English: I recall about 10 years ago the then chief executive of the Cardiff and Vale health board telling me that in the Heath hospital - our tertiary hospital - the average age of patients was 84 years old, and I very much doubt that that age profile has changed. So, I don't think we should be blaming hospitals for the situation we're in. Everything tips up in the hospital because the other services aren't there. We are never going to arrive unless we are redirecting resources from those hospitals where we have these emergency responses. We have to therefore strengthen community nursing. Nobody wants to spend more time in a hospital than is medically necessary for them to be there, unless, of course, they haven't got a home to go to that is suitably equipped to meet their needs for convalescence or ongoing needs. I recall one of my constituents, who was a former headteacher, who, aged 93, went into hospital because he had a urinary infection. He played absolute merry hell with me, the MP, the police commissioner, to get him out of there, as well as his family, because he just did not want to be there any longer. Obviously, being a former headteacher, he was somebody who was used to being obeyed, even though he was in his nineties. But you can imagine how somebody else, who didn't have that skill set, would just be left there to die. We cannot go on like this. Nobody wants to die in hospital at all. I certainly don't. District nursing is not a new idea. It was pioneered in Liverpool in the 1860s and it was an important forerunner of the NHS. It used to consist of a nurse with a bag of kit strapped to the back of a bicycle. But modern district nursing needs to use electronic case load scheduling to optimise safety and cost-effectiveness. I recall visiting the Cwm Taf neighbourhood nursing team in 2020 just before lockdown and heard how the e-scheduling system saved the senior management absolute hours of scheduling to take account of people either going into hospital or people coming out of hospital who needed to be added to the number of people they needed to deal with. I know that this is something that the Minister is working on, and I'm very glad to hear the progress that is being made, because it really is one of the keys to changing the dial on this system. Because what it does is enable us to understand the demand for district nursing services where there is capacity or need to support the system to prevent admissions and to facilitate discharges. The team leader has got to be able to understand what demand the neighbourhood requires and what skill and volume of staff they're going to need to meet it. This has also enabled teams to safely incorporate the skills of healthcare support workers into their teams and release more highly qualified registered nurses to deliver more complex care. Understanding capacity and demand on an hour-by-hour basis can enable district nursing services to flex the workforce to meet the demand and to respond to any short-term financing issues. So, I'm really pleased to understand - [ Interruption.] Altaf, did you want to make an intervention?
Welsh: Tua 10 mlynedd yn ôl rwy'n cofio prif weithredwr bwrdd iechyd Caerdydd a'r Fro ar y pryd yn dweud wrthyf, yn ysbyty'r Heath - ein hysbyty trydyddol - fod cyfartaledd oedran cleifion yn 84 oed, ac rwy'n amau'n fawr fod y proffil oedran hwnnw wedi newid. Felly, nid wyf yn credu y dylem feio ysbytai am y sefyllfa yr ydym ynddi. Mae popeth yn glanio yn yr ysbyty am nad yw'r gwasanaethau eraill yno. Nid ydym byth yn mynd i gyrraedd oni bai ein bod yn ailgyfeirio adnoddau o'r ysbytai lle mae gennym yr ymatebion brys hyn. Felly, rhaid inni gryfhau nyrsio cymunedol. Nid oes neb eisiau treulio mwy o amser mewn ysbyty nag sy'n angenrheidiol yn feddygol iddynt fod yno, oni bai pan nad oes ganddynt gartref i fynd iddo sydd â'r adnoddau addas ar gyfer eu hanghenion gwella neu anghenion parhaus. Rwy'n cofio un o fy etholwyr, a oedd yn gyn-brifathro, a aeth i'r ysbyty, yn 93 oed, am fod ganddo haint wrinol. Fe gefais i, yr Aelod Seneddol, a'r comisiynydd heddlu, yn ogystal â'i deulu, ein plagio'n ddiddiwedd ganddo i'w gael allan o'r fan honno am nad oedd am fod yno mwyach. Yn amlwg, ag yntau'n gyn-brifathro, roedd yn rhywun a oedd wedi arfer cael pobl yn ufuddhau, er ei fod yn ei nawdegau. Ond gallwch ddychmygu sut y byddai rhywun arall, nad oedd â'r set sgiliau honno, yn cael eu gadael yno i farw. Ni allwn barhau fel hyn. Nid oes unrhyw un eisiau marw yn yr ysbyty. Yn sicr nid wyf fi. Nid yw nyrsys ardal yn syniad newydd. Cafodd ei wneud yn gyntaf yn Lerpwl yn y 1860au ac roedd yn rhagflaenydd pwysig i'r GIG. Arferai olygu nyrs gyda phecyn o bethau wedi'u clymu ar gefn beic. Ond mae angen i nyrsys ardal modern ddefnyddio amserlennu llwyth achos electronig i optimeiddio diogelwch a chosteffeithiolrwydd. Rwy'n cofio ymweld â thîm nyrsio cymdogaeth Cwm Taf yn 2020 ychydig cyn y cyfyngiadau symud a chlywed sut yr arbedodd y system e-drefnu oriau bwy'i gilydd o amserlennu i'r uwch reolwyr i gyfrif pobl a oedd naill ai'n mynd i mewn i'r ysbyty neu bobl yn dod allan o'r ysbyty i'w hychwanegu at nifer y bobl yr oedd angen iddynt ymdrin â hwy. Rwy'n gwybod bod hyn yn rhywbeth y mae'r Gweinidog yn gweithio arno, ac rwy'n falch iawn o glywed bod cynnydd yn cael ei wneud, oherwydd mae'n un o'r allweddi i wella'r system. Oherwydd mae'n ein galluogi i ddeall y galw am wasanaethau nyrsys ardal lle mae capasiti neu angen i gefnogi'r system i atal derbyniadau ac i hwyluso rhyddhau cleifion. Rhaid i arweinydd y tîm allu deall pa alw sydd yna yn y gymdogaeth a pha sgiliau a nifer staff fydd eu hangen i'w ddiwallu. Mae hyn hefyd wedi galluogi timau i ymgorffori sgiliau gweithwyr cymorth gofal iechyd yn ddiogel yn eu timau a rhyddhau nyrsys cofrestredig mwy cymwys i ddarparu gofal mwy cymhleth. Gall deall capasiti a galw fesul awr alluogi gwasanaethau nyrsys ardal i wneud y gweithlu'n fwy hyblyg i ateb y galw ac ymateb i unrhyw faterion cyllido tymor byr. Felly, rwy'n falch iawn o ddeall - [ Torri ar draws.] Altaf, a oeddech chi eisiau gwneud ymyriad?