English: This report is particularly timely for my constituents in Caerphilly: Bargoed Hall surgery closes its doors next week due to the ending of the practice by the GP there. I've had many communications with constituents over the summer, but particularly useful has been communication with the health board, and I have to praise the Aneurin Bevan Local Health Board for what has been improved communication with me with regard to this issue, and I've been able to, therefore, give my constituents as much information as I can give them as we had it, and that information has been emerging as we've been able to get it. Patients have been moved to a surgery in Bryntirion nearby, but it has not been without difficulties, and we're still in an emerging situation. I'd therefore also like to thank the Cabinet Secretary for visiting Bryntirion Surgery with me to discuss some of these issues, and also thank the committee for the depth and breadth of evidence that they've gathered, which will go some way to helping resolve or prevent these issues from occurring in my constituency and other constituencies in Wales in the future. I'd particularly like to make reference to page 49 of the report. There's some very stark evidence there with regard to GP recruitment and the feelings that new GPs may have. Paragraph 164 says: 'While Dr Heidi Phillips, representing GP Survival, told us that, according to a survey of Swansea medical students, general practice was not seen as an attractive option because: "they see what we see, which is a 10-minute revolving door, starting at 8.30 a.m. through to 6.30 p.m., with no protected time for education, no protected time for the expansion of other interests, and no protected time even for administration. It's relentless. When you look at the other side of it, you see the GPs - our role models - who, from the evidence I submitted, are burnt out, exhausted, demotivated and demoralised."' Of course, that is no advert for anyone wishing, then, to go into GP practice. But the report is constructive, and says, at paragraph 168: 'Developing new models of care will be a key part of tackling these workload and sustainability issues: we believe the pace, visibility and focus of this development needs to be stepped up, which will need strong and structured direction and leadership.' Key in that paragraph is 'new models of care', because what the health board have suggested, in order to attract GPs to Bryntirion Surgery - which needs new GPs as Bargoed Hall closes - is they're going to have to introduce a new model of primary care. The real difficulty is: how do you explain to the public in Bargoed what a new model of primary care actually means? What it means is Bryntirion having pharmacists, having mental health care professionals and having nurses who are able to deliver standards of care comparable to GPs and ease the pressure on GPs. That is significant, but really key will be explaining that to patients who expect to see a GP. New models of primary care can take that pressure off GPs and ease the problem, but I'm yet to see that explained in a very convincing way. The report also mentions locum doctors to fill GP vacancies, and when the Cabinet Secretary visited Bryntirion Surgery, he heard from the full-time GP there who said that locum doctors are all very well, but they leave behind a trail of admin work that the permanent GPs then have to pick up, and in addition to that, locum doctors are very expensive. So, it doesn't really resolve the problem, it just puts a sticking plaster on it. I've also been contacted by Dr Paul Edwards, through Allan Rogers - Allan Rogers used to be the MP for the Rhondda, he's in his eighties now and still very active in politics - he wants to help solve this problem. He saw my video on Facebook with regard to Bryntirion Surgery and he put me in touch with Dr Paul Edwards who's working with Guy Lacey, the principal of Coleg Gwent. They're looking at ways in which the rich, untapped source of talent in the northern Valleys can be recruited to become GPs in the future. Many people growing up in areas of relative deprivation would make good doctors, but because of cultural issues of aspiration in education they're not encouraged to apply for medical schools. Dr Paul Edwards signed his email to me: Dr Paul Edwards BSc, BM (Hons), PhD, Membership of the Royal Colleges of Surgeons of Great Britain and Ireland, Fellowship of the Royal Colleges of Surgeons, consultant surgeon, honorary senior lecturer, grade C and two Ds at A-level. So, this is a clear opportunity to recruit our future GPs from the areas of the northern Valleys that I always talk about. I'm therefore pleased to see that the report makes recommendations on this subject, and I sincerely hope the Welsh Government commits to working with all relevant stakeholders and experts to ensure that this potentially transformative change can be brought about.
