English: Our NHS is at breaking point. Something has to give. There have been long-standing problems with patient flow through hospitals. When you combine this with an increased pressure on our emergency service and more and more patients being added to waiting lists, our hard-working staff are being forced to work harder, and work harder in worse conditions. There will be some in this Chamber that won't want to hear this; they refuse to believe it. Well, don't take my word for it - take the word of the British Medical Association Cymru Wales who recently released the findings of their NHS pressure portal, a place where doctors from across Wales have shared accounts of the state of their working conditions, and the pressures that they face on a daily basis. From treating patients in cupboards, on chairs, to working 12-hour shifts without breaks, doctors laid bare their experiences to highlight the risk to patient and staff safety. Other concerns include patients waiting for up to 14 hours in A&E being the new normal, patients needed cardiac monitors going unmonitored due to a lack of space, and patients being treated in the back of ambulances. The recent strikes for nurses and ambulance workers are a last resort from dedicated staff who have patient safety at the heart of their actions. That was what came out loud and clear during my visits to picket lines: yes, pay is important, but so is patient safety. Staff should not have to go on strike to make safe their working conditions and the conditions for patients. Something has to give. As a party, we've always been on the side of workers fighting for fair pay and safe working conditions. There have been ample opportunities for the Welsh Labour Government to show their support for nurses. They have not taken them. The biggest challenge to the Nurse Staffing Levels (Wales) Act 2016 is the sustainability of the nursing workforce. There are for more nurses leaving the NHS than can be matched by newly qualified nurses or internationally recruited nurses. Regrettably, there have been no actions by the Welsh Government since the RCN's last report in 2019 to address nursing retention issues. With more and more people being added to waiting lists every day, our NHS is locked into a vicious cycle. We can't speed the flow of patients through the system until that is addressed and, in the meantime, our overworked and under-resourced health and care staff are working around the clock to keep things moving, or, as many are doing, they are leaving the profession, never to return. Over 60 per cent of people on the waiting list are waiting for their first outpatient appointment. It will take a whole-system effort to reduce these figures and ensure people are seen in a timely manner. The delays in out-patient appointments, diagnostic tests and surgery have catastrophic impact on those waiting, as well as their families and their carers. Clinicians are reporting examples including people presenting with late-stage cancer, more complex cataracts, and people who were walking with a stick now needing wheelchairs. I have also previously mentioned in committee scrutiny meetings the inconsistency of the Welsh Minister calling for people to assume greater personal responsibility in terms of exercise and leading healthy lives at a time when council cuts are being made due to a lack of Welsh Government funding. In my region, the people of Pontllanfraith probably had a wry smile on their face when they heard the health Minister talk about people taking more responsibility for their health after the Labour-controlled local authority did everything in their power to shut the local leisure centre. Only a court challenge stopped them. After 25 years of running health in Wales, staff and patients need to know why they should have the confidence in Labour's ability to improve our NHS. This isn't just about clearing COVID backlogs - the issues I have mentioned have existed pre pandemic and they require urgent solutions. The current state of our NHS is unacceptable and cannot be defended. We are in a health crisis. I urge Members to vote for our motion. Diolch yn fawr.
