techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: Well, first of all, in terms of A&E, it's not the case that the target is four hours before somebody is seen in A&E. The target is four hours until somebody is discharged or admitted from A&E, just to make that clear. He asks the question fairly: was this predictable? The answer to my mind is 'no' and I'll explain why. For example, when it came red ambulance calls, the figure for new year's eve was 54 per cent higher than new year's eve last year. Similar figures, though lower, were reported for new year's day and also for the Christmas period. Now, is that predictable? I'd argue it isn't. Nevertheless, a great deal of planning went into ensuring that the NHS was able to manage. There were great pressures. I pay tribute to staff and, of course, as I say, the situation is now stabilising. But we will be looking at why there was such a spike on new year's eve, just to give one example, compared to last year. Despite the great pressure that was placed on the health service, staff were still able to work hard to reach the targets that we had set, particularly the paramedic staff. Why it is that there was a spike like that compared with last year, it's something we'll have to look at.
Welsh: Wel, yn gyntaf oll, o ran adrannau damweiniau ac achosion brys, ac nid yw'n wir mai pedair awr yw'r targed cyn i rywun gael ei weld mewn adran damweiniau ac achosion brys. Pedair awr tan i rywun gael ei ryddhau neu ei dderbyn o adran damweiniau ac achosion brys, dim ond i wneud hynny'n eglur. Mae'n gofyn y cwestiwn yn deg: A oedd modd rhagweld hyn? Yr ateb yn fy nhyb i yw 'nac oedd' a byddaf yn esbonio pam. Er enghraifft, o ran galwadau ambiwlans coch, roedd y ffigur ar gyfer nos galan 54 y cant yn uwch na nos galan y llynedd. Adroddwyd ffigurau tebyg, ond llai, ar gyfer dydd calan ac ar gyfer cyfnod y Nadolig hefyd. Nawr, a oes modd rhagweld hynny? Byddwn i'n dadlau nad oes. Serch hynny, gwnaed llawer iawn o gynllunio i sicrhau bod y GIG yn gallu ymdopi. Roedd pwysau mawr. Talaf deyrnged i'r staff ac, wrth gwrs, fel y dywedaf, mae'r sefyllfa yn sefydlogi erbyn hyn. Ond byddwn yn ystyried pam y bu cynnydd mor sydyn nos galan, dim ond i roi un enghraifft, o'i gymharu â'r llynedd. Er gwaethaf y pwysau mawr a roddwyd ar y gwasanaeth iechyd, roedd y staff yn dal i allu gweithio'n galed i gyrraedd y targedau a osodwyd gennym, yn enwedig y staff parafeddygol. Pam y bu cynnydd sydyn o'r fath o'i gymharu â'r llynedd, mae'n rhywbeth y bydd rhaid i ni edrych arno.
English: Thank you, First Minister. I, too, pay tribute to all the staff who were out over the festive period while many of us were enjoying the festive period, and, without that staff, our NHS would not work in whatever section of the service they work in. But the point I made in my second contribution this afternoon, which is that if there is no out-of-hours provision whatsoever, then it's obvious that the ambulance service, for example, is going to see a spike in demand for its services. What I ask of you in my third question to you is: will we be in the same position this time next year, or what measures will you be taking specifically to address these pressures, which do happen year in, year out? I do take the point that you've pointed to a specific spike in the ambulance calls that were put in on new year's eve, but we are seeing little or no availability in some areas for out-of-hours provision, we are seeing continuing demand for A&E provision and obviously we are seeing a lack of bed space within our hospitals. Thirty per cent of beds have been lost since 1997 here in Wales. So, there does need to be a review of how the Government and the health boards respond to this crisis, and what we need to hear is when that review will be undertaken and whether we can really expect that this situation won't be replicated next year.
