English: The discussion around the report has, understandably, focused on the importance of endoscopy services to the treatment of bowel cancer in Wales, and, in response, the Welsh Government points out that it's also important for the treatment for serious non-cancerous conditions, such as Crohn's disease and ulcerative colitis, and I know that Crohn's and Colitis UK have campaigned for better endoscopy services in Wales. And, with this report in mind, I met with Norgine, a company in my constituency, based in Tir y Berth - a very big employer, and an anchor company for the Welsh Government, who manufacture pharmaceuticals that are both treating these conditions and also used in the prep for colonoscopies. So, they have a very strong interest in this area. And it was quite an education to have met with the staff there and to talk through some of the issues. They actually, when I went there, had a copy of the committee's report on their desk. So, it was good that the committee's investigated this and shows the value of the work you're doing. It's being heard out there and it's been heard by this company. They asked me to raise some key issues, which I talked through with them, because I'm not an expert in this area. I didn't fully understand the issues until I had that conversation with them and I read your report, which is a very good report. The key issue for them is how the efficiency of services is tackled - so, doing better with what we already have. And indeed, the Welsh Government has noted that in their response to the report's key recommendation. Norgine were concerned that, in the report itself, that efficiency wasn't explicitly examined. They said that high-quality bowel preparation prior to colonoscopy is a key area that should be addressed as part of the endoscopy action plan and that initiatives to drive efficiency gains and overall sustainability were key in what the Welsh Government should do next. They told me that inadequate bowel preparation is the leading cause of a failed colonoscopy procedure and can lead to missed or delayed diagnosis, longer and more difficult procedures and the need then to repeat procedures. They said that their operation is continually trying to improve that process and that their product is designed to do that. They have, therefore, three key asks both of the outcome of the report and of the Welsh Government in their response. They want three things: they want the prompt publication of the endoscopy action plan, which the report has pushed for and we're starting to see. But alongside training and hospital capacity, it's important that broader areas for improvement are given the appropriate level of scrutiny - so, looking beyond simply training and hospital capacity - and if required that the committee and/or the national endoscopy programme should engage with relevant stakeholders to explore what improvements could be realised in the area of bowel preparation. What they're saying to you, Minister, is that they've got expertise and they'd be more than willing to hold that conversation with you. They're a Welsh-based company; they've been in Tir-y-berth for 50 years and they would welcome a conversation with you, particularly with regard to that better prep process. I notice that you've issued a written statement today encouraging that efficiency gain, but I urge you to engage with that company because I learned a lot that day and I think that kind of dialogue can only help in the future design of services.
Welsh: Canolbwyntiodd y drafodaeth ar yr adroddiad, yn ddealladwy, ar bwysigrwydd gwasanaethau endosgopi i drin canser y coluddyn yng Nghymru, ac yn ei hymateb, mae Llywodraeth Cymru yn nodi eu bod hefyd yn bwysig i driniaethau ar gyfer cyflyrau difrifol nad ydynt yn ganser fel clefyd Crohn a llid briwiol y coluddyn, a gwn fod Crohn's and Colitis UK wedi ymgyrchu dros wasanaethau endosgopi gwell yng Nghymru. Yn ogystal â hynny, gyda'r adroddiad hwn mewn golwg, cyfarfûm â Norgine, cwmni yn fy etholaeth, sydd wedi'i leoli yn Nhir-y-Berth - cyflogwr mawr iawn, ac un o gwmnïau angori Llywodraeth Cymru, sy'n cynhyrchu cynhyrchion fferyllol sy'n trin y cyflyrau hyn ac a ddefnyddir hefyd wrth baratoi ar gyfer colonosgopïau. Felly, mae ganddynt ddiddordeb cryf iawn yn y maes hwn. Ac roedd cyfarfod â'r staff yno a thrafod rhai o'r materion yn dipyn o addysg. Mewn gwirionedd, pan euthum yno, roedd copi o adroddiad y pwyllgor ar eu desg. Felly, roedd yn dda fod y pwyllgor wedi ymchwilio i hyn ac mae'n dangos gwerth y gwaith rydych yn ei wneud. Mae'n cael ei glywed gan bobl ac mae wedi cael ei glywed gan y cwmni hwn. Gofynasant i mi godi rhai materion allweddol, ac fe'u trafodais gyda hwy, oherwydd nid wyf yn arbenigwr yn y maes hwn. Nid oeddwn yn deall y materion yn llawn hyd nes i mi gael y sgwrs honno gyda hwy a darllenais eich adroddiad, sy'n adroddiad da iawn. Y mater allweddol iddynt hwy yw sut y gallwn fynd i'r afael ag effeithlonrwydd gwasanaethau - felly, gwneud mwy gyda'r hyn sydd gennym yn barod. Ac yn wir, mae Llywodraeth Cymru wedi nodi hynny yn eu hymateb i argymhelliad allweddol yr adroddiad. Roedd Norgine yn pryderu nad archwiliwyd effeithlonrwydd yn benodol yn yr adroddiad ei hun. Dywedasant fod gwaith o ansawdd uchel ar baratoi'r coluddyn cyn colonosgopi yn faes allweddol y dylid mynd i'r afael ag ef fel rhan o'r cynllun gweithredu endosgopi cenedlaethol a bod mentrau i ysgogi enillion effeithlonrwydd a chynaliadwyedd cyffredinol yn allweddol i'r hyn y dylai Llywodraeth Cymru ei wneud nesaf. Dywedasant wrthyf mai gwaith annigonol ar baratoi'r coluddyn yw'r prif reswm dros driniaethau colonosgopi aflwyddiannus a gall arwain at oedi neu golli diagnosis, triniaethau hwy ac anos a'r angen wedyn i ailadrodd triniaethau. Dywedasant eu bod yn gweithio'n barhaus i geisio gwella'r broses honno a bod eu cynnyrch wedi'i gynllunio i wneud hynny. Felly, maent wedi gofyn am dri pheth allweddol mewn perthynas â chanlyniad yr adroddiad ac ymateb Llywodraeth Cymru. Maent eisiau tri pheth: maent eisiau gweld y cynllun gweithredu endosgopi yn cael ei gyhoeddi ar fyrder, ac mae'r adroddiad wedi pwyso am hynny ac rydym yn dechrau gweld hynny'n digwydd. Ond yn ogystal â hyfforddiant a chapasiti ysbytai, mae'n bwysig fod meysydd ehangach ar gyfer gwella yn cael y lefel briodol o graffu - felly, gan edrych y tu hwnt i hyfforddiant a chapasiti ysbytai yn unig - ac os oes angen, dylai'r pwyllgor a/neu'r rhaglen endosgopi genedlaethol ymgysylltu â rhanddeiliaid perthnasol i archwilio pa welliannau y gellid eu gwneud mewn perthynas â pharatoi'r coluddyn. Yr hyn y maent yn ei ddweud wrthych, Weinidog, yw bod ganddynt arbenigedd ac y byddent yn fwy na pharod i drafod hynny gyda chi. Cwmni Cymreig ydyw; maent wedi bod yn Nhir-y-Berth ers 50 mlynedd a byddent yn croesawu sgwrs gyda chi, yn enwedig mewn perthynas â'r broses baratoi well honno. Nodaf eich bod wedi cyhoeddi datganiad ysgrifenedig heddiw yn annog enillion effeithlonrwydd, ond rwy'n eich annog i ymgysylltu â'r cwmni hwnnw oherwydd dysgais lawer y diwrnod hwnnw a chredaf y gall deialog o'r fath helpu'n fawr yn y gwaith o gynllunio gwasanaethau yn y dyfodol.