English: Thank you for the variety of questions. I hope that this update is welcomed by women who were previously ignored and did not have their concerns taken seriously. I ordered the independent review by the joint royal colleges on the basis that there was plainly a problem that had not been resolved and could not be satisfactorily resolved if the health board themselves were commissioning a review, because I do not think that would have commanded the confidence of the public, which is essential. In terms of the concern about if lessons are really being learned, that's exactly why we have an independent panel and an independent assurance process. So, it is not simply the health board marking their own homework. That self-assessment is the sign of a mature and confident organisation that is doing the right thing. But we still need to build confidence and need to have independent oversight, so the work of the independent panel is certainly not completed, and I recognise that in both my written statement and in my statement to the Senedd Chamber today. Now, in terms of the issues around the Tirion Birth Centre, and the ability to recruit staff to it - it will be re-established on the basis of Birthrate Plus, which is a recognised workforce tool, to make sure it does have adequate staff and it does have sustainability built in to be able to operate safely and to the standard that I would want for any woman going to give birth in any part of Wales. And in committing to establish to Birthrate Plus, that's a national commitment that we have been proud to make in the past, and we have actually done relatively well in terms of recruiting people into the Cwm Taf Morgannwg health board. There was some concern that we would struggle to recruit because of the challenge given the problems in maternity services that led to this report and to the need to have an independent improvement process. And, again, I think it's one of the positive aspects of the panel's oversight. They recognise that progress is being made and it's actually helped them to change the culture positively within units where the recruitment is taking place. Now, on your point about the learning from the outbreak, I don't think that there is any link to draw between practices identified in this report and the outbreak itself. There will undoubtedly be learning, and, in fact, the chief medical officer has already asked for a lessons learned report to be shared here about the outbreak in the Royal Glamorgan, about the two smaller outbreaks at present in the Prince Charles and Princess of Wales hospitals, and to look back about learning from Wrexham Maelor earlier in the year. But, given the risks that exist with a rising tide of COVID that we will see community transmission coming into a range of our hospitals, I'm afraid that, given the increasing levels of COVID in the community, it is inevitable that we'll see more people testing positive in our hospitals as opposed to those people who are being admitted with confirmed or suspected COVID as well. In terms of the guidance that we've given to the health service on partners being able to accompany women at various stages in their pregnancy journey, then we've actually recently republicised guidance that's been endorsed by the chief nurse and also a number of the royal colleges. So, I'll make sure that is reprovided to Members so that we can be clear again about the guidance that is in place, because there is no blanket ban on partners accompanying women at various stages of pregnancy, or indeed in the after support, with home visits by midwives in the very, very early days post birth, and indeed health visitors thereafter. There are some challenges in the estate that we have, where there's a challenge about social distancing, and that needs to be worked through between the hospital providing care and, indeed, the woman and her family, but we do have, I think, a pretty clear position that I'll happily remake available to Members. On your point about the future of emergency medicine, you started off by saying that you were concerned about women who had been previously ignored and had their needs rolled into other issues. I don't think it sits very well for a significant and important statement on maternity services and the improvements made and the improvements still required to try to link in a wholly unrelated area. The questions about emergency medicine have been resolved by the health board because of the successful recruitment that has been made, and I just don't think it's appropriate or does the women that we're supposed to be talking about today any favours to try to relive long-finished arguments.
