English: May I thank the Cabinet Secretary for this statement? I, too, will take this opportunity to thank Ruth Hussey and her team for the work that they have done to date, and I'm very pleased that we are in a situation now where we can hear this statement, and I'm pleased to see the coverage in the press today for this report. But the Cabinet Secretary, I think, is right in reminding us that we are at an early stage, if truth be told, in the work that this panel is undertaking, and that this is an interim report. I welcome many of the findings that have been brought to our attention - many of them, as the Conservative spokesperson said, are relatively obvious, but what's important now is what is done with these findings as the work of the panel continues, and what kind of recommendations will be made based on these findings and what kind of models will be developed. I look forward to seeing that happening over the next few months. Although it is an interim report, I do think that some of the questions that I'd like to ask refer to the steps that could be taken now by Government, if truth be told, given what we heard from the Cabinet Secretary himself, stating that the case for change in how health and social care is arranged for the future is entirely clear now. Well, if it is clear, then, surely, there are some steps that the Government could be taking now, without awaiting the final report. The interim report, again, emphasises the value of integrating health and social care. I would also add to that that integrating local government housing services is also important. And we know that there is a realisation of the value of integration, but that doesn't happen. So, although the final report will put more meat on the bones, as it were, I wonder whether the Cabinet Secretary would agree that we perhaps don't have to wait to start to see how guidance and protocols and action points for organisations and institutions, to enable them to work together, could be tightened up so that the work can happen now. Related to this is the problem of individual institutions and organisations taking decisions on their budgets, which are sensible from their own perspective, but sometimes lead to additional pressures on the budgets of other services. So, how can the Welsh Government start to encourage that culture change within public services so that this ceases, because that will be an important step towards delivering this concept of integration? The interim report also supports far more investment in primary care. We agree entirely with that, so what changes can the Cabinet Secretary make now in order to ensure that we start to think more about putting primary care first? And finally, the report also recognises the value of technology. On occasion, technology and particularly the pace of change that we see in technology, and the new possibilities provided for by technologies, are not sufficiently understood by managers and commissioners within the health system, and that may have meant that the appropriate attention hasn't been given to this area in the past. Given that, does the Cabinet Secretary believe that we should now think about professionals in IT and professionals in other technologies - that we should start to consider them as professional health workers who play a central role in delivering services and ensuring that services work and ensuring that technology is included as much as possible in care pathways for patients in Wales? I'll leave the questions there. It is an interim report, yes. It's an important step, but I do think that there are certain steps that the Government could be taking at this point in the process.
