English: Good afternoon, Minister, and thank you for today's statement and for the advance sighting of it. I think there are some very good signs being shown in the 'Train. Work. Live.' campaign, and I especially welcome the efforts to improve the recruitment of young people and to increase the training places across all the healthcare professions. Now, one of the aims was to attract a more diverse demographic into the profession. A campaign was launched at the beginning of this year, featuring Richard Desir, as a male nurse, to try to attract more than the 12 per cent of male nurses we currently have, and I wondered if you could outline how this campaign is progressing and whether more male nurses have been recruited and whether in fact nurses have been recruited from a better or wider spread of ages. Additionally, could you outline whether or not there have been any successes in attracting nurses back into the profession who have previously left? Now, I'm sure you will know the Royal College of Nursing has outlined there are severe gaps in the nursing workforce, noting that, every week, nurses in Wales give the NHS extra hours to the value of 976 full-time nurses. Now, last year, 2018-19, NHS Wales spent over £63 million on agency nursing, which is a rise of some 24 per cent from last year, and that's the equivalent of over 2,600 newly qualified nurses. Now, I do acknowledge the recent announcement of more nursing training places, but it is a question about whether or not those additional training places would actually cover that level of vacancy rates over the long term, and I wonder if you can give us a view for your anticipation for how that shortage in nurses would be covered and how long you may think it would take to do so. Last week, the Scottish Government launched their 'What did you do today?' campaign to recruit more health staff, and I would like to know if you've had any discussions with your Scottish counterparts surrounding their attempts to make health a more attractive career path for young people, and is there anything we might learn from them. I'm very pleased to hear that specific areas of GP recruitment have been a success, particularly - and I'm highly partisan, as you'll probably know - the Pembrokeshire area, but are there any plans to expand this further, focusing specifically on other counties or other particular areas? Because, whilst these new training places are good news, I do remain concerned about the ability of Welsh health boards to retain existing GPs. Figures from the Royal College of GPs highlight that 31 per cent of GPs say that they are very stressed and they cannot cope at least once a week, 23 per cent of GPs say they're unlikely to be working in general practice in five years' time, and 72 per cent of GPs say they expect working in general practice to get worse in the next five years. So, I think what this is signalling is that there's a real disaffection and concern over their working habits amongst the GP profession. So, whilst it is very welcome that you've managed to fill all the places you have available, that we've recruited in some of the traditionally hard-to-recruit areas, I just wanted to have a clear understanding of your long-term strategy to turn around this situation to retain the GPs we have, to improve their conditions in such a way that we aren't having this potential threat of people leaving. Finally, I do remain concerned that gaps remain in a lot of the diagnostic workforce across the board and I just wondered if you could provide an update on Health Education and Improvement Wales's workforce strategy and how it specifically plans to address the gaps in the diagnostic workforce. I'm sure we all agree that, if we can diagnose people earlier, we can probably get to them, have better outcomes in terms of health and less cost to the country. What are you doing to increase clinical training places in line with present and future patient needs? And - this is an ask, actually, from some of the cancer charities - will the Welsh Government commit to a comprehensive audit of diagnostic staff numbers in the Welsh NHS? When I took a look at that situation, I thought that actually wasn't an altogether unreasonable ask and I wonder if HEIW might be addressing that. Thank you.
