techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: Llywydd, I thank the Member for that supplementary question. She's quite right to point to the fact that there are different sorts of agency spending. Some agency spending, where staff are brought in to cover parental leave, or study leave, for example, is planned agency spending and is necessary in any large organisation such as the NHS. The plan has been drawn up to bear down on the costs of non-planned use of agency staff, and there, as Jenny Rathbone has said, some health boards have already made greater progress than others. Cardiff and Vale University Local Health Board, in the area that she represents, spends on agency 1.8 per cent of its pay costs as a whole, and that is the lowest percentage of any local health board in Wales. The second phase of the work that I mentioned in my opening answer will involve all health boards in Wales learning from one another, but it will also, in the way the Member said, consider the benefits of an all-Wales staff bank, so that we can use the staff that we have more directly under our employment in order to bring down costs but also to provide a better service.
Welsh: Llywydd, diolchaf i'r Aelod am y cwestiwn atodol yna. Mae hi'n hollol iawn i dynnu sylw at y ffaith bod gwahanol fathau o wariant asiantaeth. Mae peth o wariant asiantaeth, pan fydd staff yn cael eu cyflogi yn ystod absenoldeb rhiant, neu absenoldeb astudio, er enghraifft, yn wariant asiantaeth a gynlluniwyd ac mae'n angenrheidiol mewn unrhyw sefydliad mawr fel y GIG. Lluniwyd y cynllun i leihau costau'r defnydd o staff asiantaeth heb ei gynllunio, ac yn hynny o beth, fel y dywedodd Jenny Rathbone, mae rhai byrddau iechyd eisoes wedi gwneud mwy o gynnydd nag eraill. Mae Bwrdd Iechyd Prifysgol Caerdydd a'r Fro, yn yr ardal y mae hi'n ei chynrychioli, yn gwario 1.8 y cant o'i holl gostau cyflog ar waith asiantaeth, a dyna'r ganran isaf o unrhyw fwrdd iechyd lleol yng Nghymru. Bydd ail ran y gwaith y cyfeiriais ato yn fy ateb cyntaf yn cynnwys pob bwrdd iechyd yng Nghymru yn dysgu gan ei gilydd, ond bydd hefyd, yn y ffordd y dywedodd yr Aelod, yn ystyried manteision cronfa staff Cymru gyfan, fel y gallwn ddefnyddio'r staff sydd gennym ni yn fwy uniongyrchol o dan ein cyflogaeth er mwyn lleihau costau, ond hefyd er mwyn darparu gwell gwasanaeth.
English: First Minister, I'm sure you'll want to commend the work of the Auditor General for Wales, who has pointed out that 82 per cent of this spend is to cover for vacancies. And he also says there's a real issue of skills shortages and poor data, especially the lack of consistent and comparable data, which is impeding the leadership that we need from the health boards. What are you going to do with his observations there, and how soon might we see better performance in this important area?
Welsh: Prif Weinidog, rwy'n siŵr y byddwch chi eisiau canmol gwaith Archwilydd Cyffredinol Cymru, sydd wedi tynnu sylw at y ffaith bod 82 y cant o'r gwariant hwn ar gyfer swyddi gwag. Ac mae hefyd yn dweud bod problem wirioneddol o brinder sgiliau a data gwael, yn enwedig y diffyg data cyson a chymaradwy, sy'n amharu ar yr arweinyddiaeth sydd ei hangen arnom gan y byrddau iechyd. Beth ydych chi'n mynd i'w wneud gyda'i sylwadau yn hynny o beth, a pha mor fuan y gallem ni weld gwell perfformiad yn y maes pwysig hwn?
English: I thank David Melding for that. I do, of course, welcome the report of the Wales Audit Office. It was that report that highlighted the fact that there had been a reduction of £30 million in the cost of agency working staff in the last year in the NHS. And it was a balanced account of the achievements that have been made in Wales, but also pointing to new ways in which we can address skills shortages and costs in the future. In the second phase, which I've mentioned already, there will be further development of data collection, to provide standardised national data, to enable benchmarking and monitoring of improvement in spend, directly in response to some of the work that the auditor general summed up in his report.
