English: I won't rehearse the challenge about whether I'm directly running the health service in north Wales through special measures or not; we keep on coming back to this. But the reality is that the performance within emergency care in north Wales is not acceptable, and that is the direct message that the health board have had. In terms of the reasons for it, and factors within it, some of the factors are that, despite the fact that we've had better weather this winter than last winter, actually the flu season is slightly worse this winter, and, unusually, in January, there are more major incidents than minor incidents compared to last year. But, essentially, the challenge is actually about how the system in north Wales, in particular in two of our major sites, is not able to cope in the way that the rest of the country is able to, and that's complicated. It's about relationships between health and social care, it's about clinical leadership, and it's actually about leadership across the board. And there's a challenge about understanding that in other parts of Wales - there is significant pressure on our system at this time of year, which we understand - performance standards are better. So, it isn't just about saying, 'This is unacceptable, sort it out'; it is actually about working with our staff, because the worse thing I think I could do is to simply say, 'It's unacceptable and I want people to go down the road.' Actually, we need those staff within our system, their compassion and their commitment to deliver. We need to keep the staff with us whilst we understand, and they understand, together with their clinical colleagues and peers, how they can actually improve the service that they want to provide with their colleagues and for the people that they serve. It's also why the post of the unscheduled care lead, an emergency department consultant herself, is actually really important, to have that clinical credibility to deliver the improvement that all of us wish to see.
Welsh: Nid wyf am ailadrodd yr her ynglŷn ag a wyf yn rhedeg y gwasanaeth iechyd yng ngogledd Cymru yn uniongyrchol drwy fesurau arbennig ai peidio; rydym yn parhau i ddychwelyd at hyn. Ond y gwir amdani yw nad yw'r perfformiad mewn gofal brys yng ngogledd Cymru yn dderbyniol, a dyna'r neges uniongyrchol a roddwyd i'r bwrdd iechyd. O ran y rhesymau am hynny, a'r ffactorau sydd ynghlwm wrth hynny, mae rhai o'r ffactorau'n ymwneud â'r ffaith, er ein bod wedi cael gwell tywydd y gaeaf hwn na'r gaeaf diwethaf, mewn gwirionedd, mae'r tymor ffliw ychydig yn waeth y gaeaf hwn, ac yn anarferol, ym mis Ionawr, cafwyd mwy o ddigwyddiadau mawr na mân ddigwyddiadau o gymharu â'r llynedd. Ond yn y bôn, mae'r her, mewn gwirionedd, yn ymwneud â sut nad yw'r system yng ngogledd Cymru, yn enwedig mewn dau o'n safleoedd mawr, yn gallu ymdopi yn yr un modd â gweddill y wlad, ac mae hynny'n gymhleth. Mae'n ymwneud â'r berthynas rhwng iechyd a gofal cymdeithasol, mae'n ymwneud ag arweinyddiaeth glinigol, ac mewn gwirionedd, mae'n ymwneud ag arweinyddiaeth yn gyffredinol. A cheir her o ran deall, mewn rhannau eraill o Gymru - mae pwysau sylweddol ar ein system yr adeg hon o'r flwyddyn, ac rydym yn deall hynny - fod safonau perfformiad yn well. Felly, mae'n ymwneud â mwy na dweud, 'Mae hyn yn annerbyniol, datryswch y broblem'; mae'n ymwneud â gweithio gyda'n staff, gan mai'r peth gwaethaf y credaf y gallwn ei wneud yw dweud, 'Mae'n annerbyniol ac rwyf am i bobl fynd.' Mewn gwirionedd, mae arnom angen y staff hynny yn ein system, eu tosturi a'u hymrwymiad i ddarparu. Mae angen inni gadw staff gyda ni wrth inni ddeall, ac wrth iddynt hwy ddeall, ynghyd â'u cydweithwyr a'u cymheiriaid clinigol, sut y gallant wella'r gwasanaeth y maent am ei ddarparu gyda'u cydweithwyr ac ar gyfer y bobl y maent yn eu gwasanaethu. Dyna pam hefyd fod rôl y swyddog arweiniol gofal heb ei drefnu, sy'n ymgynghorydd adran achosion brys ei hun, yn bwysig iawn mewn gwirionedd, er mwyn sicrhau'r hygrededd clinigol hwnnw i gyflawni'r gwelliannau y mae pob un ohonom am eu gweld.