90 per cent of all contacts with the NHS occurring in primary care, primary care receives around 7 per cent of NHS funding. On top of this, practices are being stung by enormous service charges and directives that do allow for strategic planning or expansion of premises. We have to do all that we can to protect general practice in Wales, and we have to start by ensuring fair funding for GPs. Primary care should receive at least 10 per cent of the NHS budget. The share of the budget has been falling year on year, and anything under 10 per cent is simply unsustainable. We also have to address the enormous service charges imposed on GP practices by health boards. The independent contractor model for primary care has served Welsh patients well for decades, but it is now facing an existential threat. If we lose these GP practices, then we lose primary care for good. Health boards have proved they cannot manage practices as well as our independent GPs. Local health board-managed practices cost as much as 30 per cent more to run. General practice is the front line of our health service, and it's time that the Welsh Government recognised this and did all it can to adequately fund and provision it. Diolch yn fawr.
Welsh: Yn ffurfiol. Diolch, Ddirprwy Lywydd. Diolch i Blaid Cymru am gyflwyno'r ddadl hon heddiw. I'r rhai nad oeddent yn bresennol yn sesiwn friffio Cymdeithas Feddygol Prydain ar gyflwr practisau meddygon teulu yng Nghymru, gadewch i ni ddweud bod y neges yn un enbyd. Fel y crybwyllwyd yn fy ngwelliant i'r cynnig hwn, mae bron 120,000 o gleifion meddygon teulu yn cael gofal mewn practisau sydd mewn perygl. Cynhyrchodd y BMA fap gwres sy'n cynnwys pob bwrdd iechyd, gan dynnu sylw at bractisau sydd wedi cau a'r rhai sydd dan fygythiad o gau. Mae gan Aneurin Bevan 32 o bractisau y mae eu dyfodol yn ansicr. Mynegwyd pryder gan feddygon teulu yn y digwyddiad na fyddai practisau meddygon teulu byth yn gwella o'r difrod a wneir gan danfuddsoddi a chamreoli'r byrddau iechyd lleol. Yn syml, mae practisau'n trosglwyddo eu contractau yn ôl am na allant ymdopi. Gofynnir i feddygon teulu wneud llawer mwy gyda llawer llai. Rydym yn gwario mwy nag erioed ar ofal iechyd, ac eto mae'r gyfran a roddir i ofal sylfaenol wedi parhau i grebachu. Er bod 90 y cant o'r holl gysylltiadau â'r GIG yn digwydd ym maes gofal sylfaenol, tua 7 y cant o gyllid y GIG y mae gofal sylfaenol yn ei gael. Ar ben hyn, mae practisau'n gorfod wynebu taliadau gwasanaeth enfawr a chyfarwyddebau sy'n caniatáu ar gyfer cynllunio strategol neu ehangu safleoedd. Rhaid inni wneud popeth a allwn i amddiffyn practisau meddygon teulu yng Nghymru, a rhaid inni ddechrau drwy sicrhau cyllid teg i feddygon teulu. Dylai gofal sylfaenol gael o leiaf 10 y cant o gyllideb y GIG. Mae'r gyfran o'r gyllideb wedi bod yn gostwng o flwyddyn i flwyddyn, ac mae unrhyw beth o dan 10 y cant yn anghynaliadwy. Rhaid inni hefyd fynd i'r afael â'r taliadau gwasanaeth enfawr a godir ar bractisau meddygon teulu gan fyrddau iechyd. Mae'r model contractwr annibynnol ar gyfer gofal sylfaenol wedi gwasanaethu cleifion Cymru'n dda ers degawdau, ond bellach mae'n wynebu bygythiad enfawr. Os collwn y practisau meddygon teulu hyn, byddwn yn colli gofal sylfaenol am byth. Mae byrddau iechyd wedi profi na allant reoli practisau cystal â'n meddygon teulu annibynnol. Mae practisau a reolir gan fyrddau iechyd lleol yn costio cymaint â 30 y cant yn fwy i'w rhedeg. Practisau meddygon teulu yw rheng flaen ein gwasanaeth iechyd, ac mae'n bryd i Lywodraeth Cymru gydnabod hyn a gwneud popeth yn ei gallu i'w hariannu a'i cyflenwi'n ddigonol. Diolch yn fawr.