English: Thank you for the comments and questions. It's good to see you back in the Chamber, Angela; we have missed you. I should point out - and you haven't been here for some time, and I really am pleased to see you back - we've had this on the business statement for some weeks that I would be making a statement today; it hasn't been produced as a strategic attempt to try and spike the debate tomorrow, and it's entirely appropriate for the Government to be making a statement in the week of the fourth anniversary of this health board going into special measures. It is an unusual length of time. The Medway NHS Foundation Trust in England was in special measures for just under four years, Barts Health NHS Trust in England was in special measures for just over four years on quality grounds and is still in special measures on financial grounds. So, it is unusual within the UK setting, and we've never tried to hide from the fact that that is the case. I've said before, and I say again at the start, before dealing with your points - to come out of special measures, the health board has to show not just progress, but show a level of confidence about its ability to sustain that progress and still continue to improve. And the framework that I've set out previously has been designed to show clearly the areas it needs to improve upon, and show real and sustainable progress. But the independence of the advice that I receive before I then have to make a choice - it's not someone else's choice; it is still my choice - comes from that tripartite process involving the NHS Wales chief executive, the Wales Audit Office and Healthcare Inspectorate Wales. The points that I've made on the progress that has been made come from the independent sources around the board, not the board marking its own homework. So, the points that you make about mental health services and out-of-hours - out-of-hours is no longer a special measures concern because of the advice that we've had about the sustained improvement that has been made. Indeed, the comments that I made in my statement, not just about CAMHS but about adult mental health services - again that comes from the feedback both from NHS Wales Informatics Service alliance and also Healthcare Inspectorate Wales, and I pointed that out in my statement too. On your broader point about when we'll see the progress, well, actually I can't tell you now where exactly the board is, given that I'm waiting until autumn 2019 to see how much progress has been made against the framework. That's what I said - I'd form a judgment on the work that they've done, but, obviously, the progress they've made through that time will be considered when the tripartite escalation meeting takes place in its normal time frame over the summer. Now, when it comes to leadership, there has been a significant change in the executive team, and indeed in the independent board members, since the health board went into special measures. The chair and the vice-chair are different, and I think there are six different independent members and eight different executive members. So, it's been a real turnaround. We've now seen that the finance director has left the organisation. We're recruiting a new medical director, and that's a key post for, actually, the ability to deal with the clinical services strategy. Because, actually, in west Wales what we've seen is that having a strategy is not something that is done in a quick and easy manner - you have to bring your staff and the public with you, and even then, with lots of investment and time to do so, it is