English: Diolch yn fawr, Dirprwy Lywydd. The people of Wales deserve health services that deliver the best possible outcomes for patients. We will be guided by the best and most up-to-date clinical evidence to deliver that high-quality care. Today's debate is a subject that we've discussed on numerous occasions and I therefore make no apologies to Members that they will hear again why services must change. We need improvements if we are to provide health services that the people of Wales deserve. That was the conclusion of the Parliamentary review of health and social care. The review clearly advocated the need for a revolution in our health and care system to meet future demands, and I'd like to remind the Conservatives about the previous debate, the one before this, where they were asking for radical transformation: the parties in this Senedd signed up to those recommendations, and let me tell you that west Wales has not been forgotten. If plans to develop a new hospital were to proceed, this would represent the largest public sector investment ever to happen in west Wales, delivering a brand-new, cleaner, greener facility, and massive opportunities for local people, and I know on which side of that debate I would want to be. Hywel Dda University Health Board is responsible for the provision of safe, sustainable, high-quality healthcare for its local population, including acute and emergency services. It's been consulting on a range of proposals as part of its 20-year health strategy. The Welsh Government is currently scrutinising their programme business case and no decisions have yet been made. The health board continues to make it absolutely clear that duplication of services across its sites leads to fragility. Multiple sites cannot sustain the necessary expertise nor the scale needed to provide optimum 24/7 care. And as someone who is based in St David's with a 90-year-old mother, I know that I would rather travel an extra few miles to see an expert quicker than spending hours on end in A&E, as is currently the case. The health board's programme for transformation has been designed by clinicians specifically to ensure proposals are safe for patients. The health board reached this current proposal after what was regarded as an exemplar engagement process with many communities over many months. Now, the proposal to build a new hospital that will have state-of-the-art emergency-care facilities is intended to improve standards of care. The proposal means that it will be possible to have timely access to decision makers at a senior level who can assess patients, and it'll also lead to an improvement in terms of training opportunities for our professional staff, and attracting staff, when we've got an ageing workforce, is going to be difficult. And let's just be honest about how difficult it is at the moment to attract people.
Welsh: Diolch yn fawr, Ddirprwy Lywydd. Mae pobl Cymru yn haeddu gwasanaethau iechyd sy'n sicrhau'r canlyniadau gorau posibl i gleifion. Byddwn yn cael ein harwain gan y dystiolaeth glinigol orau a mwyaf diweddar i ddarparu'r gofal o ansawdd uchel hwnnw. Mae'r ddadl heddiw yn bwnc a drafodwyd gennym droeon, ac felly nid wyf yn ymddiheuro i'r Aelodau y byddant yn clywed unwaith eto pam fod yn rhaid i wasanaethau newid. Mae angen gwelliannau arnom os ydym am ddarparu gwasanaethau iechyd y mae pobl Cymru yn eu haeddu. Dyna oedd casgliad yr adolygiad Seneddol o iechyd a gofal cymdeithasol. Roedd yr adolygiad yn argymell yn glir yr angen am chwyldro yn ein system iechyd a gofal i fodloni gofynion y dyfodol, a hoffwn atgoffa'r Ceidwadwyr am y ddadl flaenorol, yr un cyn hon, pan oeddent yn gofyn am drawsnewid radical: ymrwymodd pleidiau'r Senedd hon i'r argymhellion hynny, a gadewch imi ddweud wrthych nad yw gorllewin Cymru wedi'i anghofio. Pe bai cynlluniau i ddatblygu ysbyty newydd yn mynd yn eu blaenau, dyna fyddai'r buddsoddiad mwyaf erioed yn y sector cyhoeddus yng ngorllewin Cymru, a byddai'n darparu cyfleuster newydd sbon, glanach, gwyrddach, a chyfleoedd enfawr i bobl leol, a gwn ar ba ochr i'r ddadl honno yr hoffwn fod. Mae Bwrdd Iechyd Prifysgol Hywel Dda yn gyfrifol am ddarparu gofal iechyd diogel, cynaliadwy o ansawdd uchel ar gyfer ei boblogaeth leol, gan gynnwys gwasanaethau acíwt a gwasanaethau brys. Mae wedi bod yn ymgynghori ar ystod o gynigion fel rhan o'i strategaeth iechyd 20 mlynedd. Mae Llywodraeth Cymru wrthi'n craffu ar achos busnes eu rhaglen, ac nid oes unrhyw benderfyniadau wedi'u gwneud eto. Mae'r bwrdd iechyd yn parhau i nodi'n gwbl glir fod dyblygu gwasanaethau ar ei safleoedd yn arwain at freuder. Ni all safleoedd lluosog gynnal yr arbenigedd angenrheidiol na'r raddfa angenrheidiol i ddarparu'r gofal gorau posibl 24/7. Ac fel rhywun sy'n byw yn Nhyddewi gyda mam 90 oed, gwn y byddai'n well gennyf deithio ychydig filltiroedd yn rhagor i weld arbenigwr yn gyflymach na threulio oriau yn yr adran damweiniau ac achosion brys, fel sy'n digwydd ar hyn o bryd. Mae rhaglen drawsnewid y bwrdd iechyd wedi'i llunio gan glinigwyr yn benodol i sicrhau bod cynigion yn ddiogel i gleifion. Lluniodd y bwrdd iechyd y cynnig cyfredol hwn ar ôl yr hyn a ystyrid yn batrwm o broses ymgysylltu gyda llawer o gymunedau dros fisoedd lawer. Nawr, bwriad y cynnig i adeiladu ysbyty newydd yn meddu ar gyfleusterau gofal brys o'r radd flaenaf yw gwella safonau gofal. Golyga'r cynnig y bydd modd cael mynediad amserol at bobl sy'n gwneud penderfyniadau ar lefel uwch ac sy'n gallu asesu cleifion, a bydd hefyd yn arwain at wella cyfleoedd hyfforddi i'n staff proffesiynol, ac mae denu staff, pan fo gennym weithlu sy'n heneiddio, yn mynd i fod yn anodd. A gadewch inni fod yn onest ynglŷn â pa mor anodd yw denu pobl ar hyn o bryd.