English: I thank Dai Lloyd for tabling this motion. I want to start by emphasising the importance of these regulations. They are supposed to take us closer to delivering primary healthcare services in Welsh - something that was acknowledged by everyone who came and spoke to the committee as a necessity, not merely a preference, for some people. For vulnerable patients, it can be vital to talk to their doctor in their first language. Although I personally believe that the regulations should be annulled, committee members were divided on this, and I should make it clear that I am speaking on behalf of the committee. But before talking about the content of the regulations, I want to discuss the way in which they were laid before the Assembly. In March of last year, the committee scrutinised the standards regulations relating to the Welsh language and the health sector, and was told by the Minister for the Welsh language at the time that we would be given more than the minimum 21 days to consider these regulations. The committee clerk wrote to the Welsh Government three times to ask about the timing of the regulations and to confirm that we would have more than 21 days to scrutinise them. After having no reply, the committee clerk was told on the phone that they would be coming forward 'before Easter' and then 'before the end of May'. Without any prior warning, they were then laid on 9 May and came into force on 30 May. The Government has failed badly in its handling of these regulations. When I wrote to the Minister for Health and Social Services to point out that the timing meant that the committee had only 10 working days to consult stakeholders, to discuss and report on the regulations before they came into force, I received a most unsatisfactory reply. The Minister replied that 'under Standing Orders 21 and 27, there is no provision for a Committee other than the responsible Committeeto report on an instrument subject to the negative procedure.' This completely disregards the fact that we, as a committee, have been signalling our intention to scrutinise these regulations for over 12 months. The health Minister gave a more gracious response to the Chair of the Constitutional and Legislative Affairs Committee on the same issue. Mick Antoniw was told: 'Previous amendments to these Regulations have not gathered the same level of interest and I have asked my officials to ensure in future, if they involve the Welsh language, we alert and engage with CWLC earlier in the process.' Dai Lloyd has already raised the issue of an explanatory memorandum to regulations on Welsh language service provision being laid in English only. It would be amusing if it was not so disrespectful. I note that the health Minister also writes that his officials have, and I quote, 'reached agreement in principle that we will progressively increase the number of explanatory memoranda for statutory instruments that are laid in Welsh before the Assembly.' Is such a weak commitment the most we can expect from a Government with ambitions to reach a million Welsh speakers by 2050? As a committee we want the Welsh Government to commit to giving us the opportunity to scrutinise all legislation relating to Welsh language duties on primary care providers before it is made or laid in the Assembly. I would assume it goes without saying that all supporting documents should be presented bilingually, but in this case I'll say it for the record. With regard to consultation, before moving onto the content of the regulations, I want to record our concerns about the consultation process. The Welsh Government formally consulted the representative bodies of doctors, dentists, opticians and pharmacists, and so on. We were told that discussions were held with the Welsh Language Commissioner, none of which are in the public domain. I'm shocked that