Welsh: Mae'r adroddiad hwn yn arbennig o amserol i fy etholwyr yng Nghaerffili: mae meddygfa Bargoed yn cau ei drysau yr wythnos nesaf yn sgil dod â phractis y meddyg teulu yno i ben. Rwyf wedi cyfathrebu llawer gydag etholwyr dros yr haf, ond mae cyfathrebu gyda'r bwrdd iechyd wedi bod yn arbennig o ddefnyddiol, ac mae'n rhaid i mi ganmol Bwrdd Iechyd Lleol Aneurin Bevan am wella'u cyfathrebu gyda mi mewn perthynas â'r mater hwn, ac felly, rwyf wedi gallu rhoi cymaint o wybodaeth ag y gallaf ei roi i fy etholwyr wrth inni ei gael, ac mae'r wybodaeth honno wedi bod yn dod i'r amlwg wrth inni lwyddo i'w chael. Mae cleifion wedi cael eu symud i feddygfa ym Mryntirion gerllaw, ond nid yw wedi bod heb anawsterau, ac rydym yn dal i fod mewn sefyllfa sy'n datblygu. Hoffwn ddiolch hefyd felly i Ysgrifennydd y Cabinet am ymweld â Meddygfa Bryntirion gyda mi i drafod rhai o'r materion hyn, a diolch hefyd i'r pwyllgor am y dystiolaeth helaeth ac eang a gasglwyd ganddynt, a fydd yn mynd gryn dipyn o'r ffordd i helpu i ddatrys neu atal y materion hyn rhag digwydd yn fy etholaeth ac etholaethau eraill yng Nghymru yn y dyfodol. Yn arbennig, hoffwn gyfeirio at dudalen 49 yr adroddiad. Mae tystiolaeth glir iawn yno ynghylch recriwtio meddygon teulu a'r teimladau a allai fod gan feddygon teulu newydd. Mae paragraff 164 yn dweud: Dywedodd Dr Heidi Phillips, a oedd yn cynrychioli GP Survival, nad oedd ymarfer cyffredinol yn cael ei weld fel opsiwn deniadol, yn ôl arolwg o fyfyrwyr meddygol Abertawe oherwydd: "maent yn gweld yr hyn a welwn ni, sef drws tro 10 munud, yn dechrau am 8.30 y bore hyd at 6.30 yr hwyr, heb unrhyw amser wedi'u neilltuo ar gyfer addysg, dim amser wedi'i neilltuo ar gyfer ehangu diddordebau eraill, a dim amser wedi'i ddiogelu ar gyfer gweinyddu hyd yn oed. Mae'n ddi-baid. Pan edrychwch ar yr ochr arall iddo, byddwch yn gweld y meddygon teulu - ein modelau rôl - sydd, o'r dystiolaeth a gyflwynais, wedi ymlâdd, wedi blino'n lân, heb gymhelliant ac wedi digalonni". Wrth gwrs, nid yw hwnnw'n hysbyseb ar gyfer unrhyw un sy'n dymuno ymuno â phractis meddyg teulu. Ond mae'r adroddiad yn adeiladol, ac yn dweud, ym mharagraff 168: 'Rhan allweddol o'r broses o fynd i'r afael â materion yn ymwneud â llwyth gwaith a chynaliadwyedd fydd datblygu modelau gwaith newydd: credwn fod angen cyflymu'r datblygiad hwn, gan roi pwyslais mwy pendant a sylw amlycach iddo.' Mae 'modelau gwaith newydd' yn allweddol yn y paragraff hwnnw, gan mai'r hyn y mae'r bwrdd iechyd wedi'i awgrymu, er mwyn denu meddygon teulu i Feddygfa Bryntirion - sydd angen meddygon teulu newydd wrth i feddygfa Bargoed gau - yw eu bod yn mynd i orfod cyflwyno model newydd o ofal sylfaenol. Yr anhawster go iawn yw hwn: sut mae esbonio i'r cyhoedd ym Margoed beth y mae model newydd o ofal sylfaenol yn ei olygu? Yr hyn y mae'n ei olygu yw bod gan Fryntirion fferyllwyr, gweithwyr proffesiynol gofal iechyd meddwl a nyrsys sy'n gallu darparu safonau gofal tebyg i feddygon teulu a lleddfu'r pwysau ar feddygon teulu. Mae hynny'n bwysig, ond yr hyn a fydd yn wirioneddol allweddol fydd egluro hynny i gleifion sy'n disgwyl gweld meddyg teulu. Gall modelau newydd o ofal sylfaenol gymryd pwysau oddi ar feddygon teulu a lleddfu'r broblem, ond rwyf eto i weld hynny'n cael ei egluro mewn modd argyhoeddiadol iawn. Mae'r adroddiad hefyd yn crybwyll meddygon locwm i lenwi swyddi gwag meddygon teulu, a phan ymwelodd Ysgrifennydd y Cabinet â Meddygfa Bryntirion, clywodd gan feddyg teulu amser llawn yno fod meddygon locwm yn iawn, ond maent yn gadael llwybr o waith gweinyddol sy'n rhaid i feddygon teulu parhaol fynd ar ei ôl wedyn, ac yn ychwanegol at hynny, mae meddygon locwm yn ddrud iawn. Felly, nid yw'n datrys y broblem mewn gwirionedd, dim ond rhoi plastr arni. Daeth Dr Paul Edwards i gysylltiad â mi hefyd, drwy Allan Rogers - roedd Allan Rogers yn arfer bod yn Aelod Seneddol dros y Rhondda, mae yn ei wythdegau erbyn hyn ac yn dal i fod yn weithgar iawn mewn gwleidyddiaeth - ac mae eisiau helpu i ddatrys y broblem hon. Gwelodd fy fideo ar Facebook mewn perthynas â Meddygfa Bryntirion a rhoddodd fi mewn cysylltiad â Dr Paul Edwards sy'n gweithio gyda Guy Lacey, pennaeth Coleg Gwent. Maent yn edrych ar ffyrdd y gall y ffynhonnell gyfoethog heb ei chyffwrdd o dalent yn y Cymoedd gogleddol gael ei recriwtio i ddod yn feddygon teulu yn y dyfodol. Byddai llawer o bobl sy'n tyfu i fyny mewn ardaloedd o amddifadedd cymharol yn gwneud meddygon da, ond oherwydd problemau diwylliannol yn ymwneud ag uchelgais mewn addysg, nid ydynt yn cael eu hannog i wneud cais i ysgolion meddygol. Llofnododd Dr Paul Edwards ei e-bost ataf: Dr Paul Edwards BSc, BM (Anrhydedd), PhD, Aelod o Golegau Brenhinol Llawfeddygon Prydain ac Iwerddon, Cymrodor o Golegau Brenhinol y Llawfeddygon, llawfeddyg ymgynghorol, uwch ddarlithydd anrhydeddus, gradd C a dwy D Safon Uwch. Felly, mae hwn yn gyfle clir i recriwtio ein meddygon teulu yn y dyfodol o ardaloedd y Cymoedd gogleddol y soniaf amdanynt bob amser. Felly, rwy'n falch o weld bod yr adroddiad yn gwneud argymhellion ar y pwnc hwn, ac rwy'n mawr obeithio bod Llywodraeth Cymru yn ymrwymo i weithio gyda'r holl randdeiliaid ac arbenigwyr perthnasol i sicrhau bod modd gwireddu'r newid hwn a allai fod yn drawsnewidiol.