English: May I thank the Cabinet Secretary for the update and, of course, thank the paramedics and those working behind the scenes in the ambulance service for all their hard work? Of course, I look forward to seeing ongoing monitoring of this programme. Certainly, the outcomes are the most important thing here, and therefore it's difficult to disagree with a programme that prioritises the most urgent cases. But what we need to guard against, of course, is that we don't put all our focus on those most urgent cases and that that doesn't lead us to miss problems in other parts of the performance of the ambulance service. For example, the median waiting time for amber calls has deteriorate. Are you comfortable with that as a Government? Following on from what was raised by the Member for Carmarthen west, we hear that the categorisation is under review, but how likely is it that we will see the need for a new subcategory - a dark amber, perhaps - to deal with certain cases such as stroke that don't need an immediate response like the 5 per cent, but where there would be a benefit, perhaps, of setting a specific target? And if that is a consideration, what assessment has been made of the impact of that, then, on the response to the red calls? I spent an interesting few hours, and a very valuable few hours, in the north Wales ambulance response centre, having a look for myself at the problems being faced there, and a few things were encapsulated in my own thoughts, and I have two questions emerging from my own experience there. What steps are being taken to ensure that there is less demand for ambulances in relation to calls from other health professionals where there is in fact no emergency? Secondly, we know that these delays in hospitals are a huge problem. It has become clearer to me, having seen it for myself and the impact that has on the operation of the ambulance service. The problem, of course, is these vehicles lined up outside hospitals, vehicles that could be responding to emergency calls. Now, as I understand it, in Stoke hospital, which is used as a trauma centre for the north, there is a service where a paramedic or a paramedic team actually takes patients immediately before they are transferred to the trauma team, and what that means, of course, is that the vehicle and the team of paramedics manning that vehicle are ready to go immediately. So, what work has been done or is being done to introduce similar systems in hospitals across Wales in order to speed up that transfer process and ensure that the vehicles and the teams are back on the road as soon as possible?
Welsh: A gaf i ddiolch yn fawr iawn am y diweddariad, ac, wrth gwrs, ddiolch yn fawr iawn i barafeddygon a gweithwyr y tu ôl i'r llenni, fel petai, yn y gwasanaeth ambiwlans am eu gwaith nhw? Wrth gwrs, rydw i'n edrych ymlaen at weld y monitro yn parhau o'r rhaglen yma. Yn sicr, y canlyniadau, neu'r 'outcomes', sydd fwyaf pwysig, ac felly mae'n anodd anghydweld â rhaglen sydd yn blaenoriaethu yr achosion mwyaf brys. Beth rydym ni angen bod yn ofalus iawn ohono fo, wrth gwrs, ydy bod rhoi ein holl sylw ar yr achosion mwyaf brys ddim yn golygu ein bod ni'n methu problemau mewn rhannau eraill o berfformiad y gwasanaeth ambiwlans. Er enghraifft, mae amser 'median' ar gyfer galwadau oren wedi gwaethygu. A ydych chi'n gyfforddus efo hynny fel Llywodraeth? Yn dilyn ymlaen o'r hyn a godwyd gan yr Aelod dros orllewin Caerfyrddin, rydym ni'n clywed bod y categori o dan adolygiad, ond pa mor debygol ydy hi y gallwn ni weld yr angen am is-gategori newydd - oren tywyll, os liciwch chi, o bosib - i ddelio efo ambell i salwch penodol fel strôc, sydd ddim angen ymateb ar unwaith fel y 5 y cant yna, ond lle byddai yna, o bosib, fudd o osod targed penodol? Ac os ydy hynny'n ystyriaeth, pa asesiad sydd wedi'i wneud o effaith hynny, wedyn, ar yr ymateb i alwadau coch? Mi dreuliais i ychydig o oriau difyr iawn a gwerthfawr iawn yn ddiweddar yng nghanolfan weithredol ambiwlans yng ngogledd Cymru yn cael golwg drosof fi fy hun beth ydy'r problemau sy'n cael eu hwynebu yno, ac mi wnaeth ambell beth gael eu crisialu yn fy meddwl i. Felly, mae dau gwestiwn wedyn yn deillio o'm profiad i. Pa gamau sy'n cael eu cymryd i sicrhau bod llai o alw ar ambiwlansys o alwadau gan weithwyr iechyd proffesiynol eraill lle nad oes achos brys i alw ambiwlans mewn difri? Yn ail, rydym ni'n gwybod bod yr oedi yma yn yr ysbyty yn broblem fawr. Mae'n gliriach i fi o'i weld o rŵan ar y sgrîn ac effaith hynny ar weithredu'r gwasanaeth ambiwlans. Y broblem, wrth gwrs, ydy'r cerbydau yma mewn rhesi y tu allan i ysbytai - cerbydau a allai fod yn ateb galwadau brys. Os ydw i wedi deall yn iawn, yn ysbyty Stoke, sy'n cael ei ddefnyddio, wrth gwrs, fel canolfan trawma ar gyfer y gogledd, mae yna wasanaeth yno lle mae parafeddyg neu dîm parafeddygol yn derbyn cleifion ar unwaith, cyn iddyn nhw wedyn gael eu trosglwyddo i'r tîm trawma. Beth mae hynny yn ei olygu, wrth gwrs, ydy bod y cerbyd a'i dîm o staff, o barafeddygon, yn barod i fynd yn syth. Pa waith sydd wedi neu yn cael ei wneud i edrych ar gyflwyno systemau tebyg mewn ysbytai ar draws Cymru er mwyn cyflymu'r broses drosglwyddo yna a sicrhau bod y cerbydau a'u timau arbenigol nhw yn ôl ar y ffordd cyn gynted â phosibl?