Welsh: Diolchaf i David Melding am hynna. Rwyf, wrth gwrs, yn croesawu adroddiad Swyddfa Archwilio Cymru. Yr adroddiad hwnnw wnaeth bwysleisio'r ffaith y bu gostyngiad o £30 miliwn i gost staff gwaith asiantaeth yn ystod y flwyddyn ddiwethaf yn y GIG. Ac roedd yn ystyriaeth gytbwys o'r cyflawniadau a wnaed yng Nghymru, ond hefyd yn cyfeirio at ffyrdd newydd y gallwn ni fynd i'r afael â phrinder sgiliau a chostau yn y dyfodol. Yn yr ail gam, yr wyf i wedi cyfeirio ato eisoes, bydd datblygiadau pellach o ran casglu data, i ddarparu data cenedlaethol safonedig, i alluogi meincnodi a monitro gwelliant o ran gwariant, mewn ymateb uniongyrchol i rywfaint o'r gwaith a grynhowyd gan yr Archwilydd Cyffredinol yn ei adroddiad.
English: I'm sure that the First Minister will be aware that one of the issues leading to the problems with agency staffing is problems with retention in the nursing workforce. One of the reasons for these problems of retention, in some cases, is a lack of flexibility. I'm aware of a number of cases where nurses have asked for flexible working patterns on the wards where they're employed, and the local health boards have been unable to provide, or unwilling to provide, those flexible working patterns. Those nurses have then left their positions, gone to work for agencies and ended up in exactly the same wards, doing exactly the same work, costing the national health service more money, but receiving the flexibility that they've asked for, to enable them, for example, to balance their family responsibilities with working in the NHS. If there is one case of this, this is too many, I'm sure the First Minister would agree with me. A number of such cases have been drawn to my attention. What more can the First Minister do, working with the Minister for Health and Social Services, to ensure that local health boards take a more flexible and pragmatic approach to providing nursing staff with flexible working opportunities and to promote the retention of these highly skilled members of staff directly in our national health, rather than employing them through agencies?
Welsh: Rwy'n siŵr y bydd y Prif Weinidog yn ymwybodol mai un o'r materion sy'n arwain at y problemau gyda staffio asiantaeth yw problemau o ran cadw staff yn y gweithlu nyrsio. Un o'r rhesymau am y problemau hyn o ran cadw, mewn rhai achosion, yw diffyg hyblygrwydd. Rwy'n ymwybodol o nifer o achosion lle mae nyrsys wedi gofyn am batrymau gweithio hyblyg ar y wardiau lle maen nhw'n cael eu cyflogi, ac nid yw'r byrddau iechyd lleol wedi gallu darparu, neu maen nhw wedi bod yn amharod i ddarparu, y patrymau gweithio hyblyg hynny. Mae'r nyrsys hynny wedi gadael eu swyddi wedyn, wedi mynd i weithio i asiantaethau ac wedi canfod eu hunain yn yr un wardiau yn union, yn gwneud yr un gwaith yn union, gan gostio mwy o arian i'r gwasanaeth iechyd gwladol, ond yn cael yr hyblygrwydd y maen nhw wedi gofyn amdano, i'w caniatáu, er enghraifft , i gydbwyso eu cyfrifoldebau teuluol â gweithio yn y GIG. Os oes un achos o hyn, mae hyn yn ormod, rwy'n siŵr y byddai'r Prif Weinidog yn cytuno â mi. Tynnwyd fy sylw at nifer o achosion o'r fath. Beth arall all y Prif Weinidog ei wneud, gan weithio gyda'r Gweinidog Iechyd a Gwasanaethau Cymdeithasol, i sicrhau bod byrddau iechyd lleol yn mabwysiadu dull mwy hyblyg ac ymarferol o ddarparu cyfleoedd gweithio hyblyg i staff nyrsio ac i hybu cadw'r aelodau staff hynod fedrus hyn yn uniongyrchol yn ein gwasanaeth iechyd, yn hytrach na'u cyflogi drwy asiantaethau?