Welsh: Diolch, Prif Weinidog. Rwyf innau hefyd yn talu teyrnged i'r holl staff a oedd allan dros gyfnod yr ŵyl tra bod llawer ohonom ni'n mwynhau'r ŵyl, ac, heb y staff hynny, ni fyddai ein GIG yn gweithio ym mha bynnag ran o'r gwasanaeth y maen nhw'n gweithio ynddi. Ond y pwynt a wneuthum yn fy ail gyfraniad y prynhawn yma, yw os nad oes unrhyw ddarpariaeth y tu allan i oriau o gwbl, yna mae'n amlwg bod y gwasanaeth ambiwlans, er enghraifft, yn mynd i weld cynnydd sydyn i'r galw am ei wasanaethau. Yr hyn yr wyf yn ei ofyn amdano yn fy nhrydydd cwestiwn i chi yw: a fyddwn ni yn yr un sefyllfa yr adeg hon y flwyddyn nesaf, neu pa gamau y byddwch chi'n eu cymryd yn benodol i fynd i'r afael â'r pwysau hyn sy'n digwydd flwyddyn ar ôl y blwyddyn? Rwy'n derbyn y pwynt eich bod chi wedi cyfeirio at gynnydd sydyn penodol i'r galwadau ambiwlans a wnaed nos galan, ond rydym ni'n gweld mai ychydig iawn neu ddim o gwbl sydd ar gael o ran darpariaeth y tu allan i oriau mewn rhai ardaloedd, rydym ni'n gweld galw parhaus am ddarpariaeth damweiniau ac achosion brys ac yn amlwg rydym ni'n gweld diffyg gwelyau yn ein hysbytai. Collwyd tri deg y cant o welyau ers 1997 yma yng Nghymru. Felly, mae angen cynnal adolygiad o sut y mae'r Llywodraeth a'r byrddau iechyd yn ymateb i'r argyfwng hwn, a'r hyn y mae angen i ni ei glywed yw pryd y bydd yr adolygiad hwnnw'n cael ei gynnal ac a allwn ni ddisgwyl mewn gwirionedd na fydd y sefyllfa hon yn cael ei hailadrodd y flwyddyn nesaf.
English: Well, of course, the review has been undertaken, in the sense that the parliamentary review is due, I understand, to publish its findings very soon, and that will look cross-party at ways in which the health service can be strengthened. In terms of GP cover, it is right to say that, in one part of Wales, there were problems on two dates, I understand - not in other parts of Wales, but there was severe pressure particularly there. He asks the question: do we need to look at the reason why there were particular spikes this year, compared to previous years? The answer is, 'Yes, that's something we do want to look at', because that will form part of the LHBs' preparedness for next winter. So, in terms of whether it is preventable, well, there's always pressure on the NHS this time of year, and there's always planning in order to look to deal with that pressure. Predictable? No, I don't think so, given the figures that we've seen on more than one date over the holiday period, when there was a significant increase in demand for ambulance calls, particularly compared to the previous year.
Welsh: Wel, wrth gwrs, mae'r adolygiad wedi cael ei gynnal, yn yr ystyr y disgwylir i'r adolygiad seneddol, rwy'n deall, gyhoeddi ei ganfyddiadau yn fuan iawn, a bydd hwnnw'n ystyried yn drawsbleidiol ar y ffyrdd y gellir cryfhau'r gwasanaeth iechyd. O ran meddygon teulu, mae'n iawn i ddweud, mewn un rhan o Gymru, y bu problemau ar ddau ddyddiad, rwy'n deall - nid mewn rhannau eraill o Gymru, ond roedd pwysau difrifol yn y fan honno'n benodol. Mae'n gofyn y cwestiwn: a oes angen i ni ystyried y rheswm pam y bu achosion penodol o gynnydd sydyn eleni, o'i gymharu â blynyddoedd blaenorol? Yr ateb yw, 'Ydy, mae hynny'n rhywbeth yr ydym ni eisiau edrych arno', gan y bydd hynny'n rhan o barodrwydd y BILlau ar gyfer y gaeaf nesaf. Felly, o ran a oes modd ei atal, wel, mae pwysau ar y GIG ar yr adeg hon o'r flwyddyn bob amser, ac mae cynllunio bob amser i geisio ymdrin â phwysau o'r fath. Rhagweladwy? Na, dwi ddim yn credu, o ystyried y ffigurau yr ydym ni wedi eu gweld ar fwy nag un dyddiad dros gyfnod y gwyliau, pan fu cynnydd sylweddol i alw am alwadau ambiwlans, yn enwedig o'i gymharu â'r flwyddyn flaenorol.
