English: I don't broadly accept much of what Rhun ap Iorwerth said in his contribution to be frank. When it comes to the consultation, I think this was a full public consultation over a reasonable period of time. We deliberately chose to have additional events for those people who don't regularly take part in consultations. We engaged Communities Connected to do so. I realise that the Consultation Institute wanted to run their own event. We said we would not engage with that because I don't believe that the Welsh Government should send Ministers or officials along to events where our stakeholders pay for that access. I do not believe we should help the Consultation Institute to run their business. This is about how the public engage and how we have gone out proactively for the public to engage in those events more generally and then specifically for those people who regularly do not get engaged in consultation. On the point about the future of community health councils, again we've been around this track many times before and I continue to say I want to have a citizen-voice body across health and care with a strengthened role in representing the citizen across the health and care sector. That means reforming CHCs. It means you have to remove CHCs as they currently are, given they're in primary legislation, and replace them. This isn't about having a period of time where no citizen-voice body exists for a period of months or years before I then genuinely need to replace it with something different. It is about, if we were to move forward with legislation, we would have to then set out what that new body would look like and how it would replace at the same time when CHCs are then superseded by that new body. This goes back to, whether innocently or not, not reflecting on what has been said on several occasions in this place and outside it. I understand the concerns that are raised, but the national Board of Community Health Councils themselves have recognised that they want to see an expansion in their role across health and social care. As we have more integrated care, it must be sensible that a citizen-voice body doesn't just stop at an artificial line between health and social care. It's also that they recognise that they want to see a reform of their place within the service reform conversation. They also want to see a reform of their role as regards inspection. When CHCs were created, of course, we didn't have Healthcare Inspectorate Wales. We now have a professional inspectorate undertaking one part of inspection, but CHCs themselves are very clear that they would like to have a successor body still having the right to have unannounced visits to areas where care is being administered, and that's something that we are talking constructively about, about what could happen in the future. So, this isn't a case of abolishing and doing away with CHCs and not replacing them at all. That simply isn't the perspective that the Government takes. It isn't the proposal we've set out. It isn't what I've said time and time again in this place and in others as well. And, on the points about intervention, I thought your comments were somewhat flippant about where we are and looking to intervene in organisations that are struggling in some aspects of their performance. This is, as I've said to Angela Burns, about how do we have additional tools to intervene in and support bodies that are not meeting all of their duties. Sometimes, there will be a corporate challenge and not simply an individual service area or functional challenge, but sometimes even that service area or functional challenge may require support in a time-limited way in which Ministers could act promptly by appointing someone to work alongside the board or the executive team. And that is a proposal that has been well received in the consultation, and I just don't think that's particularly difficult to understand. On your point about board representation and gender and the gender split, actually, as I said earlier, we actually, on a leadership level for chairs and chief executives, do rather well in the health field. A really good example is the recent appointment of Alex Howells to be the new chief executive of a new body, Health Education and Improvement Wales, and, in addition, Tracy Myhill moving across to be the chief executive of Abertawe Bro Morgannwg. She did that not just as someone from our system here in Wales but actually as someone the external