English: Well, Llywydd, I do agree directly with the main point that Helen Mary Jones has made. If you think of staffing in the NHS, there are three consecutive issues that you have to think about. First of all, there is training of new staff to come into the NHS, and, for the fifth year in a row, we have record spend in supporting health professional education and training in Wales, with record numbers of people being trained to come into the nursing profession in Wales. The second issue is recruitment. Having trained people, you have to recruit them, and the number of nurses, midwives and health visitors in Wales was up by 134 again last year. We have a record high number of people recruited into the health service, but then we have to retain them in the way that the Member said. And the message I always gave to the health service, and I know it's repeated by Vaughan Gething, is that they must show maximum flexibility in order to retain the skilled and dedicated staff that they have. And the question should not be, 'How does this person fit into the health board's patterns?' but, 'What can the health board do to enable that person's needs to be responded to flexibly?' in order that we can retain that person who has been often expensively trained, where investment has been made in them while they work for the health service, and where there is every reason why a local health board should do everything they can, in as flexible a way as they can, to go on retaining the service of that person for as long as they possibly can.
Welsh: Wel, Llywydd, rwyf yn cytuno'n uniongyrchol gyda'r prif bwynt y mae Helen Mary Jones wedi ei wneud. Os meddyliwch chi am staffio yn y GIG, ceir tri mater olynol y mae'n rhaid i chi eu hystyried. Yn gyntaf oll, ceir hyfforddi staff newydd i ddod i mewn i'r GIG, ac, am y bumed flwyddyn yn olynol, mae gennym ni'r gwariant mwyaf erioed i gynorthwyo addysg a hyfforddiant i weithwyr iechyd proffesiynol yng Nghymru, gyda'r nifer mwyaf erioed o bobl yn cael eu hyfforddi i ddod i mewn i'r proffesiwn nyrsio yng Nghymru. Yr ail fater yw recriwtio. Ar ôl hyfforddi pobl, mae'n rhaid i chi eu recriwtio nhw, a chynyddodd nifer y nyrsys, bydwragedd ac ymwelwyr iechyd yng Nghymru gan134 unwaith eto y llynedd. Mae gennym ni'r nifer mwyaf erioed yn cael eu recriwtio i'r gwasanaeth iechyd, ond wedyn mae'n rhaid i ni eu cadw nhw yn y ffordd y dywedodd yr Aelod. A'r neges yr wyf i bob amser yn ei rhoi i'r gwasanaeth iechyd, a gwn ei bod yn cael ei hailadrodd gan Vaughan Gething, yw bod yn rhaid iddyn nhw ddangos yr hyblygrwydd mwyaf posibl er mwyn cadw'r staff medrus ac ymroddedig sydd ganddyn nhw. Ac nid, 'Sut mae'r person hwn yn cyd-fynd â phatrymau'r bwrdd iechyd?' ddylai'r cwestiwn fod, ond, 'Beth all y bwrdd iechyd ei wneud i alluogi ymateb hyblyg i anghenion y person hwnnw?' fel y gallwn gadw'r person hwnnw sy'n aml wedi cael ei hyfforddi yn ddrud, lle gwnaed buddsoddiad ynddo tra ei fod yn gweithio i'r gwasanaeth iechyd, a lle ceir pob rheswm pam y dylai bwrdd iechyd lleol wneud popeth o fewn ei allu, mewn ffordd mor hyblyg â phosibl, i barhau i gadw gwasanaeth y person hwnnw am gyhyd â phosibl.
English: Thank you, Llywydd. First Minister, during your first winter in charge as health Minister, 80 per cent of those attending accident and emergency departments were accepted, transferred or released within 24 hours. That is, of course, lower than the target of 95 per cent. Last month, only 77.8 per cent of people were seen within four hours. This is the worst record for any December to date. Can you explain why the performance of A&E departments during your tenure as health Minister, and then as finance Minister, and now as First Minister, has gone from bad to worse?