English: Diolch. I'm going to continue with health, First Minister. You said that winter pressures are expected every year and you're right, and you should be planning for spikes in demand as well every year. Can you honestly say that you believe that the health service has performed well over the winter in dealing with those pressures and spikes?
Welsh: Diolch. Rwy'n mynd i barhau gydag iechyd, Prif Weinidog. Dywedasoch y disgwylir pwysau'r gaeaf bob blwyddyn ac rydych chi'n iawn, a dylech chi fod yn cynllunio ar gyfer cynnydd sydyn i alw bob blwyddyn hefyd. A allwch chi ddweud o ddifrif eich bod chi'n credu bod y gwasanaeth iechyd wedi perfformio'n dda dros y gaeaf o ran ymdrin â'r pwysau a'r cynnydd sydyn i alw hynny a welsom?
English: Yes, I do. I think the NHS staff have performed heroically and magnificently over the course of the winter. GPs, of course, are often in the front line. They have worked very hard. Paramedics, incredible, given the fact that they have responded so well to emergency calls, despite the enormous spike in those calls and, of course, hospitals and those who work in the social care sector. They continue to maintain an NHS of enormous scale that receives tens of thousands of contacts and calls every year. There was, of course, a visible peak of pressure into the new year and there were real challenges, but it is now pleasing to see a much improved and stable position that was reported at the end of last week.
Welsh: Gallaf, mi allaf. Rwy'n credu bod staff y GIG wedi perfformio'n arwrol ac yn rhagorol yn ystod y gaeaf. Meddygon teulu, wrth gwrs, yw'r rheng flaen yn aml. Maen nhw wedi gweithio'n galed iawn. Parafeddygon, rhyfeddol, o ystyried y ffaith eu bod nhw wedi ymateb mor dda i alwadau brys, er gwaethaf y cynnydd enfawr i'r galwadau hynny ac, wrth gwrs, ysbytai a'r rhai sy'n gweithio yn y sector gofal cymdeithasol. Maen nhw'n parhau i gynnal GIG o faint aruthrol sy'n derbyn degau o filoedd o gysylltiadau a galwadau bob blwyddyn. Roedd uchafbwynt amlwg, wrth gwrs, o bwysau yn y flwyddyn newydd ac roedd heriau gwirioneddol, ond mae'n braf gweld sefyllfa lawer gwell a sefydlog erbyn hyn, a adroddwyd ddiwedd yr wythnos diwethaf.
English: First Minister, the story that you tell is of a service that's under pressure but coping well, but there's another story as well and that's being told by the media, of hospitals being 'like a battlefield' for NHS staff. Both of those stories can't be true, and I think that you know that winter preparations have not been good enough. Isn't that why we had an apology from Vaughan Gething for cancelled operations? Isn't that why we are hearing the claim from the Royal College of Emergency Medicine that patient safety is being compromised daily, and that the solution is more capacity? The Welsh NHS needs more beds, it needs more nurses and it needs more doctors. The £10 million pounds announced over the weekend came with an admission that pressures across health and social care are above those anticipated. Why do you underestimate these pressures every year? Do you now accept that the Cabinet Secretary was wrong to make the claim in November that the service was in the best position possible to cope with the winter, and do you accept that you were wrong to cut the number of hospital beds?
Welsh: Prif Weinidog, mae'r stori yr ydych chi'n ei hadrodd yn un o wasanaeth sydd o dan bwysau ond yn ymdopi'n dda, ond ceir stori arall hefyd sy'n cael ei hadrodd gan y cyfryngau, o ysbytai sydd 'fel maes brwydr' i staff y GIG. Ni all y ddwy stori hynny fod yn wir, ac rwy'n credu eich bod chi'n gwybod nad yw paratoadau'r gaeaf wedi bod yn ddigon da. Onid dyna pam y cawsom ni ymddiheuriad gan Vaughan Gething am lawdriniaethau a ganslwyd? Onid dyna pam yr ydym ni'n clywed yr honiad gan y Coleg Brenhinol Meddygaeth Frys bod diogelwch cleifion yn cael ei beryglu'n feunyddiol, ac mai mwy o gapasiti yw'r ateb? Mae GIG Cymru angen mwy o welyau, mae angen mwy o nyrsys ac mae angen mwy o feddygon. Daeth y £10 miliwn o bunnoedd a gyhoeddwyd dros y penwythnos gyda chyfaddefiad bod pwysau ar draws maes iechyd a gofal cymdeithasol yn fwy na'r hyn a ragwelwyd. Pam nad ydych chi'n amcangyfrif y pwysau hwn yn ddigonol bob blwyddyn? A ydych chi'n derbyn bellach fod Ysgrifennydd y Cabinet yn anghywir i wneud yr honiad ym mis Tachwedd bod y gwasanaeth yn y sefyllfa orau bosibl i ymdopi â'r gaeaf, ac a ydych chi'n derbyn eich bod chi'n anghywir o ran gostwng nifer y gwelyau ysbyty?
