English: Now, the decision, as I highlighted yesterday, reflects very serious and outstanding concerns about the leadership, governance and progress, in particular in Glan Clwyd, including the vascular service and in the emergency department. And I'd like to make it absolutely clear that experiences like the one referred to - Reverend Jones, for example - are absolutely unacceptable. The example given by Gareth - again, all of these things are unacceptable, which is why we're putting these measures in place. I also have serious concerns about the allegations of bullying and harassment amongst staff that have been raised by Siân Gwenllian and others. This has not been ignored in the widening of the targeted intervention, and I have instructed the health board to review their approach to staff engagement, to ensure that these issues are addressed as part of their current targeted intervention escalations. And Carolyn, you're absolutely right that the voice of the staff needs to be heard. Now, in taking this decision, I reflected on whether or not the health board should be escalated into special measures. I've decided that special measures, at this time, is not appropriate, and this is because the board and the chief executive have highlighted their determination to make progress, and have committed to addressing our concerns, and have already started to do so. I'm also mindful of the impact that the special measures status previously had on the health board's ability to recruit and retain staff - an issue that many of you have highlighted today - and the importance of being able to attract the right people into the organisation. Special measures had a negative impact on the culture within the organisation, as they relied on others to make key decisions, rather than the health board developing their own solutions. And while we and the health board recognise that there are significant and serious failings, it is important to build confidence and support the organisation to be more aspirational, to be more ambitious, and to look forward to a better future. It's important that we support the health board to continue its improvement journey, and to promote an open culture, where problems are acknowledged and investigated, and we want to promote learning. A special measures designation will not achieve that. But, of course, if we don't see improvement, then that is still on the table as an option. What will the trigger for that be? An example, for example, is the non-implementation of the action plan around vascular, and, therefore, building upon the existing programme for targeted intervention, as described in my statement yesterday. And, Russell, I'll tell you that I will be monitoring. I'm monitoring already on a fortnightly basis the action plan on vascular and we'll be watching for the impact of Improvement Cymru and the difference it can make in accident and emergency. And I want to be clear that I have no intention to undertake a restructuring of hospital services in north Wales, and I'll tell you why. And, Ken, you asked what the short-term impact of this would be. It would be costly, it would distract from the work going on to improve services, and it would not in itself address the challenges the health board is facing, including the long waiting lists. It's essential that we support the health board to drive forward transformation and not undertake a disruptive restructure that diverts resources from patient care. I think it's important for us to recognise that we do listen to the voices of patients, and I also get many, many e-mails, I can assure you, from people in Betsi, and they're not saying, 'Please reorganise', they're saying, 'Speed up the time that you can do my hip operation', 'Help me with my cancer treatment', 'Make sure I can get quicker access to GPs'. I think one point that I'd like to make, and that is in response to Ken's, is that there does need to be more transparency in terms of the improvements that are being made and I've already asked the health board to act on that.
