English: I thank the Cabinet Secretary for the statement today. I am trying to assess how much recognition that there is in truth of the concern that has been raised in the wake of the publication of this White Paper. There is a description by you, as Cabinet Secretary, of the broad-ranging nature of the responses, and we have to remind ourselves how short the consultation period was over last summer, and that the public meetings were last-minute steps as were the public forums that were held around Wales. It's important to remember that. But, even though there is, as you said, quite a response that's been received, it's quite superficial what we've heard from you on what exactly came out. Maybe that's inevitable in quite a brief statement, but a lot of those who responded you say agree in principle with what was proposed by the White Paper, but some who responded have asked for more information and details. I do appreciate the positive spin you've put on that, but we have to remind ourselves that there is a very deep concern that's been voiced about some elements of what was in the White Paper. I will start with the concern on the intention to get rid of the community health councils. I will make the point again, as I've done previously, that we're not asking for the CHCs to be kept forever - that's not what people are asking for - but for the retention of their function and the purpose that was and is delivered, as the voice of the people. I hope that it has become clear to you as part of this consultation that there is a feeling that the health inspectorate and the CHCs or any new body can't be doing the same work, because the purpose of the body that represents the patient is to measure and to assess and evaluate the experience that the patient has within the NHS, and what was recommended in the White Paper wasn't going to deliver that on behalf of patients in Wales. So, I would like to have confirmation from you, while you say that you're going to develop and take new proposals forward in terms of a body to give the patients a voice, that getting rid of CHCs or something similar to them is now off the table, because patients in Wales deserve far better than that. Two other questions. The statement says that support has been voiced that very robust steps should be taken against health bodies that fail. What does that mean when we're talking about organisations that are already in special measures? Are you talking about introducing very special measures or hugely special measures? Please give me an explanation of that. Finally, in terms of the representation on health boards, are you as Cabinet Secretary in agreement that more balance in terms of gender across the health boards is necessary and that we have an example of the need for that balance in order to prevent decisions such as getting rid of perinatal services back in 2013? I think that decisions could have been different if there were more women on the boards at that time. Possibly, we could talk about decisions regarding gender identity and so forth too, but I would appreciate more comments from you about that important balance on our health boards.
Welsh: Diolch i'r Ysgrifennydd Cabinet am y datganiad yma heddiw. Rwy'n trio asesu faint o gydnabyddiaeth sydd yna mewn difrif o'r consyrn sydd wedi cael ei godi yn sgil cyhoeddi'r Papur Gwyn yma. Mae yna ddisgrifiad gennych chi fel Ysgrifennydd Cabinet o ba mor eang fu'r ymatebion, ac mae'n rhaid atgoffa ein hunain cyfnod mor fyr oedd yna i gynnal yr ymgynghoriad yma, dros fisoedd yr haf diwethaf, ac mai camau munud olaf iawn oedd y cyfarfodydd cyhoeddus a'r fforymau casglu barn a gafodd eu cynnal ar draws Cymru. Mae'n bwysig cofio hynny. Ond er bod yna, fel rydych chi'n ei ddweud, dipyn o ymateb wedi dod i mewn, digon arwynebol, efallai, ydy'r hyn yr ydym ni wedi'i glywed gennych chi heddiw ynglŷn â beth yn union ddaeth allan. Mae'n bosib bod hynny'n anochel mewn datganiad cymharol fyr, ond mae llawer o'r rhai wnaeth ymateb, meddech chi, yn cytuno mewn egwyddor efo'r hyn a oedd yn cael ei gynnig yn y Papur Gwyn ond bod rhai a wnaeth ymateb wedi gofyn am ragor o wybodaeth a manylion. Rydw i'n gwerthfawrogi'r sbin gadarnhaol rydych chi'n ei rhoi ar hynny, ond mae'n rhaid i ni atgoffa ein hunain bod yna gonsyrn dyfn iawn wedi cael ei leisio ynglŷn ag ambell elfen o'r hyn oedd yn y Papur Gwyn. Mi wnaf i ddechrau efo'r pryder ynglŷn â'r bwriad i gael gwared ar y cynghorau iechyd cymuned. Mi wnaf i wneud y pwynt eto, fel rydw i wedi'i wneud o o'r blaen, nad gofyn am gael cadw y cynghorau iechyd cymuned eu hunain am byth y mae pobl ond gofyn am gadw y function os liciwch chi, cadw'r diben oedd yn cael ei gyflawni ac sy'n cael ei gyflawni, fel llais y bobl. Rydw i'n gobeithio ei bod hi wedi dod yn glir iawn i chi fel rhan o'r ymgynghoriad yma fod yna deimlad na all yr arolygiaeth iechyd a'r cynghorau iechyd cymuned neu ryw gorff newydd fod yn gwneud yr un gwaith oherwydd diben y corff sy'n cynrychioli y claf ydy mesur ac asesu a gwerthuso y profiad y mae'r claf yn ei gael o fewn y gwasanaeth iechyd ac nid oedd yr hyn yr oedd yn cael ei argymell yn y Papur Gwyn yn mynd i fod yn cyflawni hynny ar ran cleifion yng Nghymru. Felly, mi hoffwn i gadarnhad gennych chi, tra'ch bod chi'n dweud eich bod chi'n mynd i ddatblygu a chymryd cynigion newydd ymlaen ynglŷn â chorff i roi llais i'r cleifion, bod cael gwared ar CHCs neu rywbeth tebyg iddo fo bellach oddi ar y bwrdd, achos mae'r claf yng Nghymru yn haeddu llawer gwell na hynny. Dau gwestiwn arall. Mae'r datganiad yn dweud bod cefnogaeth wedi cael ei ddatgan y dylai camau cadarn iawn gael eu cymryd yn erbyn y cyrff iechyd sydd yn methu. Beth mae hynny'n ei olygu pan ydym ni'n sôn am sefydliadau sydd eisoes mewn mesurau arbennig? A ydych chi'n sôn am gyflwyno mesurau arbennig iawn neu fesurau arbennig o ryfeddol o arbennig? Rhowch eglurhad i mi ynglŷn â hynny. Ac, yn olaf, ynglŷn â'r gynrychiolaeth sydd yna ar fyrddau iechyd, a ydych chi fel Ysgrifennydd Cabinet yn cytuno bod mwy o falans o ddynion a merched ar draws byrddau yn gwbl angenrheidiol a bod yna enghraifft gennym ni bod angen y cydbwysedd yna er mwyn atal penderfyniadau fel cael gwared ar wasanaethau perinatal yn ôl yn 2013 yn digwydd? Rydw i'n meddwl y gallai penderfyniadau fod wedi bod yn wahanol pe bai yna ragor o ferched ar fyrddau ar y pryd. O bosib, gallwn i grybwyll penderfyniadau ynglŷn â gender identity a gwasanaethau felly hefyd, ond mi fyddwn i'n gwerthfawrogi eich sylwadau pellach chi ynglŷn â'r cydbwysedd pwysig yna sydd ar ein byrddau iechyd.