English: I think there are two things that have be distinguished here. There is the original decision to concentrate specialist vascular services at Ysbyty Glan Clwyd. The Member said that that had happened 'for some reason' as though it was a trivial matter that had just been plucked out of the air. He will know perfectly well that the case for the concentration of specialist services was one, as I said in my original answer, strongly supported by the Royal College of Surgeons, supported by the Vascular Society of Great Britain and Ireland, because of the evidence from elsewhere that specialist services have better results when you have people who carry out that work day in, day out and do those specialist things. Twenty per cent of services were to be carried out at Ysbyty Glan Clwyd, leaving 80 per cent of vascular services still to be provided in Wrexham and in Bangor. Out-patient appointments, varicose vein procedures, diagnostics, review of in-patient vascular referrals and rehabilitation are still carried right across north Wales. I don't myself believe that the model, as originally proposed and supported by the board and not opposed by the community health council, was the wrong one. [ Interruption. ] I know there are people who don't agree with that. I noticed that the Royal College of Surgeons in its report said that the constant undermining of the model by local criticisms has made the implementation of the model more difficult to achieve. [ Interruption.] Well, this is what it says. I know you don't like it, but that is what it says. They said that the constant attempts to undermine the model have made its implementation more challenging, and that the undermining of the morale of people who are responsible for the services by those criticisms could lead in the end to poorer services for patients. You may not like it, but that is what the report says. I distinguish myself between the model, which I think was the right one, and the implementation issues, which have to be put right. The original report - there's a two-stage report by the Royal College of Surgeons - identified a number of things that still needed to be done to make sure the patients in north Wales derived the maximum benefit from the new model. It remains the responsibility of the clinicians who lead that service, and the board, to make sure that the investment that has been provided - investment in the infrastructure at Glan Clwyd and in the specialist staffing of the service at Glan Clwyd - now delivers the benefits that the model was there to derive. If there's more to be done, then I look to the people who are responsible for the service to make sure that they learn the lessons from the Royal College of Surgeons and put anything that needs to be put right right, because the model itself is the right one for people in north Wales.
Welsh: Rwy'n credu bod dau beth y mae'n rhaid gwahaniaethu rhyngddyn nhw yma. Ceir y penderfyniad gwreiddiol i ganolbwyntio gwasanaethau fasgwlaidd arbenigol yn Ysbyty Glan Clwyd. Dywedodd yr Aelod bod hynny wedi digwydd 'am ryw reswm' fel pe bai'n fater dibwys a oedd wedi cael ei dynnu allan o'r awyr. Bydd yn gwybod yn iawn fod yr achos dros ganolbwyntio gwasanaethau arbenigol yn un, fel y dywedais yn fy ateb gwreiddiol, a gefnogwyd yn gryf gan Goleg Brenhinol y Llawfeddygon, gyda chefnogaeth Cymdeithas Fasgwlaidd Prydain Fawr ac Iwerddon, oherwydd y dystiolaeth o fannau eraill bod gwasanaethau arbenigol yn arwain at ganlyniadau gwell pan fydd gennych chi bobl sy'n gwneud y gwaith hwnnw ddydd ar ôl dydd ac yn gwneud y pethau arbenigol hynny. Roedd ugain y cant o wasanaethau i fod i gael eu darparu yn Ysbyty Glan Clwyd, gan adael 80 y cant o wasanaethau fasgwlaidd yn dal i gael eu darparu yn Wrecsam ac ym Mangor. Mae apwyntiadau cleifion allanol, llawdriniaethau gwythiennau chwyddedig, diagnosteg, adolygiadau o atgyfeiriadau fasgwlaidd cleifion mewnol ac adsefydlu yn dal i gael eu darparu ar draws y gogledd. Nid wyf i fy hun yn credu mai'r model, fel y'i cynigiwyd ac y'i cefnogwyd yn wreiddiol gan y bwrdd ac na chafodd ei wrthwynebu gan y cyngor iechyd cymuned, oedd yr un anghywir. [ Torri ar draws. ] Gwn fod yna bobl nad ydyn nhw'n cytuno â hynny. Sylwais fod Coleg Brenhinol y Llawfeddygon yn ei adroddiad wedi dweud bod y tanseilio cyson o'r model gan feirniadaethau lleol wedi gwneud gweithredu'r model yn fwy anodd ei gyflawni. [ Torri ar draws.] Wel, dyma mae'n ei ddweud. Rwy'n gwybod nad ydych chi'n ei hoffi, ond dyna mae'n ei ddweud. Dywedwyd ganddyn nhw bod yr ymdrechion cyson i danseilio'r model wedi gwneud ei weithredu yn fwy heriol, ac y gallai tanseilio ysbryd pobl sy'n gyfrifol am y gwasanaethau gan y beirniadaethau hynny, arwain yn y pen draw at wasanaethau gwaeth i gleifion. Efallai nad ydych chi'n ei hoffi, ond dyna mae'r adroddiad yn ei ddweud. Rwy'n gwahaniaethu fy hun rhwng y model, a oedd, yn fy marn i, yn un cywir, a'r problemau gweithredu, y mae'n rhaid eu cywiro. Nododd yr adroddiad gwreiddiol - ceir adroddiad dau gam gan Goleg Brenhinol y Llawfeddygon - nifer o bethau yr oedd angen eu gwneud o hyd i wneud yn siŵr bod y cleifion yn y gogledd yn cael y budd mwyaf posibl o'r model newydd. Cyfrifoldeb y clinigwyr sy'n arwain y gwasanaeth hwnnw o hyd, a'r bwrdd, yw gwneud yn siŵr bod y buddsoddiad a ddarparwyd - buddsoddiad yn y seilwaith yng Nglan Clwyd ac mewn staffio arbenigol y gwasanaeth yng Nglan Clwyd - bellach yn sicrhau'r manteision yr oedd y model yno i'w sicrhau. Os oes mwy i'w wneud, yna edrychaf ar y bobl sy'n gyfrifol am y gwasanaeth i wneud yn siŵr eu bod nhw'n dysgu'r gwersi gan Goleg Brenhinol y Llawfeddygon ac yn unioni unrhyw beth y mae angen ei gywiro, oherwydd y model ei hun yw'r un iawn i bobl yn y gogledd.