something that is still controversial, where people always have a view on whether they want to see that happen, because it requires you to look at the way you deliver services now and the way you want to deliver services in the future, and that requires change and reform. But without that, the board will only be able to go on on a year-to-year basis, so it's a longer term objective that they need to make progress towards. But on the progress they do need to make in the here and now - on turnaround, we are looking to have new people come in. That's what I signalled in my statement. The Public Accounts Committee have made clear their view, and, in fact, it's a fortunate coincidence in terms of the position the Government and the health board are already in. The chair had recognised that already. There've been conversations with Government on improving the turnaround function, having external advisers' support to do so, and the Public Account Committee recommendations reinforce the need to do so. Your final point was about general practice in north Wales. I'll have more to say generally about general practice and our ability to train and recruit staff in general practice in every part of Wales, but in north Wales the picture is much more positive. We have not just filled all three of the training schemes in north Wales - we've overfilled two of those, and I've announced earlier this year that there is the capacity to overfill across Wales by at least 24 places. I'm looking to reset our ambitions and our capacity to have GP training here in Wales, following advice we've had from Health Education and Improvement Wales, but I'm making a statement on that in the coming weeks, before summer recess.
Welsh: Diolch am y sylwadau a'r cwestiynau. Mae'n dda eich gweld yn ôl yn y Siambr, Angela; rydym ni wedi gweld eich colli chi. Dylwn i dynnu sylw at y ffaith - ac ni fuoch chi yma ers tro, ac rwy'n falch iawn o'ch gweld yn ôl - mae'r ffaith y byddwn i'n gwneud datganiad heddiw wedi bod yn y datganiad busnes ers rhai wythnosau; nid yw wedi cael ei gynhyrchu fel ymgais strategol i geisio tanseilio dadl yfory, ac mae'n gwbl briodol i'r Llywodraeth wneud datganiad yn ystod wythnos pedwaredd flwyddyn y bwrdd iechyd hwn yn cael ei roi mewn mesurau arbennig. Mae'n gyfnod o amser anarferol. Roedd Ymddiriedolaeth Sefydledig GIG Medway yn Lloegr mewn mesurau arbennig am ychydig llai na phedair blynedd, roedd Ymddiriedolaeth GIG Iechyd Barts yn Lloegr mewn mesurau arbennig am ychydig dros bedair blynedd ar sail ansawdd ac mae'n dal i fod mewn mesurau arbennig am resymau ariannol. Felly, mae'n anarferol yn y DU, ac nid ydym ni erioed wedi ceisio cuddio rhag y ffaith honno. Rwyf wedi dweud o'r blaen, ac rwy'n dweud eto ar y dechrau, cyn ymdrin â'r sylwadau a wnaethoch chi - i ddod allan o fesurau arbennig, mae'r Bwrdd Iechyd yn gorfod dangos nid yn unig y cynnydd, ond dangos rhywfaint o ffydd yn ei allu i barhau â'r cynnydd hwnnw a pharhau i wella. Ac mae'r fframwaith yr wyf wedi'i nodi o'r blaen wedi'i gynllunio i ddangos yn glir ar ba feysydd y mae angen gwelliant, ac i ddangos cynnydd gwirioneddol a chynaliadwy. Ond mae annibyniaeth y cyngor a gaf i cyn i mi orfod gwneud dewis wedyn - nid dewis rhywun arall mohono; fy newis i ydyw o hyd - mae'n dod o'r broses deirochrog honno sy'n cynnwys Prif Weithredwr GIG Cymru, Swyddfa Archwilio Cymru ac Arolygiaeth Gofal Iechyd Cymru. Mae'r sylwadau yr wyf wedi'u gwneud ar y cynnydd a fu yn dod o'r ffynonellau annibynnol o amgylch y bwrdd, nid y bwrdd yn marcio ei waith cartref ei hun. Felly, mae'r sylwadau rydych chi'n