English: First of all, I think the Cabinet Secretary was correct. Nobody could have predicted the kind of figures that we've seen over the course of the holiday period; I don't think any Member in this Chamber could possibly have predicted that. She mentions beds, but it's more complicated than that, in my view. It's hugely important not in terms of looking at beds, but in terms of getting people out of hospital when they're ready and that's why, of course, it's hugely important that we invest in social care, which we have done, compared with England where social care funding has been cut. It is important that people are able to leave hospital when they are able to do so and that they have the right support to do so. So, it's not simply a question of the number of beds; it's a question of making sure that people are able to leave hospital when they can.
Welsh: Yn gyntaf oll, rwy'n credu bod Ysgrifennydd y Cabinet yn gywir. Ni allai neb fod wedi rhagweld y math o ffigurau a welsom yn ystod y gwyliau; nid wyf yn credu bod unrhyw siawns y gallai unrhyw Aelod yn y Siambr hon fod wedi rhagweld hynny. Mae'n sôn am welyau, ond mae mae'n fwy cymhleth na hynny, yn fy marn i. Mae'n hynod bwysig nid o ran edrych ar welyau, ond o ran cael pobl allan o'r ysbyty pan fyddan nhw'n barod a dyna pam, wrth gwrs, mae'n hynod bwysig ein bod ni'n buddsoddi mewn gofal cymdeithasol, yr ydym ni wedi ei wneud, o'i gymharu â Lloegr lle mae cyllid gofal cymdeithasol wedi ei dorri. Mae'n bwysig bod pobl yn gallu gadael yr ysbyty pan fyddan nhw'n gallu gwneud hynny a bod y cymorth cywir ganddyn nhw i wneud hynny. Felly, nid yw'n fater syml o nifer y gwelyau; mae'n fater o wneud yn siŵr bod pobl yn gallu gadael yr ysbyty pan eu bod yn abl i wneud hynny.
English: You have an 85 per cent target for hospital beds and you breach that as a matter of routine, which means that patient safety is compromised. You are failing to meet that measure of patient safety, and that is unacceptable. And, First Minister, I have to say, I think you're being complacent. It's not just us; the Royal College of Emergency Medicine is also saying that NHS staffing needs to be increased, and it's in your gift to do that. Without nurses, without doctors and without specialists, there would be no NHS. We've heard a lot of warm words over the Christmas period from politicians supporting front-line NHS staff, and you've just made a tribute yourself. If you really want to support front-line NHS staff then, First Minister, pay them properly. The pay cap means that nurses are still underpaid and it's in your gift to lift that pay cap. Workforce planning is one of the most important tools that you have at your disposal, yet you won't embrace the need for a new medical training school in the north. No Westminster Government will do this for us; it's your Labour Government's responsibility. A Labour Cabinet Secretary has now admitted responsibility for the lack of planning ahead of the winter pressures. It's time, First Minister, now that you did the same. Given that apology from the health Secretary, will you now accept responsibility for failing to train enough doctors for the Welsh NHS?
