English: Thank you, acting Deputy Presiding Officer. I'm happy to move the motion before us. The chief medical officer took up his post here in August 2016. He was attracted to come to Wales by the prudent healthcare agenda that we had set out upon. I have asked him to ensure that the prudent agenda does not stall, but continues to make a bigger, wider and more consistent difference, and therefore I'm very pleased to see that prudent healthcare, delivered more consistently by value-based healthcare, is at the very heart of his report, and I welcome the unique perspective that he brings. Previous CMO reports have provided the opportunity to reflect on where Wales stands with regard to the health and well-being of our population, the challenges we face in public health and the changing provision of healthcare. Two years ago, the CMO report looked at how social disadvantage can impact on a person's life chances, their health and well-being. Last year's report examined the harms that gambling can cause to individuals, families and wider society. Those reports have informed our plans and approach to service transformation and delivery. This year, the CMO's report looks at three specific issues: prudent and value-based care; health and social care research; and health threats ranging from antimicrobial resistance to the environment. The report also touches on the importance of getting children vaccinated against measles, mumps and rubella. Clinicians and other healthcare professionals have a responsibility to ensure that parents are fully informed of the benefits of vaccination. Members will be aware that this aspect of the report has already attracted considerable media coverage. We have worked hard to eliminate preventable childhood diseases and it should concern all of us that some parents continue to be taken in by anti-vaccination campaigns. So, I want to reiterate again the effectiveness and safety of the measles, mumps and rubella vaccination and urge parents to get their children vaccinated. The report also considers the challenge of childhood obesity and the development of a healthy weight plan. My officials are currently considering the responses to the consultation that has recently closed, and that will inform what we hope will be a holistic approach. Members have heard today how assets such as the Wales coastal path can be promoted to help tackle obesity by providing enjoyable outdoor exercise and, of course, the role that active travel has to play. Members will be aware that there continues to be a high level of support for the principles of prudent healthcare. There are many examples across Wales of co-production, shared decision making, tackling inequality and variation and reducing harm. We now need to embed these principles much more effectively and consistently, not as part of good practice, but as part of standard and consistent practice. The CMO is clear that a value-based care approach provides a route to making prudent healthcare much more of a practical, consistent reality. And that is an exciting prospect for our health and care system. It should allow our NHS to focus on doing more of the things that achieve better outcomes and a better experience with and for our people. We must be clear that looking at value in this way is not motivated by cutting costs. Rather, it is about equipping and incentivising health boards to use data to identify and then to disinvest in lower value actions and to reinvest that resource in those interventions that provide the best outcomes. A lot of good work has already started under the clinical leadership of Dr Sally Lewis and I have agreed to invest a further £0.5 million pounds in further developing value-based care here in Wales. The report also highlights the importance of research and innovation in supporting not just better health, but also the way that our services are organised. It describes the rich history of research we have in Wales. Our modern-day research infrastructure is an essential part of the Welsh economy and educational landscape. The benefits of health and care research are profound, and its importance cannot be underestimated, whether that be in preventing ill health, enhancing well-being, reducing inequality or developing better treatment and shaping efficient and effective service organisation and delivery.
