English: Having been absent from this place for some time, I sometimes find myself reflecting on my return about what has changed and what has not. I remember having to deal with a constituency situation where information could not be transferred effectively between two hospitals in Carmarthenshire. The upshot of that was, in fact, that the patient, who was a young adult - his parents were given his records to drive from Llanelli to Carmarthen. Not a very safe use of anybody's data, but absolutely the only way that they could get the information through in time. I did not expect to find myself, Deputy Presiding Officer, returning to this place after such a length of time to see that we still have, as this report highlights, outdated IT systems. The fact that we still have anybody using a fax machine - I don't think I would remember how to use a fax machine if I was called upon to do so - has been quite a shock to me, and as the Deputy Presiding Officer knows, I am not easily shocked. I won't repeat the points that have been made already in Nick Ramsay's admirable contribution to this debate. There is no need to rehearse the issues; the issues are there clear enough in the report for everyone to read. But it is worth reflecting that we're not talking here about a theoretical debate or about something that's purely technical; this affects people's lives. The Velindre Cancer Centre reported that one patient did not receive chemotherapy treatment as blood results were unavailable and that there was a delay in radiotherapy treatment for eight patients. These are real patients; these are real people's lives. What I want to concentrate on in my contribution today, Deputy Presiding Officer, are the issues of culture, the issues of the apparent inability to admit that there are serious issues, the tendency to move the goalposts instead of admitting that projects are running behind time, and simply not to acknowledge that there is a problem. And I will repeat this that Nick Ramsay said. The report says: 'Our inquiry has raised serious question marks about the competence, capability and capacity across the health system to deliver a digital transformation in Welsh healthcare. And yet we discovered a culture of self-censorship and denial amongst those charged with taking the agenda forward - in NWIS itself as well as its partners in the health boards and the Welsh Government.' Now, I think that's a very, very serious charge. I was, therefore, pleased to see that the Welsh Government was accepting the committee's recommendations. But when I read the detail of that acceptance, it seemed to me that we were once again being told that everything was all right because the Welsh Government was already doing what the committee had said that it needed to do and that everything would be absolutely fine. Well, we only have to listen again to Nick Ramsay's contribution today to know that that isn't the case. And it isn't just me commenting on this culture. I would quote to the Minister his Labour - and now ministerial - colleague Lee Waters, saying, 'Digital change isn't just about technology, it's about a change of culture. It's about being open. It's about using data to solve problems. Instead of designing services from the viewpoint of what a health board or a local authority thinks a citizen needs, a digital approach involves designing services that meet the needs of the end user.' And I think that's absolutely - absolutely - correct. I am not reassured by the Government's response yet, and I hope that the Minister may be able to provide myself and, more importantly, the committee members who have done this very valuable work with reassurance that things from now on will really change, because they certainly have not yet. Now, I think the six-monthly reporting to the committee - and I am particularly glad to see that the Government has committed to do that - . It is unusual for a committee to ask for that on an ongoing basis, and I think that does show how seriously they take these issues, and therefore so should we all. I think that would be important and that's very welcome. More important will be to see whether or not the Minister is prepared to abandon his apparent complacency and be ready to take a robust lead in delivering change and creating a culture that can accept challenge. Whether he can, or whether he will choose to do so, remains to be seen.
