English: Minister, can I thank you in advance for the briefing that you gave to the Health and Social Care Committee last week? I know that your officials are going to be providing a technical briefing to Members as well, so that's of course appreciated. Of course, we do need to ensure that the NHS is nimble enough in its procurement practices so it doesn't fall behind other parts of the UK. As I've understood - and I'm still learning - the Bill to date, I understand why you're bringing this Bill forward, but there are some questions I have that sit behind that. I do think, Minister, it's right, of course, to highlight that we don't want Wales to fall behind or be disadvantaged compared to England when it comes to health procurement, but I suppose it would be helpful if you could set out anything that helps us to understand how we got into this position in the first place. Then there's the position of whether an LCM could have been brought forward via the legislation being passed through the UK Parliament. That would have, of course, saved the Senedd and indeed Welsh Government valuable time. So, I wonder if the Welsh Government actively sought this legislative route, and if not, perhaps you could outline some of the obstacles that sat behind that decision. This is an enabling Bill, so, as is often said, the devil is in the detail of the regulations that will be made using the powers that this law will create. So, given that secondary legislation will be perhaps the more significant part of this Bill, I hope that won't be contentious, but I am of course pleased that the Senedd will be allowed to vote on them as they will be part of the affirmative procedure, as I've understood it. But we do need to understand the policy intention behind the Bill, so I wonder, Minister, whether you can tell us what these regulations to follow might look like, and which health services in particular would these powers be used for. We were also told that it's particularly important for those NHS services that deliver for patients near the England-Wales border, and of course I would have an interest in that. So, can I ask if you have any examples of where this would apply, especially for NHS-to-NHS services? And given that the Bill is about giving the Welsh Government flexibility in procuring the services of independent providers, does this mean at all that the Labour Government here is intent on increasing the use of private services in the NHS at all? Can we expect this to occur? Also, just to understand how this Bill might help those 50,000 people who are of course waiting for over two years for treatment. I know your target is approaching, to eliminate the backlog by the end of March, and I think you'll probably confirm that that is unlikely to be achieved, but how would this Bill help in that regard? I think the Senedd and the public perhaps would also benefit from an explanation of how the provider selection regime, or the PSR, would - . How that would - . An explanation of that. It would be good, perhaps, to hear the Minister perhaps illustrate what changes we can expect in that regard. Finally, when the regulations do come forward, how much can we expect those to mirror the regulations that the UK Government is bringing forward? Will it be, for example, word for word? Would it be lifted out of the UK Government's legislation? And perhaps you could talk about the degree of collaboration, if any, with the Department of Health and Social Care.
