English: Thank you very much, Deputy Presiding Officer, and thank you to everyone who has participated in this very important debate. I would like to thank the Stroke Association for the work they have done over the last few months. The document on stroke recoveries at risk that was produced back in September is a very valuable contribution in terms of measuring the impact of the pandemic on services. We know that the pandemic has made it more difficult for those affected by stroke to access the services that they need. We know how important effective and early treatment is, and not only is that difficulty in accessing care impacting on how well people recover physically after stroke, but it also has an impact on their mental health and well-being too. Now, the situation has been described very effectively by those who've contributed to this debate today, and I thank them all. The motion before us calls for us to ensure that health boards are supported in maintaining stroke services at these difficult times, given the context of the pandemic. But the main demand on the Welsh Government is clear: we need a national stroke plan. Because what the pandemic has done, if truth be told, is to place even more pressure on services that were already under pressure, and now, more than ever, we need a plan showing a way forward to ensure that people, wherever they are in Wales, can access stroke services of the highest quality. I'm grateful to the Minister for his comments. I also recognise the huge pressures that he referred to on services as a result of the pandemic, and that, inevitably, has had an impact. I, of course, also note that the Government and the Minister have told us that the current plan will be extended until 2022 because of COVID, and that work is ongoing on what will happen following that. But I don't hear that work is being done now to prepare for a national delivery plan of the kind we need, to be actioned by whoever is in Government. And I would like to see consensus being built across political parties, and that work could commence on that plan now. And that's the kind of commitment that I would've hoped to have heard from the current Minister, who, I assume, hopes to be Minister following the election too. We need that new plan, we need something that is more robust in terms of a commitment, rather than just continuing beyond 2022. Deputy Presiding Officer, the cross-party group has done a lot of work on this. It's almost a year since the group consulted on how the current stroke plan has been delivered and that report was published in April. The fact that our main focus at that time was on the general response to the pandemic that had just hit us doesn't take away from the importance of that report and the conclusions reached by our inquiry. Yes, it identified very good practice, elements of the current plan that have been very successful, particularly, one has to say, in terms of the preventative work, but there is still too much inconsistency in terms of the service. It's clear that there's a lot of work to be done to strengthen governance structures in relation to stroke service delivery. And once again, we've heard how important it is that we move up a gear in terms of this work, to ensure that stroke sufferers in Wales receive the support that they need. I am confident that the Minister - who agrees with the sentiments, as he said, of this motion, although he didn't quite give the answers we would've hoped to have heard - has heard the arguments made very clearly. Once again, it's very important that they're aired here in the Senedd.
