English: I referred in my original answer to the fact that Aneurin Bevan University Health Board has been reviewing the way in which its structure of hospital services, and not just hospital services, is currently configured. I don't agree with the point the Member made about downgrading and fragmentation; I think the Clinical Futures programme was a model of how a planned system can be developed to provide services in a part of Wales. I'm sure that the Member is right that the model always needs to be kept under review; we've always got to be making sure that it's working as it is intended. The model is a genuinely thoroughgoing one. It has the Grange hospital providing specialist services and critical care, it has three enhanced local general hospitals - the Royal Gwent, Nevill Hall and Ysbyty Ystrad Fawr - and it then has three further community hospitals - Ysbyty Aneurin Bevan, the Chepstow hospital and the county hospital. And it has urgent primary care centres - so, two new urgent primary care centres, one at the Royal Gwent and one at Nevill Hall, established with additional funding from the Welsh Government. Eighty-two thousand patients have now been seen at those new urgent primary care centres to make sure that people can receive those services as close to home as possible. And then you have, beyond that, the network of primary care services itself. I'm sure that Delyth Jewell will welcome the ambition in the planned care programme, published by my colleague Eluned Morgan only a couple of weeks ago - [ Inaudible.] - people would have had to travel to a hospital to receive can be now provided online with people in their own homes, and that 50 per cent of all follow-up appointments can clinically effectively be delivered in that way. We need to think about how the lessons we have learned over the last couple of years can be put to work to avoid some of those unnecessary and difficult journeys for people who are unwell in the first place and that previously would've been the routine way in which services would be provided. We can do better than that, and in been doing better than that, we can make sure that some of those access issues to which Delyth Jewell has referred can be significantly improved.
Welsh: Cyfeiriais yn fy ateb gwreiddiol at y ffaith bod Bwrdd Iechyd Prifysgol Aneurin Bevan wedi bod yn adolygu'r ffordd y mae ei strwythur o wasanaethau ysbytai, ac nid gwasanaethau ysbyty yn unig, wedi eu trefnu ar hyn o bryd. Nid wyf i'n cytuno â'r pwynt a wnaeth yr Aelod am israddio a darnio; rwy'n credu bod y rhaglen Dyfodol Clinigol yn fodel o sut y gellir datblygu system wedi ei chynllunio i ddarparu gwasanaethau mewn rhan o Gymru. Rwy'n siŵr bod yr Aelod yn iawn bod angen adolygu'r model yn barhaus; mae'n rhaid i ni fod yn gwneud yn siŵr bob amser ei fod yn gweithio yn unol â'i fwriad. Mae'r model yn un sy'n wirioneddol drylwyr. Mae ganddo ysbyty'r Faenor yn darparu gwasanaethau arbenigol a gofal critigol, mae ganddo dri ysbyty cyffredinol lleol estynedig - Ysbyty Brenhinol Gwent, Nevill Hall ac Ysbyty Ystrad Fawr - ac yna mae ganddo dri ysbyty cymunedol arall - Ysbyty Aneurin Bevan, ysbyty Cas-gwent a'r ysbyty sirol. Ac mae ganddo ganolfannau gofal sylfaenol brys - felly, dwy ganolfan gofal sylfaenol frys newydd, un yn Ysbyty Brenhinol Gwent ac un yn Nevill Hall, a sefydlwyd gydag arian ychwanegol gan Lywodraeth Cymru. Mae 82,000 o gleifion bellach wedi eu gweld yn y canolfannau gofal sylfaenol brys newydd hynny i wneud yn siŵr y gall pobl gael y gwasanaethau hynny mor agos i'w cartrefi â phosibl. Ac yna mae gennych chi, y tu hwnt i hynny, y rhwydwaith o wasanaethau gofal sylfaenol ei hun. Rwy'n siŵr y bydd Delyth Jewell yn croesawu'r uchelgais yn y rhaglen gofal wedi'i gynllunio, a gyhoeddwyd gan fy nghyd-Weinidog Eluned Morgan dim ond wythnos neu ddwy yn ôl - [ Anghlywadwy.] - byddai pobl wedi gorfod teithio i ysbyty i dderbyn gofal a all gael ei ddarparu ar-lein bellach gyda phobl yn eu cartrefi eu hunain, ac y gellir darparu 50 y cant o'r holl apwyntiadau dilynol yn glinigol effeithiol yn y ffordd honno. Mae angen i ni feddwl am sut y gellir rhoi'r gwersi yr ydym ni wedi eu dysgu dros y flwyddyn neu ddwy ddiwethaf ar waith i osgoi rhai o'r teithiau diangen ac anodd hynny i bobl sy'n sâl yn y lle cyntaf ac a fyddai'r ffordd arferol o ddarparu gwasanaethau yn y gorffennol. Gallwn ni wneud yn well na hynny, a thrwy wneud yn well na hynny, gallwn wneud yn siŵr y gellir gwella'n sylweddol rai o'r materion mynediad hynny y mae Delyth Jewell wedi cyfeirio atyn nhw.