English: On out-of-hours, we've got an out-of-hours reform programme. It's coincided with the roll-out of 111 as well. As we've learnt through the roll-out of 111, we've learnt more about how to support the in-hours as well as the out-of-hours service as well, and so I think in the places where you see 111 staffing, there is a more robust out-of-hours service, and it leads back to your first point about the variety of professionals. People used to refer to out-of-hours as 'GP out-of-hours'. Now, general practitioners are an important part of that team, but, actually, having a range of other professionals, including a nursing professional, including a pharmacist, and, often, I think, we may well see the addition of a mental health practitioner within that as well - so, you'll see that, together with a generalist like a paramedic, being part of a team of different professionals who will be part of that out-of-hours service, and so I do expect that the challenge we see in Wales is reflected across the rest of the UK with out-of-hours services, and that goes back to a previous reform of the GP contract. I don't think it's going to be possible, or indeed helpful, to try to say you should force all GPs back into doing out-of-hours as an old contract required them to do. So, I actually think we're building a better service with a that different mix of professionals, and St John's is a good example of the virtual ward - the work that started out in southern Powys, the infamous Brecon virtual ward - and it's a good thing to see that being rolled out, because it is about valuing the contribution of different healthcare professionals and about the fact that it makes the job for those healthcare professionals a more enjoyable one, because they recognise they are providing better care and making better use of their resources. And, crucially, it's really improved team working as well, between general practitioners as well as between the general practitioner and other members of the healthcare team. There's greater appreciation of what other people can do, and that is a positive aspect of coming to work here in Wales, because what I expect is that we will progressively see more and more people describing the way they work in the same way, and it's certainly affected the way people are trained, as well, which is a real positive too. And, on your point about pharmacists, as I indicated, the campaign will be starting imminently for the pharmacist area. I issued a written statement earlier this week about investing more in pharmacy and looking forward to further discussions with them about their contract, and about the role that they can play and the greater role that pharmacy could and should play in delivering local healthcare. That in itself, I think, will help with the geographic opportunities that exist. A number of doctors have gone out and positively talked about their part of Wales and the opportunity in medicine in where they are, but also the other leisure opportunities that exist in large parts of the country, and that includes the Valleys, just as much as it does north and west Wales too.
Welsh: Ynglŷn â gwasanaethau y tu allan i oriau, mae gennym ni raglen ddiwygio gwasanaeth y tu allan i oriau. Mae wedi cyd-daro â chyflwyno 111 hefyd. Fel rydym ni wedi'i ddysgu wrth gyflwyno 111, rydym ni wedi dysgu mwy am sut i gefnogi'r gwasanaeth oriau arferol yn ogystal â'r gwasanaeth y tu allan i oriau, ac felly rwy'n credu, yn y mannau lle y gwelwch chi staffio 111, bod gwasanaeth y tu allan i oriau mwy cadarn, ac mae'n arwain yn ôl at eich pwynt cyntaf am yr amrywiaeth o weithwyr proffesiynol. Roedd pobl yn arfer cyfeirio at wasanaethau y tu allan i oriau fel 'meddyg teulu y tu allan i oriau'. Nawr, mae meddygon teulu'n rhan bwysig o'r tîm hwnnw, ond, mewn gwirionedd, mae cynnwys amrywiaeth o weithwyr proffesiynol eraill, gan gynnwys gweithiwr nyrsio proffesiynol, gan gynnwys fferyllydd, ac yn aml, rwy'n credu, mae'n ddigon posibl y byddwn ni'n gweld ymarferydd iechyd meddwl yn cael ei ychwanegu at hynny hefyd - felly, byddwch chi'n gweld hyn, ynghyd â gweithiwr cyffredinol fel parafeddyg, yn rhan o dîm o wahanol weithwyr proffesiynol a fydd yn rhan o'r gwasanaeth y tu allan i oriau hwnnw, ac felly rwy'n disgwyl i'r her a welwn yng Nghymru gael ei hadlewyrchu ar draws gweddill y DU o ran gwasanaethau y tu allan i oriau, ac mae hynny'n mynd yn ôl at ddiwygiad blaenorol y contract meddygon teulu. Dydw i ddim yn credu y bydd hi'n bosibl, nac yn wir yn ddefnyddiol, ceisio dweud y dylech chi orfodi pob meddyg teulu yn ôl i wneud gwaith y tu allan i oriau fel y byddai hen gontract yn gofyn iddo ei wneud. Felly, a dweud y gwir rwy'n credu ein bod ni'n adeiladu gwell gwasanaeth gyda chymysgedd gwahanol o weithwyr proffesiynol, ac mae St John's yn enghraifft dda o ward rithwir - y gwaith a ddechreuodd yn ne Powys, ward rithwir ddrwgenwog Aberhonddu - ac mae'n beth da gweld hynny'n cael ei gyflwyno, oherwydd ei fod yn fater o werthfawrogi cyfraniad y gwahanol weithwyr gofal iechyd proffesiynol a'r ffaith ei bod hi'n gwneud gwaith y gweithwyr gofal iechyd proffesiynol hynny'n fwy pleserus, am eu bod yn sylweddoli eu bod yn darparu gofal gwell ac yn defnyddio eu hadnoddau'n well. Ac, yn hollbwysig, mae wedi gwella gwaith tîm yn fawr hefyd, rhwng meddygon teulu yn ogystal â rhwng y meddyg teulu ac aelodau eraill o'r tîm gofal iechyd. Ceir mwy o werthfawrogi'r hyn y gall pobl eraill ei wneud, ac mae hynny'n agwedd gadarnhaol ar ddod i weithio yma yng Nghymru, oherwydd rwy'n disgwyl y byddwn yn raddol yn gweld mwy a mwy o bobl yn disgrifio sut y maen nhw'n gweithio yn yr un modd, ac mae'n sicr wedi effeithio ar sut y caiff pobl eu hyfforddi, hefyd, sy'n gam cadarnhaol go iawn hefyd. Ac, ynglŷn â'ch pwynt am fferyllwyr, fel y nodais, bydd yr ymgyrch yn cychwyn yn fuan ar gyfer maes fferyllwyr. Cyhoeddais ddatganiad ysgrifenedig yn gynharach yr wythnos hon ynghylch buddsoddi mwy mewn fferylliaeth ac edrych ymlaen at drafodaethau pellach gyda nhw am eu contract, ac am y rhan y gallant ei chwarae a sut y gallai, ac y dylai fferylliaeth chwarae mwy o ran wrth ddarparu gofal iechyd lleol. Bydd hynny ynddo'i hun, rwy'n credu, yn helpu gyda'r cyfleoedd daearyddol sy'n bodoli. Mae nifer o feddygon wedi mynd allan ac wedi siarad yn gadarnhaol am eu rhan nhw o Gymru a'r cyfle mewn meddygaeth yno, ond hefyd am y cyfleoedd hamdden eraill sy'n bodoli mewn rhannau helaeth o'r wlad, ac mae hynny'n cynnwys y Cymoedd, lawn cymaint â'r gogledd a'r gorllewin hefyd.