the Government has failed to consult the most important group, namely the patients. The fact that patients were not consulted about services in Welsh speaks volumes about which stakeholders the Government value. The committee calls for the regulations to be amended following further consultation that must include patient bodies and the Welsh Language Commissioner. In terms of the requirements, I'd like to talk about what duties will be imposed on primary care providers and the opinions of those providers on the relevant duties. The regulations only go so far as ensuring that providers make forms available in Welsh and that new signs are available through the medium of Welsh, and that they encourage Welsh speakers and learners to wear a badge, encourage staff to attend awareness training courses and record the language preference of a patient. In our previous report, we wrote of our concerns that there is still no right to receive face-to-face services in Welsh, and that the right to receive a service in the language of the individual's choice should be an established principle in the public sector in Wales. I still feel this way, and I'm pleased to say that the committee members agreed that the Welsh Government should work towards developing this capacity. I have a great deal of things to add, but I'm aware that time is against me. We are disappointed at the weakness of these regulations, and the lack of oversight, the concerns raised by the professional bodies, and the lack of consultation with patients and the commissioner. All these elements add up to regulations that manage to be both late and rushed. This has been described as a 'first step' on a journey towards greater provision of primary care services in Welsh, but this is worrying. If the direction of travel is not agreed, if the costs are not transparent and if the providers are not on board, then the journey can't even begin. I urge the Welsh Government to consult again and to revise these regulations.
Welsh: Diolch i Dai Lloyd am gyflwyno'r cynnig hwn. Rwyf am ddechrau drwy bwysleisio pwysigrwydd y rheoliadau hyn. Maent i fod i fynd â ni'n agosach at ddarparu gwasanaethau gofal iechyd sylfaenol yn y Gymraeg - rhywbeth y gwnaeth pawb a ddaeth i siarad â'r pwyllgor ei gydnabod fel rhywbeth sy'n angenrheidiol i rai pobl, ac nid dim ond dewis a ffafrir. Gall fod yn hanfodol i gleifion sy'n agored i niwed siarad â'u meddyg yn eu hiaith gyntaf. Er fy mod yn credu'n bersonol y dylai'r rheoliadau cael eu dirymu, mae aelodau'r pwyllgor mewn dau feddwl ar y mater hwn a dylwn ei gwneud yn glir fy mod yn siarad ar ran y pwyllgor. Cyn siarad am gynnwys y rheoliadau, hoffwn drafod y ffordd y cawsant eu gosod gerbron y Cynulliad. Ym mis Mawrth y llynedd, craffodd y pwyllgor ar reoliadau'r safonau yn ymwneud â'r Gymraeg a'r sector iechyd, a dywedodd Gweinidog y Gymraeg ar y pryd wrthym y byddem yn cael mwy na'r isafswm o 21 diwrnod i drafod y rheoliadau hyn. Ysgrifennodd clerc y pwyllgor at Lywodraeth Cymru dair gwaith i ofyn am amserlen y rheoliadau a chadarnhau y byddai gennym fwy na 21 diwrnod i graffu arnynt. Ar ôl dim ateb, dywedwyd wrth glerc y pwyllgor dros y ffôn y byddent yn dod 'cyn y Pasg' ac wedyn 'cyn diwedd Mai'. Heb unrhyw rybudd ymlaen llaw, fe'u gosodwyd ar 9 Mai a daethant i rym ar 30 Mai. Mae'r Llywodraeth wedi methu'n llwyr yn ei thriniaeth o'r rheoliadau hyn. Pan ysgrifennais at y Gweinidog Iechyd a Gwasanaethau Cymdeithasol i nodi bod yr amserlen yn golygu mai dim ond 10 diwrnod gwaith oedd gan y pwyllgor i ymgynghori â rhanddeiliaid, i drafod y rheoliadau ac i adrodd yn ôl arnynt cyn iddynt ddod i rym, cefais ateb anfoddhaol iawn. Atebodd y Gweinidog: 'dan Reolau Sefydlog 21 a 27, does dim darpariaeth i Bwyllgor ac eithrio Pwyllgor cyfrifolroi gwybod am offeryn sy'n ddarostyngedig i'r weithdrefn negyddol.' Mae hyn yn anwybyddu'r