English: Thank you, Deputy Presiding Officer. As the motion laid notes, on 8 June it will mark four years since Betsi Cadwaladr University Health Board was placed into special measures. My statement yesterday recognised the need to use the anniversary as an opportunity to reflect on the reality and the pace of progress to date, but also the actions still outstanding. I also mentioned yesterday a range of actions already being taken with regard to finance, performance and turnaround. I do want to deal at the outset with one other point made about the First Minister's absence today, in particular remarks made by Janet Finch-Saunders, and as most Members will be aware, the First Minister is not here today because he is exactly where he should be, at the D-day commemorations in Portsmouth. Four years ago, the special measures framework required improvement across a range of areas: governance; leadership and oversight; mental health services; maternity services at Ysbyty Glan Clwyd; reconnecting with the public; and general practice and primary care, including specifically out-of-hours services. In the statement I gave yesterday, I set out the areas in which improvement has already been made. I also outlined those areas in which the health board has not made the progress that we expect, and further action is plainly required. On two of the significant areas of concern set out in 2015 - maternity services and GP out-of-hours services - improvements have resulted in the de-escalation of those areas from special measures. It's important to recognise the good practice, innovation and improvement that staff across Betsi Cadwaladr University Health Board have delivered. And on one point of agreement across speakers, it is to recognise the dedication of our staff within the national health service delivering front-line care in each and every one of our communities. In 2015, though, we and the people of north Wales had significant concerns about, for example, infection rates, access to therapy services and timely access to treatment for people on the cancer pathways, and in each of those areas, there has been real improvement. Today, we've heard of other areas in which Betsi Cadwaladr should develop their services to improve outcomes and experience for the people of north Wales - areas of concern, of course, that go beyond special measures that we could discuss in any particular part of public service. The challenge is not to wipe those away, but to focus on improvement in every area and to understand what Betsi needs to do to move beyond special measures. It is important to note that the health board is stepping up to take the action necessary to deliver improvement. The view of the independent advisor is that the board is now better placed to do so and in particular that the chair has brought new vigour and drive to real leadership and improvement. In relation to the areas for improvement covered under the special measures arrangements - [ Interruption.] I'll happily take the intervention.
Welsh: Diolch yn fawr, Ddirprwy Lywydd. Fel y mae'r cynnig a wnaed yn nodi, ar 8 Mehefin bydd pedair blynedd wedi mynd heibio ers i Fwrdd Iechyd Prifysgol Betsi Cadwaladr gael ei roi mewn mesurau arbennig. Roedd fy natganiad ddoe yn cydnabod yr angen i ddefnyddio'r pen blwydd fel cyfle i fyfyrio ar realiti a chyflymder y cynnydd hyd yma, ond hefyd y camau gweithredu sy'n dal heb eu cyflawni. Soniais hefyd ddoe am amrywiaeth o gamau sy'n cael eu cymryd eisoes mewn perthynas â chyllid, perfformiad a gweithredu. Rwyf am ymdrin ar y dechrau ag un pwynt arall a wnaethpwyd ynglŷn ag absenoldeb y Prif Weinidog heddiw, yn arbennig sylwadau gan Janet Finch-Saunders, ac fel y gŵyr y rhan fwyaf o'r Aelodau, nid yw'r Prif Weinidog yma heddiw oherwydd ei fod yn union lle dylai fod, yn y digwyddiad i gofio D-day yn Portsmouth. Bedair blynedd yn ôl, roedd angen gwella'r fframwaith mesurau arbennig ar draws ystod o feysydd: llywodraethu; arweinyddiaeth a throsolwg; gwasanaethau iechyd meddwl; gwasanaethau mamolaeth yn Ysbyty Glan Clwyd; ailgysylltu â'r cyhoedd; ac ymarfer cyffredinol a gofal sylfaenol, gan gynnwys gwasanaethau y tu allan i oriau yn benodol. Yn y datganiad a roddais ddoe, nodais y meysydd lle mae gwelliant eisoes wedi'i wneud. Amlinellais hefyd y meysydd lle nad yw'r bwrdd iechyd wedi gwneud y cynnydd a ddisgwyliwn, ac mae'n amlwg fod angen gweithredu pellach. Ar ddau o'r meysydd pryder sylweddol a nodwyd yn 2015 - gwasanaethau mamolaeth a gwasanaethau meddygon teulu y tu allan i oriau arferol - mae gwelliannau wedi arwain at isgyfeirio'r meysydd hynny o fesurau arbennig. Mae'n bwysig cydnabod yr arferion da, yr arloesi a'r gwelliant y mae staff ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr wedi'u cyflawni. Ac ar un pwynt y mae'r siaradwyr yn cytuno yn ei gylch, dylid cydnabod ymroddiad ein staff yn y gwasanaeth iechyd gwladol sy'n darparu gofal rheng flaen ym mhob un o'n cymunedau. Yn 2015, fodd bynnag, roedd gennym ni a phobl gogledd Cymru bryderon sylweddol am gyfraddau heintiau, er enghraifft, mynediad at wasanaethau therapi a mynediad amserol at driniaeth i bobl sydd ar y llwybrau canser, ac ym mhob un o'r meysydd hynny, gwelwyd gwelliant gwirioneddol. Heddiw, clywsom am feysydd eraill lle dylai Betsi Cadwaladr ddatblygu eu gwasanaethau i wella canlyniadau a phrofiad pobl gogledd Cymru - meysydd sy'n peri pryder, wrth gwrs, ac sy'n mynd y tu hwnt i fesurau arbennig y gallem eu trafod mewn unrhyw ran benodol o wasanaeth cyhoeddus. Nid cael gwared ar y rheini yw'r her, ond canolbwyntio ar welliant ym mhob maes a deall yr hyn sydd angen i Betsi Cadwaladr ei wneud er mwyn symud y tu hwnt i fesurau arbennig. Mae'n bwysig nodi bod y bwrdd iechyd yn bwrw iddi i weithredu'r camau sydd eu hangen i sicrhau gwelliant. Barn y cynghorwr annibynnol yw bod y bwrdd mewn gwell sefyllfa i wneud hynny erbyn hyn ac yn benodol fod y cadeirydd wedi darparu egni a hwb newydd i arweinyddiaeth a gwelliant go iawn. Mewn perthynas â'r meysydd i'w gwella a gwmpesir o dan y trefniadau mesurau arbennig - [ T orri ar draws.] Rwy'n hapus i dderbyn yr ymyriad.