English: Thank you, Presiding Officer. Betsi isn't working. You've heard it time and time again in this Chamber over a number of years now. Patients are being let down. Patient safety is being compromised. Some patients have come to harm; others have even died as a result of what has happened in the health board. We know that the working environment for staff is unacceptable. Staff are under huge pressure. There are significant shortages of nursing staff in particular at the health board, and indeed some consultant posts as well have not been filled. And that pressure leads to mistakes. And this is why we're in the position that we are. We know that staff also have been discouraged from speaking out when they have concerns. We know that when they do speak out and raise concerns, they've been ignored. That's effectively what the Healthcare Inspectorate Wales report said about the situation in the emergency department. And we know that there's been intimidation and bullying of staff, not just in Ysbyty Gwynedd, but frankly in every hospital across the whole of the health board and in most of the departments - I wouldn't say all, but certainly in most. Workforce planning, of course, has been the responsibility of the Welsh Government for 20 years. They're nothing new, these pressures, in terms of our hospitals. They have been the responsibility of the Welsh Government for 20-odd years. So, it's not actually Brexit or visas that are causing these issues; it's a failure to plan for the workforce effectively and to train sufficient numbers of people to go into these very important health professions. It's also not just about funding. There is a health service across the border in England that seems to have better performance. It's difficult to compare directly, but it seems to have better performance when it comes to emergency departments and other aspects of care - waiting times - and it spends less money per patient in order to get there. We spend more money per patient and seem to have worse services and it's a postcode lottery within Wales of course, because not everywhere, thank God, is as bad as the Betsi Cadwaladr health board in terms of the services that are being delivered. But it's because it's nothing to do with money, and it's something to do with workforce planning, and we know we've got these issues, and we know what the issues are, that I was a bit disappointed by your response, Minister. How many more reports are we going to have to receive before the Welsh Government as a whole wakes up to the fact that Betsi is broken? I have always defended the Welsh Government's position, for many years, that the last thing that the health board needs in north Wales is reorganisation. I've defended that. I'm no longer convinced that that's sustainable. I think it might be the right answer, and that's why we're prepared to support the Plaid Cymru amendment today, to say, 'Let's have an independent person to look at the structures to see whether they're right,' because if that is part of the problem, then I want it sorting. My father-in-law had the misfortune to break his neck of femur; he had a neck of femur fracture - his hip - just a couple of weeks ago. He was in A&E for 15 hours. If it hadn't had been for the fact that my wife was with him, and this was after six hours waiting for an ambulance, he wouldn't have been offered any drinks, any food. He was confused. In the middle hours of the night, he was in a bright, light clinical room, not even in a bed to be comfortable. And this was after the HIW report was published, and after we had received briefings as local Members of the Senedd that the services were improving and that those sorts of experiences weren't happening any more. So, I appreciate your confidence - the confidence that you have in the leadership team there. You said that one of the reasons you hadn't put it into special measures this week was because you'd received assurances from the board and the chief executive that they were determined and committed to make the changes necessary to improve things. I've heard them all before. I heard them the day before my father-in-law went into that emergency department and had his terrible experience, and he's just one of many examples that you've heard today. We've also got a revolving door of leadership in that health board. It's not stable. It's not stable at all. We've had all of these different chief executives, half a dozen finance directors, medical directors galore as well, and it doesn't seem to