English: Can I put on record at the outset of my remarks my thanks to Donna Ockenden and her team for their work in compiling this very comprehensive report? Unlike the headline in the previous HASCAS report, published in May, this report has been widely welcomed and accepted by stakeholders, and I think that it's very important now that the National Assembly has the opportunity to consider both of these in a full Assembly inquiry at some point in the future. As part of that inquiry, I think we need to look at the effectiveness of the action that's been taken under special measures to date. You said in your statement, Cabinet Secretary, that it's another difficult report for the board, and that of course is absolutely the case. The report is a litany of failure, it lists a catalogue of problems at the health board, including governance and management systems that were flawed from the outset; delays in appointing staff to clinically essential posts; staff who describe, in their words, being exhausted, depleted and unheard, working in a dangerous working environment; an estate that isn't fit for purpose, posing a risk to patient safety; and a complaints procedure that isn't working; and an organisation that doesn't learn from its mistakes or implement agreed action plans. But of course it's not just a difficult report for the board, it's also a very difficult report for the families of those affected by the failings of care on Tawel Fan. I have to say, many of those families remain absolutely baffled by the overall conclusion of the HASCAS report that was published back in May. Some of them are still waiting for their individual patient reports about their family members. I ask you, Cabinet Secretary, given that you've made very little reference to the families in your statement today: when will they receive those individual patient reports? At what date can they expect some closure on some of these issues? And of course it's not jut a difficult report for the board and for those Tawel Fan families, it's a very difficult report for you too, or it certainly ought to be, because you've been responsible for the oversight of the special measures arrangements at the Betsi Cadwaladr university health board from the day that those special measures started, in your previous capacity as Deputy Minister for Health and now as Cabinet Secretary. It's very clear from this report, this is not a historic document; this brings things right up to date to the current time. It's very clear that those special measures are not working. You can try to pass the buck back to the health board, as no doubt you've already done today in your statement. We were told initially that we had 100-day plans to turn the health board around. Well, it didn't even veer one inch to the right or the left in an attempt to turn around, and this report seems to demonstrate that. It's now been more than 1,250 days and I think that lots of people in north Wales have lost confidence in your ability and the ability of your Government to have special measures that mean something and actually deliver the pace and progress of change that we need to see. I know that you say on a regular basis that you've made your expectations clear. I'm fed up, frankly, of that line, and so are people in north Wales. A weekly rant, an e-mail from an ivory tower in Cardiff Bay is not going to deliver the change that we need to see in patient care in north Wales. We need more action not words, apologies not excuses, and accountability not an avoidance of responsibility. So, I ask you today: will you apologise for the failure of