Welsh: Mae gennych chi darged o 85 y cant ar gyfer gwelyau ysbyty ac rydych chi'n methu â chyrraedd hwnnw fel mater o drefn, sy'n golygu bod diogelwch cleifion yn cael ei beryglu. Rydych chi'n methu â bodloni'r mesur hwnnw o ddiogelwch cleifion, ac mae hynny'n annerbyniol. A, Prif Weinidog, mae'n rhaid i mi ddweud, rwy'n credu eich bod yn hunanfodlon. Nid ni yn unig sy'n dweud hynny; mae'r Coleg Brenhinol Meddygaeth Frys hefyd yn dweud bod angen cynyddu staffio yn y GIG, ac mae gennych chi'r grym i wneud hynny. Heb nyrsys, heb feddygon a heb arbenigwyr, ni fyddai GIG o gwbl. Rydym wedi clywed llawer o eiriau gwresog dros gyfnod y Nadolig gan wleidyddion yn cefnogi staff rheng flaen y GIG, ac rydych chi newydd dalu teyrnged eich hun. Os ydych chi wir eisiau cefnogi staff rheng flaen y GIG, yna, Prif Weinidog, dylech eu talu'n briodol. Mae'r cap cyflog yn golygu nad yw nyrsys yn cael eu talu'n ddigonol o hyd, ac mae'r grym gennych chi i ddiddymu'r cap cyflog hwnnw. Mae cynllunio'r gweithlu yn un o'r arfau pwysicaf sydd ar gael i chi, ac eto nid ydych chi'n fodlon derbyn yr angen am ysgol hyfforddiant meddygol newydd yn y gogledd. Ni fydd unrhyw Lywodraeth yn San Steffan yn gwneud hyn i ni; cyfrifoldeb eich Llywodraeth Lafur chi yw hyn. Mae Ysgrifennydd y Cabinet Llafur bellach wedi cyfaddef cyfrifoldeb am y diffyg cynllunio cyn pwysau'r gaeaf. Mae'n bryd, Prif Weinidog, i chithau wneud yr un peth nawr. O ystyried yr ymddiheuriad hwnnw gan yr ysgrifennydd dros Iechyd, a wnewch chi dderbyn cyfrifoldeb nawr am fethu â hyfforddi digon o feddygon ar gyfer GIG Cymru?
English: Diolch yn fawr iawn, Llywydd. Can I start on a note of amity - which will certainly not continue - at least at the very beginning of the proceedings, and wish the First Minister, and indeed all his Ministers, a happy new year? And I do genuinely wish them success, although I think it's unlikely to be realised. And can I return to the point that was raised by Steffan Lewis earlier on? I'm sure everybody would agree with this too, and say that it's actually an inspiration to us all for him to be here today, and if it's not too frightening a prospect, I'm right behind him in his battle against his terrible disease. I welcome the transition fund that the First Minister has announced, but does he not agree with me that that would be far more effective if the Welsh Government weren't so relentlessly pessimistic about the opportunities presented by Brexit? And can I ask him, in 2018, for a change of approach to this opportunity for the whole of Britain? And if he's more positive and uplifting about the future, then Welsh businesses themselves will have more confidence in the future, and investment will increase, and we will all be better off.
Welsh: Diolch yn fawr iawn, Llywydd. A gaf i ddechrau ar nodyn o gyfeillgarwch - na fydd yn parhau, yn sicr - ar gychwyn cyntaf y trafodion, o leiaf, a dymuno blwyddyn newydd dda i'r Prif Weinidog, a'i holl Weinidogion yn wir? Ac rwyf wirioneddol yn dymuno pob llwyddiant iddyn nhw, er fy mod i'n credu ei fod yn annhebygol o gael ei wireddu. Ac a gaf i ddychwelyd at y pwynt a godwyd gan Steffan Lewis gynharach? Rwy'n siŵr y byddai pawb yn cytuno â hyn hefyd, a dweud ei fod wir yn ysbrydoliaeth i ni gyd ei fod yma heddiw, ac os nad yw'n rhagolwg rhy frawychus, rwy'n ei gefnogi'n llwyr yn ei frwydr yn erbyn ei glefyd ofnadwy. Croesawaf y gronfa bontio y mae'r Prif Weinidog wedi ei chyhoeddi, ond onid yw'n cytuno â mi y byddai honno'n llawer mwy effeithiol pe na byddai Llywodraeth Cymru mor benderfynol o besimistaidd am y cyfleoedd a gyflwynir gan Brexit? Ac a gaf i ofyn iddo, yn 2018, am newid agwedd tuag at y cyfle hwn i Brydain gyfan? Ac os yw'n fwy cadarnhaol a brwdfrydig am y dyfodol, yna bydd gan fusnesau Cymru eu hunain fwy o hyder yn y dyfodol, a bydd buddsoddiad yn cynyddu, a byddwn i gyd yn well ein byd.