Welsh: Diolch am yr amrywiaeth o gwestiynau. Gobeithio caiff y diweddariad hwn ei groesawu gan fenywod nad oedd eu pryderon wedi'u cymryd o ddifrif ac a gafodd eu hanwybyddu yn flaenorol. Gorchmynnais yr adolygiad annibynnol gan y cyd-golegau brenhinol ar y sail bod problem amlwg nad oedd wedi'i datrys ac na ellid ei datrys yn foddhaol pe bai'r bwrdd iechyd ei hun yn comisiynu adolygiad, oherwydd ni chredaf y byddai hynny wedi ennyn hyder y cyhoedd, sy'n hanfodol. O ran y pryder ynghylch pa un a yw gwersi'n cael eu dysgu mewn gwirionedd, dyna'n union pam mae gennym banel annibynnol a phroses sicrwydd annibynnol. Felly, nid yw'n fater o'r bwrdd iechyd yn marcio eu gwaith cartref eu hunain. Mae'r hunanasesiad hwnnw'n arwydd o sefydliad aeddfed a hyderus sy'n gwneud y peth iawn. Ond mae angen i ni fagu hyder o hyd ac mae angen i ni gael goruchwyliaeth annibynnol, felly yn sicr nid yw gwaith y panel annibynnol wedi'i gwblhau, ac rwy'n cydnabod hynny yn fy natganiad ysgrifenedig ac yn fy natganiad i Siambr y Senedd heddiw. Nawr, o ran y materion sy'n ymwneud â Chanolfan Geni Tirion, a'r gallu i recriwtio staff iddi - caiff ei hail-sefydlu ar sail Birthrate Plus, sy'n ddull gweithlu cydnabyddedig, i sicrhau bod ganddo ddigon o staff a bod cynaliadwyedd wedi'i gynnwys er mwyn gallu gweithredu'n ddiogel ac i'r safon y byddwn yn ei ddisgwyl ar gyfer unrhyw fenyw ar fin rhoi genedigaeth mewn unrhyw ran o Gymru. Ac wrth ymrwymo i Birthrate Plus, mae hwnnw'n ymrwymiad cenedlaethol yr ydym wedi bod yn falch o'i wneud yn y gorffennol, ac rydym wedi gwneud yn gymharol dda o ran recriwtio pobl i fwrdd iechyd Cwm Taf Morgannwg. Roedd peth pryder y byddem yn ei chael hi'n anodd recriwtio oherwydd yr her o ystyried y problemau mewn gwasanaethau mamolaeth a arweiniodd at yr adroddiad hwn ac at yr angen i gael proses wella annibynnol. Ac, unwaith eto, rwy'n credu ei fod yn un o agweddau cadarnhaol goruchwyliaeth y panel. Maen nhw'n cydnabod bod cynnydd yn cael ei wneud a'i fod wedi'u helpu i newid y diwylliant yn gadarnhaol o fewn unedau lle mae'r recriwtio'n digwydd. Nawr, o ran eich pwynt am ddysgu o'r achosion, nid wyf yn credu bod unrhyw gysylltiad rhwng arferion a nodwyd yn yr adroddiad hwn a'r achosion ei hun. Mae'n sicr y bydd dysgu, ac, yn wir, mae'r prif swyddog meddygol eisoes wedi gofyn am rannu adroddiad gwersi a ddysgwyd yma am yr achosion yn Ysbyty Brenhinol Morgannwg, am yr achosion llai niferus ar hyn o bryd yn ysbytai'r Tywysog Siarl a Thywysoges Cymru, ac edrych yn ôl a dysgu o achos Maelor Wrecsam yn gynharach yn y flwyddyn. Ond, o ystyried y peryglon sy'n bodoli gyda'r achosion cynyddol o COVID y gwelwn drosglwyddo cymunedol yn dod i mewn i nifer o'n hysbytai, mae arnaf ofn, o ystyried y lefelau cynyddol o COVID yn y gymuned, mae'n anochel y gwelwn fwy o bobl yn profi'n bositif yn ein hysbytai yn hytrach na'r bobl hynny sy'n cael eu derbyn gyda COVID wedi'i gadarnhau neu wedi ei amau hefyd. O ran y canllawiau yr ydym wedi'u rhoi i'r gwasanaeth iechyd ar bartneriaid yn cael mynd gyda menywod ar wahanol adegau yn ystod eu beichiogrwydd, yna rydym wedi cyhoeddi canllawiau a gymeradwywyd gan y prif nyrs a nifer o'r colegau brenhinol yn ddiweddar. Felly, byddaf yn gwneud yn siŵr bod hynny'n cael ei ddosbarthu i'r Aelodau fel y gallwn fod yn glir eto am y canllawiau sydd ar waith, oherwydd nid oes gwaharddiad cyffredinol ar bartneriaid rhag mynd gyda menywod ar wahanol gamau yn ystod beichiogrwydd, nac yn wir yn ystod cymorth ar ôl genedigaeth, gydag ymweliadau cartref gan fydwragedd yn y dyddiau cynnar iawn ar ôl eu geni, ac yn wir ymwelwyr iechyd wedi hynny. Mae rhai heriau yn yr ystad sydd gennym, lle mae her ynghylch cadw pellter cymdeithasol, ac mae angen i'r ysbyty sy'n darparu gofal ac, yn wir, y fenyw a'i theulu weithio ar hyn, ond mae gennym, mi gredaf, sefyllfa eithaf clir y byddaf yn hapus i drefnu ei fod ar gael i'r Aelodau eto. O ran eich pwynt am ddyfodol meddygaeth frys, dechreuoch drwy ddweud eich bod yn pryderu am fenywod a oedd wedi cael eu hanwybyddu o'r blaen ac y cafodd eu hanghenion eu cynnwys mewn materion eraill. Nid wyf yn credu ei fod yn addas iawn, ar gyfer datganiad sylweddol a phwysig ar wasanaethau mamolaeth a'r gwelliannau a wnaed a'r gwelliannau sydd eu hangen o hyd, i geisio cysylltu maes cwbl ddigyswllt. Mae'r cwestiynau am feddygaeth frys wedi'u datrys gan y bwrdd iechyd oherwydd y recriwtio llwyddiannus sydd wedi'i wneud, ac nid wyf yn credu ei fod yn briodol nac yn helpu'r menywod yr ydym i fod i'w crybwyll heddiw i geisio ail-fyw dadleuon sydd wedi hen ddiflannu.