Welsh: Diolch, Llywydd. Brif Weinidog, yn ystod eich gaeaf cyntaf wrth y llyw fel Gweinidog Iechyd a Gwasanaethau Cymdeithasol, cafodd 80 y cant o'r rheini oedd yn mynychu adrannau brys eu derbyn, eu trosglwyddo neu eu rhyddhau o fewn pedair awr. Mae hynny, wrth gwrs, yn is na'r targed o 95 y cant. Fis diwethaf, dim ond 77.8 y cant o bobl gafodd eu gweld o fewn pedair awr. Dyma'r record waethaf ar gyfer unrhyw fis Rhagfyr hyd yma. Allwch chi egluro pam mae perfformiad adrannau A&E yn ystod eich cyfnod fel Gweinidog Iechyd, ac yna fel Gweinidog Cyllid, a bellach fel Prif Weinidog, wedi mynd o ddrwg i waeth?
English: Wel, Llywydd, that is a very partial and unfair description of the work that emergency departments in Wales have done over this winter. It is certainly true that the number of people entering A&E departments on an emergency basis was the highest ever on record in the month of December, and, despite that, the system has been more resilient in this winter than the year before. We have seen reductions in delayed transfers of care; we have seen reductions in delays in ambulance handovers; we have seen improvements in the resilience of the system, with fewer hospitals declaring themselves to be under the greatest level of pressure. The Member is true in picking one example where the system has been under greatest strain, and that is seeing people within the four-hour target. In fact, the majority of health boards in Wales have improved their performance there. The all-Wales figure is brought down by the fact that, in two health boards, the performance has deteriorated. Llywydd, the median time that people who go to A&E departments in Wales in December had to wait, despite the pressures that the system is under, was two hours and 25 minutes, from the time they arrived, not to the time they were seen, but to the time that they had been seen, treated and either admitted to the hospital or discharged home. I think that is a tremendous tribute to the work that goes on by the dedicated staff who work under such pressures of numbers and conditions, and that's where I would put my focus this afternoon.
Welsh: Wel, Llywydd, mae hwnna'n ddisgrifiad rhannol ac annheg iawn o'r gwaith y mae adrannau achosion brys yng Nghymru wedi ei wneud dros y gaeaf hwn. Mae'n sicr yn wir bod nifer y bobl sy'n mynd i adrannau damweiniau ac achosion brys ar sail frys yr uchaf a welwyd erioed ym mis Rhagfyr, ac, er gwaethaf hynny, mae'r system wedi bod yn fwy cydnerth y gaeaf hwn nag yn y flwyddyn flaenorol. Rydym ni wedi gweld lleihad o ran oedi wrth drosglwyddo gofal; rydym ni wedi gweld lleihad o ran oedi wrth drosglwyddo cleifion ambiwlans; rydym ni wedi gweld gwelliannau o ran cydnerthedd y system, gyda llai o ysbytai yn datgan eu bod nhw o dan y lefel uchaf o bwysau. Mae'r Aelod yn iawn wrth ddewis un enghraifft lle mae'r system wedi bod o dan y straen mwyaf, sef gweld pobl o fewn y targed o bedair awr. Mewn gwirionedd, mae mwyafrif y byrddau iechyd yng Nghymru wedi gwella eu perfformiad yn hynny o beth. Mae ffigur Cymru gyfan yn cael ei ostwng gan y ffaith bod y perfformiad wedi dirywio mewn dau fwrdd iechyd. Llywydd, y cyfnod canolrifol y bu'n rhaid i bobl a aeth i adrannau damweiniau ac achosion brys yng Nghymru aros ym mis Rhagfyr, er gwaethaf y pwysau sydd ar y system, oedd dwy awr a 25 munud, o'r amser iddyn nhw gyrraedd, nid tan yr amser iddyn nhw gael eu gweld, ond tan yr amser iddyn nhw fod wedi cael eu gweld, eu trin, a naill ai eu derbyn i'r ysbyty neu eu rhyddhau i fynd adref. Credaf fod honno'n deyrnged aruthrol i'r gwaith sy'n cael ei wneud gan y staff ymroddedig sy'n gweithio o dan cymaint o bwysau o ran niferoedd ac amodau, a dyna lle byddwn i'n rhoi fy mhwyslais y prynhawn yma.
