English: I thank the Member for the series of questions that he's asked. I accept that Members will, of course, be interested not just in the red category, where we're meeting and sustaining our performance targets, and where there is a time measure, but also in the amber category as well, because we recognise that those people require a response, and it is a blue light response to all those people in the amber category. The great majority of people in the amber category receive a response and have an experience that is not problematic at all. The challenge is that some people do wait longer than we would wish them to wait, so that's partly understanding both the experience and what that means for their outcomes as well. That will be covered in the review measures that are being taken forward, so I would not wish any Member to leave here with the impression that, somehow, people in the amber core category are being forgotten. They're very much part of the evaluation and the recommendations that are directed at the Welsh ambulance service and the Emergency Ambulance Services Committee to take forward. Of course, I look forward to coming back with the recommendations they make for further improvement. As I say, if there is a requirement based on the best available clinical evidence and advice that outcomes can be improved by being moved or dealt with in a different way, then of course I'll have to properly consider that and respond to it. But it must be that there is a positive step forward that can be taken, and there is real evidence that outcomes can be improved if we take a different approach. This is the point about having a time target where it's appropriate. I'm actually really pleased that this place has moved on quite a long way since where we were with the initial announcement. At that point, people in a range of parties were sceptical about whether it was the right thing to do to remove a time-based target - whether, actually, we would risk patient outcomes. Actually, the evaluation report gives us some comfort that not only are we meeting the red category, but there is no evidence at all that patient safety has been compromised. That's an important point for all of us to take on board, and it certainly doesn't take away from the point about further improvement in the future. I recognise the point you make about health professionals, of course, and how they're managed. It is part of the support that is supposed to be provided, not just within this part of the way in which care is delivered, but also support for those health professionals where there is a need and how and where they get it, and also the level of confidence that I think is being generated, within primary care in particular, that if a response is needed, it will happen in a timely way. So, this is about building confidence within a whole system, and actually each health profession taking its share of responsibility for the consequence of their own choices that impact on another part of the healthcare system and, of course, on the journey through care that each individual patient takes. That goes into the point abut hospital delays, because decisions made within an emergency department about whether to take people out of an ambulance and to put them into a department have an impact on that individual, but they also have an impact in the community as well. If we can't see an appropriate number of ambulances released properly and rapidly, then actually there's a risk that isn't being managed appropriately within the community as well. This is why we're reiterating again to emergency departments, going through the national unscheduled care programme that we have - to make sure that we get more hospitals to do what Cwm Taf health board does successfully, in making sure that people are accepted from ambulances and brought into an emergency department quickly. Actually, if we saw that practice rolled out in a much more consistent and demanding way across our system, we would be in a better position. That means the risk is then managed in the emergency department. You will recall there being pictures of full departments throughout winter, but actually that's almost certainly a better place for that person to be. They'll be seen and triaged by medical staff within the emergency department, so those people will be under observation. But, equally, that then means the ambulance is released to go back out into the community. So, we're very clear as a Government what we expect, the health service understands, and it's been reiterated by the chief executive of the NHS, and, again, this is a regular point for myself in accountability meetings and conversations with chairs of health boards, to make sure they're moving much closer to where Cwm Taf health board already are.
