English: My sympathy with your wife. I also follow her on Facebook, so I did know about that. And, as I said, I haven't got much to add to anything else I said on rail. On the flu vaccine, the Member raises a very pertinent point. I think it's worth, Llywydd, me just repeating what the Cabinet Secretary has told people. For winter 2018-19, a flu vaccine specifically designed for older people has been licensed in the UK. The advice from the UK's expert panel on immunisation - the Joint Committee on Vaccination and Immunisation - is that this adjuvanted vaccine is expected to be more clinically effective in people aged 65 years or over compared with the other flu vaccines that are available, and that it is the only flu vaccine that is likely to be effective in people aged 75 and older. There is not a shortage of flu vaccines for over-65s. All orders submitted by GPs and pharmacists in Wales will be met. The delivery is phased due to demand. The manufacturer has confirmed that all orders will be delivered before the end of November. I It's important that the flu vaccine offered to at-risk individuals provides the best available protection. With the high levels of flu we experienced last season resulting in increased GP consultation rates and outbreaks at care homes and in hospitals, it's sensible to act on the expert advice to do everything we can. So, we're looking to people to choose the most effective flu vaccine for them demographically. I appreciate what the Member is highlighting, which is that delay in receiving the flu vaccine may be worrying for older people, but flu does not tend to start to circulate until mid December, so there's plenty of time yet for the flu vaccine to arrive and for people to be protected. The chief medical officer has already written to health boards, GPs and pharmacies with advice about planning arrangements for offering the flu vaccination to older people this season, in light of the availability. We are aware that a very small number of practices, as I think Nick Ramsay was highlighting, didn't order the adjuvanted vaccine, as recommended by the chief medical officer, or did not order enough for their eligible patients. In those cases, or where deliveries of vaccines have not yet been received, we've asked health boards, practices and community pharmacies to work together to ensure that individuals can access the adjuvanted vaccine as soon as possible, prioritising those over 75 and those over 65 with medical conditions. We are working with Public Health Wales and the NHS to ensure that that vaccine supply situation does not impact on any uptake. So, I think we are working very hard to do that. We are not yet at the point where all of the vaccines have been delivered, and I think that should be very reassuring to Nick Ramsay's constituents.
Welsh: Rwyf yn cydymdeimlo â'ch gwraig. Rwyf innau'n ei dilyn hi ar Facebook hefyd, felly roeddwn i yn gwybod am hynny. Ac, fel y dywedais, nid oes gennyf lawer i'w ychwanegu at unrhyw beth arall yr wyf wedi ei ddweud ynghylch y rheilffyrdd. O ran y brechlyn ffliw, mae'r Aelod yn codi pwynt perthnasol iawn. Credaf ei bod hi'n werth ailadrodd, Llywydd, yr hyn y mae Ysgrifennydd y Cabinet wedi ei ddweud wrth bobl. Ar gyfer gaeaf 2018-19, mae brechlyn ffliw sydd wedi ei gynllunio'n benodol ar gyfer pobl hŷn wedi ei drwyddedu yn y DU. Y cyngor gan banel arbenigol y DU ar imiwneiddio - y Cyd-bwyllgor ar Imiwneiddio a Brechu - yw y disgwylir i'r brechlyn cynorthwyol hwn fod yn fwy effeithiol yn glinigol gyda phobl 65 mlwydd oed neu hŷn o'i gymharu â brechlynnau ffliw eraill sydd ar gael, ac mai dyma'r unig frechlyn ffliw sy'n debygol o fod yn effeithiol ar gyfer pobl 75 oed a hŷn. Nid oes prinder brechlynnau ffliw ar gyfer pobl dros 65 oed. Bydd yr holl archebion a gyflwynwyd gan feddygon teulu a fferyllwyr yng Nghymru yn cael eu bodloni. Mae'r cyflenwad yn cael ei dosbarthu yn unol â'r galw. Mae'r gwneuthurwr wedi cadarnhau y bydd yr holl archebion wedi eu danfon cyn diwedd mis Tachwedd. Mae'n bwysig bod y brechlyn ffliw sy'n cael ei gynnig i unigolion mewn perygl yn darparu'r amddiffyniad gorau sydd ar gael. Gyda'r lefelau uchel o ffliw a gawsom y tymor diwethaf a arweiniodd at gynyddu cyfraddau ymgynghori â meddygon teulu ac achosion mewn cartrefi gofal ac mewn ysbytai, mae'n ddoeth gweithredu ar y cyngor arbenigol gan wneud popeth o fewn ein gallu. Felly, rydym yn gobeithio bydd pobl yn dewis y brechlyn ffliw sydd fwyaf effeithiol iddyn nhw o ran demograffeg. Rwyf yn gwerthfawrogi'r hyn y mae'r Aelod yn ei amlygu, sef y gall oedi cyn cael brechlyn ffliw fod yn destun pryder i bobl hŷn, ond nid yw'r ffliw yn tueddu i ddechrau mynd o gwmpas tan ganol fis Rhagfyr, felly mae digon o amser eto i'r brechlyn ffliw gyrraedd ac i bobl gael eu diogelu. Mae'r prif swyddog meddygol eisoes wedi ysgrifennu at y byrddau iechyd, meddygon teulu a fferyllfeydd gyda chyngor ynghylch trefniadau cynnig brechlynnau ffliw i bobl hŷn y tymor hwn, yng ngoleuni yr hyn sydd ar gael. Rydym yn ymwybodol bod nifer fach iawn o feddygfeydd, fel y credaf fod Nick Ramsay yn ei amlygu, nad oedden nhw wedi archebu'r brechlyn cynorthwyol, fel yr argymhellodd y prif swyddog meddygol, neu nad oedden nhw wedi archebu digon ar gyfer eu cleifion cymwys. Yn yr achosion hynny, neu pan nad yw cyflenwadau brechlynnau wedi cyrraedd eto, rydym wedi gofyn i fyrddau iechyd, practisiau a fferyllfeydd cymunedol weithio gyda'i gilydd i sicrhau bod unigolion yn gallu cael gafael ar y brechlyn cynorthwyol cyn gynted â phosibl, gan flaenoriaethu pobl dros 75 oed a'r rhai sydd dros 65 sy'n dioddef gan gyflyrau meddygol. Rydym yn gweithio gydag Iechyd Cyhoeddus Cymru a'r GIG i sicrhau nad yw sefyllfa cyflenwad y brechlyn yn effeithio ar unrhyw un rhag manteisio arno. Felly, credaf ein bod ni'n gweithio'n galed iawn i wneud hynny. Nid ydym wedi cyrraedd y pwynt eto pan fo'r holl frechlynnau wedi cyrraedd, a chredaf y dylai hynny fod yn galonogol iawn i etholwyr Nick Ramsay.