assessor also agreed - and a high quality external candidate as well - Tracy Myhill was the best candidate, not just the best Welsh candidate but the best candidate, and that is someone who has done a significant job in turning around the ambulance service as well, and that is a real positive. This is being done on merit and it's being done because there's been some determination about how we develop and promote people, but we recognise actually, in other tiers within our service on executive-level leadership that we have a real challenge about the next tier down, about the middle tier and who is coming next. That is something that I'll have more to say on, but this is only partly about - . It's also then, of course, about our public appointments process, and I dealt with those comments in response to Angela Burns. I just don't think that the decision around the previous in-patient mother and baby unit was driven by representation of women on boards. Actually, the concerns came from the staff in the unit at the time that they were not able to provide the care that they could and should have been able to. Those staff were women themselves who were saying, 'We don't think we can do the job that we could and should do.' We've looked again at the position. I said right at the outset of this particular inquiry - and thinking about the debate we had in this place two weeks ago, that brought to a close the inquiry of the committee, but the work of the Government and the health service certainly doesn't stop at that point, because we've committed to having in-patient care within Wales, not because of the number of women on boards across Wales but because we think it's the right thing to do and we have a way to deliver that care in a way that meets the needs of citizens across Wales, and this White Paper is about doing that. How do we meet the needs of citizens across Wales? Can we resolve some of our challenges by taking forward proposals for legislation in the White Paper? And that's what I'm committing to do, as I've outlined in my statement.
Welsh: Nid wyf yn derbyn llawer o'r hyn a ddywedodd Rhun ap Iorwerth yn ei gyfraniad ef, a bod yn onest. O ran yr ymgynghoriad, credaf ei fod yn ymgynghoriad cyhoeddus llawn dros gyfnod rhesymol o amser. Fe wnaethom ni ddewis yn fwriadol gynnal digwyddiadau ychwanegol i'r bobl hynny nad ydyn nhw'n cymryd rhan mewn ymgynghoriadau yn rheolaidd. Defnyddiwyd Clymu Cymunedau i wneud hynny. Rwy'n sylweddoli bod y Sefydliad Ymgynghori yn awyddus i gynnal eu digwyddiad eu hunain. Dywedason ni na fyddem yn ymwneud â hynny gan nad wyf yn credu y dylai Llywodraeth Cymru anfon Gweinidogion neu swyddogion i ddigwyddiadau lle mae ein rhanddeiliaid yn talu am y mynediad hwnnw. Nid wyf yn credu y dylem helpu'r Sefydliad Ymgynghori i redeg eu busnes. Mae hyn yn ymwneud â sut mae'r cyhoedd yn ymgysylltu a sut rydym ni wedi mynd ati mewn modd rhagweithiol i sicrhau bod y cyhoedd yn cymryd rhan yn y digwyddiadau hynny'n fwy cyffredinol ac wedyn yn benodol y bobl hynny nad ydyn nhw'n cymryd rhan reolaidd mewn ymgynghoriadau. Ar y pwynt ynglŷn â dyfodol cynghorau iechyd cymuned, eto rydym wedi trafod hyn sawl gwaith o'r blaen a pharhau i ddweud yr wyf i fy mod yn awyddus i gael corff ar gyfer llais y dinesydd ledled iechyd a gofal a swyddogaeth gryfach yn cynrychioli'r dinesydd ledled iechyd a sector gofal. Mae hyn yn golygu diwygio'r cynghorau iechyd cymuned. Mae'n golygu bod yn rhaid ichi ddileu'r cynghorau iechyd cymuned fel y maen nhw ar hyn o bryd, o ystyried eu bod mewn deddfwriaeth sylfaenol, a'u disodli nhw. Nid yw hyn yn golygu cyfnod o amser lle nad oes corff ar gyfer llais y dinesydd yn bodoli dros gyfnod o fisoedd neu flynyddoedd, cyn bod angen gwirioneddol i mi wedyn ei ddisodli â rhywbeth gwahanol. Pe byddem yn symud ymlaen gyda deddfwriaeth, mae'n golygu y byddai'n rhaid inni wedyn nodi sut beth fyddai'r corff newydd, ac ar yr un pryd byddai'r cynghorau iechyd cymuned yn cael eu disodli gan y corff newydd hwnnw. Mae hyn yn mynd yn ôl at beidio ag ystyried, boed hynny mewn diniweidrwydd neu beidio, yr hyn a ddywedwyd ar sawl achlysur yn y lle hwn a'r tu allan iddo. Deallaf y pryderon a gaiff eu codi, ond mae Bwrdd Cenedlaethol y Cynghorau Iechyd Cymuned ei hun yn cydnabod ei fod yn dymuno gweld cynnydd yn ei swyddogaeth ledled iechyd a gofal cymdeithasol. Wrth inni gael gofal sy'n fwyfwy integredig, mae o reidrwydd yn synhwyrol nad yw corff ar gyfer llais y dinesydd yn dod i