Welsh: Prynhawn da, Gweinidog, a diolch am y datganiad heddiw ac am gael ei weld o flaen llaw. Rwy'n credu bod rhai arwyddion da iawn i'w gweld yn yr ymgyrch 'Hyfforddi. Gweithio. Byw,' a chroesawaf yn arbennig yr ymdrechion i wella'r broses o recriwtio pobl ifanc a chynyddu'r lleoedd hyfforddi ym mhob un o'r proffesiynau gofal iechyd. Nawr, un o'r nodau oedd denu demograffig mwy amrywiol i'r proffesiwn. Lansiwyd ymgyrch ddechrau'r flwyddyn hon, yn cynnwys Richard Desir, nyrs wrywaidd, i geisio denu mwy na'r 12 y cant o nyrsys gwrywaidd sydd gennym ni ar hyn o bryd, a tybed a wnewch chi amlinellu sut y mae'r ymgyrch hon yn datblygu ac a oes mwy o nyrsys gwrywaidd wedi cael eu recriwtio ac a yw nyrsys wedi cael eu recriwtio o blith oedrannau ehangach. Hefyd, a wnewch chi amlinellu a fu unrhyw lwyddiannau ai peidio o ran denu nyrsys yn ôl i'r proffesiwn sydd wedi gadael yn y gorffennol? Nawr, rwy'n siŵr y byddwch yn gwybod bod y Coleg Nyrsio Brenhinol wedi amlinellu bod bylchau difrifol yn y gweithlu nyrsio, gan nodi bod nyrsys yng Nghymru, bob wythnos, yn rhoi oriau ychwanegol i'r GIG gwerth 976 o nyrsys llawn amser. Nawr, y llynedd, 2018-19, gwariodd GIG Cymru dros £63 miliwn ar nyrsys asiantaeth, sy'n gynnydd o ryw 24 y cant ers y llynedd, ac mae hynny'n cyfateb i dros 2,600 o nyrsys sydd newydd gymhwyso. Nawr, rwyf yn cydnabod y cyhoeddiad diweddar fod rhagor o leoedd hyfforddiant nyrsio, ond mae'n gwestiwn ynghylch a fyddai'r lleoedd hyfforddi ychwanegol hynny'n ddigonol mewn gwirionedd ar gyfer y lefel honno o swyddi gwag dros y tymor hir, a tybed a wnewch chi, yn eich barn chi, ddweud sut y byddech yn rhagweld cai'r broblem honno o brinder nyrsys ei datrys a faint o amser y credech y byddai'n ei gymryd i wneud hynny. Yr wythnos diwethaf, lansiodd Llywodraeth yr Alban ei hymgyrch 'What did you do today?' i recriwtio mwy o staff iechyd, a hoffwn wybod a ydych chi wedi cael unrhyw drafodaethau gyda'ch cymheiriaid yn yr Alban ynghylch eu hymdrechion i wneud iechyd yn llwybr gyrfa mwy deniadol i bobl ifanc, ac a oes unrhyw beth y gallem ei ddysgu oddi wrthyn nhw. Rwy'n falch iawn o glywed bod meysydd penodol o ran recriwtio meddygon teulu wedi bod yn llwyddiant, yn enwedig - ac rwy'n bleidiol iawn, fel y gwyddoch chi mae'n siŵr - ardal Sir Benfro, ond a oes unrhyw gynlluniau i ehangu hyn ymhellach, gan ganolbwyntio'n benodol ar siroedd eraill neu feysydd penodol eraill? Oherwydd, er bod y lleoedd hyfforddi newydd hyn yn newyddion da, rwy'n dal i bryderu am allu byrddau iechyd Cymru i gadw'r meddygon teulu presennol. Mae ffigurau Coleg Brenhinol y Meddygon Teulu yn tynnu sylw at y ffaith bod 31 y cant o feddygon teulu yn dweud eu bod dan bwysau mawr ac na allant ymdopi o leiaf unwaith yr wythnos, mae 23 y cant o feddygon teulu yn dweud eu bod yn annhebygol o fod yn gweithio mewn practis cyffredinol ymhen pum mlynedd, ac mae 72 y cant o feddygon teulu yn dweud eu bod yn disgwyl i weithio mewn practis cyffredinol waethygu yn ystod y pum mlynedd nesaf. Felly, rwy'n credu mai'r hyn y mae'n ei ddweud yw bod dadrithiad a phryder gwirioneddol ynghylch eu harferion gwaith ymhlith meddygon teulu. Felly, er y croesewir yn fawr eich bod wedi llwyddo i lenwi'r holl leoedd sydd ar gael i chi, ein bod wedi recriwtio yn rhai o'r ardaloedd sy'n anodd recriwtio ar eu cyfer yn draddodiadol, roeddwn eisiau deall yn glir beth yw eich strategaeth hirdymor i newid y sefyllfa hon, i gadw'r meddygon teulu sydd gennym ni, er mwyn gwella eu hamodau yn y fath fodd fel nad ydym yn cael y bygythiad posibl hwn o ran pobl yn gadael. Yn olaf, rwy'n dal i bryderu bod llawer o fylchau'n parhau yn y gweithlu diagnostig a tybed a wnewch chi roi'r newyddion diweddaraf ynghylch strategaeth weithlu Addysg a Gwella Iechyd Cymru a sut y mae'n bwriadu mynd i'r afael yn benodol â'r bylchau yn y gweithlu diagnostig. Rwy'n siŵr ein bod i gyd yn cytuno, os gallwn ddiagnosio pobl yn gynharach, mae'n debyg y gallwn eu cyrraedd, cael gwell canlyniadau o ran iechyd gyda llai o gost i'r wlad. Beth ydych chi yn ei wneud i gynyddu nifer y lleoedd hyfforddi clinigol yn unol ag anghenion cleifion heddiw ac yn y dyfodol? Ac - mae hwn yn gwestiwn, mewn gwirionedd, gan rai o'r elusennau canser - a fydd Llywodraeth Cymru yn ymrwymo i gynnal archwiliad cynhwysfawr o niferoedd y staff diagnostig yn y GIG yng Nghymru? Pan gymerais olwg ar y sefyllfa honno, roeddwn yn credu nad oedd yn beth hollol afresymol i'w ofyn a tybed a allai AaGIC fod yn rhoi sylw i hynny. Diolch.