eu gwneud am wasanaethau iechyd meddwl a'r gwasanaeth y tu allan i oriau - nid yw'r gwasanaeth y tu allan i oriau yn destun mesurau arbennig bellach oherwydd y cyngor a gawsom ni ynghylch y gwelliant parhaus sydd wedi'i wneud. Yn wir, mae'r sylwadau a wneuthum yn fy natganiad, nid yn unig am CAMHS ond am wasanaethau iechyd meddwl i oedolion - eto mae hyn yn deillio o'r adborth gan gynghrair Gwasanaeth Gwybodeg GIG Cymru a hefyd gan Arolygiaeth Gofal Iechyd Cymru, a nodais hynny yn fy natganiad hefyd. O ran eich sylw ehangach ynghylch pryd y byddwn yn gweld y cynnydd, wel, mewn gwirionedd ni allaf ddweud wrthych chi yn awr beth yw sefyllfa'r bwrdd, gan fy mod yn aros tan dymor yr hydref 2019 i weld faint o gynnydd a wnaed o safbwynt y fframwaith. Dyna a ddywedais i - y byddwn i'n dyfarnu ar y gwaith y maen nhw wedi'i wneud, ond, yn amlwg, bydd y cynnydd a wnaethant yn ystod y cyfnod hwnnw'n cael ei ystyried pan gynhelir y cyfarfod uwch gyfeirio teirochrog yn ystod ei amserlen arferol dros yr haf. Nawr, pan ddaw'n fater o arweinyddiaeth, bu newid sylweddol yn y tîm gweithredol, ac yn wir yn aelodau'r bwrdd annibynnol, ers i'r bwrdd iechyd gael ei roi mesurau arbennig. Mae'r cadeirydd a'r is-gadeirydd yn wahanol, ac rwy'n credu bod chwe aelod annibynnol gwahanol ac wyth aelod gweithredol gwahanol. Felly, mae wedi bod yn drawsnewid go iawn. Rydym ni bellach wedi gweld bod y cyfarwyddwr cyllid wedi gadael y sefydliad. Rydym ni'n recriwtio cyfarwyddwr meddygol newydd, ac mae honno'n swydd allweddol, mewn gwirionedd, y gallu i ymdrin â'r strategaeth gwasanaethau clinigol. Oherwydd, mewn gwirionedd, yn y gorllewin, yr hyn a welsom ni yw nad yw cael strategaeth yn rhywbeth a wneir mewn ffordd gyflym a rhwydd - mae'n rhaid i'r staff a'r cyhoedd eich cefnogi chi, a hyd yn oed wedyn, gyda llawer o fuddsoddiad ac amser i wneud hynny, mae'n rhywbeth sy'n parhau i fod yn ddadleuol, pan fydd gan bobl farn bob amser ynghylch a ydyn nhw eisiau gweld hynny'n digwydd, oherwydd bod gofyn ichi edrych ar y ffordd yr ydych chi'n darparu gwasanaethau nawr a'r ffordd yr ydych chi eisiau darparu gwasanaethau yn y dyfodol, ac mae hynny'n gofyn am newid a diwygio. Ond heb hynny, dim ond o flwyddyn i flwyddyn y bydd y bwrdd yn gallu parhau, felly mae angen iddyn nhw wneud cynnydd tuag at nod tymor hwy hynny. Ond o ran y cynnydd y mae angen iddyn nhw ei wneud nawr - o ran newid, rydym ni'n gobeithio cael pobl newydd. Dyna'r hyn a nodais yn fy natganiad. Mae'r Pwyllgor Cyfrifon Cyhoeddus wedi datgan ei farn yn glir, ac, yn wir, mae'n gyd-ddigwyddiad ffodus o ran y sefyllfa y mae'r Llywodraeth a'r Bwrdd Iechyd eisoes ynddi. Roedd y cadeirydd wedi cydnabod hynny eisoes. Cafwyd sgyrsiau â'r Llywodraeth ynghylch gwella'r swyddogaeth newid, cael cefnogaeth cynghorwyr allanol i wneud hynny, ac mae argymhellion y Pwyllgor Cyfrifon Cyhoeddus yn ategu'r angen i wneud hynny. Roedd eich sylw olaf yn ymwneud â meddygon teulu yn y gogledd. Bydd gennyf i fwy i'w ddweud yn gyffredinol am feddygon teulu a'n gallu ni i hyfforddi a recriwtio meddygon teulu ym mhob rhan o Gymru, ond mae'r darlun yn llawer mwy cadarnhaol yn y gogledd. Rydym ni nid yn unig wedi llenwi pob un o'r tri chynllun hyfforddi yn y gogledd - rydym ni wedi gorlenwi dau o'r rheini, ac rwyf wedi cyhoeddi'n gynharach eleni bod modd cael 24 o leoedd ychwanegol ledled Cymru. Rwy'n bwriadu ail-bwysleisio ein huchelgeisiau a'n gallu i hyfforddi meddygon teulu yma yng Nghymru, yn dilyn cyngor a gawsom ni gan Addysg a Gwella Iechyd Cymru, ond rwy'n gwneud datganiad ar hynny yn ystod yr wythnosau nesaf, cyn toriad yr haf.