English: I have to say that I regret the First Minister's answer. The performance in England, which is already ahead of Wales, has continued to improve over the last 12 months, whilst the performance figures for Scotland are consistently over 90 per cent in terms of people being seen within the target time. Now, in looking under the surface and looking underneath that national figure, then we see even more complex examples in terms of performance. Wrexham Maelor Hospital has the A&E department that is performing worst across the UK. There, almost 50 per cent of people had to wait over four hours to be seen. Glan Clwyd Hospital in St Asaph is the third worst in the UK, and almost 700 people last month had to wait over 12 hours there. To put this in some perspective, only 210 people had to wait over 12 hours to be seen in all Scottish hospitals in November. And when we turn to patients being held in ambulances, almost two thirds of patients wait more than a quarter of an hour in an ambulance outside Maelor and Glan Clwyd hospitals. Are these failings so grave now that they endanger life?
Welsh: Mae'n rhaid i fi ddweud, rwy'n gresynu at ateb y Prif Weinidog. Mae'r perfformiad yn Lloegr, sydd eisoes ar y blaen i Gymru, wedi parhau i wella yn ystod y 12 mis diwethaf, tra bod ffigurau perfformiad yr Alban yn gyson uchel - dros 90 y cant o bobl yn cael eu gweld o fewn yr amser targed. Nawr, wrth edrych o dan wyneb y ffigur cenedlaethol Cymreig, daw enghreifftiau fwy dyrys fyth o ran perfformiad i'r golwg. Ysbyty Maelor Wrecsam yw'r adran A&E sy'n perfformio waethaf yn y Deyrnas Gyfunol i gyd. Yno, bu'n rhaid i bron hanner y bobl aros dros bedair awr i gael eu gweld. Ysbyty Glan Clwyd yn Llanelwy ydy'r trydydd gwaethaf yn y Deyrnas Gyfunol, a bu'n rhaid i bron 700 o bobl fis diwethaf aros yno dros 12 awr. I roi hyn mewn bach o bersbectif, dim ond 210 o bobl fu'n rhaid aros dros 12 awr i gael eu gweld yn holl ysbytai'r Alban ym mis Tachwedd, a phan drown ni at gleifion yn sownd mewn ambiwlansys, mae bron i ddau draean o gleifion yn aros mwy na chwarter awr mewn ambiwlans y tu allan i ysbytai Maelor a Glan Clwyd. A yw'r methiannau yma mor ddifrifol erbyn hyn fel eu bod nhw'n peri peryg i fywyd?
English: Well, Llywydd, it is unacceptable that people are kept waiting in some places in the way that the Member described, and the performance at the Wrexham Maelor Hospital is not acceptable to the Welsh NHS, it's not acceptable to the Minister and not acceptable to the board of Betsi Cadwaladr either. Huge efforts are going on to make sure that the position there is improved for the future. The Member chooses to point today to England as his preferred comparison for Wales. Let me tell him what the Royal College of Emergency Medicine said in January, this January, about the performance in England, where the college said 'bed occupancy remains close to 95 per cent' and 'conditions for patients and staff in Emergency Departments' - in England 'are very tough indeed.' And they are very tough in Wales too, but there is no easy answer to point to somewhere that has everything right. We know that isn't the case. On the whole, the performance across Wales in this winter has been an improvement on where we were last year, and where there are problems, we will tackle them.
Welsh: Wel, Llywydd, mae'n annerbyniol bod pobl yn cael eu cadw yn aros mewn rhai lleoedd yn y ffordd y disgrifiodd yr Aelod, ac nid yw'r perfformiad yn Ysbyty Maelor Wrecsam yn dderbyniol i GIG Cymru, nid yw'n dderbyniol i'r Gweinidog ac nid yw'n dderbyniol i fwrdd Betsi Cadwaladr ychwaith. Mae ymdrechion aruthrol yn cael eu gwneud i wneud yn siŵr bod y sefyllfa yno yn cael ei gwella ar gyfer y dyfodol. Mae'r Aelod yn dewis cyfeirio heddiw at Loegr fel y gymhariaeth i Gymru y mae'n ei ffafrio. Gadewch i mi ddweud wrtho yr hyn a ddywedodd y Coleg Brenhinol Meddygaeth Frys ym mis Ionawr, mis Ionawr eleni, am y perfformiad yn Lloegr, pan ddywedodd y coleg mae'r defnydd o welyau yn dal i fod yn agos at 95 y cant ac mae amodau i gleifion a staff mewn Adrannau Achosion Brys - yn Lloegr, yn anodd dros ben. Ac maen nhw'n anodd dros ben yng Nghymru hefyd, ond nid oes ateb hawdd i gyfeirio at rywle sydd â phopeth yn iawn. Rydym ni'n gwybod nad yw hynny'n wir. Ar y cyfan, mae perfformiad ledled Cymru yn ystod y gaeaf hwn wedi bod yn well na'n sefyllfa y llynedd, a lle ceir problemau, byddwn yn mynd i'r afael â nhw.