English: First of all, I don't begrudge his party's ability to provide us with entertainment, as he rightly pointed out. But, turning to the points that he makes, first of all, the issue is not devolved, as he knows, but, in terms of the principle of it, I don't agree with him that the point of Brexit is wholesale deregulation. Our financial services sector will still have to operate in the European market. If it doesn't follow the rules of the European market, it won't be able to operate there, and that will have enormous consequences for jobs, not just in Wales, but also in the rest of the UK, particularly the City. The City has been a place where a great deal of European operations have taken place. If the regulations in the UK are substantially different, people won't come to the UK, because they want to operate in a bigger market. Secondly, we have to remember that the financial crash of 2007 was caused, at least in great part, by deregulation of financial services, and the fact that an opportunity was given to irresponsible financiers to play around with people's money, to lend to people who had no hope of paying them back, and the financial system collapsed as a result of it. So, from my perspective, yes, regulation has to be proportionate, but it has to be there because, bluntly, given what we saw in 2007-08, there are some who work in the large financial centres in this world who cannot be trusted with other people's money.
Welsh: Yn gyntaf oll, nid wyf yn gwarafun gallu ei blaid i ddarparu adloniant i ni, fel y dywedodd yn briodol. Ond, gan droi at y pwyntiau a wna, yn gyntaf oll, nid yw'r mater wedi ei ddatganoli, fel y mae'n gwybod, ond, o ran ei egwyddor, nid wyf yn cytuno ag ef mai dadreoleiddio helaeth yw diben Brexit. Bydd yn rhaid i'n sector gwasanaethau ariannol weithredu yn y farchnad Ewropeaidd o hyd. Os nad yw'n dilyn rheolau'r farchnad Ewropeaidd, ni fydd yn gallu gweithredu yno, a bydd hynny'n arwain at oblygiadau enfawr i swyddi, nid yn unig yng Nghymru, ond hefyd yng ngweddill y DU, yn enwedig yn y Ddinas. Mae'r Ddinas wedi bod yn fan lle mae llawer iawn o weithrediadau Ewropeaidd wedi eu cynnal. Os bydd y rheoliadau yn y DU yn sylweddol wahanol, ni fydd pobl yn dod i'r DU, gan eu bod nhw eisiau gweithredu mewn marchnad fwy. Yn ail, mae'n rhaid i ni gofio bod argyfwng ariannol 2007 wedi cael ei achosi, i raddau helaeth o leiaf, gan ddadreoleiddio gwasanaethau ariannol, a'r ffaith y rhoddwyd cyfle i arianwyr anghyfrifol chwarae o gwmpas gydag arian pobl, benthyg i bobl nad oedd ganddynt unrhyw obaith o'u had-dalu, a chwalodd y system ariannol o ganlyniad i hynny. Felly, o'm safbwynt i, oes, mae'n rhaid i reoleiddio fod yn gymesur, ond mae'n rhaid iddo fod yno oherwydd, yn blwmp ac yn blaen, o ystyried yr hyn a welsom yn 2007-08, ceir rhai sy'n gweithio mewn canolfannau ariannol mawr yn y byd hwn na ellir ymddiried arian pobl eraill iddynt.
English: That wasn't aimed at him, Llywydd. But may I say that our plans for economic development are set out in 'Prosperity for All' and the economic action plan? We continue to provide a wide range of support to businesses in Wales through, for example, Business Wales and the development bank. We also provide infrastructure investment and take actions to improve business conditions.
Welsh: Nid oedd hynny wedi'i anelu ato fe, Llywydd. Ond a gaf i ddweud bod ein cynlluniau ar gyfer datblygu economaidd i'w gweld yn 'Ffyniant i Bawb' a'r cynllun gweithredu economaidd? Rŷm ni'n parhau i ddarparu amrywiaeth o gefnogaeth i fusnesau Cymru drwy, er enghraifft, Busnes Cymru a'r banc datblygu, a hefyd yn buddsoddi mewn seilwaith ac yn cymryd camau i wella amodau busnes.