be delivering the change, the culture change within the organisation, because unfortunately, Minister, there are still some people there in senior key positions who need to move on and haven't. Now, today, what you've got in the Chamber is a majority of people representing north Wales constituencies who will be voting for a review, and who will be voting for a reformed package of special measures - not the special measures we had before, because they didn't work, and not the targeted intervention that we had before, because that hasn't worked either. And when you're seven years down the road and it's seven years this week since special measures were imposed on things like mental health and leadership and governance, when you're seven years down the road, you have to think, 'Are we doing the right things here?' and I don't think we are. And if you've got a majority of Members in this Chamber from north Wales saying to you, pleading with you, 'Please, for goodness' sake, we need to solve this problem now because people are dying and coming to harm, and families are losing loved ones, and staff are burning out and they're having mental health problems because of the situation in Betsi,' I urge you just to reflect with some careful sincerity. I know you're sincere in wanting to drive this change forward - I really do and I know that your Deputy Minister is as well, for mental health - but I am pleading with you. I have seen enough tears, I have seen enough bereaved loved ones, I have seen enough reports from the coroner saying that this shouldn't have happened and that shouldn't have happened, I have seen enough ombudsman's reports to persuade me that it ain't working. It ain't right. So, let's have this independent review of the structures. Let's make sure that we keep the public informed and the staff informed about the changes that are going to need to be made, and let's get a special measures programme that works. Let's get rid of those people who are responsible for that underlying culture in the organisation, those people who have never moved on, who have been around throughout, and let's get this right for the sake of the population in north Wales and the people that I serve as my constituents.
Welsh: Diolch yn fawr, Lywydd. Nid yw Betsi yn gweithio. Rydych wedi'i glywed dro ar ôl tro yn y Siambr hon dros nifer o flynyddoedd bellach. Mae cleifion yn cael cam. Mae diogelwch cleifion yn cael ei beryglu. Mae rhai cleifion wedi cael niwed; mae eraill wedi marw hyd yn oed o ganlyniad i'r hyn sydd wedi digwydd yn y bwrdd iechyd. Gwyddom fod amgylchedd gwaith staff yn annerbyniol. Mae'r staff o dan bwysau aruthrol. Ceir prinder sylweddol o staff nyrsio yn enwedig yn y bwrdd iechyd, ac yn wir nid yw rhai swyddi meddygon ymgynghorol wedi'u llenwi. Ac mae'r pwysau'n arwain at gamgymeriadau. A dyna pam ein bod yn y sefyllfa yr ydym ynddi. Gwyddom fod staff hefyd wedi cael eu hannog i beidio â chodi llais pan fydd ganddynt bryderon. Pan fyddant yn siarad ac yn lleisio pryderon, gwyddom eu bod wedi cael eu hanwybyddu. Dyna a ddywedodd adroddiad Arolygiaeth Gofal Iechyd Cymru i bob pwrpas am y sefyllfa yn yr adran achosion brys. A gwyddom fod bygwth a bwlio staff wedi digwydd, nid yn unig yn Ysbyty Gwynedd, ond ym mhob ysbyty ar draws y bwrdd iechyd cyfan a dweud y gwir ac yn y rhan fwyaf o'r adrannau - ni fyddwn yn dweud pob un, ond yn sicr yn y rhan fwyaf. Cyfrifoldeb Llywodraeth Cymru yw cynllunio'r gweithlu wedi bod ers 20 mlynedd wrth gwrs. Nid yw'r pwysau yn ddim byd newydd yn ein hysbytai. Mae wedi bod yn gyfrifoldeb i Lywodraeth Cymru ers 20 mlynedd. Felly, nid Brexit na fisâu sy'n achosi'r problemau hyn mewn gwirionedd; methiant i gynllunio ar gyfer y gweithlu'n effeithiol ydyw ac i hyfforddi digon o bobl i ymgymryd â'r proffesiynau iechyd pwysig hyn. Nid yw'n ymwneud yn unig â chyllid ychwaith. Mae'r gwasanaeth iechyd dros y ffin yn Lloegr yn perfformio'n well i bob golwg. Mae'n anodd cymharu'n uniongyrchol, ond mae'n ymddangos ei fod yn perfformio'n well mewn adrannau achosion brys ac mewn agweddau eraill ar ofal - amseroedd aros - ac mae'n gwario llai o arian y claf er mwyn cyrraedd yno. Rydym yn gwario mwy o arian y claf ac mae'n ymddangos bod gennym wasanaethau gwaeth ac mae'n loteri cod post yng Nghymru wrth gwrs, oherwydd nid yw pobman, diolch byth, gyn waethed â bwrdd iechyd Betsi Cadwaladr o ran y gwasanaethau sy'n cael eu darparu. Ond oherwydd nad oes a wnelo hyn ag arian, a'i fod yn rhywbeth i'w wneud â chynllunio'r gweithlu, a'n bod yn gwybod bod gennym