English: The move that we wish to see in health and care is set out in the review. There'll be a concentration of some specialist services onto a smaller number of sites to provide better care. That will mean more physical travelling distance to some of those services. What absolutely compromises that also is that there'll be more care delivered closer to home - we see that already. There are a wide number of services delivered within the community and local healthcare that previously would have been delivered in theatre conditions. So, we're seeing a move around right across the whole country of the way in which care is delivered. Our challenge in the future of health and care, not just in Pembrokeshire, not just in west Wales, but in every single part of the country, will be how we deliver change and reform to safeguard the future of health and care services, and not to wait until something is genuinely broken before we fix it, because no change isn't an option, and there's no way not to be honest about that. That is one of the central messages from the parliamentary review. The challenge is how we recognise the way we currently send and deliver services in health and care, how we recognise the weaknesses and the strengths we have to try and deal with our weaknesses, as well as build on our strengths, and, actually, there are real challenges in every health board about locum and agency spend. In some of our services, there's a real challenge in financial terms about the way money is spent. That's why I've taken action on the pay bill, actually, in locum spending in particular in the last few months. There's a pay cap that's come in on locum spend, on the terms available in November from last year, because we do need to deal with some of those costs, otherwise we'll undermine the sustainability of that service. That does affect recruitment into services in each part of the country. In west Wales, in particular, I still expect the campaign we have on 'Train. Work. Live' to sell not just the opportunity to work in the national health service in Wales, but to live here as well. And, actually, I think west Wales has an awful lot to offer people as a place to work, but certainly as a place to live as well, and the training opportunities that go alongside that. There is no way to have an easy conversation about transforming any part of the national health service. There will always be a reasonable view about why a change - in particular on a local and individual level - shouldn't happen; you'll see that in any and every part of the country. But if there is not the space to have an honest conversation between staff within the health service and with the public about reasons to try and change the service to improve the quality of care and the quality of outcome that is delivered, then we won't get to a point where we can be certain and have real confidence in the future of the national health service, and that is absolutely where the parliamentary review is. That is the way I expect every health board to behave with their own individual populations, but also in working together on a number of the challenges that we face in the way that services are designed and delivered. As I say, I'll be as open and as honest as I can be, protecting, of course, the reality that I may well have to be a decision maker. I can't go into some of the detail in the questions that you asked, because, otherwise, I'd put myself in a position where I could undermine the consultation that has not yet gone out to the public - it's for this spring. And this is not just that one part of Wales would have this conversation; there is a national conversation and some really difficult national choices for us to make.