Welsh: Gweinidog, a gaf i ddiolch o flaen llaw am y briff y gwnaethoch chi ei roi i'r Pwyllgor Iechyd a Gofal Cymdeithasol yr wythnos diwethaf? Rwy'n gwybod bod eich swyddogion yn mynd i fod yn darparu briff technegol i Aelodau hefyd, felly mae hynny wrth gwrs yn cael ei werthfawrogi. Wrth gwrs, mae angen i ni sicrhau bod y GIG yn ddigon ystwyth yn ei arferion caffael fel na fydd ar ei hôl hi o gymharu â rhannau eraill o'r DU. Fel yr ydw i wedi'i ddeall - ac rwy'n dal i ddysgu - y Bil hyd yma, rwy'n deall pam eich bod chi'n cyflwyno'r Bil hwn, ond mae rhai cwestiynau gennyf i y tu ôl i hynny. Rydw i'n meddwl, Gweinidog, ei bod hi'n iawn, wrth gwrs, i dynnu sylw at y ffaith nad ydyn ni eisiau i Gymru fod ar ei hôl hi neu fod o dan anfantais o gymharu â Lloegr pan fo'n dod at gaffael iechyd, ond mae'n debyg y byddai'n ddefnyddiol pe baech yn nodi unrhyw beth sy'n ein helpu ni i ddeall sut y daethom ni i'r sefyllfa hon yn y lle cyntaf. Yna mae'r pwynt tybed a allai memorandwm cydsyniad deddfwriaethol fod wedi ei gyflwyno drwy'r ddeddfwriaeth sy'n cael ei phasio drwy Senedd y DU. Wrth gwrs, byddai hynny wedi arbed amser gwerthfawr y Senedd ac yn wir Llywodraeth Cymru. Felly, tybed a aeth Llywodraeth Cymru ati i geisio'r llwybr deddfwriaethol hwn, ac os naddo, efallai y gallech chi amlinellu rhai o'r rhwystrau y tu ôl i'r penderfyniad hwnnw. Mae hwn yn Fil galluogi, felly, fel y caiff ei ddweud yn aml, rhaid edrych yn fanwl ar y rheoliadau a fydd yn cael eu gwneud gan ddefnyddio'r pwerau y bydd y gyfraith hon yn eu creu. Felly, o ystyried efallai mai is-ddeddfwriaeth fydd y rhan fwy arwyddocaol o'r Bil hwn, rwy'n gobeithio na fydd hynny'n ddadleuol, ond rwy'n falch wrth gwrs y bydd y Senedd yn cael pleidleisio arnyn nhw gan y byddan nhw'n rhan o'r weithdrefn gadarnhaol, fel yr wyf i wedi'i deall. Ond mae angen i ni ddeall y bwriad polisi y tu ôl i'r Bil, felly tybed, Gweinidog, a allwch chi ddweud wrthym ni sut fath o reoliadau y gallai'r rhain sydd i ddilyn fod, ac ar gyfer pa wasanaethau iechyd yn benodol fyddai'r pwerau hyn yn cael eu defnyddio. Cawson ni wybod hefyd, ei bod hi'n arbennig o bwysig i'r gwasanaethau GIG hynny sy'n darparu ar gyfer cleifion ger y ffin rhwng Cymru a Lloegr, ac wrth gwrs byddai gennyf i ddiddordeb yn hynny. Felly, a gaf i ofyn a oes gennych chi unrhyw enghreifftiau o ble fyddai hyn yn berthnasol, yn enwedig ar gyfer gwasanaethau'r GIG-i-GIG? Ac o ystyried bod y Bil yn ymwneud â rhoi hyblygrwydd i Lywodraeth Cymru i gaffael gwasanaethau darparwyr annibynnol, ydy hyn yn golygu o gwbl fod y Llywodraeth Lafur yma'n benderfynol o gynyddu defnyddio gwasanaethau preifat yn y GIG? A allwn ni ddisgwyl i hyn ddigwydd? Hefyd, dim ond i ddeall sut y gallai'r Bil hwn helpu'r 50,000 o bobl hynny sydd wrth gwrs yn aros am dros ddwy flynedd am driniaeth. Rwy'n gwybod bod eich targed yn agosáu, i ddileu'r ôl-groniad erbyn diwedd mis Mawrth, ac rwy'n credu y byddwch chi'n cadarnhau mae'n debyg y bydd hynny'n annhebygol o gael ei gyflawni, ond sut fyddai'r Bil hwn yn helpu yn hynny o beth? Rwy'n credu y byddai'r Senedd a'r cyhoedd efallai hefyd yn elwa ar esboniad o sut y byddai'r gyfundrefn dethol darparwyr, neu'r PSr, yn - . Sut byddai hynny - . Esboniad o hynny. Byddai'n dda, efallai, clywed y Gweinidog yn egluro pa newidiadau y gallwn ni eu disgwyl yn hynny o beth. Yn olaf, pan gyflwynir y rheoliadau, i ba raddau gallwn ni ddisgwyl i'r rhain adlewyrchu'r rheoliadau y mae Llywodraeth y DU yn eu cyflwyno? A fyddant, er enghraifft, gair am air? A fyddant yn cael eu codi o ddeddfwriaeth Llywodraeth y DU? Ac efallai y gallech chi sôn am faint o gydweithio, os o gwbl, fydd gyda'r Adran Iechyd a Gofal Cymdeithasol.