y problemau hyn, dyna pam fy mod wedi fy siomi braidd gan eich ymateb, Weinidog. Faint yn rhagor o adroddiadau y bydd yn rhaid inni eu cael cyn i Lywodraeth Cymru yn ei chyfanrwydd ddeall bod Betsi wedi torri? Rwyf bob amser wedi amddiffyn safbwynt Llywodraeth Cymru, ers blynyddoedd lawer, mai'r peth olaf y mae ar y bwrdd iechyd ei angen yn y gogledd yw ad-drefnu. Rwyf wedi amddiffyn hynny. Bellach nid wyf yn argyhoeddedig fod hynny'n gynaliadwy. Credaf efallai mai dyma'r ateb cywir, a dyna pam ein bod yn barod i gefnogi gwelliant Plaid Cymru heddiw, a dweud, 'Gadewch inni gael person annibynnol i edrych ar y strwythurau i weld a ydynt yn iawn,' oherwydd os yw hynny'n rhan o'r broblem, rwyf am iddo gael ei ddatrys. Bu fy nhad-yng-nghyfraith yn ddigon anffodus i dorri gwddf asgwrn y forddwyd; cafodd doriad i wddf asgwrn y forddwyd - ei glun - wythnos neu ddwy yn ôl. Roedd yn yr adran damweiniau ac achosion brys am 15 awr. Oni bai bod fy ngwraig gydag ef, ac roedd hyn ar ôl chwe awr yn aros am ambiwlans, ni fyddai wedi cael cynnig unrhyw ddiodydd, unrhyw fwyd. Roedd yn ddryslyd. Yn ystod oriau'r nos, roedd mewn ystafell glinigol olau, a heb wely i allu bod yn gyfforddus. Ac roedd hyn ar ôl i adroddiad AGIC gael ei gyhoeddi, ac ar ôl inni gael sesiynau briffio fel Aelodau lleol o'r Senedd fod y gwasanaethau'n gwella ac nad oedd y mathau hynny o brofiadau'n digwydd mwyach. Felly, rwy'n edmygu eich hyder - yr hyder sydd gennych yn y tîm arwain yno. Fe ddywedoch chi mai un o'r rhesymau pam nad oeddech wedi'i roi dan drefn mesurau arbennig yr wythnos hon oedd oherwydd eich bod wedi cael sicrwydd gan y bwrdd a'r prif weithredwr eu bod yn benderfynol ac wedi ymrwymo i wneud y newidiadau angenrheidiol i wella pethau. Rwyf wedi eu clywed i gyd o'r blaen. Fe'u clywais y diwrnod cyn i fy nhad-yng-nghyfraith fynd i mewn i'r adran achosion brys a chael ei brofiad ofnadwy, a dim ond un o nifer o enghreifftiau a glywsoch heddiw yw ef. Mae gennym hefyd ddrws troi o arweinyddiaeth yn y bwrdd iechyd hwnnw. Nid yw'n sefydlog. Nid yw'n sefydlog o gwbl. Rydym wedi cael yr holl brif weithredwyr gwahanol hyn, hanner dwsin o gyfarwyddwyr cyllid, cyfarwyddwyr meddygol lu hefyd, ac nid yw'n ymddangos ei fod yn cyflawni'r newid, y newid diwylliant o fewn y sefydliad, oherwydd yn anffodus, Weinidog, mae rhai pobl yno o hyd mewn swyddi allweddol uwch a ddylai fynd ac nid ydynt wedi gwneud hynny. Nawr, heddiw, yr hyn sydd gennych yn y Siambr yw mwyafrif y bobl sy'n cynrychioli etholaethau'r gogledd a fydd yn pleidleisio dros adolygiad, ac a fydd yn pleidleisio dros becyn diwygiedig o fesurau arbennig - nid y mesurau arbennig a oedd gennym o'r blaen, oherwydd nid oeddent yn gweithio, ac nid yr ymyrraeth wedi'i thargedu a oedd gennym o'r blaen, am nad yw hynny wedi gweithio ychwaith. A phan fydd saith mlynedd wedi mynd heibio, ac mae'n saith mlynedd yr wythnos hon ers i fesurau arbennig gael eu gosod ar bethau fel iechyd meddwl ac arweinyddiaeth a llywodraethu, pan fydd saith mlynedd wedi mynd heibio, mae'n rhaid i chi feddwl, 'A ydym yn gwneud y pethau iawn yma?' ac nid wyf yn meddwl ein bod. Ac os oes gennych fwyafrif o Aelodau yn y Siambr hon o ogledd Cymru yn dweud wrthych, yn erfyn arnoch, 'Os gwelwch yn dda, er mwyn popeth, mae angen inni ddatrys y broblem hon yn awr am fod pobl yn marw ac yn cael niwed, a theuluoedd yn colli anwyliaid, a staff wedi ymlâdd ac yn cael problemau iechyd meddwl oherwydd y sefyllfa yn Betsi,' rwy'n erfyn arnoch i ystyried yn ddiffuant a gofalus. Gwn eich bod yn ddiffuant yn eich awydd i yrru'r newid hwn yn ei flaen - rwy'n credu hynny o ddifrif a gwn fod eich Dirprwy Weinidog iechyd meddwl eisiau hynny hefyd - ond rwy'n erfyn arnoch. Gwelais ddigon o ddagrau, gwelais ddigon o anwyliaid mewn profedigaeth, gwelais ddigon o adroddiadau gan y crwner yn dweud na ddylai'r peth hwn fod wedi digwydd ac na ddylai'r peth arall fod wedi digwydd, gwelais ddigon o adroddiadau ombwdsmon i fy narbwyllo nad yw'n gweithio. Nid yw'n iawn. Felly, gadewch inni gael yr adolygiad annibynnol o'r strwythurau. Gadewch inni sicrhau ein bod yn rhoi'r wybodaeth ddiweddaraf i'r cyhoedd a bod y staff yn cael gwybod am y newidiadau y bydd angen eu gwneud, a gadewch inni gael rhaglen mesurau arbennig sy'n gweithio. Gadewch inni gael gwared ar y bobl sy'n gyfrifol am y diwylliant gwaelodol yn y sefydliad, y bobl nad ydynt erioed wedi gadael ac sydd wedi bod o gwmpas drwy gydol yr amser, a gadewch inni gael hyn yn iawn er mwyn y boblogaeth yng ngogledd Cymru a'r etholwyr rwy'n eu gwasanaethu.