English: The Member, I think, misunderstands the nature of some of the challenges, norovirus in particular. It's not a matter of the overall level of norovirus; it is the fact that norovirus tends to be concentrated in particular places and then ends up - as it has in Glangwili Hospital this year, for example - with the closure of whole wards and an inability, therefore, to admit patients. There may be a low level of norovirus overall, but it attacks particular places and causes particular impacts where it does. This year, there has been an early onset of flu; it may not be the most virulent strain of flu that we have faced in the last five years, but the fact that it has started early means that there has been an earlier influx into emergency departments of people with flu-like symptoms. Particularly this year, we face the fact that a number of very frail elderly people coming into emergency departments have required a higher level of admission to emergency departments than previously, and this is partly, Dirprwy Llywydd, a reflection of the success of the way that things have been done in Wales. We have large numbers of elderly people still living in their own homes with very intensive packages of care from local authorities, who in previous years would have been in residential care. When they come into hospital, it isn't a simple matter of simply plugging in one small extra service to allow them to go home; they are already receiving a very significant level of domiciliary care, and putting a new package of care ready for them is something that is complex and demanding amongst a whole range of services. And finally, we are still seeing this winter the impact of the changes to tax and pensions that has affected the ability of doctors to fill rotas and to carry out additional sessions. Two thousand sessions in Wales were cancelled in the run up to the Christmas period, 15,000 patients were affected by it, and that is still to be resolved. Nevertheless, Dirprwy Lywydd - and it's really important to say this, isn't it - over the whole of the Christmas period, when there were 15,000 attendances every week at emergency departments, 10,000 calls to the ambulance service in Wales, 4,000 emergency admissions every week into our hospitals in Wales, despite all those pressures, the health service goes on day in and day out responding to clinical need here in Wales, and patients in every part of Wales are grateful for the service that they get.
Welsh: Mae'r Aelod, rwy'n credu, yn camddeall natur rhai o'r heriau, norofeirws yn arbennig. Nid yw'n fater o'r lefel gyffredinol o norofeirws; y ffaith yw bod norofeirws yn tueddu i grynhoi mewn lleoedd penodol ac yna, yn y pen draw - fel y mae wedi ei wneud yn Ysbyty Glangwili eleni, er enghraifft - mae'n arwain at gau wardiau cyfan ac anallu, felly, i dderbyn cleifion. Efallai y bydd lefel isel o norofeirws yn gyffredinol, ond mae'n ymosod ar leoedd penodol ac yn achosi effeithiau penodol lle mae'n digwydd. Eleni, mae'r ffliw wedi dechrau'n gynnar; efallai nad dyma'r math mwyaf ffyrnig o ffliw yr ydym ni wedi ei wynebu yn y pum mlynedd diwethaf, ond mae'r ffaith ei fod wedi dechrau'n gynnar yn golygu y bu mewnlifiad cynharach i adrannau achosion brys o bobl gyda symptomau tebyg i ffliw. Yn enwedig eleni, rydym ni'n wynebu'r ffaith bod nifer o bobl oedrannus eiddil iawn sy'n dod i adrannau achosion brys wedi bod angen lefel uwch o dderbyniad i adrannau achosion brys nag o'r blaen, ac mae hyn yn rhannol, Dirprwy Lywydd, yn adlewyrchiad o lwyddiant y ffordd y gwnaed pethau yng Nghymru. Mae gennym ni niferoedd uchel o bobl oedrannus sy'n dal i fyw yn eu cartrefi eu hunain gyda phecynnau dwys iawn o ofal gan awdurdodau lleol, a fyddai wedi bod mewn gofal preswyl mewn blynyddoedd blaenorol. Pan fyddan nhw'n dod i'r ysbyty, nid yw'n fater syml o ychwanegu un gwasanaeth ychwanegol bach i ganiatáu iddyn nhw fynd adref; maen nhw eisoes yn derbyn lefel sylweddol iawn o ofal cartref, ac mae gwneud pecyn newydd o ofal yn barod ar eu cyfer yn rhywbeth sy'n gymhleth ac yn anodd ymhlith amrywiaeth eang o wasanaethau. Ac yn olaf, rydym ni'n dal i weld y gaeaf hwn effaith y newidiadau i drethi a phensiynau sydd wedi effeithio ar allu meddygon i lenwi rotas a chynnal sesiynau ychwanegol. Cafodd dwy fil o sesiynau eu canslo yng Nghymru yn y cyfnod cyn y Nadolig, effeithiodd hyn ar 15,000 o gleifion, ac mae hynny yn dal i fod heb ei ddatrys. Serch hynny, Dirprwy Lywydd - ac mae'n bwysig iawn dweud hyn, onid yw - dros holl gyfnod y Nadolig, pryd yr oedd 15,000 o bobl yr wythnos yn dod i adrannau achosion brys, 10,000 o alwadau i'r gwasanaeth ambiwlans yng Nghymru, 4,000 o dderbyniadau brys bob wythnos i'n hysbytai yng Nghymru, er gwaethaf yr holl bwysau hynny, mae'r gwasanaeth iechyd yn parhau i ymateb bob un dydd i angen clinigol yma yng Nghymru, ac mae cleifion ym mhob rhan o Gymru yn ddiolchgar am y gwasanaeth y maen nhw'n ei gael.