English: Llywydd, I thank the Member for that question. As you understand, I'm not in a position ever to comment on individual encounters between clinicians and their patients. I think there are two general points that the Member makes that I'd like to address. She's right that diagnostic services are under huge pressure. We worried on the floor of the Senedd during the pandemic about the delays in people coming forward to make their conditions known to clinicians. Thankfully, we've had some impact on that and more people are coming forward, but, of course, when they come forward in those numbers, it inevitably puts diagnostic systems under pressure. She will know that the Betsi Cadwaladr health board has recently approved a business case to pilot three rapid diagnostic centres - one in each of its three main hospitals - and that they are in the business now of recruiting the specialist nurses and the radiology time that they will need to get those diagnostic centres up and running early, as they hope, in the new year. So, I hope that that will make a difference to some of the individuals that Janet Finch-Saunders has mentioned this afternoon. On the issue of how clinicians communicate their diagnoses to people, I don't think it's possible, in the Chamber of the Senedd, to make general rules about how that is best done. It needs to be done sensitively, of course, and it needs to be done with the best interests of the patient at the heart of it. And there will be some patients, won't there, for whom it is better for them that they have a conversation with their clinician while they're in their own homes, rather than asking them, ill as they are, to make inconvenient journeys to quite-far-away destinations where there are a lot of other very ill people, to be told what the clinician is able to tell them in a conversation in their own homes. Now, that won't suit everybody, I completely understand that, but nor do I think that it is probably right to say that everybody will prefer to make that journey to wait to see somebody to be told what they could've been told in other circumstances. It's for the clinician, with the patient, to make a judgment about the best way in which that can be done. And we have to have some trust in our clinicians that they go about that business - they're in the business of treating people with cancer, after all, that is what they've dedicated their professional lives to doing, and that they do it with that sensitivity in mind.
Welsh: Llywydd, diolch i'r Aelod am y cwestiwn yna. Fel y byddwch chi'n deall, nid wyf i byth mewn sefyllfa i wneud sylwadau am gyfarfodydd unigol rhwng clinigwyr a'u cleifion. Rwy'n credu bod dau bwynt cyffredinol y mae'r Aelod yn eu gwneud yr hoffwn i roi sylw iddyn nhw. Mae hi'n iawn bod gwasanaethau diagnostig o dan bwysau aruthrol. Roeddem ni'n poeni ar lawr y Senedd yn ystod y pandemig am yr oedi cyn i bobl ddod ymlaen i roi gwybod i glinigwyr am eu cyflyrau. Diolch byth, rydym ni wedi cael rhywfaint o effaith ar hynny ac mae mwy o bobl yn dod yn eu blaenau, ond, wrth gwrs, pan fyddan nhw'n dod yn eu blaenau yn y niferoedd hynny, mae'n anochel ei fod yn rhoi systemau diagnostig dan bwysau. Bydd hi'n gwybod bod bwrdd iechyd Betsi Cadwaladr wedi cymeradwyo achos busnes yn ddiweddar i dreialu tair canolfan diagnosis cyflym - un ym mhob un o'i dri phrif ysbyty - a'u bod nhw wrthi bellach yn recriwtio'r nyrsys arbenigol a'r amser radioleg y bydd ei angen arnyn nhw i agor y canolfannau diagnostig hynny yn gynnar, fel y maen nhw'n ei obeithio, yn y flwyddyn newydd. Felly, rwy'n gobeithio y bydd hynny yn gwneud gwahaniaeth i rai o'r unigolion y mae Janet Finch-Saunders wedi sôn amdanyn nhw y prynhawn yma. O ran sut y mae clinigwyr yn cyfathrebu eu diagnosis â phobl, nid wyf i'n credu ei bod hi'n bosibl, yn Siambr y Senedd, wneud rheolau cyffredinol ynghylch y ffordd orau o wneud hynny. Mae angen ei wneud mewn modd sensitif, wrth gwrs, ac mae angen ei wneud gyda budd pennaf y claf yn ganolog iddo. A bydd rhai cleifion, oni fydd, y mae'n well iddyn nhw gael sgwrs gyda'u clinigydd pan fyddan nhw yn eu cartrefi eu hunain, yn hytrach na gofyn iddyn nhw, yn sâl fel y maen nhw, i wneud teithiau anghyfleus i fannau eithaf pell i ffwrdd lle mae llawer o bobl sâl iawn eraill, i gael gwybod yr hyn y gall y clinigydd ei ddweud wrthyn nhw mewn sgwrs yn eu cartrefi eu hunain. Nawr, ni fydd hynny yn addas i bawb, rwy'n deall hynny yn llwyr, ond nid wyf i chwaith yn credu ei bod hi'n iawn dweud, mae'n debyg, y bydd yn well gan bawb wneud y daith honno i aros i weld rhywun i gael gwybod yr hyn y gallen nhw fod wedi cael ei wybod o dan amgylchiadau eraill. Mater i'r clinigydd, ar y cyd â'r claf, yw penderfynu ar y ffordd orau o wneud hynny. Ac mae'n rhaid i ni gael rhywfaint o ffydd yn ein clinigwyr eu bod nhw'n mynd ati i wneud hynny - maen nhw yn y busnes o drin pobl â chanser, wedi'r cyfan, dyna'r hyn y maen nhw wedi ymroi eu bywydau proffesiynol i'w wneud, a'u bod nhw'n gwneud hynny gan ystyried y sensitifrwydd hwnnw.