English: There is a real target; 2019 is a real target. I want to make sure that we have a workforce strategy that is within the time that it really is achievable and, indeed, by making proper use of Health Education and Improvement Wales. That has been established to lead on workforce planning, and they will be responsible for developing the strategy as one of their first priorities. HEIW will become operational in October of this year, and, whilst it will be one of their first objectives, it is not possible to deliver such a detailed and important piece of work within the first three months of their lifetime. I've already given a commitment to expand medical education and the training landscape in north Wales and, indeed, in west Wales. Work is progressing between myself and the Cabinet Secretary for Education to consider proposals submitted by universities to take this work forward, and I hope to have more to say in the near future on that. The parliamentary review, of course, recognised that a key factor in delivering high-quality health and social care is the well-being and engagement of our staff, and there is already significant work under way. North Wales has been highlighted recently, and I managed to highlight 20 specific programmes of work currently undertaken by Betsi Cadwaladr on well-being and engagement. And this level of activity is replicated across health boards and trusts here in Wales. But we recognise that we need to do more. That's why, in our long-term plan, we committed to making NHS Wales an exemplar employer in its support for well-being at work and a healthy workforce. We want to see the NHS leading change in this area across health and social care, and in other sectors too, by sharing good practice, guidance, online promotion, and evaluation - and indeed, further steps forward this week, with the agreement between ourselves, the Welsh NHS Confederation and BMA Cymru, to create a fatigue and facilities charter for doctors and clinical staff, building on the good relationships we have here in Wales, and the first within the UK, warmly welcomed by staff within the service. In terms of the call for implementing priority access to treatment for NHS workers, I've already made my position clear in this Chamber before: we need to think carefully about the issues if we decide to advantage groups of staff wherever they're from - the NHS, the administrative services or carers - and on the basis of their work rather than their clinical need. But, as I have made clear, work is under way to consider this and the approach being taken in some parts of England, and I will consider the issue further once it is complete. But I really can't leave the nature of this debate without reminding people in this Chamber, particularly Conservative politicians, that the issue of stress, strain and funding facing our staff across health and social care comes from the real impact of austerity. [ Interruption.] The eight years of austerity that public services have been subjected to, has caused real harm. [ Interruption.] Don't take my word for it. Ask front-line staff within our health and social care services - [ Interruption.] - and they will tell you. They understand very well where austerity comes from. They understand the political party that's responsible for that choice.
Welsh: Mae yna darged go iawn; mae 2019 yn darged go iawn. Rwyf am wneud yn siŵr fod gennym strategaeth ar gyfer y gweithlu o fewn yr amser y gellir ei gyflawni ac yn wir, drwy wneud defnydd priodol o Addysg a Gwella Iechyd Cymru. Cafodd hwnnw ei sefydlu i arwain ar gynllunio'r gweithlu, a byddant yn gyfrifol am ddatblygu'r strategaeth fel un o'u blaenoriaethau cyntaf. Bydd Addysg a Gwella Iechyd Cymru yn dod yn weithredol ym mis Hydref eleni, ac er y bydd yn un o'u hamcanion cyntaf, nid yw'n bosibl cyflawni gwaith mor fanwl a phwysig o fewn tri mis cyntaf eu hoes. Rwyf eisoes wedi ymrwymo i ehangu addysg feddygol a thirwedd hyfforddiant yng ngogledd Cymru ac yng ngorllewin Cymru yn wir. Mae gwaith yn mynd rhagddo rhyngof ac Ysgrifennydd y Cabinet dros Addysg ar ystyried cynigion a gyflwynwyd gan brifysgolion i ddatblygu'r gwaith hwn, a gobeithiaf y bydd gennyf fwy i'w ddweud am hynny yn y dyfodol agos. Cydnabu'r adolygiad seneddol, wrth gwrs, mai ffactor allweddol wrth gyflawni iechyd a gofal cymdeithasol o ansawdd uchel yw lles ac ymgysylltiad ein staff, ac mae llawer o waith eisoes ar y gweill. Cafodd gogledd Cymru lawer o sylw yn ddiweddar, a llwyddais i dynnu sylw at 20 o raglenni gwaith penodol a wneir ar hyn o bryd gan Betsi Cadwaladr ar lesiant ac ymgysylltiad. Ac mae'r lefel hon o weithgarwch yn cael ei hailadrodd ar draws byrddau iechyd ac ymddiriedolaethau yma yng Nghymru. Ond rydym yn cydnabod bod angen inni wneud mwy. Dyna pam rydym wedi ymrwymo yn ein cynllun hirdymor i wneud GIG Cymru yn gyflogwr enghreifftiol yn ei gefnogaeth i lesiant yn y gwaith a gweithlu iach. Rydym am weld y GIG yn arwain newid yn y maes hwn ar draws iechyd a gofal cymdeithasol, ac mewn sectorau eraill hefyd, drwy rannu arfer da, canllawiau, hyrwyddo ar-lein, a gwerthuso - a chafwyd camau pellach ymlaen yr wythnos hon, gyda'r cytundeb rhyngom ni, Cydffederasiwn y GIG yng Nghymru a BMA Cymru, i greu siarter blinder a chyfleusterau ar gyfer meddygon a staff clinigol, gan adeiladu ar y berthynas dda sydd gennym yma yng Nghymru, y cyntaf o'i fath yn y DU, ac mae wedi cael croeso cynnes gan staff y gwasanaeth. O ran y galw am weithredu mynediad â blaenoriaeth at driniaeth ar gyfer gweithwyr y GIG, rwyf eisoes wedi gwneud fy safbwynt yn glir yn y Siambr hon o'r blaen: mae angen inni feddwl yn ofalus am y materion sy'n codi pe baem yn penderfynu rhoi mantais i grwpiau o staff o ble bynnag y dônt - y GIG, y gwasanaethau gweinyddol neu ofalwyr - ac ar sail eu gwaith yn hytrach na'u hangen clinigol. Ond fel yr eglurais, mae gwaith yn mynd rhagddo i ystyried hyn a'r dull a ddefnyddir mewn rhai rhannau o Loegr, a byddaf yn ystyried y mater ymhellach pan fydd wedi'i gwblhau. Ond ni allaf adael natur y ddadl hon heb atgoffa pobl yn y Siambr hon, yn enwedig gwleidyddion Ceidwadol, fod problemau pwysau, straen ac ariannu sy'n wynebu ein staff ar draws iechyd a gofal cymdeithasol yn deillio o effaith wirioneddol cyni. [ Torri ar draws.] Mae'r wyth mlynedd o gyni y mae gwasanaethau cyhoeddus wedi gorfod eu dioddef wedi achosi niwed gwirioneddol. [ Torri ar draws.] Peidiwch â chymryd fy ngair i am hynny. Gofynnwch i staff y rheng flaen yn ein gwasanaethau iechyd a gofal cymdeithasol - [ Torri ar draws.] - a byddant yn dweud wrthych. Maent yn deall yn dda iawn o ble y daw cyni. Maent yn deall pa blaid wleidyddol sy'n gyfrifol am y dewis hwnnw.