English: I thank the Member for his question. As I indicated earlier, one instance of this sort of care and challenges in care that lead to undignified endings for individuals in Wales is one instance too many. We already have a range of actions in place. There's been a mortality review of different case notes. We're the first nation within the UK to undertake that approach. That is all about learning from what happened. That's the whole point - how we learn from what happens and how we try to improve. Now, I regularly get asked questions in this place and others about what the NHS does, and I think it's really important not to either try to claim that everything is wrong where something does go wrong. We know that when things go wrong in the health service it has a significant impact on individuals and their families. I don't try to hide from that or that reality, but the great majority of the time, it does not go wrong. I don't want to see these really tragic cases used to try and attack the whole health service, to try to give the impression that everything is wrong. What we need to do is understand the nature of our challenge and properly address it. In fact, what we did was we got together the 1000 Lives Improvement programme - representatives from the medical world, nursing, ambulance and the chair of the rapid response for acute illness group to come together to design this specific peer review process to make sure that we are addressing the concerns set out by the ombudsman in his thematic report. We then can have some proper learning with real scrutiny in public - the report will be published and made available - and the improvement actions, importantly, to come from that. Always, we need to look at what we can do to improve our whole system to make sure that if you or I or one of our loved ones were in this position, we could have some reassurances it would not be the case, and we'd certainly minimise and level down the opportunity for it. We're constantly looking for opportunities to learn and to improve.
Welsh: Diolch i'r Aelod am ei gwestiwn. Fel y nodais yn gynharach, mae un achos o'r math hwn o ofal a heriau mewn gofal sy'n arwain at ddiwedd oes diurddas i unigolion yng Nghymru, yn un achos yn ormod. Mae gennym eisoes amrywiaeth o gamau gweithredu ar waith. Cynhaliwyd adolygiad o farwolaethau o nodiadau gwahanol achosion. Ni yw'r wlad gyntaf o fewn y DU i ymgymryd â'r dull hwnnw. Mae hynny yn ymwneud â dysgu o'r hyn a ddigwyddodd. Dyna'r holl bwynt - sut yr ydym ni'n dysgu o'r hyn sy'n digwydd a sut yr ydym ni'n ceisio gwella. Nawr, gofynnir cwestiynau i mi yn rheolaidd yn y lle hwn ac mewn lleoedd eraill am yr hyn y mae'r GIG yn ei wneud, ac rwy'n credu ei bod hi'n bwysig iawn peidio â honni bod popeth o'i le pan fo rhywbeth yn mynd o chwith. Gwyddom, pan fo pethau'n mynd o chwith yn y gwasanaeth iechyd, ei fod yn cael effaith sylweddol ar unigolion a'u teuluoedd. Nid wyf yn ceisio cuddio rhag hynny na'r gwirionedd hwnnw, ond gan amlaf o lawer, nid yw'n mynd o chwith. Nid wyf yn dymuno gweld yr achosion trasig iawn hyn yn cael eu defnyddio i geisio ymosod ar y gwasanaeth iechyd cyfan, er mwyn ceisio rhoi'r argraff bod popeth o'i le. Mae angen i ni ddeall natur ein her a mynd i'r afael â hi yn briodol. Mewn gwirionedd, yr hyn a wnaethom oedd dod â phobl o'r rhaglen Gwella 1000 o Fywydau ynghyd - cynrychiolwyr o'r byd meddygol, nyrsys, aelodau staff y gwasanaeth ambiwlans a chadeirydd y grŵp ymateb cyflym ar gyfer salwch acíwt i ddod at ei gilydd i gynllunio'r broses adolygu gan gymheiriaid benodol hon er mwyn sicrhau ein bod ni'n mynd i'r afael â'r pryderon a nodir gan yr ombwdsmon yn ei adroddiad thematig. Gallwn ni wedyn ddysgu'n briodol a chynnal gwaith craffu cyhoeddus gwirioneddol - caiff yr adroddiad ei gyhoeddi a bydd ar gael i'w ddarllen - a'r camau gweithredu pwysig ar gyfer gwella, a ddaw o hynny. Mae angen inni ystyried bob amser yr hyn y gallwn ni ei wneud i wella ein system gyfan er mwyn sicrhau, pe byddech chi neu fi neu un o'n hanwyliaid yn y sefyllfa hon, y byddem ni'n cael rhywfaint o sicrwydd na fyddai'n digwydd, a byddem ni'n sicr yn lleihau'r siawns o hynny'n digwydd cymaint â phosib. Rydym ni'n gyson yn chwilio am gyfleoedd i ddysgu a gwella.