English: Many of us are, of course, painfully aware that in June Betsi Cadwaladr health board will reach a very sorry milestone in terms of the fact that it will have been in special measures for five years. Now, that is the length of an Assembly term - a full Assembly term in special measures, which I think highlights how grave the situation is. And one does find oneself asking, 'Well, what have special measures delivered in terms of Betsi Cadwaladr?' What is the point of these special measures unless, after five years, we see the progress that one would hope to see and that one would feel is fair for us to expect to see? Indeed, special measures has become a kind of norm for Betsi Cadwaladr health board now, and some, with tongue in cheek, ask, 'Are there any extra-special measures that we could place the board in?' The Government, of course, although during that period have had direct control over the health board, have been far too willing to deny any sort of responsibility for the situation, and that is not acceptable either. So, what difference have those five years made? Well, I'll tell you. During the period when the Government, to all intents and purposes, has had oversight of the board, we have seen attempts to privatise dialysis services in Wrexham and in Oswestry; we have seen attempts to privatise pharmacies in hospitals; we have certainly seen efforts to change the shifts of 4,000 nurses across north Wales, forcing them, to all intents and purposes, to work an additional extra shift without pay, which destroyed the morale of the nurses entirely. And I'm so pleased that the proposal as tabled by Plaid Cymru does recognise the excellent work and congratulates the workforce in health and social care on what they delivered despite the failings of management and the Welsh Government, in this particular case - and managers who, by the way, are clearly not doing their work in north Wales, because, as we've heard, they have to bring in dozens of management consultants on huge fees when the board is carrying debts of around £40 million. It's spending tens of millions of pounds on private agency staff, whilst many of us in this Assembly have been calling for many years for more effective and substantial steps to be taken in training and recruiting additional staff. We see dozens of mental health patients sent to inappropriate locations, hundreds of miles from their families, in England. We've seen arguments about payments for contracts with hospitals in England, which mean that hospitals such as the Countess of Chester have refused to take Welsh patients. We've seen the loss of almost an additional 100 beds from north Wales hospitals during the period of special measures, never mind the loss of beds and community hospitals at the same time - 29 beds gone in Glan Clwyd; another 29 in Maelor in Wrexham - and that leading, of course, to the delayed transfers of care that we hear so much about so regularly. The worst waiting lists in Wales; the worst A&E waiting lists in Wales at Wrexham Maelor, where barely half the patients are seen within four hours. And I have a personal story that I could tell you of waiting 12 hours to be seen in an A&E department. Now, of course, that means - [ Interruption.] No, I won't take an intervention, I'm sorry; I have a lot to cover. We see ambulances queuing outside hospitals because of the flow of patients, and we've heard about what's happened in places such as Gwersyllt, Rhosllanerchrugog and Fairbourne, when patients have had to wait many hours for an ambulance, and the results can be very grave and serious