special measures to date? Do you accept some responsibility for the failures outlined in this report? Because some of them have been failures that we've seen on your watch while this board has been in special measures. It was put into special measures, in part, to deliver the outcome of some of the recommendations in the individual investigations and reports that have been undertaken by various bodies. They clearly haven't done that, because the report says that very, very plainly. People still find it absolutely astonishing that not one person at the health board has been sacked as a result of the failings that have been itemised in this report. Yes, we've seen some changes in the senior leadership team. We've seen some of those executive team members change. But, some of those senior managers are still employed by the board, including some of those who were in a position to be able to change things at the board. One individual, for example, the former chief executive, has recently been appointed as the board's turnaround director. Can you believe that? A turnaround director. You couldn't make these things up. It's a disgrace. We know that patients have come to harm. Some patients, as well, when you go back through this report, have actually died as a result of the failures in governance and leadership at this board. And, frankly, I think that those responsible should never work in the national health service again - ever - and I think it's your job to determine that there is action taken to deal with that accountability issue. I'd be grateful if you could tell us what you're going to do -
Welsh: A gaf i gofnodi ar ddechrau fy sylwadau fy niolch i Donna Ockenden a'i thîm am eu gwaith wrth lunio'r adroddiad hynod gynhwysfawr hwn? Yn wahanol i'r pennawd yn adroddiad blaenorol HASCAS, a gyhoeddwyd ym mis Mai, mae'r adroddiad hwn wedi'i groesawu'n eang a'i dderbyn gan randdeiliaid, ac rwy'n credu ei bod yn bwysig iawn yn awr bod gan y Cynulliad Cenedlaethol gyfle i ystyried y ddau hyn mewn ymchwiliad Cynulliad llawn ar ryw adeg yn y dyfodol. Yn rhan o'r ymchwiliad hwnnw, rwy'n credu bod angen inni ystyried effeithiolrwydd y camau sydd wedi'u cymryd o dan y mesurau arbennig hyd yma. Fe ddywedasoch chi yn eich datganiad, Ysgrifennydd y Cabinet, ei fod yn adroddiad anodd arall i'r bwrdd, ac mae hynny wrth gwrs yn hollol wir. Mae'r adroddiad yn gyfres o fethiannau, mae'n rhestru catalog o broblemau yn y bwrdd iechyd, gan gynnwys systemau llywodraethu a rheoli a oedd yn ddiffygiol o'r cychwyn; oedi wrth benodi staff i swyddi clinigol hanfodol; staff sy'n disgrifio, yn eu geiriau nhw, eu bod wedi blino'n lân, yn brin o ran nifer a neb yn gwrando arnyn nhw, yn gweithio mewn amgylchedd gwaith peryglus; ystâd nad yw'n addas at y diben, yn peryglu diogelwch cleifion; a gweithdrefn gwyno nad yw'n gweithio; a sefydliad nad yw'n dysgu o'i gamgymeriadau nac yn rhoi cynlluniau gweithredu ar waith. Ond wrth gwrs, nid adroddiad sy'n anodd i'r bwrdd yn unig yw hwn, mae hefyd yn adroddiad anodd iawn i deuluoedd y rhai hynny yr effeithiwyd arnynt gan y methiannau gofal ar Tawel Fan. Mae'n rhaid imi ddweud, mae llawer o'r teuluoedd hynny yn parhau i fod mewn dryswch llwyr ynghylch casgliad cyffredinol adroddiad HASCAS a gyhoeddwyd yn ôl ym mis Mai. Mae rhai ohonyn nhw'n dal i aros am eu hadroddiadau ar gleifion unigol, am aelodau o'u teulu. Gofynnaf i chi, Ysgrifennydd y Cabinet, o ystyried nad ydych chi wedi cyfeirio llawer iawn at y teuluoedd yn eich datganiad heddiw: pa bryd y byddan nhw'n derbyn yr adroddiadau hynny ar gleifion unigol? Ar ba ddyddiad y gallan nhw ddisgwyl cau