English: I think that those are completely fair and reasonable points to make. We recognise that the older model may work for some people, but there are different doctors with different priorities - a change in the workforce and a change in what people want to do. For example, it isn't just that there are more women who are doctors - actually, men who are doctors want to spend more time with their families as well. So, you see people who think that it's important that they're around as their child is growing up, and that that, actually, perhaps, if you go back 50 years, might not have been the priority. So, understanding how and why we change the model really matters. It's not simply about cutting our cloth against the money. It's actually about saying, 'How do we improve outcomes for people to make sure that it's a more attractive place for people to live and work in the country?' I've said before in this Chamber, and have had some criticism from some Members, that the future of primary care will almost certainly be a smaller number of organisations - amalgamations and/or federations - where there should be more potential to still provide a local service with doctors who people know and trust, but that will provide different services to shift more care into the primary sector. A really exciting and positive step forward, I believe, is the federation that's taking place within one cluster in Bridgend, where doctors have come together. They've formed their own not-for-profit model to understand how they can run and manage their service in a more holistic way. That should make it easier for new doctors to come in, not having to buy into a property, and to understand what those partnerships will look like in the future. There are questions for us about how we use capital funding to renovate the primary care estate and what that then means for the people working in that service and providing and delivering what I hope will be an expanded and more diverse service that still meets the needs of people in every community up and down the country.
Welsh: Rwy'n meddwl bod y rheini'n bwyntiau hollol deg a rhesymol i'w gwneud. Rydym yn cydnabod y gall y model hŷn weithio i rai pobl, ond mae gan wahanol feddygon flaenoriaethau gwahanol - newid yn y gweithlu a newid o ran yr hyn y mae pobl am ei wneud. Er enghraifft, mae'n fwy na'r ffaith fod yna fwy o fenywod sy'n feddygon - mewn gwirionedd, mae dynion sy'n feddygon eisiau treulio mwy o amser gyda'u teuluoedd hefyd. Felly, fe welwch bobl sy'n meddwl ei bod hi'n bwysig eu bod o gwmpas pan fydd eu plentyn yn tyfu i fyny, a phe baech yn mynd yn ôl 50 mlynedd, efallai na fyddai hynny wedi bod yn flaenoriaeth mewn gwirionedd. Felly, mae deall sut a pham rydym yn newid y model yn wirioneddol bwysig. Nid yw'n fater syml o dorri ein cot yn ôl y brethyn. Mae'n ymwneud mewn gwirionedd â dweud, 'Sut rydym yn gwella canlyniadau i bobl er mwyn gwneud yn siŵr ei bod yn wlad fwy deniadol i bobl fyw a gweithio ynddi?' Rwyf wedi cael fy meirniadu rywfaint gan Aelodau yn y Siambr hon o'r blaen am ddweud mai dyfodol gofal sylfaenol bron yn sicr fydd nifer lai o sefydliadau - uno sefydliadau a/neu ffederasiynau - lle y dylai fod mwy o botensial i barhau i ddarparu gwasanaeth lleol gyda meddygon y mae pobl yn eu hadnabod ac yn ymddiried ynddynt, ond a fydd yn darparu gwasanaethau gwahanol er mwyn symud mwy o ofal i mewn i'r sector sylfaenol. Cam cyffrous a chadarnhaol iawn ymlaen, rwy'n credu, yw'r ffederasiwn sy'n digwydd mewn un clwstwr ym Mhen-y-bont ar Ogwr, lle mae meddygon wedi dod at ei gilydd. Maent wedi ffurfio eu model dielw eu hunain i ddeall sut y gallant redeg a rheoli eu gwasanaethau mewn ffordd fwy cyfannol. Dylai hynny ei gwneud yn haws i feddygon newydd ddod i mewn, a pheidio â gorfod prynu cyfran o eiddo, ac i ddeall sut bethau fydd y partneriaethau hynny yn y dyfodol. Mae yna gwestiynau i ni ynglŷn â'r ffordd rydym yn defnyddio cyllid cyfalaf i adnewyddu'r ystad gofal sylfaenol a beth y mae hynny wedyn yn ei olygu i'r bobl sy'n gweithio yn y gwasanaeth a darparu a chyflenwi'r hyn rwy'n gobeithio y bydd yn wasanaeth estynedig a mwy amrywiol sy'n dal i ddiwallu anghenion pobl ym mhob cymuned ledled y wlad.