indeed. Just yesterday, Adam Price highlighted the fact that almost half of all the incidents that led to deaths in Welsh hospitals were in the Betsi Cadwaladr health board area, and there's a question remaining as to the safety of mental health patients in north Wales. Another report was saying today that the north Wales mental health counselling service is not appropriate. Things are not improving as we would hope to see. Indeed, in some aspects, I have to say, the situation is worse now than it was five years ago. So, what have special measures delivered? It's the current First Minister who was the health Minister who was forced to take Betsi Cadwaladr into special measures, and it was the current health Minister, when he was a Deputy Minister at that time, who was given specific responsibility for the situation at Betsi Cadwaladr University Health Board. It's about time, in my view, that the chief executive of the board stepped down. He's had more than enough time for us to see more substantial progress than we have seen. I can't believe, if truth be told, that he is still in post. I want to hear from the Deputy Minister what discussions there have been between the Welsh Government and the board on the future of the current First Minister - the current chief executive. The debate on the future of the First Minister is for another time, perhaps. But, more seriously too, we do have a situation where, given the record of the current health Minister, as I've outlined, during this whole period of special measures and direct control from the Welsh Government, in my view there is no doubt that the Minister should go too.
Welsh: Mae nifer ohonon ni, wrth gwrs, yn ingol ymwybodol ym mis Mehefin y bydd bwrdd iechyd Betsi Cadwaladr yn cyrraedd carreg filltir anffodus eithriadol yn y ffaith y bydd wedi bod mewn mesurau arbennig am bum mlynedd. Nawr, dyna ichi hyd tymor Cynulliad cyfan o fesurau arbennig, sydd, dwi'n meddwl, yn rhywbeth efallai sydd yn tanlinellu pa mor ddifrifol yw'r sefyllfa honno. Ac mae rhywun yn ffeindio'i hun yn gofyn i'w hunan, 'Beth mae mesurau arbennig wedi'u cyflawni o safbwynt Betsi Cadwaladr?' Beth yw pwynt y mesurau arbennig yma os nad ydyn ni'n gweld, ar ôl pum mlynedd, y cynnydd y byddai rhywun yn gobeithio ei weld a byddai rhywun yn teimlo sy'n deg inni ddisgwyl ei weld? Yn wir, mae mesurau arbennig wedi mynd yn rhyw fath o norm i fwrdd iechyd Betsi Cadwaladr erbyn hyn, ac ambell i un, â thafod yn y boch, yn gofyn, 'Oes yna ryw extra special measures y byddem ni'n gallu eu gosod o safbwynt y bwrdd?' Mae'r Llywodraeth, wrth gwrs, er eu bod nhw yn y cyfnod hynny â rheolaeth uniongyrchol dros y bwrdd yn barod iawn, yn rhy aml o lawer, i wadu unrhyw gyfrifoldeb, a dyw hynny, wrth gwrs, ddim yn dderbyniol chwaith. Felly, pa wahaniaeth mae pum mlynedd wedi'i wneud? Wel, mi ddywedaf i wrthych chi: yn ystod y cyfnod lle mae'r Llywodraeth, i bob pwrpas, wedi bod â goruchwyliaeth uniongyrchol dros y bwrdd, rŷn ni wedi gweld ceisio preifateiddio gwasanaethau dialysis yn Wrecsam ac yng Nghroesoswallt; rŷn ni wedi gweld yr honiadau ynglŷn â cheisio preifateiddio fferyllfeydd yn yr ysbytai; rŷn ni'n sicr wedi gweld ymdrechion i newid sifftiau gwaith 4,000 o nyrsys ar draws y gogledd, yn eu gorfodi nhw, i bob pwrpas, i weithio'r hyn sy'n gyfwerth â sifft ychwanegol y mis yn ddi-dâl, gan chwalu morâl y nyrsys yn llwyr. A dwi mor falch bod y cynnig fel y mae e gan Blaid Cymru yn cydnabod y gwaith aruthrol ac yn llongyfarch staff y gwasanaeth iechyd a gofal cymdeithasol ar yr hyn maen nhw'n ei gyflawni er gwaethaf ffaeleddau'r rheolwyr, a Llywodraeth