pen y mwdwl ar rai o'r materion hyn? Ac wrth gwrs, nid adroddiad sy'n anodd i'r bwrdd a theuluoedd Tawel Fan yn unig yw hwn, mae'n adroddiad anodd iawn i chi hefyd, neu yn sicr fe ddylai fod, oherwydd chi sydd wedi bod yn gyfrifol am oruchwylio'r trefniadau mesurau arbennig ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr o'r diwrnod y dechreuodd y mesurau arbennig hynny, yn rhinwedd eich swydd flaenorol fel Dirprwy Weinidog dros Iechyd a bellach fel Ysgrifennydd y Cabinet. Mae'n amlwg iawn yn yr adroddiad hwn, nid dogfen hanesyddol mo hon; mae'n rhoi'r wybodaeth ddiweddaraf ar hyn o bryd. Mae'n glir iawn nad yw'r mesurau arbennig hynny yn gweithio. Gallwch chi geisio taflu'r cyfrifoldeb yn ôl at y bwrdd iechyd, fel yr ydych chi, heb unrhyw amheuaeth, eisoes wedi ei wneud heddiw yn eich datganiad. Dywedwyd wrthym ni i ddechrau bod gennym ni gynlluniau 100 diwrnod i wrthdroi sefyllfa'r bwrdd iechyd. Wel, wnaeth e ddim hyd yn oed symud un fodfedd i'r dde nac i'r chwith mewn ymgais i wrthdroi, ac mae'n ymddangos bod yr adroddiad hwn yn dangos hynny. Mae mwy na 1,250 o ddiwrnod wedi bod erbyn hyn ac rwy'n credu bod llawer o bobl yn y gogledd wedi colli hyder yn eich gallu chi a gallu eich Llywodraeth i fod â mesurau arbennig sy'n golygu rhywbeth ac sydd mewn gwirionedd yn cyflawni cyflymder a chynnydd y newid y mae angen inni ei weld. Gwn eich bod yn dweud yn rheolaidd eich bod chi wedi nodi eich disgwyliadau'n glir. Rwyf wedi hen alaru, a dweud y gwir, ar glywed hynny, ac mae pobl y gogledd wedi alaru ar hynny hefyd. Dydy pregeth wythnosol, neges e-bost o dwr ifori ym Mae Caerdydd ddim yn mynd i sicrhau'r newid y mae angen inni ei weld mewn gofal i gleifion yn y gogledd. Mae angen mwy o weithredu arnom ni nid geiriau, ymddiheuriadau nid esgusodion ac atebolrwydd nid osgoi cyfrifoldeb. Felly, gofynnaf ichi heddiw: a wnewch chi ymddiheuro am fethiant y mesurau arbennig hyd yn hyn? A ydych chi'n derbyn rhywfaint o'r cyfrifoldeb am y methiannau a nodwyd yn yr adroddiad hwn? Oherwydd mae rhai ohonyn nhw wedi bod yn fethiannau yr ydym wedi eu gweld yn eich cyfnod chi tra bu'r bwrdd hwn o dan fesurau arbennig. Fe'i rhoddwyd o dan fesurau arbennig, yn rhannol, i sicrhau canlyniadau i rai o'r argymhellion yn yr ymchwiliadau a'r adroddiadau unigol y gwnaeth amrywiol gyrff ymgymryd â nhw. Mae'n amlwg nad ydyn nhw wedi gwneud hynny, oherwydd mae'r adroddiad yn dweud hynny yn blwmp ac yn blaen. Mae pobl yn dal i'w chael yn gwbl syfrdanol nad oes yr un person yn y bwrdd iechyd wedi cael ei ddiswyddo o ganlyniad i'r methiannau sydd wedi'u rhestru yn yr adroddiad hwn. Ydyn, rydym ni wedi gweld rhai newidiadau yn y tîm arwain uwch. Rydym ni wedi gweld rhai o aelodau'r tîm gweithredol hynny yn newid. Ond, mae'r bwrdd yn dal i gyflogi rhai o'r uwch reolwyr hynny, gan gynnwys rhai o'r rheini a oedd mewn sefyllfa i allu newid pethau yn y bwrdd. Mae un unigolyn, er enghraifft, y cyn-Brif Weithredwr, wedi'i benodi yn ddiweddar fel cyfarwyddwr trawsnewid y bwrdd. Allwch chi gredu hynny? Cyfarwyddwr trawsnewid. Gallech chi ddim dychmygu'r pethau hyn. Mae'n warthus. Rydym yn gwybod bod cleifion wedi cael niwed. Mae rhai cleifion hefyd, pan ewch chi yn ôl drwy'r adroddiad hwn, wedi marw, mewn gwirionedd, o ganlyniad i fethiannau llywodraethu ac arwain y bwrdd hwn. Ac, a dweud y gwir, rwy'n credu na ddylai'r rhai sy'n gyfrifol fyth weithio yn y gwasanaeth iechyd gwladol eto - byth - ac rwy'n credu mai eich gwaith chi yw penderfynu bod yna gamau i'w cymryd i ymdrin â'r mater atebolrwydd hwnnw. Byddwn i'n ddiolchgar pe gallech chi ddweud wrthym ni beth yr ydych chi'n mynd i'w wneud -