English: Thank you very much, Deputy Llywydd, and I'd like to thank everyone who has taken part in this debate this afternoon, and I really mean that. It's the first time, as a relatively new Member and in my short time, that you can actually hear a pin drop in this Chamber this afternoon, and I think that goes to show the seriousness of what we're talking about today. I would also like to take this opportunity to thank our amazing ambulance staff. They are having to work under unimaginable stress, and it's only thanks to their dedication and professionalism that Wales is not facing an even bigger crisis in emergency care. As the many contributions to this afternoon's proceedings rightly point, Welsh ambulance services are at crisis point. Like many parts of our health and care services, the arrival of COVID-19 has deeply impacted Welsh ambulance services. However, the crisis in emergency and unplanned care predates the coronavirus pandemic. Long-term policy failings by Welsh Government and a fundamental lack of integrated workforce planning have led us to where we are today: an emergency in emergency care. We will now likely see members of Her Majesty's armed forces having to operate on domestic soil to provide ambulance services in Wales. As my colleague Russell George pointed out in opening the debate, ambulance services are the canary in the mine. If patients are unable to go into hospital at times of urgent need, then there is clearly a wider problem and the health service is at risk of collapse. How many times have we dodged a bullet solely thanks to our amazing health and care staff, staff who are overworked and overstressed, yet pull out all the stops to ensure that health and care services don't grind to a halt? We know full well that the crisis in emergency care does lie with the Welsh ambulance service as a result of issues elsewhere in the system. Ambulance crews are losing tens of thousands of hours waiting to hand over those in their care. Sadly, a load of ambulances stacked up outside our A&E departments is a common occurrence. While those crews are waiting outside emergency departments, they are not able to respond to emergency calls. Patients can't be handed over because there are no available beds. Often, there are no available beds in our hospitals because patients can't be discharged due to bottlenecks in social care. The health Minister admitted recently that patients are unable to be discharged, due - [ Interruption.] I will give way, Mike, yes.
Welsh: Diolch yn fawr iawn, Ddirprwy Lywydd, a hoffwn ddiolch i bawb sydd wedi cymryd rhan yn y ddadl hon y prynhawn yma, ac rwy'n golygu hynny o ddifrif. Dyma'r tro cyntaf, fel Aelod cymharol newydd ac yn fy amser byr, y gallwch glywed pin yn cwympo yn y Siambr hon y prynhawn yma, a chredaf fod hynny'n dangos difrifoldeb yr hyn y siaradwn amdano heddiw. Hoffwn hefyd fanteisio ar y cyfle hwn i ddiolch i'n staff ambiwlans anhygoel. Maent yn gorfod gweithio dan straen anhygoel, a diolch i'w hymroddiad a'u proffesiynoldeb hwy nad yw Cymru'n wynebu argyfwng hyd yn oed yn fwy mewn gofal brys. Fel y noda'r cyfraniadau niferus i drafodion y prynhawn yma yn briodol, mae gwasanaethau ambiwlans Cymru mewn argyfwng. Fel sawl rhan o'n gwasanaethau iechyd a gofal, mae dyfodiad COVID-19 wedi effeithio'n fawr ar wasanaethau ambiwlans Cymru. Fodd bynnag, mae'r argyfwng mewn gofal brys a gofal heb ei gynllunio yn rhagflaenu pandemig y coronafeirws. Mae methiannau polisi hirdymor gan Lywodraeth Cymru a diffyg cynllunio gweithlu integredig wedi ein harwain at ble'r ydym heddiw: at argyfwng mewn gofal brys. Mae'n debygol yn awr y gwelwn aelodau o luoedd arfog Ei Mawrhydi yn gorfod gweithredu ar dir y wlad hon i ddarparu gwasanaethau ambiwlans yng Nghymru. Fel y nododd fy nghyd-Aelod Russell George wrth agor y ddadl, gwasanaethau ambiwlans yw'r caneri yn y pwll glo. Os na all cleifion fynd i'r ysbyty ar adegau o angen brys, mae'n amlwg fod yna broblem ehangach ac mae'r gwasanaeth iechyd mewn perygl o chwalu. Sawl gwaith y llwyddasom i osgoi hynny diolch yn unig i'n staff iechyd a gofal anhygoel, staff sydd wedi'u gorweithio a than ormod o straen, ac sydd eto'n gwneud eu gorau glas i sicrhau bod gwasanaethau iechyd a gofal yn gallu parhau i weithredu? Gwyddom yn iawn fod gwasanaeth ambiwlans Cymru yn wynebu argyfwng mewn gofal brys o ganlyniad i broblemau mewn mannau eraill yn y system. Mae criwiau ambiwlans yn colli degau o filoedd o oriau yn aros i drosglwyddo'r rhai sydd yn eu gofal. Yn anffodus, mae gweld llwyth o ambiwlansys yn aros y tu allan i'n hadrannau damweiniau ac achosion brys yn ddigwyddiad cyffredin. Tra bo'r criwiau hynny'n aros y tu allan i adrannau brys, ni allant ymateb i alwadau brys. Ni ellir trosglwyddo cleifion am nad oes gwelyau ar gael. Yn aml, nid oes gwelyau ar gael yn ein hysbytai oherwydd na ellir rhyddhau cleifion oherwydd tagfeydd mewn gofal cymdeithasol. Cyfaddefodd y Gweinidog iechyd yn ddiweddar na ellir rhyddhau cleifion, oherwydd - [ Torri ar draws.] Fe ildiaf, Mike, iawn.