Welsh: A gaf i ddiolch i'r Ysgrifennydd Cabinet am y datganiad yma, ac fe wnaf innau hefyd ddefnyddio'r cyfle yma i ddiolch i Ruth Hussey a'i thîm am y gwaith y maen nhw wedi ei wneud hyd yma. Rydw i'n falch iawn ein bod ni mewn sefyllfa rŵan lle rydym ni yn gallu cael y datganiad yma, ac rydw i'n falch o weld y sylw yn y wasg ac ati heddiw i'r adroddiad yma, ond mae'r Ysgrifennydd Cabinet, rydw i'n meddwl, yn iawn i'n hatgoffa ni mai cynnar ydym ni mewn difri yn y gwaith mae'r panel yn ei wneud, ac mai adroddiad interim ydy hwn. Rydw i'n croesawu nifer o'r canfyddiadau sydd wedi cael eu dwyn i'n sylw ni - mae llawer ohonyn nhw, fel dywedodd llefarydd y Ceidwadwyr yn eithaf amlwg, ond beth sydd yn bwysig rŵan ydy beth sy'n cael ei wneud o'r canfyddiadau yma wrth i waith y panel barhau, pa fath o argymhellion fydd yn cael eu gwneud ar sail y canfyddiadau, a pha fath o fodelau fydd yn cael eu datblygu. Rydw i'n edrych ymlaen at weld hynny'n digwydd dros y misoedd nesaf, ond dyna fo. Er mai adroddiad interim ydy hwn, rydw i'n meddwl bod rhai o'r cwestiynau yr hoffwn eu gofyn rŵan yn ymwneud â'r camau a all gael eu cymryd rŵan gan y Llywodraeth mewn difri, o ystyried yr hyn glywsom ni gan yr Ysgrifennydd Cabinet ei hun, yn dweud bod yr achos dros newid yn sut mae iechyd a gofal cymdeithasol yn cael eu trefnu yn y dyfodol yn gwbl glir erbyn hyn. Wel, os ydy o'n glir, siawns bod yna rai camau y gall y Llywodraeth fod yn eu cymryd rŵan, heb ddisgwyl am yr adroddiad ei hun yn y pen draw. Mae'r adroddiad, unwaith eto, yn pwysleisio gwerth integreiddio iechyd a gofal cymdeithasol - mi fyddwn i'n ychwanegu at hynny fod integreiddio adrannau tai llywodraeth leol i mewn i hynny yn bwysig hefyd. Ac rydym ni'n gwybod bod yna sylweddoliad o werth integreiddio, ond bod hynny ddim yn digwydd. Felly, er bydd yr adroddiad terfynol yn rhoi rhagor o gig ar yr asgwrn, tybed a ydy'r Ysgrifennydd Cabinet yn cytuno nad oes rhaid inni efallai aros i'r Llywodraeth ddechrau edrych ar sut y gall y canllawiau, y 'protocols', y camau gweithredu i sefydliadau, er mwyn eu galluogi nhw i weithio efo'i gilydd, gael eu tynhau rhywfaint a bod y gwaith yna yn digwydd rŵan. Ynghlwm â hyn y mae'r broblem o sefydliadau unigol yn cymryd penderfyniadau ynglŷn â'u cyllidebau, sy'n rhai synhwyrol iddyn nhw eu hunain, ond sydd weithiau yn arwain at roi pwysau ychwanegol ar gyllidebau gwasanaethau eraill. Sut mae Llywodraeth Cymru yn mynd i ddechrau newid diwylliant o fewn y gwasanaethau cyhoeddus fel bod hyn yn stopio, oherwydd mae hynny'n mynd i fod yn gam pwysig tuag at wireddu'r syniad o integreiddio? Mae'r adroddiad interim hefyd yn cefnogi llawer mwy o fuddsoddiad mewn gofal sylfaenol - 'primary care'. Rydym ni'n cytuno'n llwyr â hynny. Felly, pa newidiadau i'w adran o all yr Ysgrifennydd Cabinet eu gwneud rŵan er mwyn sicrhau ein bod ni'n dechrau meddwl mwy yn nhermau rhoi gofal sylfaenol yn gyntaf? Ac yn olaf, mae'r adroddiad hefyd yn cydnabod gwerth technoleg. Weithiau, nid ydy technoleg, ac yn arbennig y cyflymder newid rydym ni'n ei weld mewn technoleg a'r posibiliadau newydd mewn technoleg, yn cael eu deall yn ddigon da gan reolwyr a chomisiynwyr iechyd, ac o bosib bod hynny wedi golygu nad ydy'r sylw priodol wedi cael ei roi i'r maes yma yn y gorffennol. O ystyried hynny, a ydy'r Ysgrifennydd Cabinet yn meddwl y dylem ni ddechrau meddwl am bobl broffesiynol ym maes IT a phobl broffesiynol ym maes technolegau eraill - y dylem ni ddechrau eu gweld nhw fel gweithwyr iechyd proffesiynol sy'n chwarae rôl gwbl allweddol mewn delifro gwasanaethau, gwneud yn siŵr bod y gwasanaethau yn gweithio a sicrhau bod technoleg yn cael ei chynnwys i'r eithaf mewn llwybrau gofal i gleifion yng Nghymru? Mi adawaf i'r cwestiynau yn y fan yna. Adroddiad interim, ie. Cam pwysig, ond rydw i'n meddwl bod yna gamau y gall y Llywodraeth fod yn eu cymryd mor gynnar â hyn yn y broses.