English: I don't share your view. What I would say is that if you put that cap on, you end up with wards running short of nurses, and you end up with hospitals short of doctors. The problem is we need agency staff. The challenge to the Welsh Government and the health service is to get to a situation where we don't need agency staff because we're fully staffed. Why are you, as stated by a former health Minister, twice as likely to have your tonsils removed in Ynys Môn than you are in Wrexham, which are both part of the same health board? Why does the cost of an operation such as cataracts vary so much between different hospitals? We recently heard reported that the cost of locum doctors in Wales exceeds £137 million - an increase from £64 million in the previous year. The highest paid locum, according to the newspapers, received £183,000 last year. We need a system where we get more doctors in, and I put my cards on the table that I believe in salaried GPs. Why are medical interventions that do no good for the patient still taking place? The auditor general reported on this practice, as have NICE. How many patients overnight does a minor injuries unit need to see for it to be kept open overnight? Currently, the answer to that is three. We as a committee of the Assembly scrutinised the Cabinet Secretary for health and the Cabinet Secretary for finance as to who engages in the in-depth scrutiny of health board expenditure, not over accuracy and legality, but over efficiency and effectiveness. Whilst people generally have their major health needs during the last 12 to 24 months of their lives, they can need social care for up to 40 years, with the level and complexity of care increasing as people age, often ending up with a residential care package having to be paid for by the local council. It is also of no surprise that those living in inadequate housing tend to have greater health needs. Health is also a lifestyle. Exercising facilities run by local authorities, and fitness, diet and smoking cessation schemes run by Communities First all help to improve the health of people in Wales. While the autumn statement has added additional capital expenditure to the Welsh Government's budget, according to my calculation it still has not even taken us back to 2008 expenditure in real terms. Additional capital expenditure would benefit the Welsh economy. Remember that the capital expenditure that Ed Balls called for and that George Osborne described as wrecking the recovery has now been brought forward by Philip Hammond. It's very pleasing that they've almost learned. Can I just say something relating to this idea that you have to keep on cutting to make austerity for things to work? No, you grow your economy. You increase your tax take by growing the economy. You get more people working; not as we have at the moment, working limited hours and zero hours and short-term contract hours, but you actually get them working full time and you get their salaries up. When that happens, the tax take goes up and people end up better off. Can I just say that, finally, capital expenditure is desperately needed for things as diverse as new schools and flood defences, even though the global warming deniers do not believe that we need the additional flood defences?
Welsh: Nid wyf yn rhannu eich barn. Yr hyn y byddwn i'n ei ddweud yw, os byddech yn pennu'r cap hwnnw, y byddai'n arwain at brinder nyrsys ar wardiau a phrinder meddygon mewn ysbytai. Y broblem yw bod angen staff asiantaeth arnom. Yr her i Lywodraeth Cymru a'r gwasanaeth iechyd yw cyrraedd sefyllfa lle nad oes angen staff asiantaeth oherwydd bod y gwasanaeth wedi'i staffio'n llawn. Pam ydych chi, fel y nodwyd gan gyn-Weinidog iechyd, ddwywaith yn fwy tebygol o gael tynnu eich tonsiliau yn Ynys Môn nag yr ydych yn Wrecsam, sydd ill dwy'n rhan o'r un bwrdd iechyd? Pam mae cost llawdriniaeth megis cataractau yn amrywio cymaint rhwng gwahanol ysbytai? Clywsom yn ddiweddar fod cost meddygon locwm yng Nghymru yn fwy na £137 miliwn - cynnydd o £64 miliwn o'i gymharu â'r flwyddyn flaenorol. Talwyd y cyflog uchaf o £183,000 i locwm y llynedd, yn ôl y papurau newydd. Mae angen system arnom lle'r ydym yn cael mwy o feddygon i mewn, ac rwy'n rhoi fy nghardiau ar y bwrdd fy mod yn credu mewn meddygon teulu cyflogedig. Pam mae ymyriadau meddygol sy'n gwneud dim daioni i'r claf yn dal i ddigwydd? Mae'r archwilydd cyffredinol wedi sôn am yr arfer hwn, fel y mae NICE. Faint o gleifion dros nos y mae angen i uned mân anafiadau eu gweld iddi gael ei chadw ar agor dros nos? Ar hyn o bryd, yr ateb i hynny yw tri. Fe wnaethom ni fel pwyllgor yn y Cynulliad graffu ar Ysgrifennydd y Cabinet dros iechyd ac Ysgrifennydd y Cabinet dros gyllid i weld pwy sy'n gwneud y gwaith craffu manwl ar wariant bwrdd iechyd, nid o ran cywirdeb a chyfreithlondeb, ond o ran effeithlonrwydd ac effeithiolrwydd. Yn gyffredinol, bydd pobl yn cael eu hanghenion iechyd mawr yn ystod 12 i 24 mis olaf eu bywydau, ond gall fod angen gofal cymdeithasol arnynt am hyd at 40 mlynedd, gyda lefel a chymhlethdod y gofal yn cynyddu wrth i bobl heneiddio, ac yn aml yn diweddu gyda phecyn gofal preswyl sy'n gorfod cael ei dalu gan y cyngor lleol. Nid yw'n syndod chwaith bod mwy o anghenion iechyd yn dueddol o fod gan y rhai sy'n byw mewn tai annigonol. Mae iechyd hefyd yn ffordd o fyw. Mae cyfleusterau ymarfer corff sy'n cael eu rhedeg gan awdurdodau lleol, a chynlluniau ffitrwydd, diet a rhoi'r gorau i ysmygu sy'n cael eu rhedeg gan Gymunedau yn Gyntaf i gyd yn helpu i wella iechyd pobl yng Nghymru. Er bod datganiad yr hydref wedi ychwanegu gwariant cyfalaf ychwanegol at gyllideb Llywodraeth Cymru, yn ôl fy nghyfrifiad i, mewn termau real, mae'n dal heb ein cymryd yn ôl at wariant 2008 hyd yn oed. Byddai gwariant cyfalaf ychwanegol o fudd i economi Cymru. Cofiwch fod y gwariant cyfalaf y galwodd Ed Balls amdano, ac y gwnaeth George Osborne ei ddisgrifio fel dryllio'r adferiad, bellach wedi'i gyflwyno gan Philip Hammond. Mae'n beth braf iawn eu bod bron wedi dysgu. A gaf i ddweud rhywbeth sy'n ymwneud â'r syniad hwn bod yn rhaid i chi ddal i dorri i wneud cyni ar gyfer i bethau weithio? Na, rydych yn tyfu eich economi. Rydych yn cynyddu eich derbyniadau treth drwy dyfu'r economi. Rydych yn cael mwy o bobl yn gweithio; nid fel sydd gennym ni ar hyn o bryd, pobl yn gweithio oriau cyfyngedig a chontractau dim oriau ac oriau contract tymor byr, ond rydych mewn gwirionedd yn cael pobl yn gweithio'n llawnamser ac rydych yn codi eu cyflogau. Pan fydd hynny'n digwydd, mae'r dreth yn cynyddu ac mae pobl yn y pen draw yn well eu byd. A gaf i ddweud, yn olaf, mae angen gwariant cyfalaf yn daer ar gyfer pethau mor amrywiol ag ysgolion newydd ac amddiffynfeydd rhag llifogydd, er bod y rhai sy'n gwadu bod cynhesu byd-eang yn digwydd yn credu nad oes angen amddiffynfeydd rhag llifogydd ychwanegol arnom.