Welsh: Nawr, mae'r penderfyniad, fel y dywedais ddoe, yn adlewyrchu pryderon difrifol ac eithriadol iawn am yr arweinyddiaeth, y trefniadau llywodraethu a chynnydd, yn enwedig yng Nglan Clwyd, gan gynnwys y gwasanaeth fasgwlaidd ac yn yr adran achosion brys. A hoffwn ei gwneud yn gwbl glir fod profiadau fel yr un y cyfeirir ato - y Parchedig Jones, er enghraifft - yn gwbl annerbyniol. Mae'r enghraifft a roddwyd gan Gareth - unwaith eto, mae'r holl bethau hyn yn annerbyniol, a dyna pam ein bod yn rhoi'r mesurau hyn ar waith. Mae gennyf bryderon difrifol hefyd am yr honiadau o fwlio ac aflonyddu ymhlith staff a nodwyd gan Siân Gwenllian ac eraill. Nid yw hyn wedi'i anwybyddu wrth ehangu'r ymyrraeth wedi'i thargedu, ac rwyf wedi cyfarwyddo'r bwrdd iechyd i adolygu eu dull o ymgysylltu â staff, er mwyn sicrhau yr eir i'r afael â'r materion hyn fel rhan o'u prosesau uwchgyfeirio presennol ar gyfer ymyrraeth wedi'i thargedu. A Carolyn, rydych chi'n llygad eich lle fod angen i lais y staff gael ei glywed. Nawr, wrth wneud y penderfyniad hwn, ystyriais a ddylid uwchgyfeirio'r bwrdd iechyd i fesurau arbennig ai peidio. Rwyf wedi penderfynu nad yw mesurau arbennig yn briodol ar hyn o bryd, a'r rheswm am hyn yw bod y bwrdd a'r prif weithredwr wedi tynnu sylw at eu penderfyniad i wneud cynnydd, ac wedi ymrwymo i fynd i'r afael â'n pryderon, ac eisoes wedi dechrau gwneud hynny. Rwyf hefyd yn ymwybodol o'r effaith a gafodd y statws mesurau arbennig yn flaenorol ar allu'r bwrdd iechyd i recriwtio a chadw staff - mater y mae llawer ohonoch wedi tynnu sylw ato heddiw - a phwysigrwydd gallu denu'r bobl iawn i'r sefydliad. Cafodd mesurau arbennig effaith negyddol ar ddiwylliant y sefydliad, gan eu bod yn dibynnu ar eraill i wneud penderfyniadau allweddol, yn hytrach na bod y bwrdd iechyd yn datblygu eu hatebion eu hunain. Ac er ein bod ni a'r bwrdd iechyd yn cydnabod bod methiannau sylweddol a difrifol yn bodoli, mae'n bwysig meithrin hyder a chefnogi'r sefydliad i fod yn fwy uchelgeisiol, ac i edrych ymlaen at ddyfodol gwell. Mae'n bwysig ein bod yn cefnogi'r bwrdd iechyd i barhau ar ei daith wella, ac i hyrwyddo diwylliant agored, lle mae problemau'n cael eu cydnabod a'u harchwilio, ac rydym am hyrwyddo dysgu. Ni fydd dynodiad mesurau arbennig yn cyflawni hynny. Ond wrth gwrs, os nad ydym yn gweld gwelliant, mae hynny'n dal ar y bwrdd fel opsiwn. Beth fydd y sbardun ar gyfer hynny? Un enghraifft, er enghraifft, yw methu gweithredu'r cynllun gweithredu ar gyfer y gwasanaeth fasgwlaidd, ac felly, adeiladu ar y rhaglen bresennol ar gyfer ymyrraeth wedi'i thargedu, fel y disgrifiwyd yn fy natganiad ddoe. A Russell, rwy'n dweud wrthych y byddaf yn monitro. Rwy'n monitro'r cynllun gweithredu ar gyfer y gwasanaeth fasgwlaidd yn barod bob pythefnos a byddwn yn edrych am effaith Gwelliant Cymru a'r gwahaniaeth y gall ei wneud i adrannau damweiniau ac achosion brys. Ac rwyf am fod yn glir nad oes gennyf unrhyw fwriad i ailstrwythuro gwasanaethau ysbytai yng ngogledd Cymru, ac fe ddywedaf wrthych pam. A Ken, fe ofynnoch chi beth fyddai effaith hyn yn y tymor byr. Byddai'n gostus, byddai'n tynnu sylw oddi ar y gwaith sy'n mynd rhagddo ar wella gwasanaethau, ac ni fyddai ynddo'i hun yn mynd i'r afael â'r heriau y mae'r bwrdd iechyd yn eu hwynebu, gan gynnwys y rhestrau aros hir. Mae'n hanfodol ein bod yn cefnogi'r bwrdd iechyd i fwrw ymlaen â thrawsnewid a pheidio â chynnal gwaith ailstrwythuro aflonyddgar sy'n dargyfeirio adnoddau oddi wrth ofal cleifion. Credaf ei bod yn bwysig inni gydnabod ein bod yn gwrando ar leisiau cleifion, ac rwyf hefyd yn cael llawer o negeseuon e-bost, gallaf eich sicrhau, gan bobl yn Betsi, ac nid ydynt yn dweud, 'Ad-drefnwch os gwelwch yn dda', maent yn dweud, 'Rhowch lawdriniaeth clun i mi yn gynt', 'Helpwch fi gyda fy nhriniaeth canser', 'Gwnewch yn siŵr y gallaf weld meddyg teulu yn gyflymach'. Rwy'n credu mai un pwynt yr hoffwn ei wneud, a hynny mewn ymateb i bwynt Ken, yw bod angen mwy o dryloywder ynghylch y gwelliannau sy'n cael eu gwneud ac rwyf eisoes wedi gofyn i'r bwrdd iechyd weithredu ar hynny.