English: Diolch, Deputy Presiding Officer. Minister, can I thank you for your update you've given us today on the health and care plan for the winter? But that's what it is, of course, today - it's an update and not the plan itself. I think Members across this Chamber, and the Welsh public, will be disappointed that they've had to see a further delay just before we go into the Senedd recess. And I do note in your opening remarks today, Minister, that you said that this is a statement in order to allow the opportunity for Senedd Members to discuss the plans before they're formally published on Thursday. But if they're not publicly published, then it's very difficult for us to scrutinise those plans, of course. I will say thank you, Minister, for your call this morning; I appreciate greatly the technical briefing that you gave me and other Members of this Chamber this morning, from your officials. That was greatly appreciated. I do have to say, though, I don't accept your points within your statement that it is usually an internal document for the NHS - and I'll stand to be corrected if that's wrong. But if that is the case, then I would say: what did your predecessor publish on 15 September 2020 in his winter protection plan? This included a framework about essential and routine services, urgent and emergency care, the vaccination programme, primary and community care, social care, care homes - I could go on. But it also mentioned allocations from the Welsh Government to support the NHS over winter. It even mentioned in its purpose the Welsh Government's overarching plan, which describes the broad context and priorities for health and social care until March 2021. So, can I ask the Minister for an explanation on a number of issues there? Why wasn't the plan published earlier in September? Why have we got a further delay before the public can see this plan? And perhaps you could also clarify why you say this plan is usually an internal document, given what I've just said. It's taken a long time for the Welsh Government to get together its framework document, and it appears, over the last month, that communications between Ministers and NHS Wales haven't been entirely clear. I'll give some examples in that regard: in response to the leader of the opposition in September about the publication of winter pressure plans, the First Minister avoided this entirely, referring to the regular updating of the coronavirus control plan. But, just two days earlier, and after you'd mentioned to the Health and Social Care Committee that you'd been preparing for winter earlier than ever before, the chief executive assured the committee that a very clear winter plan will be visible and will be published during October. Minister, can you give some assurances to the Senedd today that you and the Welsh Government are clearly communicating with NHS Wales and local authorities over your overarching aims for easing winter pressures? I would say, Minister, it's absolutely crucial that, at this time of extreme pressure on the Welsh NHS, we have direction from the Welsh Government. We have record-breaking A&E waiting times, record-breaking numbers of people on waiting lists, and one in four people are waiting for more than 12 months for treatment. So, it's crucial that we have a clear plan from the Welsh Government. Turning to your statement itself, you mention that a central part of the plan will be vaccination, and your statement in September said that you had started the COVID booster programme. We're yet to see any uptake figures on how successful, or not, this programme is so far. Your 'progress against strategy' document, published within the last hour, also gives no indication as to how many have taken up the booster. I have had some reports from colleagues that in other parts of Wales there have been those who have yet to receive information - those who are over 50 - on when they will receive the booster. I've also received reports of people waiting up to an hour outside vaccination centres in order to get their booster that they've been timetabled in for. I am particularly concerned about that, given that this is an older age group, and given that we're coming in to a period of more severe weather - if people have to wait outside in order to receive their booster as well. So, perhaps you could provide some information in that regard. Can you also provide a timeline on booster uptake figures that are available to the general public? And what exactly do you mean by the majority of people being offered the boosters by 31 December in your COVID vaccination statement today? That could be 51 per cent. Perhaps you can give a little bit more detail in that regard. You also mentioned planned care -