ffaith ein bod ni, fel pwyllgor, wedi bod yn nodi ein bwriad i graffu ar y rheoliadau hyn ers dros 12 mis. Rhoddodd y Gweinidog iechyd ymateb mwy graslon i Gadeirydd y Pwyllgor Materion Cyfansoddiadol a Deddfwriaethol ar yr un mater. Dywedodd wrth Mick Antoniw: 'Ni chafwyd yr un math o ddiddordeb yn y diwygiadau blaenorol i'r Rheoliadau hyn, ac rwyf wedi gofyn i fy swyddogion sicrhau yn y dyfodol, os byddant yn ymwneud â'r Gymraeg, ein bod yn rhybuddio'r Pwyllgor Diwylliant ac yn ymgysylltu â hwy yn gynharach yn y broses.' Mae Dai Lloyd eisoes wedi trafod y ffaith bod y memorandwm esboniadol i reoliadau ar ddarparu gwasanaethau drwy gyfrwng y Gymraeg wedi'i gyflwyno yn Saesneg yn unig. Byddai hynny'n ddoniol pe na bai mor amharchus. Nodaf fod y Gweinidog iechyd hefyd yn nodi bod ei swyddogion wedi, a dwi'n dyfynnu, 'cytuno mewn egwyddor y byddwn yn cynyddu yn raddol nifer y memoranda esboniadol ar gyfer offerynnau statudol sy'n cael eu gosod gerbron y Cynulliad yn Gymraeg.' Ai ymrwymiad mor wan â hyn yw'r gorau y gallwn ei ddisgwyl gan Lywodraeth sydd ag uchelgais i gyrraedd miliwn o siaradwyr erbyn 2050? Fel pwyllgor, rydym am i Lywodraeth Cymru ymrwymo i roi'r cyfle inni graffu ar yr holl ddeddfwriaeth sy'n gysylltiedig â dyletswyddau'r Gymraeg ar ddarparwyr gofal sylfaenol cyn iddi gael ei gwneud neu ei gosod yn y Cynulliad. Ni ddylai fod angen dweud y dylid cyflwyno'r holl ddogfennau ategol yn ddwyieithog, ond yn yr achos hwn byddaf yn dweud hynny er mwyn iddo fod ar gofnod. O ran ymgynghoriad, cyn symud ymlaen at gynnwys y rheoliadau, rwyf am nodi ein pryderon am y broses ymgynghori. Ymgynghorodd Llywodraeth Cymru yn ffurfiol â chyrff cynrychioliadol meddygon, deintyddion, optegwyr ac yn y blaen. Ond wedyn, gwnaethon nhw ddweud wrthym ni eu bod nhw wedi cael trafodaethau gyda'r comisiynydd, ond nid oes unrhyw beth o'r cofnod hynny yn gyhoeddus. Rwy'n synnu bod y Llywodraeth wedi methu ag ymgynghori â'r grŵp pwysicaf, sef y cleifion. Mae'r ffaith na ofynnwyd i gleifion am wasanaethau drwy gyfrwng y Gymraeg yn adrodd cyfrolau am ba randdeiliaid y mae Llywodraeth yn eu blaenoriaethu. Mae'r pwyllgor yn galw am i'r rheoliadau gael eu diwygio yn dilyn ymgynghoriad pellach a fydd yn cynnwys grwpiau cleifion a Chomisiynydd y Gymraeg. O ran y gofynion, hoffwn siarad am ba ddyletswyddau fydd yn cael eu gosod ar ddarparwyr gofal sylfaenol a barn y darparwyr hynny ar y dyletswyddau perthnasol. Nid yw'r rheoliadau ond yn mynd mor bell â mynnu bod darparwyr yn trefnu bod ffurflenni ar gael yn Gymraeg a bod arwyddion newydd ar gael yn Gymraeg, a'u bod yn annog siaradwyr Cymraeg a dysgwyr i wisgo bathodyn, yn annog staff i fynd ar gyrsiau hyfforddiant a chodi ymwybyddiaeth ac yn nodi dewis iaith claf. Yn ein hadroddiad blaenorol, gwnaethom ysgrifennu am ein pryderon nad oes hawl o hyd i dderbyn gwasanaethau wyneb yn wyneb yn Gymraeg, ac y dylai'r hawl i dderbyn gwasanaethau yn newis iaith yr unigolyn fod yn egwyddor sefydlog yn y sector cyhoeddus yng Nghymru. Rwy'n dal i gredu hyn, ac rwy'n falch o ddweud bod aelodau'r pwyllgor wedi cytuno y dylai Llywodraeth Cymru weithio tuag at ddatblygu'r capasiti hwn. Mae gen i lot fawr i'w ychwanegu, ond dwi'n ymwybodol o amser. Rydyn ni yn siomedig â gwendidau'r rheoliadau hyn, a'r diffyg goruchwyliaeth, y pryderon a fynegwyd gan y cyrff proffesiynol, a'r diffyg ymgynghori â chleifion a'r comisiynydd. Mae'r holl elfennau hyn yn arwain at reoliadau sy'n llwyddo i fod yn hwyr ac wedi'u rhuthro. Disgrifiwyd hyn fel 'cam cyntaf' ar daith tuag at ddarparu mwy o wasanaethau gofal sylfaenol drwy gyfrwng y Gymraeg, ond mae hyn yn peri pryder. Os na chytunir ar gyfeiriad y daith, os nad yw'r costau'n dryloyw ac os nad yw'r darparwyr yn rhan o'r broses, yna ni all y daith hyd yn oed gychwyn. Dwi'n annog Llywodraeth Cymru i ymgynghori eto ac i ddiwygio'r rheoliadau yma.