English: Llywydd, I've already said that we accept that. Performance in some parts of the NHS has not been acceptable. We are aware of that because the checks and balances in the NHS, the reports we get from people such as coroners, such as Health Inspectorate Wales, from within the system itself, give us the information that we need in order to be able to focus on those places, where the general improvement we have seen in the NHS in Wales over this winter has not been apparent. Llywydd, I absolutely do not agree that what we need is another report into the Welsh NHS. We know the things that need to be done. We know where the pinch points are to be found. The job is to get on and make sure that the general improvements are shared elsewhere and everywhere, and we don't need months and months taken up in another inquiry of the sort the Member suggests to give us that information.
Welsh: Llywydd, rwyf i eisoes wedi dweud ein bod ni'n derbyn hynny. Nid yw perfformiad mewn rhai rhannau o'r GIG wedi bod yn dderbyniol. Rydym ni'n ymwybodol o hynny gan fod y gwiriadau cydbwysedd yn y GIG, yr adroddiadau yr ydym ni'n eu cael gan bobl fel crwneriaid, fel Arolygiaeth Gofal Iechyd Cymru, o'r tu mewn i'r system ei hun, yn rhoi'r wybodaeth i ni sydd ei hangen arnom i allu canolbwyntio ar y mannau hynny, lle nad yw'r gwelliant cyffredinol yr ydym ni wedi ei weld yn y GIG yng Nghymru dros y gaeaf hwn wedi bod yn amlwg. Llywydd, nid wyf i'n cytuno o gwbl mai'r hyn sydd ei angen arnom ni yw adroddiad arall ar GIG Cymru. Rydym ni'n ymwybodol o'r pethau y mae angen eu gwneud. Rydym ni'n gwybod lle ceir mannau cyfyng. Y dasg yw bwrw ati a gwneud yn siŵr bod y gwelliannau cyffredinol yn cael eu rhannu mewn mannau eraill ac ym mhob man, ac nid ydym ni angen i fisoedd a misoedd gael eu colli i ymchwiliad arall o'r math y mae'r Aelod yn ei awgrymu i roi'r wybodaeth honno i ni.
English: Leader of the Welsh Conservatives - Paul Davies.
Welsh: Arweinydd y Ceidwadwyr Cymreig - Paul Davies.
English: Diolch, Llywydd. First Minister, a recent survey by the Holocaust Memorial Day Trust brought to light the disturbing fact that one in 20 people in the UK do not believe that the Holocaust really happened. In light of this, what is the Welsh Government doing to ensure that this denial and the prevalence of anti-Semitism are addressed, and that we work to keep the devastating memory of the Holocaust relevant so that future generations can learn from history?
Welsh: Diolch, Llywydd. Prif Weinidog, taflodd arolwg diweddar gan Ymddiriedolaeth Diwrnod Cofio'r Holocost oleuni ar y ffaith ysgytwol bod un o bob 20 o bobl yn y DU nad yw'n credu bod yr Holocost wedi digwydd mewn gwirionedd. Yng ngoleuni hyn, beth mae Llywodraeth Cymru yn ei wneud i sicrhau y rhoddir sylw i'r gwadiad hwn a chyffredinrwydd gwrth-Semitiaeth, a'n bod ni'n gweithio i gadw cof arswydus yr Holocost yn berthnasol fel y gall cenedlaethau'r dyfodol ddysgu o hanes?