English: I thank you, Minister, for a copy of your statement in advance. I was very interested to hear your references to the success of the integrated medium-term planning system. I know that, certainly in terms of a number of NHS organisations, they have been living within their means and they were successful in developing three-year medium-term plans that seem to have been largely on track. But, of course, that can't be said for a number of health boards, which, unfortunately, are not yet in a three-year planning time frame, and, of course, those include the Betsi Cadwaladr University Health Board, the Hywel Dda health board and the Swansea Bay University Health Board, none of which have had any integrated medium-term plans actually agreed. That concerns me, because, obviously, we're a number of years away from the point at which the legislation giving them a statutory duty to have those plans in place was introduced, and, of course, certainly in the case of two of those health boards, they are spending significantly beyond their means and have been for a number of years. I think that it is necessary to look at the capability of some of those health boards to actually meet the financial challenges that they face. I know that you put some additional resources into Hywel Dda a number of years back, and that was extremely welcome, I think, because there was a structural deficit that that organisation inherited when it was founded. I think the same can probably be said, actually, about the Betsi Cadwaladr University Health Board, and perhaps you could tell us whether you're considering taking a similar view in terms of the structural deficit that I believe underlies the Betsi Cadawaladr health board's finances to see whether there is something that can be done from the Welsh Government's side in order to assist that health board so that it can not completely switch off from making proper financial judgments, but that it can focus perhaps more on some of the performance issues that also are besieging that particular health board in question. You made reference to the fact that there's no statutory duty on some of those other NHS organisations that have been developing their own plans, including NWIS, WHSSC and the Emergency Ambulance Services Committee. I think it's very commendable that they are working in the same planning framework as the other NHS organisations, but perhaps you can tell us whether you will have plans at some point in the future in order to bring a statutory responsibility onto those other NHS organisations that aren't boards or trusts, because I think it may be useful, actually, in getting this NHS-wide approach, so that everybody's working in concert. Now, I know that, clearly, there are still many challenges ahead. Obviously, I've looked at the priorities that you've got set out in your planning framework, going forward. You touched on workforce earlier on, and, of course, there are huge challenges in terms of making sure that we've got a workforce that can meet the demands being placed upon it across the country. I wonder if you could give us a little bit more detail about the work that Health Education Improvement Wales is actually doing, and how that ties in with the work of individual health boards to make sure that they are working together to address these issues more widely. Capital and estates, of course, are very important in terms of being able to deliver improvements in healthcare, and one of the concerns regularly raised with me when I visit different health boards across the country has been the delay in decision making over estates. Now, I know we've