Welsh: Diolch, Dirprwy Lywydd dros dro. Rwy'n fodlon cynnig y cynnig sydd ger ein bron. Dechreuodd y prif swyddog meddygol ar ei swydd yma ym mis Awst 2016. Fe'i denwyd i Gymru gan yr agenda gofal iechyd darbodus yr ydym ni wedi ei chyflwyno. Rwyf wedi gofyn iddo sicrhau na fydd yr agenda ddarbodus yn diffygio, ond y bydd yn parhau i wneud gwahaniaeth ehangach, mwy sylweddol a mwy cyson, ac felly rwy'n falch iawn o weld bod gofal iechyd darbodus, wedi ei ddarparu yn fwy cyson gan ofal iechyd sy'n seiliedig ar werth, yn ganolog i'w adroddiad, ac rwy'n croesawu'r persbectif unigryw y mae'n dod gydag ef i'w swydd. Mae adroddiadau blaenorol y prif swyddog meddygol wedi rhoi'r cyfle i ystyried sefyllfa Cymru o ran iechyd a lles ein poblogaeth, yr heriau sy'n ein hwynebu o ran iechyd y cyhoedd a'r newid yn narpariaeth gofal iechyd. Ddwy flynedd yn ôl, edrychodd adroddiad y prif swyddog meddygol ar sut y gall anfantais gymdeithasol effeithio ar gyfleoedd bywyd unigolyn, ei iechyd a'i les. Archwiliodd adroddiad y llynedd y niwed y gall gamblo ei achosi i unigolion, teuluoedd a'r gymdeithas ehangach. Mae'r adroddiadau hynny wedi llywio ein cynlluniau a'n dull gweithredu ar gyfer trawsnewid a darparu gwasanaethau. Eleni, mae adroddiad y Prif Swyddog Meddygol yn edrych ar dri mater penodol: gofal darbodus a seiliedig ar werthoedd; ymchwil iechyd a gofal cymdeithasol; a bygythiadau i iechyd sy'n amrywio o ymwrthedd i gyffuriau i'r amgylchedd. Mae'r adroddiad hefyd yn crybwyll pwysigrwydd sicrhau bod plant yn cael eu brechu rhag y frech goch, clwy'r pennau a rwbela. Mae gan glinigwyr a gweithwyr gofal iechyd proffesiynol eraill gyfrifoldeb i sicrhau bod rhieni'n cael yr wybodaeth lawn am fanteision brechu. Bydd yr Aelodau'n ymwybodol bod yr agwedd hon ar yr adroddiad eisoes wedi cael sylw sylweddol yn y cyfryngau. Rydym ni wedi gweithio'n galed i ddileu clefydau plentyndod y gellir eu hatal ac fe ddylai hi fod o bryder i bob un ohonom ni fod rhai rhieni yn parhau i gael eu camarwain gan ymgyrchoedd gwrth-frechu. Felly, fe hoffwn i bwysleisio eto effeithiolrwydd a diogelwch y brechlyn ar gyfer y frech goch, clwy'r pennau a rwbela, ac annog rhieni i frechu eu plant. Mae'r adroddiad hefyd yn ystyried her gordewdra ymhlith plant a datblygu cynllun pwysau iach. Ar hyn o bryd, mae fy swyddogion yn ystyried yr ymatebion i'r ymgynghoriad a ddaeth i ben yn ddiweddar, a bydd hwnnw'n sail i'r hyn a fydd, gobeithio, yn ddull gweithredu cyfannol. Mae Aelodau wedi clywed heddiw sut y gellir hybu asedau megis llwybr arfordir Cymru er mwyn helpu i fynd i'r afael â gordewdra drwy roi cyfle i bobl wneud ymarfer corff pleserus yn yr awyr agored ac, wrth gwrs, rhan teithio llesol yn hynny o beth. Bydd yr Aelodau'n ymwybodol bod cefnogaeth sylweddol o hyd i egwyddorion gofal iechyd darbodus. Ceir llawer o enghreifftiau ledled Cymru o gyd-gynhyrchu, gwneud penderfyniadau ar y cyd, mynd i'r afael ag anghydraddoldeb ac amrywio a lleihau niwed. Mae angen i ni nawr ymgorffori'r egwyddorion hyn yn llawer mwy effeithiol a chyson, nid yn rhan o arferion da, ond yn rhan o arferion safonol a chyson. Mae'r prif swyddog meddygol yn glir bod dull gofal sy'n seiliedig ar werthoedd yn fodd o wneud gofal iechyd darbodus yn realiti llawer mwy ymarferol a chyson. Ac mae hynny'n argoeli'n dda a chyffrous ar gyfer ein system iechyd a gofal. Dylai ganiatáu i'n GIG ganolbwyntio ar wneud mwy o'r pethau sy'n cyflawni canlyniadau gwell a gwell profiad gyda'n pobl ac ar eu cyfer. Mae'n rhaid i ni fod yn glir nad bwriad edrych ar werth yn y modd hwn yw torri costau. Mae, yn hytrach, yn ymwneud â pharatoi a chymell byrddau iechyd i ddefnyddio data i ganfod ac yna dadfuddsoddi mewn camau gweithredu llai gwerthfawr ac ail-fuddsoddi'r adnodd hwnnw yn yr ymyriadau hynny sy'n rhoi'r canlyniadau gorau. Mae llawer o waith da wedi ei ddechrau eisoes dan arweiniad clinigol Dr Sally Lewis ac rwyf wedi cytuno i fuddsoddi £500,000 o bunnau ychwanegol i ddatblygu gofal sy'n seiliedig ar werth ymhellach yma yng Nghymru. Mae'r adroddiad hefyd yn amlygu pwysigrwydd ymchwil ac arloesi wrth gefnogi nid yn unig iechyd gwell, ond hefyd y ffordd y mae ein gwasanaethau yn cael eu trefnu. Mae'n disgrifio'r traddodiad ymchwil toreithiog sydd gennym ni yng Nghymru. Mae ein seilwaith ymchwil modern yn rhan hanfodol o economi Cymru a'r byd addysg. Mae manteision ymchwil iechyd a gofal yn ddirfawr, ac ni ellir tanbrisio ei bwysigrwydd, boed hynny wrth atal afiechyd, gwella lles, lleihau anghydraddoldeb neu ddatblygu gwell triniaeth a llunio gwasanaeth trefnu a darparu effeithlon ac effeithiol.