Welsh: Mae ein GIG ar ben ei dennyn. Mae'n rhaid i rywbeth newid. Mae problemau wedi bod ers tro gyda llif cleifion drwy ysbytai. Pan fyddwch yn cyfuno hyn â phwysau cynyddol ar ein gwasanaeth brys a mwy a mwy o gleifion yn cael eu hychwanegu at restrau aros, mae ein staff gweithgar yn cael eu gorfodi i weithio'n galetach, a gweithio'n galetach mewn amodau gwaeth. Bydd rhai yn y Siambr hon na fyddant am glywed hyn; maent yn gwrthod ei gredu. Wel, peidiwch â chymryd fy ngair i - cymerwch air Cymdeithas Feddygol Prydain Cymru, a ryddhaodd ganfyddiadau porth pwysau'r GIG yn ddiweddar, man lle mae meddygon o bob rhan o Gymru wedi rhannu adroddiadau am gyflwr eu hamodau gwaith, a'r pwysau y maent yn ei wynebu o ddydd i ddydd. O drin cleifion mewn cypyrddau, ar gadeiriau, i weithio shifftiau 12 awr heb egwyl, datgelodd meddygon eu profiadau er mwyn tynnu sylw at y risg i ddiogelwch cleifion a staff. Roedd pryderon eraill yn cynnwys cleifion yn aros hyd at 14 awr mewn adrannau damweiniau ac achosion brys fel y normal newydd, cleifion a oedd angen monitorau cardiaidd ddim yn cael eu monitro oherwydd diffyg lle, a chleifion yn cael eu trin yng nghefn ambiwlansys. Mae'r streiciau diweddar gan nyrsys a gweithwyr ambiwlans yn ddewis olaf gan staff ymroddedig sydd â diogelwch cleifion yn ganolog yn eu gweithredoedd. Dyna ddaeth yn amlwg yn ystod fy ymweliadau â'r llinellau piced: ydy, mae tâl yn bwysig, ond mae diogelwch cleifion yn bwysig hefyd. Ni ddylai staff orfod streicio i wneud eu hamodau gwaith a'r amodau i gleifion yn ddiogel. Mae'n rhaid i rywbeth newid. Fel plaid, rydym bob amser wedi bod ar ochr gweithwyr sy'n ymladd dros gyflog teg ac amodau gwaith diogel. Mae digon o gyfleoedd wedi bod i Lywodraeth Lafur Cymru ddangos eu cefnogaeth i nyrsys. Nid ydynt wedi eu cymryd. Yr her fwyaf i Ddeddf Lefelau Staff Nyrsio (Cymru) 2016 yw cynaliadwyedd y gweithlu nyrsio. Mae mwy o nyrsys yn gadael y GIG nag sydd i'w cael o nyrsys newydd gymhwyso neu nyrsys wedi'u recriwtio'n rhyngwladol. Yn anffodus, ni chymerwyd unrhyw gamau gan Lywodraeth Cymru ers adroddiad diwethaf y Coleg Nyrsio Brenhinol yn 2019 i fynd i'r afael â materion cadw nyrsys. Gyda mwy a mwy o bobl yn cael eu hychwanegu at restrau aros bob dydd, mae ein GIG mewn cylch dieflig. Ni allwn gyflymu llif cleifion drwy'r system hyd nes yr eir i'r afael â hynny, ac yn y cyfamser, mae ein staff iechyd a gofal sy'n cael eu gorweithio a heb ddigon o adnoddau yn gweithio ddydd a nos i gadw pethau'n symud, neu fel y mae llawer yn ei wneud, maent yn gadael y proffesiwn, a byth yn dychwelyd. Mae dros 60 y cant o bobl ar y rhestr aros yn aros am eu hapwyntiad cyntaf fel cleifion allanol. Bydd angen ymdrech system gyfan i leihau'r ffigurau hyn ac i sicrhau bod pobl yn cael eu gweld mewn modd amserol. Mae'r oedi mewn apwyntiadau cleifion allanol, profion diagnostig a llawdriniaethau'n cael effaith drychinebus ar y bobl sy'n aros, yn ogystal â'u teuluoedd a'u gofalwyr. Mae clinigwyr yn nodi enghreifftiau sy'n cynnwys pobl yn mynd at eu meddyg gyntaf pan fo'u canser ar gam hwyr, cataractau mwy cymhleth, a phobl a oedd yn cerdded gyda ffyn bellach angen cadeiriau olwyn. Rwyf hefyd wedi sôn mewn cyfarfodydd craffu pwyllgorau am anghysondeb y Gweinidog yn galw ar bobl i ysgwyddo mwy o gyfrifoldeb personol dros wneud ymarfer corff a byw bywydau iach ar adeg pan fo toriadau cynghorau'n digwydd oherwydd diffyg cyllid gan Lywodraeth Cymru. Yn fy rhanbarth i, mae'n siŵr fod gan bobl Pontllan-fraith wên goeglyd ar eu hwynebau pan glywsant y Gweinidog iechyd yn sôn am bobl yn cymryd mwy o gyfrifoldeb am eu hiechyd ar ôl i'r awdurdod lleol, a reolir gan Lafur, wneud popeth yn eu gallu i gau'r ganolfan hamdden leol. Dim ond her gyfreithiol a'u hataliodd. Ar ôl 25 mlynedd o reoli iechyd yng Nghymru, mae angen i staff a chleifion wybod pam y dylent fod â hyder yng ngallu Llafur i wella ein GIG. Nid oes a wnelo hyn â chlirio ôl-groniadau COVID yn unig - roedd y problemau a grybwyllais yn bodoli cyn y pandemig ac mae angen atebion ar frys i'w datrys. Mae cyflwr presennol ein GIG yn annerbyniol, ac ni ellir ei amddiffyn. Rydym mewn argyfwng iechyd. Rwy'n annog yr Aelodau i bleidleisio dros ein cynnig. Diolch yn fawr.