got a finite sum that we can invest in capital infrastructure, but, clearly, if many of the improvements in healthcare are absolutely linked to investment in estates, then I think it's only right and proper that people are able to get on and crack on with investing in new buildings, or extensions, or refurbished buildings in order to make those things happen. Perhaps you could tell us what work the Welsh Government is doing in order to improve its decision making on capital, going forward, so that we can get decisions out more quickly. In addition, you made reference in your document to timely access to care, which, of course, is very, very important to patients across Wales, as is equality of access in all parts of Wales. Now, one thing that we do know is that performance from one health board to the next can be very significantly different, and I would like to know to what extent within those three-year plans, those intermediate plans, you are expecting to see some levelling up, if you like, to the best performance across Wales, and how you're expecting those plans to actually show progression towards a levelling up, so that we're not losing out on momentum for improvement going forward. Just finally, if I may, one final question, and that is about the diploma in healthcare planning. I'm very pleased to see that going forward. Obviously it's important that people are able to access that diploma and training in that diploma in all parts of Wales. Can you tell us whether that is going to be possible, to make sure that people are able to do these things alongside their day job, as very often that can be quite difficult? What resources are you making available to encourage people to take up that opportunity to be trained in that way? Thank you.
Welsh: Diolch, Gweinidog, am gopi o'ch datganiad o flaen llaw. Roedd yn ddiddorol iawn clywed eich cyfeiriadau at lwyddiant y system cynllunio tymor canolig integredig. Rwy'n gwybod, yn sicr o ran nifer o sefydliadau'r GIG, y buont yn torri'r wisg yn ôl y brethyn a'u bod wedi llwyddo i ddatblygu cynlluniau tymor canolig tair blynedd sydd wedi bod ar y trywydd iawn ar y cyfan. Ond, wrth gwrs, ni ellir dweud hynny am nifer o fyrddau iechyd nad ydyn nhw eto, gwaetha'r modd, mewn cylch cynllunio tair blynedd, ac, wrth gwrs, mae'r rheini'n cynnwys Bwrdd Iechyd Prifysgol Betsi Cadwaladr, Bwrdd Iechyd Hywel Dda a Bwrdd Iechyd Prifysgol Bae Abertawe, ac ni chytunwyd ar unrhyw gynlluniau tymor canolig integredig ar eu cyfer mewn gwirionedd. Mae hynny'n peri pryder imi, oherwydd, yn amlwg, mae nifer o flynyddoedd wedi mynd heibio ers yr adeg y cyflwynwyd y ddeddfwriaeth sy'n rhoi dyletswydd statudol arnyn nhw i sefydlu'r cynlluniau hynny, ac, wrth gwrs, yn sicr yn achos dau o'r byrddau iechyd hynny, maen nhw'n gwario llawer mwy na'u hincwm ac wedi gwneud hynny ers sawl blwyddyn. Credaf fod angen edrych ar allu rhai o'r byrddau iechyd hynny i ateb yr heriau ariannol y maen nhw'n eu hwynebu mewn gwirionedd. Rwy'n gwybod eich bod wedi rhoi rhywfaint o adnoddau ychwanegol i Hywel Dda nifer o flynyddoedd yn ôl, ac roedd hynny i'w groesawu'n fawr, rwy'n credu, oherwydd y diffyg strwythurol a etifeddodd y sefydliad hwnnw pan gafodd ei sefydlu. Rwy'n credu y gellir dweud yr un peth, mewn gwirionedd, am Fwrdd Iechyd Prifysgol Betsi Cadwaladr, ac efallai y gallech chi ddweud wrthym ni tybed a ydych chi'n ystyried gwneud yr un peth o ran y diffyg strwythurol sydd yn fy marn i wrth wraidd sefyllfa gyllid bwrdd iechyd Betsi Cadwaladr i weld a oes rhywbeth y gellir ei wneud o du Llywodraeth Cymru er mwyn cynorthwyo'r bwrdd iechyd hwnnw fel na all droi ei gefn yn llwyr