English: Diolch yn fawr, Dirprwy Lywydd. I'd like to thank Plaid Cymru for allowing me another opportunity to set out what we're already doing to reform and support the NHS, at a time when it's under more pressure than it's ever been in its history. And I'm pleased to see that, many of the points set out in the resolution, we are already delivering on through a whole series of actions, and actions that we too have developed with medical groups, and front-line workers, and the kinds of organisations that you have clearly engaged with. So, we're probably speaking to the same people, which is why we've come up with many of the same conclusions. And, if we're honest, in terms of the headlines - and I think you only published this plan yesterday, so I haven't had a chance to look at the detail - in terms of the headlines, if we're honest, it's not very original, but I look forward to reading some of the details. Now, in the first point of the resolution, Plaid points to comments made by the Welsh NHS Confederation, which suggest that the Welsh NHS is facing pressures that cannot be coped with. And I'd just like to point out that the NHS has 2 million contacts a month in a population of 3.1 million. So, the vast majority of the people who have contact with the NHS are receiving a good service. And, I think it's really, really important that we don't lose sight of that, and that's why I won't accept that the NHS is in crisis. But, the NHS, the confederation were referring to a specific period of time over Christmas when demand has never been as high. But, on top of that, I think it's really important to point out that, when they stated this, their comments didn't relate solely to Wales, they referred to the pressures in the NHS, and the director said that these pressures were being seen across the UK, in Northern Ireland, in Wales and in England. Now, we know that our health and care services are under pressure, and, my God, it was unrelenting pressure over Christmas. We have never seen flu rates as high since the swine flu pandemic back in 2010. COVID rates - I was just looking at the wastewater signals, and, at Christmas time, they were through the roof. And all of these things came together, which is why we had that really, really pressurised time over Christmas. And, of course, we had a lot of parents concerned about strep A. So, that explains the pressure and the pressure has diminished considerably. Now, we're not out of it. Cold weather has an impact, so, constantly, we're looking out for what's coming next. But, it is clear that the pressure that we saw over Christmas has diminished significantly. Now, the official statistics show that nearly 400,000 hospital consultations were carried out in November, and over 110,000 patient pathways were closed. That's an increase of 4.7 per cent from the previous month. And it's important to note that we are now back to pre-pandemic levels, which is quite incredible. Let's not forget, we're still in the pandemic, but we are back to pre-pandemic levels. Now, November also saw a second consecutive fall in the number of patients waiting to start treatment. We are continuing to make progress on the longest waits, and the number of pathways waiting longer than one year for their first out-patient appointment dropped by 10.3 per cent - so, that's for the third month in a row. Now, the period referred to by the Welsh NHS was an exceptional month, as I say, and the highest number of calls to 111, and the most red calls for immediately life-threatening calls to the ambulance service ever made. But the system improvements that we're driving forward at pace are making a difference, and without these improvements it's clear that the pressures on services would have been even greater. Our health and care sector workers are continuing to work tirelessly in exceptional circumstances, and I'd like to join many in the Chamber today in applauding their heroic efforts. Now, I'm very aware of the pressure on workforce and I'd very much like to pay them more money. We've been around the whole of Government to reprioritise, to look at our budgets, to see if there's more that we can put on the table, and we have put money on the table to try and help the situation this year. But I'm not seeing any hands going up from Plaid Cymru saying, 'We're going to reprioritise the co-operation agreements.' [ Interruption.] You have not. You have not made any effort to reprioritise your budgets. We've done it and you haven't. You go and explain that to the ambulance workers and the nurses, because you haven't done it. The offer has not been there and you need to go and explain that to all the people who you say are on the front line with you.
