English: Twenty years into devolved governance, you would expect that Wales and its population should be receiving high-quality essential services. Well, I can tell you that there is no greater example of mismanagement of the devolution process than those of failing health services. It is not devolution that is failing the hard-working medical professionals in our communities, but the Welsh Government's own handling and mismanagement of the Welsh NHS. Now, we need look no further than the health board that encompasses the constituency that I am very honoured to represent to see the health board and the failings as a result of this Welsh Government. Despite Betsi Cadwaladr having been in special measures since June 2015, it has just recorded the worst A&E waiting times in Wales. Less than 60 per cent of patients were seen within four hours at Wrexham Maelor and Ysbyty Glan Clwyd. Despite these measures, it has seen the highest number of patient safety incidents out of all NHS trusts in Wales, and despite special measures, the health board treated the lowest percentage of people waiting for planned care within 26 weeks of GP referral in February. It also had over half the 13,000 people in Wales waiting more than 36 weeks for treatment in February and has just recorded the biggest deficit out of Wales's seven NHS health boards at £42 million. Four years of special measures, still failure and frustration about future services. The Welsh Government knows this and the Minister, actually, admitted on 6 November 2018 that significant difficulties remain. Is this acceptable when considering that the health board has been under the direct control of you, our health Minister, for the longest time of any NHS body in Great Britain? My constituents and I think not. Indeed, Aberconwy says 'no'. Lack of progress was identified by Donna Ockenden, her review finding that, as of 2017, the board had failed to meet key targets, including governance leadership and oversight, mental health services, and reconnecting with the public and regaining public confidence. That is saying 'regaining public confidence' - that confidence isn't there, Minister. More so, Mrs Ockenden's more recent letter on insufficient progress in improving those mental health services - I'm shocked to learn that her offer to help, in fact, was declined. I'm saddened that there are numerous areas that remain to be addressed before de-escalation from special measures can be considered. Clearly, the situation is not in my own constituents' best interest. However, it seems that the problems are prolific across Wales, with five, now, of the seven health boards in some type of special measures. These measures indicate failure. For example, the challenges faced at Cwm Taf. The review of maternity services at Cwm Taf found a lack of a coherent approach towards patient safety or an understanding of their roles and responsibilities towards patient safety beyond the care they provided for a specific woman or group of women, that assessors were repeatedly and consistently told by staff of a reluctance to report patient safety issues because of a fear of blame, suspension or disciplinary action, and there was hardly any evidence of effective clinical leadership at any level. A major revision of all aspects of maternity services is needed there so as to protect future families facing the losses we've witnessed and heard about. As your own Welsh Labour MP, Owen Smith, stated, the Welsh Government decision about reorganisation seems to have compounded the problems facing Wales. I'm aware that it has also taken far too long for the special measures action to be taken - nearly seven years after concerns were first formally raised. That is not proactive. You work on a reactive basis, Minister. We are faced today with the Welsh Government's delays on action at Cwm Taf, continued failings to manage Betsi Cadwaladr. I certainly do not have confidence that the current Minister for Health and Social Services in the Welsh Government can address the systemic failings raised here today. Four years have passed since north Wales came under the direct control of the Welsh Government. So, how on earth can we be expected, Minister, to believe anything that you tell us any more? Now, I actually support wholeheartedly the motion today by Plaid Cymru, and I would ask that you do seriously consider your own position. I would, if I was you - I would resign. I would go one further: if you are not prepared to do the honourable thing so that my constituents and other patients across Wales can receive adequate healthcare, I would ask the First Minister to sack you. Thank you.