stop ar linell artiffisial rhwng iechyd a gofal cymdeithasol. Mae hefyd yn cydnabod ei fod yn dymuno gweld diwygio'i safle o fewn y sgwrs am ddiwygio'r gwasanaeth. Mae hefyd yn dymuno gweld diwygio ei swyddogaeth arolygu. Pan gafodd y cynghorau iechyd cymuned eu creu, wrth gwrs, nid oedd gennym Arolygiaeth Gofal Iechyd Cymru. Bellach mae gennym arolygiaeth broffesiynol sy'n ymgymryd ag un rhan o'r arolygiad, ond mae'r cynghorau iechyd cymuned eu hunain yn glir iawn eu bod yn awyddus i gael corff olynol a fyddai'n dal i fod â'r hawl i wneud ymweliadau dirybudd i feysydd lle mae gofal yn cael ei weinyddu. A dyna rywbeth yr ydym yn sôn yn adeiladol amdano, am yr hyn a allai ddigwydd yn y dyfodol. Felly, nid mater yw hyn o ddiddymu a gwneud i ffwrdd â'r cynghorau iechyd cymuned heb gael dim yn eu lle. Nid dyna safbwynt y Llywodraeth o gwbl. Nid dyna'r cynnig yr ydym wedi ei roi gerbron. Nid dyna'r hyn yr wyf wedi ei ddweud dro ar ôl tro yn y lle hwn nac mewn mannau eraill hefyd. Ac, ar y pwyntiau am ymyrryd, roeddwn o'r farn mai braidd yn wamal oedd eich sylwadau chi ynghylch ein safle ni ac o ran ymyrryd mewn sefydliadau sydd mewn trafferth gyda rhai agweddau ar eu perfformiad. Mae hyn, fel y dywedais wrth Angela Burns, yn ymwneud â sut yr ydym am gael yr offerynnau ychwanegol i ymyrryd a chefnogi cyrff nad ydynt yn cyflawni pob un o'u dyletswyddau. Weithiau, ceir her gorfforaethol, ac nid mewn un ardal gwasanaeth unigol neu her swyddogaethol. Ond weithiau bydd angen cymorth ar y maes gwasanaeth hwnnw neu'r her swyddogaethol honno mewn ffordd gyfyngedig o ran amser, y gallai Gweinidogion weithredu yn brydlon oddi mewn iddi drwy benodi rhywun i weithio ochr yn ochr â'r bwrdd neu'r tîm gweithredol. Derbyniwyd y cynnig hwnnw yn frwd yn yr ymgynghoriad, ac ni chredaf fod hynny'n arbennig o anodd ei ddeall. Ar eich pwynt ynghylch cynrychiolaeth ar fyrddau a rhywedd a rhaniad rhwng y rhywiau, mewn gwirionedd, fel y dywedais yn gynharach, rydym ni, ar lefel arweinyddiaeth Cadeiryddion a phrif weithredwyr, yn gweud yn lled dda ym maes iechyd. Esiampl dda iawn yw penodiad diweddar Alex Howells yn Brif Weithredwr newydd y corff newydd, Addysg a Gwella Iechyd Cymru, a hefyd, Tracy Myhill yn symud i fod yn Brif Weithredwr Abertawe Bro Morgannwg. Ni wnaeth hynny fel rhywun o fewn ein system ni yma yng Nghymru ond mewn gwirionedd fel rhywun y cytunodd yr asesydd allanol arni hefyd - ac ymgeisydd allanol o ansawdd uchel hefyd - Tracy Myhill oedd yr ymgeisydd gorau, nid yn unig yr ymgeisydd Cymreig gorau ond yr ymgeisydd gorau. Mae hi wedi gwneud gwaith arwyddocaol o ran trawsnewid y gwasanaeth ambiwlans hefyd, ac mae hynny'n gam cadarnhaol gwirioneddol. Caiff hyn ei wneud ar sail teilyngdod a chaiff ei wneud oherwydd dangoswyd cryn ddyfalbarhad o ran sut yr ydym yn datblygu ac yn hybu pob. Ond rydym yn cydnabod, mewn haenau eraill o fewn ein gwasanaeth ar lefel arweinyddiaeth weithredol, fod gennym her wirioneddol yn yr haen nesaf i lawr, yr haen ganol, a phwy fydd yn dod nesaf. Mae hynny'n rhywbeth y bydd gennyf fwy i'w ddweud amdano, ond mae hyn yn rhannol am - . Mae hefyd, wrth gwrs, yn ymwneud â'n proses o wneud penodiadau cyhoeddus, ac ymdriniais â'r sylwadau hynny wrth ymateb i Angela Burns. Ond nid wyf yn credu bod y penderfyniad a wnaed am yr uned mam a'i phlentyn fewnol flaenorol wedi cael ei ysgogi gan gynrychiolaeth o fenywod ar fyrddau. Mewn gwirionedd, daeth pryderon gan staff yn yr uned ar y pryd nad oeddent yn gallu darparu'r gofal priodol. Roedd y staff yn fenywod eu hunain a oedd yn dweud, 'Nid ydym yn credu ein bod yn gallu gwneud y gwaith fel y dylem ei wneud.' Rydym wedi edrych eto ar y sefyllfa. Dywedais ar y cychwyn yn deg yn yr ymchwiliad penodol hwn - ac wrth feddwl am y ddadl oedd gennym yn y lle hwn bythefnos yn ôl, a ddaeth ag ymchwiliad y pwyllgor i ben, ond yn sicr nid yw gwaith y Llywodraeth na'r gwasanaeth iechyd yn dod i ben ar y pwynt hwnnw. Rydym wedi ymrwymo i gael gofal cleifion mewnol yng Nghymru, nid oherwydd nifer y menywod ar fyrddau ledled Cymru ond oherwydd ein bod yn credu mai dyna'r peth iawn i'w wneud ac mae gennym ffordd o ddarparu'r gofal hwnnw sy'n diwallu anghenion dinasyddion ledled Cymru, ac mae'r Papur Gwyn hwn yn ymwneud â hynny. Sut y gallwn ddiwallu anghenion dinasyddion ledled Cymru? A allwn ddatrys rhai o'r heriau sy'n ein hwynebu gan gyflwyno cynigion ar gyfer deddfwriaeth yn y Papur Gwyn? A dyna'r hyn yr wyf yn ymrwymo i'w wneud, fel yr amlinellais yn fy natganiad.