Welsh: Diolch yn fawr, Ddirprwy Lywydd. Hoffwn ddiolch i Blaid Cymru am ganiatáu cyfle arall imi nodi'r hyn rydym eisoes yn ei wneud i ddiwygio a chefnogi'r GIG, ar adeg pan fo dan fwy o bwysau nag y bu erioed yn ei hanes. Ac rwy'n falch o weld ein bod yn cyflawni llawer o'r pwyntiau a nodir yn y cynnig drwy gyfres o gamau gweithredu, a gweithredoedd rydym ninnau hefyd wedi'u datblygu gyda grwpiau meddygol, a gweithwyr rheng flaen, a'r mathau o sefydliadau rydych chi'n amlwg wedi bod yn ymwneud â hwy. Felly, mae'n debyg ein bod yn siarad â'r un bobl, a dyna pam ein bod wedi dod i lawer o'r un casgliadau. Ac i fod yn onest, ar y prif benawdau - ac rwy'n credu mai ddoe ddiwethaf y cyhoeddoch chi'r cynllun hwn, felly nid wyf wedi cael cyfle i edrych ar y manylion - ar y prif benawdau, nid yw'n wreiddiol iawn, ond edrychaf ymlaen at ddarllen rhai o'r manylion. Nawr, ym mhwynt cyntaf y cynnig, mae Plaid Cymru'n cyfeirio at sylwadau a wnaed gan Gonffederasiwn GIG Cymru, sy'n awgrymu bod GIG Cymru yn wynebu pwysau na ellir ymdopi ag ef. A hoffwn nodi bod dwy filiwn o gysylltiadau'r mis yn digwydd o fewn y GIG mewn poblogaeth o 3.1 miliwn. Felly, mae'r mwyafrif helaeth o'r bobl sy'n cael cysylltiad â'r GIG yn cael gwasanaeth da. Ac rwy'n credu ei bod hi'n bwysig tu hwnt nad ydym yn colli golwg ar hynny, a dyna pam nad wyf am dderbyn bod y GIG mewn argyfwng. Ond roedd cydffederasiwn y GIG yn cyfeirio at gyfnod penodol o amser dros y Nadolig pan na fu'r galw erioed mor uchel. Ond ar ben hynny, rwy'n credu ei bod hi'n bwysig iawn nodi, pan wnaethant ddatgan hyn, nad cyfeirio at Gymru'n unig a wnâi eu sylwadau, roeddent yn cyfeirio at y pwysau yn y GIG, a dywedodd y cyfarwyddwr fod y pwysau hwn i'w weld ar draws y DU, yng Ngogledd Iwerddon, yng Nghymru ac yn Lloegr. Nawr, fe wyddom fod ein gwasanaethau iechyd a gofal o dan bwysau, a mawredd, roedd yn bwysau di-ildio dros y Nadolig. Nid ydym erioed wedi gweld cyfraddau ffliw mor uchel ers y pandemig ffliw moch yn ôl yn 2010. Cyfraddau COVID - roeddwn i'n edrych ar y canlyniadau dŵr gwastraff, ac adeg y Nadolig, roeddent drwy'r to. Ac fe ddaeth y pethau hyn i gyd at ei gilydd, a dyna pam y cawson amser gwirioneddol anodd dros y Nadolig. Ac wrth gwrs, roedd gennym lawer o rieni'n pryderu am strep A. Felly, mae hynny'n esbonio'r pwysau ac mae'r pwysau wedi lleihau'n sylweddol. Nawr, nid ydym wedi cefnu ar y pethau hyn. Mae tywydd oer yn cael effaith, felly rydym yn cadw gwyliadwriaeth yn barhaus i weld beth sy'n dod nesaf. Ond mae'n amlwg fod y pwysau a welsom dros y Nadolig wedi lleihau'n sylweddol. Nawr, mae'r ystadegau swyddogol yn dangos bod bron i 400,000 o ymgynghoriadau ysbyty wedi'u cyflawni ym mis Tachwedd, a chafodd dros 110,000 o lwybrau cleifion eu cau. Mae hynny'n gynnydd o 4.7 y cant o'r mis cyn hynny. Ac mae'n bwysig nodi ein bod bellach yn ôl i'r lefelau cyn y pandemig, sy'n eithaf anhygoel. Peidiwn ag anghofio ein bod yn dal i fod mewn pandemig, ond rydym yn ôl i'r lefelau cyn y pandemig. Nawr, fe welodd mis Tachwedd ail gwymp yn olynol hefyd yn nifer y cleifion sy'n aros i ddechrau triniaeth. Rydym yn parhau i wneud cynnydd ar yr arosiadau hiraf, a gostyngodd nifer y llwybrau sy'n aros yn hwy na blwyddyn am eu hapwyntiad cyntaf i gleifion allanol 10.3 y cant - felly, mae hynny am y trydydd mis yn olynol. Nawr, roedd y cyfnod y cyfeirir ato gan GIG Cymru yn fis eithriadol, fel y dywedais, gyda'r nifer uchaf erioed o alwadau 111, ac o alwadau coch lle roedd bywyd yn y fantol i'r gwasanaeth ambiwlans. Ond mae'r gwelliannau rydym yn eu gwneud ar fyrder i'r system yn gwneud gwahaniaeth, a heb y gwelliannau hyn mae'n amlwg y byddai'r pwysau ar wasanaethau wedi bod yn fwy byth. Mae ein gweithwyr yn y sector iechyd a gofal yn parhau i weithio'n ddiflino mewn amgylchiadau eithriadol, a hoffwn ategu sawl un yn y Siambr heddiw i gymeradwyo eu hymdrechion arwrol. Nawr, rwy'n ymwybodol iawn o'r pwysau sydd ar y gweithlu a hoffwn yn fawr allu talu mwy o arian iddynt. Rydym wedi bod o amgylch y Llywodraeth gyfan i ailflaenoriaethu, i edrych ar ein cyllidebau, i weld a oes mwy y gallwn ei roi ar y bwrdd, ac rydym wedi rhoi arian ar y bwrdd i geisio helpu'r sefyllfa eleni. Ond nid wyf yn gweld neb yn codi llaw o Blaid Cymru i ddweud, 'Rydym yn mynd i ailflaenoriaethu'r cytundebau cydweithio.' [ Torri ar draws.] Nac ydych. Nid ydych wedi gwneud unrhyw ymdrech i ailflaenoriaethu eich cyllidebau. Rydym ni wedi gwneud hynny ac nid ydych chi. Ewch i egluro hynny wrth y gweithwyr ambiwlans a'r nyrsys, oherwydd nid ydych chi wedi ei wneud. Nid yw'r cynnig wedi bod yno ac mae angen ichi fynd i egluro hynny wrth yr holl bobl y dywedwch eu bod ar y rheng flaen gyda chi.