Welsh: Ar ôl bod yn absennol o'r lle hwn am beth amser, weithiau rwy'n myfyrio ynglŷn â'r hyn sydd wedi newid a'r hyn sydd heb newid ers i mi ddychwelyd. Cofiaf orfod ymdrin â sefyllfa yn fy etholaeth lle na ellid trosglwyddo gwybodaeth yn effeithiol rhwng dau ysbyty yn sir Gaerfyrddin. Canlyniad hynny, mewn gwirionedd, oedd bod y claf, a oedd yn oedolyn ifanc - rhoddwyd ei gofnodion i'w rieni eu gyrru o Lanelli i Gaerfyrddin. Nid oedd yn ddefnydd diogel iawn o ddata neb, ond yr unig ffordd y gallent gael y wybodaeth drwodd mewn pryd. Ddirprwy Lywydd, nid oeddwn yn disgwyl dychwelyd yma ar ôl cymaint o amser i weld mai systemau TG hen ffasiwn o'r fath sydd gennym o hyd, fel y mae'r adroddiad hwn yn ei ddangos. Mae'r ffaith bod unrhyw un yn dal i ddefnyddio peiriant ffacs - nid wyf yn credu y buaswn yn cofio sut i ddefnyddio peiriant ffacs pe bai galw arnaf i wneud hynny - wedi bod yn dipyn o sioc i mi, ac fel y gŵyr y Dirprwy Lywydd, nid wyf yn un sy'n dychryn yn hawdd. Nid wyf am ailadrodd y pwyntiau a wnaed eisoes yng nghyfraniad clodwiw Nick Ramsay i'r ddadl. Nid oes angen ailadrodd y problemau; mae'r problemau'n ddigon clir yn yr adroddiad i bawb eu darllen. Ond mae'n werth ystyried nad sôn am ddadl damcaniaethol a wnawn yma, neu rywbeth cwbl dechnegol; mae hyn yn effeithio ar fywydau pobl. Nododd Canolfan Ganser Felindre na chafodd claf driniaeth gemotherapi am nad oedd canlyniadau gwaed ar gael a bu oedi cyn rhoi triniaeth radiotherapi i wyth o gleifion. Cleifion go iawn yw'r rhain; bywydau pobl go iawn yw'r rhain. Rwyf am ganolbwyntio yn fy nghyfraniad heddiw, Ddirprwy Lywydd, ar faterion yn ymwneud â diwylliant, materion yn ymwneud ag anallu ymddangosiadol i gyfaddef bod yna broblemau difrifol, y duedd i symud y pyst gôl yn hytrach na chyfaddef bod prosiectau ar ei hôl hi, a methiant syml i gydnabod bod yna broblem. Ac rwyf am ailadrodd yr hyn a ddywedodd Nick Ramsay. Mae'r adroddiad yn dweud: 'Mae ein hymchwiliad wedi codi cwestiynau difrifol am gymhwysedd, gallu a chapasiti ar draws y system iechyd i gyflawni gweddnewidiad digidol yng ngofal iechyd Cymru. Ac eto canfuwyd diwylliant o hunan-sensoriaeth a diarddeliad ymhlith y rhai sy'n gyfrifol am fwrw ymlaen â'r agenda - yng Ngwasanaeth Gwybodeg GIG Cymru ei hun yn ogystal â'i bartneriaid yn y byrddau iechyd a Llywodraeth Cymru.' Nawr, credaf fod hwnnw'n gyhuddiad difrifol tu hwnt. Felly, roeddwn yn falch o weld bod Llywodraeth Cymru yn derbyn argymhellion y pwyllgor. Ond pan ddarllenais fanylion y derbyniad hwnnw, roedd yn ymddangos i mi unwaith yn rhagor eu bod yn dweud wrthym y byddai popeth yn iawn am fod Llywodraeth Cymru eisoes yn gwneud yr hyn roedd y pwyllgor wedi dweud bod angen ei wneud ac y byddai popeth yn berffaith iawn. Wel, nid oes ond angen inni wrando eto ar gyfraniad Nick Ramsay heddiw i wybod nad yw hynny'n wir. Ac nid fi'n unig sy'n sôn am y diwylliant hwn. Hoffwn ddyfynnu i'r Gweinidog ei gyd-Aelod Llafur - ei gyd-Weinidog, bellach - Lee Waters, a ddywedodd, Nid ymwneud â thechnoleg yn unig y mae newid digidol, mae'n ymwneud â newid diwylliant. Mae'n ymwneud â bod yn agored. Mae'n ymwneud â defnyddio data i ddatrys problemau. Yn hytrach na chynllunio gwasanaethau o safbwynt beth y mae bwrdd iechyd neu awdurdod lleol yn credu sydd ei angen ar ddinesydd, mae dull digidol yn golygu cynllunio gwasanaethau sy'n diwallu anghenion y defnyddiwr. Ac rwy'n credu bod hynny'n hollol gywir. Nid yw ymateb y Llywodraeth yn tawelu fy meddwl eto, ac rwy'n gobeithio y gall y Gweinidog roi sicrwydd i mi, ac yn bwysicach, i aelodau'r pwyllgor a wnaeth y gwaith gwerthfawr hwn y bydd pethau'n newid o ddifrif o hyn ymlaen, oherwydd yn bendant, nid ydynt wedi newid eto. Nawr, credaf fod yr adroddiad bob chwe mis i'r pwyllgor - ac rwy'n arbennig o falch o weld bod y Llywodraeth wedi ymrwymo i wneud hynny - . Mae'n anarferol i bwyllgor ofyn am hynny ar sail barhaus, a chredaf fod hynny'n dangos pa mor bwysig yw'r materion hyn iddynt, ac felly dylent fod yn bwysig i bob un ohonom ninnau hefyd. Rwy'n credu bod hynny'n bwysig ac i'w groesawu'n fawr. Bydd gweld a yw'r Gweinidog yn barod i roi'r gorau i fod yn ymddangosiadol hunanfodlon ac yn barod i ddangos arweiniad cadarn i sicrhau newid a chreu diwylliant a all dderbyn her yn bwysicach byth. Rhaid aros i weld a yw'n gallu, neu a yw'n dewis gwneud hynny.