Welsh: Ugain mlynedd i mewn i lywodraethu datganoledig, byddech yn disgwyl y dylai Cymru a'i phoblogaeth fod yn derbyn gwasanaethau hanfodol o safon uchel. Wel, gallaf ddweud wrthych nad oes enghraifft fwy o gamreoli'r broses ddatganoli na'r enghreifftiau o wasanaethau iechyd sy'n methu. Nid datganoli sy'n gwneud cam â'r gweithwyr meddygol proffesiynol gweithgar yn ein cymunedau, ond y ffordd y mae Llywodraeth Cymru ei hun yn trin ac yn camreoli GIG Cymru. Nawr, nid oes angen inni edrych ymhellach na'r bwrdd iechyd ar gyfer yr etholaeth y mae'n anrhydedd fawr imi ei chynrychioli i weld y bwrdd iechyd a'r methiannau o ganlyniad i'r Llywodraeth hon. Er bod Betsi Cadwaladr wedi bod mewn mesurau arbennig ers mis Mehefin 2015, mae newydd gofnodi'r amseroedd aros damweiniau ac achosion brys gwaethaf yng Nghymru. Gwelwyd llai na 60 y cant o gleifion o fewn pedair awr yn Ysbyty Maelor Wrecsam ac Ysbyty Glan Clwyd. Er gwaethaf y mesurau hyn, dyma'r bwrdd a welodd y nifer uchaf o ddigwyddiadau diogelwch cleifion o holl ymddiriedolaethau'r GIG yng Nghymru, ac er gwaethaf mesurau arbennig, dyma'r bwrdd iechyd a oedd yn gyfrifol am drin y ganran isaf o bobl a oedd yn aros am ofal wedi'i gynllunio o fewn 26 wythnos i gael eu hatgyfeirio gan feddyg teulu ym mis Chwefror. Y bwrdd iechyd hwn oedd â dros hanner o'r 13,000 o bobl yng Nghymru a oedd yn aros dros 36 wythnos am driniaeth ym mis Chwefror ac mae newydd gofnodi'r diffyg mwyaf o blith saith bwrdd iechyd GIG Cymru, sef £42 miliwn. Pedair blynedd o fesurau arbennig, a methiant a rhwystredigaeth o hyd ynghylch gwasanaethau yn y dyfodol. Mae Llywodraeth Cymru yn gwybod hyn a'r Gweinidog, mewn gwirionedd, wedi cyfaddef ar 6 Tachwedd 2018 fod anawsterau sylweddol yn parhau. A yw hyn yn dderbyniol wrth ystyried bod y bwrdd iechyd wedi bod o dan eich rheolaeth uniongyrchol chi, ein Gweinidog iechyd, am y cyfnod hwyaf o gymharu ag unrhyw un o gyrff y GIG ym Mhrydain? Nid yw fy etholwyr a minnau'n credu ei fod. Yn wir, mae Aberconwy'n dweud 'na'. Nodwyd diffyg cynnydd gan Donna Ockenden, a chanfu ei hadolygiad fod y bwrdd wedi methu cyrraedd targedau allweddol ers 2017, gan gynnwys arweinyddiaeth a goruchwyliaeth yn ei drefniadau llywodraethu, gwasanaethau iechyd meddwl, ac ailgysylltu â'r cyhoedd ac adennill hyder y cyhoedd. Mae hynny'n dweud 'adennill hyder y cyhoedd' - nid yw'r hyder hwnnw yno, Weinidog. Yn fwy na hynny, llythyr mwy diweddar Mrs Ockenden am gynnydd annigonol o ran gwella'r gwasanaethau iechyd meddwl hynny - rwy'n synnu clywed bod ei chynnig i helpu wedi'i wrthod mewn gwirionedd. Mae'n fy nhristáu bod nifer o feysydd y mae angen mynd i'r afael â hwy o hyd cyn y gellir ystyried isgyfeirio o fesurau arbennig. Yn amlwg, nid yw'r sefyllfa er lles gorau fy etholwyr i. Fodd bynnag, mae'n ymddangos bod y problemau'n mynd yn waeth ar draws Cymru, gyda phump yn awr o'r saith bwrdd iechyd mewn rhyw fath o fesurau arbennig. Mae'r mesurau hyn yn dangos methiant. Er enghraifft, yr heriau a wynebir yng Nghwm Taf. Canfu'r adolygiad o wasanaethau mamolaeth yng Nghwm Taf ddiffyg ymagwedd gydlynol tuag at ddiogelwch cleifion neu ddealltwriaeth o'u rolau a'u cyfrifoldebau tuag at ddiogelwch cleifion y tu hwnt i'r gofal a ddarparwyd ganddynt ar gyfer menyw benodol neu grŵp o fenywod, fod aseswyr wedi eu hysbysu'n gyson gan staff ynglŷn ag amharodrwydd i roi gwybod am faterion yn ymwneud â diogelwch cleifion am eu bod ofn cael eu beio, eu hatal o'u gwaith dros dro neu wynebu camau disgyblu, a phrin iawn oedd y dystiolaeth o arweiniad clinigol effeithiol ar unrhyw lefel. Mae angen adolygiad mawr o bob agwedd ar wasanaethau mamolaeth yno er mwyn diogelu teuluoedd yn y dyfodol rhag wynebu'r colledion a welsom ac y clywsom amdanynt. Fel y dywedodd eich AS Llafur Cymru eich hun, Owen Smith, mae penderfyniad Llywodraeth Cymru ynghylch ad-drefnu i'w weld fel pe bai wedi dwysáu'r problemau sy'n wynebu Cymru. Rwy'n ymwybodol ei bod wedi cymryd llawer gormod o amser hefyd i roi'r mesurau arbennig ar waith - bron i saith mlynedd ar ôl i bryderon gael eu codi'n ffurfiol am y tro cyntaf. Nid yw hynny'n rhagweithiol. Rydych yn gweithio ar sail adweithiol, Weinidog. Heddiw rydym yn wynebu oedi gan Lywodraeth Cymru rhag gweithredu yng Nghwm Taf, methiannau parhaus i reoli Betsi Cadwaladr. Yn sicr, nid oes gennyf hyder y gall y Gweinidog Iechyd a Gwasanaethau Cymdeithasol presennol yn Llywodraeth Cymru fynd i'r afael â'r methiannau systemig a nodwyd yma heddiw. Aeth pedair blynedd heibio ers i ogledd Cymru ddod o dan reolaeth uniongyrchol Llywodraeth Cymru. Felly, sut ar y ddaear y gellir disgwyl i ni gredu unrhyw beth a ddywedwch wrthym mwyach, Weinidog? Nawr, rwy'n cefnogi'n llwyr y cynnig heddiw gan Blaid Cymru, a hoffwn ofyn i chi ystyried eich sefyllfa o ddifrif. Pe bawn i yn eich esgidiau chi, buaswn yn ymddiswyddo. Buaswn yn mynd gam ymhellach: os nad ydych yn barod i wneud y peth anrhydeddus er mwyn i fy etholwyr i a chleifion eraill ledled Cymru gael gofal iechyd digonol, buaswn yn gofyn i'r Prif Weinidog eich diswyddo. Diolch.