Welsh: Nodir y newid yr hoffem ei weld ym maes iechyd a gofal yn yr adolygiad. Bydd rhai gwasanaethau arbenigol yn cael eu crynhoi ar nifer lai o safleoedd er mwyn darparu gwell gofal. Bydd hynny'n golygu pellter teithio hirach at rai o'r gwasanaethau hynny. Y cyfaddawd pendant yn hynny o beth yw y bydd mwy o ofal yn cael ei ddarparu yn nes at y cartref - rydym yn gweld hynny eisoes. Mae nifer eang o wasanaethau yn cael eu darparu o fewn y gymuned, a gofal iechyd lleol a fyddai wedi cael ei ddarparu o dan amodau theatr o'r blaen. Felly, rydym yn gweld newid ledled y wlad i gyd o ran y ffordd y caiff gofal ei ddarparu. Ein her yn y dyfodol o ran iechyd a gofal, nid yn unig yn Sir Benfro, nid yn unig yng ngorllewin Cymru, ond ym mhob cwr o'r wlad, fydd sut rydym yn newid ac yn diwygio er mwyn diogelu dyfodol gwasanaethau iechyd a gofal, yn hytrach nag aros tan y bydd rhywbeth wedi torri go iawn cyn ei gyweirio, gan nad yw peidio â newid o gwbl yn opsiwn, ac nid oes modd peidio â bod yn onest ynglŷn â hynny. Dyna un o negeseuon craidd yr adolygiad seneddol. Yr her yw sut rydym yn cydnabod y ffordd rydym yn anfon ac yn darparu gwasanaethau iechyd a gofal ar hyn o bryd, sut rydym yn cydnabod ein gwendidau a'n cryfderau er mwyn ceisio mynd i'r afael â'n gwendidau, yn ogystal ag adeiladu ar ein cryfderau, ac mewn gwirionedd, mae heriau gwirioneddol yn wynebu pob bwrdd iechyd o ran gwariant ar asiantaethau a gwasanaethau locwm. Mae rhai o'n gwasanaethau yn wynebu gwir heriau ariannol o ran y ffordd y caiff arian ei wario. Dyna pam fy mod wedi cymryd camau ar y bil cyflog, mewn gwirionedd, o ran gwariant ar wasanaethau locwm yn arbennig dros yr ychydig fisoedd diwethaf. Mae cap cyflog wedi'i gyflwyno ar wariant ar wasanaethau locwm ar y telerau a oedd ar gael ym mis Tachwedd y llynedd, gan fod angen inni fynd i'r afael â rhai o'r costau hynny, neu byddwn yn tanseilio cynaliadwyedd y gwasanaeth hwnnw. Mae hynny'n effeithio ar recriwtio i'r gwasanaethau ym mhob rhan o'r wlad. Yng ngorllewin Cymru, yn benodol, rwy'n dal i ddisgwyl i'n hymgyrch 'Hyfforddi, Gweithio, Byw' werthu nid yn unig y cyfle i weithio yn y gwasanaeth iechyd gwladol yng Nghymru, ond i fyw yma hefyd. Ac mewn gwirionedd, credaf fod gan orllewin Cymru gryn dipyn i'w gynnig i bobl fel lle i weithio, ond yn sicr fel lle i fyw hefyd, a'r cyfleoedd hyfforddi ochr yn ochr â hynny. Nid oes modd cael sgwrs hawdd ynglŷn â thrawsnewid unrhyw ran o'r gwasanaeth iechyd gwladol. Bydd barn resymol i'w chael bob amser - yn enwedig ar lefel leol ac unigol - ynghylch pam na ddylai newid ddigwydd; byddwch yn gweld hynny ym mhob rhan o'r wlad. Ond os nad oes lle i staff y gwasanaeth iechyd a'r cyhoedd gael sgwrs onest ynglŷn â rhesymau dros geisio newid y gwasanaeth er mwyn gwella ansawdd y gofal ac ansawdd y canlyniadau, ni fyddwn yn cyrraedd pwynt lle y gallwn fod yn sicr ac yn hyderus ynghylch dyfodol y gwasanaeth iechyd gwladol, ac yn sicr, dyna yw safbwynt yr adolygiad seneddol. Dyna sut rwy'n disgwyl i bob bwrdd iechyd ymddwyn gyda'u poblogaethau eu hunain, ond hefyd wrth weithio gyda'i gilydd ar nifer o heriau sy'n ein hwynebu o ran y ffordd y caiff gwasanaethau eu cynllunio a'u darparu. Fel y dywedaf, fe fyddaf mor agored ac mor onest ag y gallaf, gan warchod, wrth gwrs, y realiti y gallai fod yn rhaid i mi wneud penderfyniadau. Ni allaf drafod rhai o'r manylion yn y cwestiynau a ofynnwyd gennych, oherwydd, fel arall, buaswn yn rhoi fy hun mewn sefyllfa lle y gallwn danseilio'r ymgynghoriad nad yw wedi agor i'r cyhoedd eto - bydd hynny'n digwydd yn y gwanwyn. Ac nid yw hyn yn fater o un rhan o Gymru yn cael y sgwrs hon; mae sgwrs genedlaethol i'w chael a rhai dewisiadau cenedlaethol gwirioneddol anodd sy'n rhaid inni eu gwneud.