ar wneud dyfarniadau ariannol priodol, ond y gall ganolbwyntio'n fwy efallai ar rai o'r materion perfformiad sydd hefyd yn rhoi'r bwrdd iechyd penodol hwnnw dan warchae. Fe wnaethoch chi gyfeirio at y ffaith nad oes dyletswydd statudol ar rai o sefydliadau'r GIG eraill hynny sydd wedi bod yn datblygu eu cynlluniau eu hunain, gan gynnwys Gwasanaeth Gwybodeg GIG Cymru, Pwyllgor Gwasanaethau Iechyd Arbenigol Cymru a'r Pwyllgor Gwasanaethau Ambiwlans Brys. Rwy'n credu ei bod hi'n ganmoladwy iawn eu bod yn gweithio yn yr un fframwaith cynllunio â sefydliadau eraill y GIG, ond efallai y gallech chi ddweud wrthym ni a fydd gennych chi gynlluniau rywbryd yn y dyfodol i roi cyfrifoldeb statudol ar sefydliadau eraill y GIG hynny nad ydynt yn fyrddau nac yn ymddiriedolaethau, oherwydd rwy'n credu y gallai hi fod yn ddefnyddiol, mewn gwirionedd, cael y dull hwn o weithredu ar draws y GIG, fel bod pawb yn gweithio ar y cyd. Nawr, rwy'n gwybod, yn amlwg, bod llawer o heriau o'n blaenau o hyd. Yn amlwg, rwyf wedi edrych ar y blaenoriaethau yr ydych chi wedi'u hamlinellu yn eich fframwaith cynllunio, wrth symud ymlaen. Fe wnaethoch chi sôn am weithlu'n gynharach, ac, wrth gwrs, ceir heriau enfawr o ran sicrhau bod gennym ni weithlu sy'n gallu bodloni'r gofynion a osodir arno ledled y wlad. Tybed a allech chi roi ychydig mwy o fanylion i ni am y gwaith y mae Gwella Addysg Iechyd Cymru yn ei wneud mewn gwirionedd, a sut mae hynny'n cyd-fynd â gwaith byrddau iechyd unigol i wneud yn siŵr eu bod yn cydweithio i fynd i'r afael â'r materion hyn yn ehangach. Mae cyfalaf ac ystadau, wrth gwrs, yn bwysig iawn o ran gallu sicrhau gwelliannau ym maes gofal iechyd, ac un o'r pryderon a godir yn rheolaidd gyda mi pan fyddaf yn ymweld â gwahanol fyrddau iechyd ar draws y wlad yw'r oedi wrth wneud penderfyniadau ynghylch ystadau. Nawr, rwy'n gwybod bod gennym ni swm cyfyngedig y gallwn ei fuddsoddi mewn seilwaith cyfalaf, ond, yn amlwg, os yw llawer o'r gwelliannau mewn gofal iechyd yn gwbl gysylltiedig â buddsoddi mewn ystadau, yna rwy'n credu nad yw hi ond yn addas a phriodol bod pobl yn gallu mynd rhagddyn nhw a bwrw iddi â buddsoddi mewn adeiladau newydd, neu estyniadau, neu adnewyddu adeiladau er mwyn gwneud i'r pethau hynny ddigwydd. Efallai y gallech chi ddweud wrthym ni pa waith y mae Llywodraeth Cymru'n ei wneud er mwyn gwella'i phenderfyniadau ynghylch cyfalaf, yn y dyfodol, er mwyn inni allu gwneud penderfyniadau'n gyflymach. Hefyd, fe wnaethoch chi gyfeirio yn eich dogfen at ofal amserol, sydd, wrth gwrs, yn bwysig iawn i gleifion ledled Cymru, fel y mae cydraddoldeb o ran gallu cael gofal ym mhob rhan o Gymru. Nawr, un peth rydym ni'n ei wybod yw y gall perfformiad amrywio'n sylweddol rhwng un bwrdd iechyd a'r llall, a hoffwn wybod i ba raddau yn y cynlluniau tair blynedd hynny, ydych chi'n disgwyl gweld rhywfaint o unioni, os mynnwch chi, lefel y perfformiad gorau ledled Cymru, a sut ydych chi'n disgwyl i'r cynlluniau hynny ddangos cynnydd mewn gwirionedd tuag at unioni o'r fath, fel nad ydym ni'n colli momentwm ar gyfer gwella yn y dyfodol. Yn olaf, os caf i, un cwestiwn olaf, ac mae hynny'n ymwneud â'r diploma mewn cynllunio gofal iechyd. Rwy'n falch iawn o weld hynny ar gyfer y dyfodol. Yn amlwg, mae'n bwysig bod y diploma hwnnw a'r hyfforddiant yn y diploma hwnnw ar gael i bobl ym mhob rhan o Gymru. A allwch chi ddweud wrthym mi a fydd hynny'n bosib, i wneud yn siŵr y gall bobl wneud y pethau hyn ar y cyd â'u gwaith bob dydd, gan y gall hynny fod yn eithaf anodd yn aml iawn? Pa adnoddau ydych chi'n eu darparu i annog pobl i fanteisio ar y cyfle hwnnw i gael eu hyfforddi yn y modd hwnnw? Diolch.