Welsh: Diolch yn fawr iawn, Ddirprwy Lywydd, a diolch i bawb sydd wedi cymryd rhan yn y ddadl bwysig iawn yma. Buaswn i'n licio diolch yn fawr iawn i'r Gymdeithas Strôc am y gwaith maen nhw wedi'i wneud dros y misoedd diwethaf. Mae'r ddogfen ar beryglu adferiad strôc gafodd ei chyhoeddi yn ôl ym mis Medi yn werthfawr iawn o ran mesur impact y pandemig ar wasanaethau. Rydym ni'n gwybod bod y pandemig wedi ei gwneud hi'n anoddach i bobl sydd wedi'u heffeithio gan strôc i gael mynediad at y gwasanaethau maen nhw eu hangen. Rydym ni'n gwybod, wrth gwrs, pa mor bwysig ydy triniaeth effeithiol a thriniaeth gynnar, ac nid yn unig y mae'r anhawster yna i gael gofal yn effeithio ar ba mor dda y bydd pobl yn gwella'n gorfforol ar ôl y strôc, ond mae o yn cael effaith ar eu lles a'u hiechyd meddwl hefyd. Rŵan, mae'r sefyllfa wedi cael ei disgrifio'n dda iawn gan y rhai sydd wedi cyfrannu at y ddadl yma heddiw, a dwi'n diolch iddyn nhw. Mae'r cynnig sydd o'n blaenau ni yn galw am sicrhau bod byrddau iechyd yn cael eu cefnogi i gynnal eu gwasanaethau strôc ar yr amser anodd yma, yng nghyd-destun y pandemig. Ond mae'r brif alwad ar Lywodraeth Cymru yn ddigon clir: mae angen cynllun strôc cenedlaethol newydd. Achos beth mae'r pandemig wedi'i wneud, mewn difrif, ydy rhoi mwy fyth o bwysau ar wasanaethau a oedd o dan bwysau yn barod, a rŵan, yn fwy nag erioed, mae eisiau cynllun sy'n dangos y ffordd ymlaen i wneud yn siŵr bod pobl, lle bynnag y maen nhw yng Nghymru, yn gallu cael mynediad at wasanaethau strôc o safon uchel. Dwi'n ddiolchgar i'r Gweinidog am ei sylwadau. Dwi'n cydnabod hefyd, wrth gwrs, y pwysau enfawr yr oedd o'n cyfeirio ato fo oedd yna ar wasanaethau yn sgil y pandemig, a bod hynny, yn anochel, wedi cael impact. Dwi wrth gwrs yn nodi hefyd fod y Llywodraeth a'r Gweinidog wedi dweud wrthym y bydd y cynllun presennol yn cael ei ymestyn tan 2022 oherwydd COVID, a bod gwaith yn parhau ar fath o barhad o hynny ar ôl hynny. Ond dwi ddim yn clywed bod gwaith yn cael ei wneud rŵan i baratoi am gynllun cenedlaethol newydd o'r math rydym ni ei angen, i gael ei weithredu gan bwy bynnag, wrth gwrs, fydd mewn Llywodraeth. Ac mi fyddwn i'n dymuno gweld consensws yn cael ei adeiladu ar draws y pleidiau gwleidyddol, ac y gall gwaith ddechrau ar y cynllun hwnnw rŵan. A dyna'r math o ymrwymiad y byddwn i wedi licio ei glywed gan y Gweinidog presennol, sydd, dwi'n cymryd, yn gobeithio y gall fod yn Weinidog ar ôl yr etholiad hefyd. Mae eisiau cynllun newydd, rhywbeth mwy cadarn o ran ymrwymiad, yn hytrach na pharhad, os liciwch chi, y tu hwnt i 2022. Ddirprwy Lywydd, mae'r grŵp trawsbleidiol wedi gwneud cryn dipyn o waith ar hyn. Mae bron i flwyddyn ers i'r grŵp ymgynghori ar sut y mae'r cynllun strôc presennol wedi cael ei ddelifro ac fe gafodd yr adroddiad hwnnw ei gyhoeddi wedyn ym mis Ebrill. Dydy'r ffaith bod ein prif sylw ni bryd hynny ar yr ymateb cyffredinol i'r pandemig oedd newydd daro ddim yn tynnu oddi ar bwysigrwydd yr adroddiad hwnnw a'r casgliadau gafodd eu cyrraedd gan yr ymchwiliad. Do, mi wnaeth o adnabod arferion da iawn, elfennau o'r cynllun presennol sydd wedi bod yn llwyddiannus iawn, yn enwedig, rhaid dweud, o ran y gwaith ataliol, ond mae yna'n dal ormod o anghysondeb ar draws y gwasanaeth. Mi oedd hi'n amlwg bod yna gryn waith i'w wneud i gryfhau strwythurau llywodraethiant mewn cysylltiad â delifro gwasanaethau strôc. Ac unwaith eto heddiw, rydyn ni wedi clywed pa mor bwysig ydy hi fod gêr arall yn cael ei chodi yn y gwaith i sicrhau bod dioddefwyr strôc yng Nghymru yn cael y gefnogaeth y maen nhw ei hangen. Dwi'n hyderus bod y Gweinidog - sydd yn cytuno, yn gyffredinol, fel y dywedodd o, â bwriad y cynnig yma, er ddim wedi cweit rhoi'r atebion y byddem ni eu heisiau - wedi clywed y dadleuon yn glir. Unwaith eto, mae'n bwysig iawn eu bod nhw'n cael eu gwyntyllu yma yn y Senedd.