Welsh: Diolch i'r Aelod am y gyfres o gwestiynau a ofynnodd. Rwy'n derbyn y bydd gan yr Aelodau, wrth gwrs, ddiddordeb nid yn unig yn y categori coch, lle'r ydym yn bodloni ac yn cynnal ein targedau perfformiad, a lle mae mesur amser, ond hefyd yn y categori oren. Rydym yn cydnabod bod angen ymateb ar y bobl hynny hefyd, ac mae'n ymateb golau glas i'r holl bobl yn y categori oren. Mae mwyafrif helaeth y bobl yn y categori oren yn cael ymateb ac yn cael profiad nad yw'n achosi problemau o gwbl. Yr her yw bod rhai pobl yn aros am fwy o amser nag y byddem yn dymuno, felly mae'n rhannol yn fater o ddeall y profiad a beth mae hynny'n ei olygu o ran eu canlyniadau hefyd. Bydd hynny'n cael ei gynnwys yn y mesurau adolygu sy'n cael eu gweithredu. Felly ni fyddwn yn dymuno i unrhyw Aelod adael yma dan yr argraff bod pobl yn y categori oren craidd, rywsut, yn cael eu hanghofio. Maen nhw'n sicr yn rhan o'r gwerthusiad a'r argymhellion a gyfeirir at Wasanaeth Ambiwlans Cymru a'r Pwyllgor Gwasanaethau Ambiwlans Brys i'w datblygu ymhellach. Wrth gwrs, rwy'n edrych ymlaen at ddod yn ôl gyda'r argymhellion y byddant yn eu gwneud ar gyfer gwelliannau pellach. Fel yr wyf yn dweud, os oes gofyniad ar sail y dystiolaeth glinigol a'r cyngor gorau sydd ar gael bod modd gwella canlyniadau drwy ymdrin â'r mater mewn ffordd wahanol, yna, wrth gwrs bydd yn rhaid i mi ystyried hynny ac ymateb yn briodol. Ond mae'n rhaid bod cam positif ymlaen y gellid ei gymryd, ac mae tystiolaeth wirioneddol bod modd gwella canlyniadau os byddwn yn mynd ar drywydd gwahanol. Dyma'r pwynt o gael targed amser lle mae'n briodol. Mewn gwirionedd, rwy'n falch iawn bod y lle hwn wedi symud ymlaen gryn dipyn o'r sefyllfa yr oeddem ynddi ar adeg y cyhoeddiad cychwynnol. Bryd hynny, roedd pobl mewn ystod o bartïon yn amheus ai diddymu'r targed amser oedd y peth iawn i'w wneud - a fyddem, mewn gwirionedd, yn peryglu canlyniadau cleifion. A dweud y gwir, mae'r adroddiad gwerthuso yn rhoi rhywfaint o gysur i ni, nid yn unig ein bod yn bodloni'r categori coch, ond nad oes tystiolaeth o gwbl bod diogelwch cleifion yn y fantol. Mae hwn yn bwynt pwysig i bob un ohonom ni ei ddeall, ac yn sicr nid yw'n tynnu oddi ar y pwynt am welliant pellach yn y dyfodol. Rwy'n cydnabod y pwynt a wnewch am weithwyr iechyd proffesiynol, wrth gwrs, a sut y cânt eu rheoli. Mae'n rhan o'r gefnogaeth sydd i fod cael ei darparu, nid yn unig o ran y ffordd y mae gofal yn cael ei ddarparu, ond hefyd y gefnogaeth i'r gweithwyr iechyd proffesiynol hynny o ran lle a sut a ble maent yn cael y gefnogaeth honno. Hefyd, mae lefel yr hyder sy'n cael ei greu yn bwysig, yn fy marn i, o fewn gofal sylfaenol yn benodol, ac os oes angen ymateb, ei fod yn digwydd mewn modd prydlon. Felly, mae hyn yn ymwneud â meithrin hyder o fewn system gyfan, ac mewn gwirionedd, fod pob proffesiwn iechyd yn rhannu cyfrifoldeb dros ganlyniad eu dewisiadau eu hunain sy'n effeithio ar ran arall o'r system gofal iechyd ac, wrth gwrs, ar y daith drwy ofal y mae pob claf unigol yn mynd arni. Mae hyn yn arwain at y pwynt am oedi mewn ysbytai. Mae penderfyniadau a wneir mewn adran achosion brys ynghylch a ddylid tynnu pobl allan o'r ambiwlans a'u rhoi nhw mewn adran yn cael effaith ar yr unigolyn hwnnw, ond hefyd yn cael effaith ar y gymuned. Os na allwn weld nifer briodol o ambiwlansys yn cael eu rhyddhau yn gywir ac yn gyflym, yna mewn gwirionedd mae yna berygl nac yw hyn yn cael ei reoli'n briodol yn y gymuned chwaith. Dyma pam rydym yn gofyn eto i'r adrannau achosion brys, sy'n dilyn y rhaglen genedlaethol o ofal heb ei drefnu sydd gennym - i wneud yn siŵr bod mwy o ysbytai yn gwneud yr hyn y mae Bwrdd Iechyd Cwm Taf yn ei wneud yn llwyddiannus, sef sicrhau bod pobl yn cael eu derbyn o'r ambiwlansys ac yn cael eu trosglwyddo i adran achosion brys yn gyflym. Yn wir, pe byddem yn gweld yr arfer hwnnw'n cael ei gyflwyno'n fwy cyson a phenderfynol ar draws ein system, byddem mewn gwell sefyllfa. Mae hynny'n golygu y bydd y risg yn cael ei reoli yn yr adran achosion brys. Byddwch yn cofio gweld y lluniau o adrannau llawn drwy gydol y gaeaf, ond mewn gwirionedd mae hwnnw bron yn sicr yn lle gwell i'r person hwnnw fod ynddo. Bydd yn cael ei weld a'i frysbennu gan staff meddygol yn yr adran achosion brys, felly bydd dan oruchwyliaeth. Ond, yn yr un modd, mae hynny wedyn yn golygu bod yr ambiwlans yn cael ei ryddhau i fynd yn ôl allan i'r gymuned. Felly, rydym ni'n glir iawn fel Llywodraeth am yr hyn a ddisgwyliwn, mae'r gwasanaeth iechyd yn deall, ac mae prif weithredwr y GIG wedi dweud hyn dro ar ôl tro ac, unwaith eto, mae hwn yn bwynt rheolaidd sy'n cael ei drafod gen i mewn cyfarfodydd atebolrwydd a sgyrsiau gyda chadeiryddion byrddau iechyd, i wneud yn siŵr eu bod yn symud yn nes at y sefyllfa y mae Bwrdd Iechyd Cwm Taf eisoes ynddi.