English: Cabinet Secretary, I welcome your statement today, and of course the Welsh Conservatives are delighted to see £12 million going into the NHS - all additional moneys into the NHS are more than welcome. However, I am somewhat confused by the promise that you made to people in your manifesto, which was, and I will read it to you, if I may: 'We will introduce a ground breaking New Treatment Fund, enabling the most advanced drugs and high cost treatments for cancer and other life threatening illnesses to be available in Wales first.' Now, many people will have taken that to read that, in those instances where drugs have been approved in terms of their technical ability - they do the job - but they have not been approved by NICE because of the cost-benefit analysis, then people have been trying to get those drugs through. And, when we talked about a cancer treatments fund from the Welsh Conservatives, we were talking about putting the money out for those kinds of drugs, whereas it seems to me that this money you are talking about today, the £12 million leading to the £80 million over five years, is actually about getting health boards to provide the drugs that have already been agreed by NICE, and already been agreed by the All Wales Medicines Strategy Group, a bit faster. To be frank, they should be doing that anyway, because all of the people of Wales, all of the citizens of Wales, have a right to access treatments that have been agreed and approved by those bodies, and no health board should be dilly-dallying over that. So, please can you clarify for me what will happen for those drugs that have been approved in terms of their technical efficiency, but have not been approved because of the cost-benefit analysis - drugs that don't fit into the independent patient funding requests system? Does this mean that there will be an end to the postcode lottery, where people in Wales were trying to travel into England or other home nations to access drugs and treatments that they couldn't access here? If it means an end to that postcode lottery, I, for one, will be utterly, utterly delighted. So, I'd be grateful if you can clarify that for us. I took on board the point the Welsh Government made that, actually, the problem with just having, for example, a cancer treatments fund was that it was too narrow, and I do welcome the fact that this is for all cruel and unusual illnesses, that this is for all new treatments, and, actually, could you please confirm to me that it doesn't just relate to drugs but it might also relate to technical treatments - very specialised kinds of surgery, for example? Because I'd like to make sure that they were also included - surgery that's not run of the mill. Could you clarify for me what would happen if NICE approve a drug? Is there ever a situation where the All Wales Medicines Strategy Group might not have the same opinion? Is there ever a conflict? If there is a conflict, is there a proposal in place for the resolution of that conflict? Will you also confirm to me whether or not the money that is for new treatments will also include extra support around the drugs? Now, I did, obviously, read your paragraph that says to 'support access to medicines in Wales, I will continue to encourage the pharmaceutical industry to work with' health boards, et cetera, but, of course, quite a lot of these drugs will require dedicated support to implement them. So, will the money be used for just the drug, or the drug and the support, or would you expect the health board to do their reconfiguration of their support staff and their infrastructure from within their own funds? I think that would be a useful piece of clarification, because although £12 million, maybe £16 million, a year - £80 million over five years - is incredibly welcome, it's a very finite number, and there are a lot of very new drugs coming on to the market that can do an awful lot to help prolong people's lives and give them the treatments that they need, but of course are eye-wateringly expensive at the moment. So, I want to ensure that that money really does go just for the drug and not to enable a health board to do internal reconfiguration. Thank you for that.
