English: Well, Llywydd, I read the Record of the Member's exchange with the Minister for health, and we have a reprise of exactly the same points that she made then this afternoon, and the answers haven't changed from the answers that she was given on that occasion. I'll come to the substance of her question in a moment, but let me make it clear to the Chamber that I do not accept for a moment the suggestion that the Member makes that this is somehow a uniquely Welsh problem. The leader of the ambulance service in England, last week, said that people were dying in the English health service because of the problems of ambulances in the English NHS. So, the point I make is not at all as she does to try to make foolish comparisons, but to recognise the fact that everywhere the system is under enormous pressure, that everywhere clinicians are working extremely hard to try to tackle it, that everywhere Governments are trying to find solutions to a problem that is the same in Wales, and Scotland, and in England, and worse again in Northern Ireland. So, the idea, as she tried to put it to my colleague the health Minister, and she's tried to put it again this afternoon, that this is somehow a uniquely Welsh experience, is not true, she knows it's not true, and she shouldn't keep suggesting it. The actions that are being taken are the ones that the health Minister provided to her when she asked the question only a week or so ago. Mercifully, as a result of all the actions that have been taken, emergency admissions in Wales are down. They're down below pre-pandemic levels. They're down because of the actions that the Minister has taken. The Minister chaired a meeting of all health boards and the ambulance service only yesterday, to report on the way in which those measures are being taken forward now and how they will be taken forward further over this winter. That will include the urgent primary care centres that have been established now in all parts of Wales, and will soon cover the whole of the Welsh population, which means that people don't have to go to an emergency ambulance to be conveyed to a hospital when there are other closer-to-hand facilities that draw that demand away. The Member said herself that there were 67 children attending that department. How does she imagine a system is able to respond when you see demand of that escalating sort, other than by finding other ways in which that demand can be managed? Now, I think it is a real tribute to the changes that have been made and that the Minister has led that, now, 4,000 999 calls every month in Wales are being successfully managed clinically without people ever having to leave their own homes. In the face of the sort of demand we are seeing, in the face of that combination of circumstances this winter - COVID, which hasn't gone away; flu, which is on the rise in Wales; respiratory syncytial virus, which is at extraordinary levels, particularly amongst the under-fives, and, I imagine, was responsible for quite a significant number of those children being taken to an A&E department - the system works as hard as it can to remain resilient in the face of those extraordinary challenges.
Welsh: Wel, Llywydd, darllenais Gofnod o'r ffeirio geiriau rhwng yr Aelod a'r Gweinidog iechyd, ac rydym yn clywed ailadroddiad yr un pwyntiau yn union a wnaed bryd hynny y prynhawn yma, ac nid yw'r atebion wedi newid ers yr atebion a roddwyd iddi y tro hwnnw. Fe ddof at sylwedd ei chwestiwn hi yn y man, ond gadewch i mi ei gwneud yn glir i'r Siambr nad ydw i'n derbyn am eiliad awgrym yr Aelod fod hon rywsut yn broblem unigryw i Gymru. Dywedodd arweinydd y gwasanaeth ambiwlans yn Lloegr, yr wythnos diwethaf, fod pobl yn marw yng ngwasanaeth iechyd Lloegr oherwydd problemau ambiwlansys yn GIG Lloegr. Felly, nid yw'r pwynt rwy'n ei wneud o gwbl yn debyg i'r hyn y mae hi'n ceisio'i wneud drwy wneud cymariaethau ffôl, ond i gydnabod y ffaith bod y system dan bwysau aruthrol ymhobman, bod clinigwyr yn gweithio'n eithriadol o galed ymhobman i geisio mynd i'r afael â'r broblem, bod Llywodraethau ymhobman yn ceisio dod o hyd i atebion i broblem sydd yr un fath yng Nghymru, yn yr Alban, ac yn Lloegr, a gwaeth eto yng Ngogledd Iwerddon. Felly, nid yw'r syniad, fel y ceisiodd hi ei roi i fy nghyd-Weinidog y Gweinidog iechyd, ac mae hi wedi ceisio ei roi eto y prynhawn yma, fod hwn rhywsut yn brofiad unigryw Gymreig yn wir, mae hi'n gwybod nad yw'n wir, ac ni ddylai hi barhau i awgrymu hynny. Y camau sy'n cael eu cymryd yw'r rhai a roddodd y Gweinidog Iechyd iddi pan ofynnodd y cwestiwn dim ond wythnos yn ôl. Trwy drugaredd, o ganlyniad i'r holl gamau sydd wedi'u cymryd, mae derbyniadau brys yng Nghymru i lawr. Maen nhw i lawr yn is na'r lefelau cyn y pandemig. Maen nhw i lawr oherwydd y camau y mae'r Gweinidog wedi'u cymryd. Cadeiriodd y Gweinidog gyfarfod o'r holl fyrddau iechyd a'r gwasanaeth ambiwlans ddoe, i adrodd ar y ffordd y mae'r mesurau hynny'n cael eu gweithredu nawr a sut y byddant yn cael eu symud ymlaen ymhellach dros y gaeaf hwn. Bydd hynny'n cynnwys y canolfannau gofal sylfaenol brys sydd wedi eu sefydlu nawr ym mhob rhan o Gymru, a bydd yn fuan yn cwmpasu holl boblogaeth Cymru, sy'n golygu nad oes rhaid i bobl gael ambiwlans brys i'w cludo i ysbyty pan fydd cyfleusterau eraill wrth law sy'n tynnu'r galw hwnnw i ffwrdd. Dywedodd yr Aelod ei hun bod 67 o blant yn yr adran honno. Sut mae hi'n dychmygu bod system yn gallu ymateb pan fyddwch chi'n gweld galw o'r math hwnnw sydd ar gynnydd, heblaw drwy ddod o hyd i ffyrdd eraill i reoli'r galw hwnnw? Nawr, rwy'n credu ei bod yn deyrnged go iawn i'r newidiadau sydd wedi eu gwneud y bu'r Gweinidog yn eu harwain, bellach, bod 4,000 o alwadau 999 bob mis yng Nghymru yn cael eu rheoli'n llwyddiannus yn glinigol heb i bobl orfod gadael eu cartrefi eu hunain. Yn wyneb y math o alw yr ydym ni'n ei weld, yn wyneb y cyfuniad hwnnw o amgylchiadau'r gaeaf hwn - COVID, sydd heb fynd i ffwrdd; ffliw, sydd ar gynnydd yng Nghymru; feirws syncytiol anadlol, sydd ar lefelau rhyfeddol, yn enwedig ymhlith y rhai dan bump oed, ac, rwy'n dychmygu, a arweiniodd at nifer eithaf sylweddol o'r plant hynny yn cael eu cludo i adran ddamweiniau ac achosion brys - mae'r system yn gweithio mor galed ag y gall hi i barhau i fod yn gydnerth yn wyneb yr heriau rhyfeddol hynny.