Cymru yn yr achos yma - rheolwyr, gyda llaw, sy'n amlwg ddim yn gwneud eu gwaith yng ngogledd Cymru, oherwydd, fel rŷn ni wedi clywed, maen nhw'n gorfod tynnu i mewn ddwsinau lawer o reolwyr ymgynghorol ar ffioedd eithriadol o uchel, a hynny pan fo'r bwrdd yn cario dyledion o gwmpas £40 miliwn. Maent yn gwario degau o filiynau o bunnau wedyn ar staff o asiantaethau preifat tra bo nifer ohonom ni yn y Cynulliad yma wedi bod yn galw ers blynyddoedd lawer am ymdrechion mwy effeithiol a mwy sylweddol i recriwtio a hyfforddi staff yn ychwanegol. Rŷn ni'n gweld dwsinau o gleifion iechyd meddwl yn cael eu hanfon i sefydliadau anaddas, gannoedd o filltiroedd i ffwrdd o'u teuluoedd, yn Lloegr. Rŷn ni wedi gweld ffraeo ynglŷn â thaliadau am gytundebau i ysbytai yn Lloegr, sy'n golygu bod ysbytai fel y Countess of Chester wedi gwrthod cymryd cleifion o Gymru. Rŷn ni wedi gweld colli bron i 100 o welyau yn ychwanegol o ysbytai'r gogledd yn ystod y cyfnod o fesurau arbennig, heb sôn am golli gwelyau a cholli ysbytai cymunedol ar yr un pryd - 29 o welyau wedi mynd yng Nglan Clwyd; 29 arall wedi mynd yn y Maelor - a hynny'n arwain, wrth gwrs, at y delayed transfers of care rŷn ni'n clywed amdano fe yn gyson. Y rhestrau aros gwaethaf yng Nghymru; y rhestrau aros adrannau brys gwaethaf yng Nghymru yn Ysbyty Wrecsam Maelor - prin hanner y cleifion sy'n cael eu gweld o fewn pedair awr. Ac mae gen i stori bersonol gallwn i ddweud wrthych chi am fod yn aros 12 awr am gael fy ngweld mewn adran frys. Nawr, mae hynny, wrth gwrs, yn golygu - [ Torri ar draws.] Wnaf i ddim cymryd, mae'n ddrwg gen i; mae gen i lot o bethau i'w cael mewn. Mae rhestrau o ambiwlansys wedyn, wrth gwrs, yn ciwio y tu allan yn sgil y diffyg llif yna o gleifion, ac rŷn ni'n clywed, wrth gwrs, beth sydd wedi digwydd mewn llefydd fel Gwersyllt, Rhosllanerchrugog a Fairbourne, pan fo cleifion yn gorfod aros oriau lawer am ambiwlans, a'r canlyniadau wrth gwrs yn rhai difrifol a thrist iawn yn rhai o'r achosion hynny. Ddoe ddiwethaf fe amlygodd Adam Price fod dros hanner o'r holl ddigwyddiadau a oedd yn arwain at farwolaethau yn ysbytai Cymru yn ardal Betsi Cadwaladr, ac mae yna gwestiwn yn dal i fod am ddiogelwch cleifion iechyd meddwl yn y gogledd. Roedd adroddiad eto heddiw yn dweud bod gwasanaeth cwnsela iechyd meddwl y gogledd yn anaddas. Dyw pethau ddim yn gwella fel y byddem ni'n gobeithio ei weld. Yn wir, mewn rhai agweddau, mae'n rhaid imi ddweud, mae'r sefyllfa yn waeth nawr nag oedd hi bum mlynedd yn ôl. Felly, beth mae mesurau arbennig wedi'u cyflawni? Y Prif Weinidog presennol oedd y Gweinidog iechyd a orfodwyd i fynd â Betsi Cadwaladr i mewn i fesurau arbennig, a'r Gweinidog iechyd presennol, pan oedd e'n Ddirprwy Weinidog ar y pryd, a gafodd y cyfrifoldeb penodol dros sefyllfa bwrdd iechyd Betsi Cadwaladr. Mae'n hen bryd, yn fy marn i, i brif weithredwr y bwrdd i fynd. Mae wedi cael hen ddigon o amser inni weld cynnydd mwy sylweddol nag yr ydyn ni wedi ei weld erbyn hyn. Gallaf i ddim credu, a bod yn onest, ei fod e'n dal yn ei swydd. Byddem ni eisiau clywed gan y Dirprwy Weinidog pa drafodaethau sydd wedi bod rhwng Llywodraeth Cymru a'r bwrdd am ddyfodol y Prif Weinidog presennol - y prif weithredwr presennol. Mae'r drafodaeth ynglŷn â dyfodol y Prif Weinidog yn un arall allem ni ei chael mewn dadl arall efallai. Ond, yn fwy difrifol hefyd, mae gyda ni sefyllfa lle, gyda record y Gweinidog iechyd presennol, fel dwi wedi amlinellu, oll yn ystod y cyfnod yma o fesurau arbennig a rheolaeth uniongyrchol gan Lywodraeth Cymru, yn fy marn i, does amheuaeth, mae'n rhaid i'r Gweinidog fynd hefyd.