Welsh: Ysgrifennydd y Cabinet, rwy'n croesawu eich datganiad heddiw, ac wrth gwrs mae'r Ceidwadwyr Cymreig yn falch iawn o weld £12 miliwn yn mynd i'r GIG - mae croeso mawr i unrhyw arian ychwanegol i'r GIG. Fodd bynnag, rwyf i wedi drysu braidd gan yr addewid a wnaethoch i bobl yn eich maniffesto, sef, ac fe'i darllenaf i chi, os caf i: Byddwn yn cyflwyno Cronfa Triniaethau Newydd arloesol, a fydd yn galluogi'r cyffuriau mwyaf datblygedig a thriniaethau cost uchel ar gyfer canser ac afiechydon eraill sy'n bygwth bywyd i fod ar gael yng Nghymru yn gyntaf. Nawr, bydd llawer o bobl wedi deall o weld hynny, mewn achosion pan fo cyffuriau wedi eu cymeradwyo o ran eu gallu technegol - maen nhw'n gwneud y gwaith - ond nid ydyn nhw wedi eu cymeradwyo gan NICE oherwydd y dadansoddiad cost a budd, bod pobl wedi ceisio cael gafael ar y cyffuriau hynny. Ac, wrth drafod cronfa triniaethau canser gan Geidwadwyr Cymreig, roeddem yn sôn am roi arian ar gyfer y mathau hynny o gyffuriau, ond mae'n ymddangos i mi bod yr arian hwn yr ydych yn sôn amdano heddiw, y £12 miliwn sy'n arwain at yr £80 miliwn dros bum mlynedd, mewn gwirionedd yn ymwneud â chael byrddau iechyd i ddarparu'r cyffuriau sydd eisoes wedi eu cytuno gan NICE, ac sydd eisoes wedi eu cytuno gan Grŵp Strategaeth Feddyginiaethau Cymru, ychydig yn gyflymach. A dweud y gwir, fe ddylen nhw fod yn gwneud hynny beth bynnag, oherwydd bod gan holl bobl Cymru, holl ddinasyddion Cymru, hawl i gael gafael ar driniaethau sydd wedi eu cytuno a'u cymeradwyo gan y cyrff hynny, ac ni ddylai unrhyw fwrdd iechyd fod yn llusgo'u traed ynglŷn â hynny. Felly, a wnewch chi egluro i mi os gwelwch yn dda beth fydd yn digwydd gyda'r cyffuriau hynny sydd wedi eu cymeradwyo o ran eu heffeithlonrwydd technegol, ond heb eu cymeradwyo oherwydd y dadansoddiad cost a budd - cyffuriau nad ydynt yn ffitio i mewn i'r system ceisiadau cyllid cleifion annibynnol? Ydy hyn yn golygu y bydd diwedd ar y loteri cod post, lle'r oedd pobl yng Nghymru yn ceisio teithio i Loegr neu wledydd cartref eraill i gael gafael ar gyffuriau a thriniaethau nad oedden nhw ar gael yma? Os yw'n golygu rhoi diwedd ar y loteri cod post honno, fe fyddaf i ar ben fy nigon. Felly, byddwn yn ddiolchgar pe gallech chi egluro hynny i ni. Ystyriais y pwynt a wnaed gan Lywodraeth Cymru mai'r broblem, mewn gwirionedd, gyda chael cronfa triniaethau ar gyfer canser yn unig, er enghraifft, oedd ei bod yn rhy gul, ac rwy'n croesawu'r ffaith bod y gronfa hon ar gyfer pob salwch creulon ac anarferol, ei bod ar gyfer yr holl driniaethau newydd, ac, mewn gwirionedd, a wnewch chi gadarnhau i mi nad yw'n ymwneud dim ond â chyffuriau ond y gall hefyd gynnwys triniaethau technegol - mathau arbenigol iawn o lawdriniaeth, er enghraifft? Oherwydd hoffwn wneud yn siŵr bod y rheini hefyd wedi eu cynnwys - llawdriniaethau nad ydynt yn rhai cyffredin. A wnewch chi egluro i mi beth fyddai'n digwydd pe bai NICE yn cymeradwyo cyffur? A yw'n bosibl cael sefyllfa pan nad yw Grŵp Strategaeth Feddyginiaethau Cymru o'r un farn? A oes gwrthdaro byth? Os oes gwrthdaro, a oes cynnig ar waith ar gyfer datrys y gwrthdaro hwnnw? A wnewch chi hefyd gadarnhau i mi pa un a fydd yr arian sydd ar gyfer triniaethau newydd hefyd yn cynnwys cymorth ychwanegol o gwmpas y cyffuriau? Nawr, mi wnes i, yn amlwg, ddarllen eich paragraff sy'n dweud i gefnogi mynediad at feddyginiaethau yng Nghymru, byddaf yn parhau i annog y diwydiant fferyllol i weithio gyda byrddau iechyd, ac ati, ond, wrth gwrs, bydd angen cymorth penodol ar gryn dipyn o'r cyffuriau hyn i'w gweithredu. Felly, a fydd yr arian yn cael ei ddefnyddio ar gyfer y cyffur yn unig, neu'r cyffur a'r cymorth, neu a fyddech yn disgwyl i'r bwrdd iechyd ad-drefnu eu staff cymorth a'u seilwaith gan ddefnyddio eu harian eu hunain? Rwy'n credu y byddai'n ddefnyddiol cael eglurhad ar hynny, oherwydd er bod £12 miliwn, efallai £16 miliwn, y flwyddyn - £80 miliwn dros bum mlynedd - yn newyddion arbennig o dda, mae'n swm cyfyngedig iawn, ac mae llawer o gyffuriau newydd iawn yn cael eu cyflwyno i'r farchnad sy'n gallu gwneud llawer iawn i helpu i ymestyn bywydau pobl a rhoi'r triniaethau sydd eu hangen arnyn nhw, ond wrth gwrs, maent yn eithriadol o ddrud ar hyn o bryd. Felly, rwy'n dymuno sicrhau bod yr arian hwnnw wir yn cael ei wario ar y cyffur yn unig ac nid er mwyn galluogi bwrdd iechyd i ad-drefnu ei hun. Diolch i chi am hynny.