Welsh: Diolch, Dirprwy Lywydd. Gweinidog, a gaf i ddiolch ichi am eich diweddariad a gawsom heddiw ynghylch y cynllun iechyd a gofal ar gyfer y gaeaf? Ond dyna ydyw, wrth gwrs, heddiw - diweddariad ac nid y cynllun ei hun. Rwy'n credu y bydd Aelodau ar draws y Siambr hon, a'r cyhoedd yng Nghymru, yn siomedig eu bod nhw wedi gorfod gweld oedi pellach ychydig cyn i ni fynd at doriad y Senedd. Ac rwy'n nodi yn eich sylwadau agoriadol heddiw, Gweinidog, i chi ddweud mai datganiad yw hwn er mwyn rhoi cyfle i Aelodau'r Senedd drafod y cynlluniau cyn iddyn nhw gael eu cyhoeddi'n ffurfiol ddydd Iau. Ond os nad ydyn nhw'n cael eu cyhoeddi'n gyhoeddus, yna mae'n anodd iawn i ni graffu ar y cynlluniau hynny, wrth gwrs. Rwyf am ddiolch i chi, Gweinidog, am eich galwad y bore yma; rwy'n gwerthfawrogi'n fawr y briff technegol a roddoch i mi ac Aelodau eraill y Siambr hon y bore yma, gan eich swyddogion. Gwerthfawrogwyd hynny'n fawr. Rhaid imi ddweud, serch hynny, nad wyf yn derbyn eich pwyntiau o fewn eich datganiad ei bod fel arfer yn ddogfen fewnol i'r GIG - ac rwy'n barod i gael fy nghywiro os yw hynny'n anghywir. Ond os yw hynny'n wir, yna byddwn i'n dweud: beth a wnaeth eich rhagflaenydd ei gyhoeddi ar 15 Medi 2020 yn ei gynllun diogelu'r gaeaf? Roedd hyn yn cynnwys fframwaith ar wasanaethau hanfodol a rheolaidd, gofal brys ac argyfwng, y rhaglen frechu, gofal sylfaenol a chymunedol, gofal cymdeithasol, cartrefi gofal - gallwn fynd ymlaen. Ond soniodd hefyd am ddyraniadau gan Lywodraeth Cymru i gefnogi'r GIG dros y gaeaf. Soniodd hefyd o ran ei ddiben am gynllun trosfwaol Llywodraeth Cymru, sy'n disgrifio'r cyd-destun a'r blaenoriaethau eang ar gyfer iechyd a gofal cymdeithasol tan fis Mawrth 2021. Felly, a gaf i ofyn i'r Gweinidog am esboniad ar nifer o faterion yn y fan yna? Pam na chyhoeddwyd y cynllun yn gynharach ym mis Medi? Pam y cawsom oedi pellach cyn y caiff y cyhoedd weld y cynllun hwn? Ac efallai y gwnewch chi hefyd egluro pam yr ydych yn dweud bod y cynllun hwn fel arfer yn ddogfen fewnol, o ystyried yr hyn yr wyf newydd ei ddweud. Mae wedi cymryd amser hir i Lywodraeth Cymru ddod â'i dogfen fframwaith at ei gilydd, ac mae'n ymddangos, dros y mis diwethaf, nad yw'r cyfathrebu rhwng Gweinidogion a GIG Cymru wedi bod yn gwbl glir. Rhoddaf rai enghreifftiau yn hynny o beth: mewn ymateb i arweinydd yr wrthblaid ym mis Medi ynghylch cyhoeddi cynlluniau pwysau'r gaeaf, fe wnaeth y Prif Weinidog osgoi hyn yn llwyr, gan gyfeirio at ddiweddaru'r cynllun rheoli coronafeirws yn rheolaidd. Ond, ddeuddydd yn gynharach, ac ar ôl i chi sôn wrth y Pwyllgor Iechyd a Gofal Cymdeithasol eich bod wedi bod yn paratoi ar gyfer y gaeaf yn gynharach nag erioed o'r blaen, sicrhaodd y prif weithredwr y pwyllgor y bydd cynllun gaeaf clir iawn i'w weld ac y bydd yn cael ei gyhoeddi yn ystod mis Hydref. Gweinidog, a wnewch chi roi rhywfaint o sicrwydd i'r Senedd heddiw eich bod chi a Llywodraeth Cymru yn cyfathrebu'n glir â GIG Cymru ac awdurdodau lleol ynghylch eich nodau cyffredinol ar gyfer lliniaru pwysau'r gaeaf? Byddwn i'n dweud, Gweinidog, ei bod yn gwbl hanfodol, ar yr adeg hon o bwysau eithafol ar GIG Cymru, fod gennym gyfarwyddyd gan Lywodraeth Cymru. Mae gennym amseroedd aros damweiniau ac achosion brys sy'n torri record, nifer y bobl ar restrau aros yn torri record, ac mae un o bob pedwar o bobl yn aros am fwy na 12 mis am driniaeth. Felly, mae'n hanfodol bod gennym gynllun clir gan Lywodraeth Cymru. Gan droi at eich datganiad ei hun, rydych yn sôn mai rhan ganolog o'r cynllun fydd brechu, a dywedodd eich datganiad ym mis Medi eich bod wedi dechrau'r rhaglen atgyfnerthu rhag COVID. Nid ydym eto wedi gweld unrhyw ffigurau ynghylch y bobl sy'n manteisio ar y rhaglen i ddangos pa mor llwyddiannus, neu beidio, yw'r rhaglen hon hyd yma. Nid yw eich dogfen 'y cynnydd yn erbyn y strategaeth', a gyhoeddwyd o fewn yr awr ddiwethaf, ychwaith yn rhoi unrhyw arwydd o faint sydd wedi manteisio ar y brechiad atgyfnerthu. Rwyf wedi cael rhai adroddiadau gan gyd-Aelodau fod rhai mewn rhannau eraill o Gymru heb gael gwybodaeth - y rhai sydd dros 50 oed - ynghylch pryd y byddan nhw'n cael y brechiad atgyfnerthu. Rwyf hefyd wedi cael adroddiadau am bobl yn aros hyd at awr y tu allan i ganolfannau brechu er mwyn cael eu brechiad atgyfnerthu a hwythau wedi cael amser penodol ar ei gyfer. Rwy'n arbennig o bryderus ynghylch hynny, o gofio mai grŵp oedran hŷn yw hwn, ac o gofio ein bod yn dechrau cyfnod o dywydd mwy difrifol - hefyd os bydd rhaid i bobl aros y tu allan er mwyn cael eu brechiad atgyfnerthu. Felly, efallai y gwnewch chi ddarparu rhywfaint o wybodaeth yn hynny o beth. A wnewch chi hefyd ddarparu amserlen o ran y ffigurau ynghylch faint sy'n manteisio ar y brechiad atgyfnerthu sydd ar gael i'r cyhoedd? A beth yn union ydych chi'n ei olygu wrth ddweud y bydd y rhan fwyaf o bobl yn cael cynnig y brechiad atgyfnerthu erbyn 31 Rhagfyr yn eich datganiad brechu COVID heddiw? Gallai hynny fod yn 51 y cant. Efallai y gwnewch chi roi ychydig mwy o fanylion yn hynny o beth. Sonioch chi hefyd am ofal wedi'i gynllunio -