English: Thanks very much, Russell, and thanks for your understanding that this is a very tough negotiation and a very difficult time for all of those working in the NHS. You asked about the confidence in the pay review body process. I think there are things that can change. I'm obviously very keen to hear what the NHS unions think in terms of what could be improved, but one thing that is very clear to me is that, when the pay review body took the temperature of inflation, they took it at the beginning of the year. And that was at a time when inflation was at about 6 per cent or so, and it was just after the war started in Ukraine, so we hadn't seen the impact that early in the year. So, I think there is a really good case to be made for making sure that you can somehow perhaps have some kind of mechanism whereby if it goes above a certain thing, you can revisit. So, I think there is room for us to think around some very practical issues like that. In terms of stabilising the workforce, you'll be aware that more people work in the NHS today than have ever worked before. We are still recruiting and, tomorrow, I will be issuing a statement in terms of how Health Education and Improvement Wales will be training the future workforce, in terms of what they have planned in the next years. In terms of the minimum service levels, I think we've got to be absolutely clear what we're talking about here. The people who go into the NHS are not irresponsible people; they are people who are committed to public service, and they are the ones who help to determine what the derogations are. So, you won't see people, irrespective of what's going on in the strikes, walking out of the ITU service, or those areas that are absolutely critical for care. So, effectively, those derogations are the minimum levels of service. But I think it's absolutely right to make sure that people understand that the right to strike is something that has been hard fought for, and something that we as a Labour Party certainly sign up to. In terms of surgical hubs, I think there is a bit of confusion around this, because the definitions are slightly different. So, you could argue, for example, that Abergele, which is a ring-fenced place, where it's not knocked out by what happens in relation to A&E, is a surgical hub. We haven't labelled it as such, but that, effectively, is what it is. We now have the Vanguard centre in Cardiff, which is a new centre, and is definitely ring-fenced and won't be knocked out by A&E. So, that's my definition of what a surgical hub is. I'm not quite sure what yours is, but that's mine - is it going to be knocked out by things just flowing through the doors, and will it knock out the planned care? And obviously, there's a new facility in Llanelli, which is really up and running, and only just opened. So, we are doing things, and we've got, again, a ring-fenced facility that won't be knocked out by the urgent care that comes through the door. I think you've got to be really careful here as well, though, Russell, just to understand that it is so much easier if you live in a big city to have two hospitals, where one is A&E and the other one you can have as separate, then it doesn't get knocked out by what comes through the front door. We're already doing that. In Cardiff, we can do it. You've got the Heath, but then you've got Llandough, where they can just get on with things. In Swansea, they've effectively got three hospitals and now they're starting to say, 'Look, I'll tell you what, most of the orthopaedic we'll put into Neath, so we'll keep it away.' There are always going to be complex cases where you're going to need - . For example, if you've got somebody who needs a hip operation, but they've also got a heart problem, you can't do that in a ring-fenced hub because you need somebody who's an expert in hearts quite near. So, the complex cases are always going to have to be in the big hospitals. The problem we have in Wales is that we've got lots - it's not a problem, it's a good thing - we've got lots and lots of hospitals, but because of the geography of the area you can't have more than one. So, if you want more planned care centres, we would have to switch off some of the A&E. That's very difficult when you live in such a spread-out area. In England, because populations tend to live in big cities and big urban centres, it's much easier for them to whip through things with those separations. That is much more difficult in Wales.
Welsh: Diolch yn fawr, Russell, a diolch am eich dealltwriaeth bod hon yn drafodaeth anodd iawn ac yn gyfnod anodd iawn i bawb sy'n gweithio yn y GIG. Fe wnaethoch chi ofyn am yr hyder ym mhroses y corff adolygu cyflogau. Rwy'n credu bod yna bethau all newid. Rwy'n amlwg yn awyddus iawn i glywed beth mae undebau'r GIG yn ei feddwl o ran yr hyn y gellid ei wella, ond un peth sy'n amlwg iawn i mi yw, pan wnaeth y corff adolygu cyflogau gymryd mesuriad o chwyddiant, eu bod wedi gwneud hynny ar ddechrau'r flwyddyn. Ac roedd hynny ar adeg pan oedd chwyddiant tua 6 y cant, ac roedd ychydig ar ôl i'r rhyfel ddechrau yn Wcráin, felly doedden ni ddim wedi gweld yr effaith mor gynnar â hynny yn y flwyddyn. Felly, rwy'n credu bod achos da iawn i'w wneud dros sicrhau eich bod yn gallu rhywsut efallai cael rhyw fath o ddull lle os yw'n mynd uwchben peth penodol, gallwch ailedrych ar hynny. Felly, rwy'n credu bod lle i ni feddwl am rai materion ymarferol iawn fel yna. O ran sefydlogi'r gweithlu, byddwch yn ymwybodol bod mwy o bobl yn gweithio yn y GIG heddiw nag sydd erioed wedi gweithio ynddo o'r blaen. Rydym yn dal i recriwtio ac, yfory, byddaf yn cyhoeddi datganiad o ran sut y bydd Addysg a Gwella Iechyd Cymru yn hyfforddi gweithlu'r dyfodol, o ran yr hyn sydd ganddyn nhw wedi'i gynllunio yn y blynyddoedd nesaf. O ran y lefelau gwasanaeth lleiaf, rwy'n credu bod yn rhaid i ni fod yn hollol glir beth rydyn ni'n sôn amdano fan hyn. Nid yw'r bobl sy'n mynd i mewn i'r GIG yn bobl anghyfrifol; maen nhw'n bobl sydd wedi ymrwymo i wasanaeth cyhoeddus, a nhw yw'r rhai sy'n helpu i benderfynu beth yw'r rhanddirymiadau. Felly, ni fyddwch yn gweld pobl, waeth beth sy'n digwydd yn y streiciau, yn cerdded allan o'r gwasanaeth uned therapi dwys, neu'r meysydd hynny sy'n gwbl hanfodol ar gyfer gofal. Felly, i bob pwrpas, y rhanddirymiadau hynny yw'r lefelau lleiaf o wasanaeth. Ond rwy'n credu ei bod hi'n gwbl iawn i sicrhau bod pobl yn deall bod yr hawl i streicio yn rhywbeth y brwydrwyd yn galed amdano, ac yn rhywbeth yr ydyn ni fel Plaid Lafur yn sicr yn ei gefnogi. O ran hybiau llawfeddygol, rwy'n credu bod ychydig o ddryswch ynghylch hyn, oherwydd mae'r diffiniadau ychydig yn wahanol. Felly, gallech chi ddadlau, er enghraifft, fod Abergele, sy'n lle wedi'i glustnodi, lle na fydd yr hyn sy'n digwydd mewn perthynas ag adrannau damweiniau ac achosion brys yn effeithio arno, yn hyb llawfeddygol. Dydyn ni ddim wedi ei labelu felly, ond, i bob pwrpas, dyna beth yw e. Mae gennym ni nawr y ganolfan Vanguard yng Nghaerdydd, sy'n ganolfan newydd, ac yn bendant wedi'i chlustnodi ac ni effeithir arni gan adrannau damweiniau ac achosion brys. Felly, dyna fy niffiniad i o beth yw hyb llawfeddygol. Dydw i ddim yn hollol siŵr beth yw eich un chi, ond dyna yw fy un i - a effeithir arno gan bethau dim ond yn llifo drwy'r drysau, ac a fydd yn effeithio ar ofal a gynlluniwyd? Ac yn amlwg, mae cyfleuster newydd yn Llanelli, sy'n gwbl weithredol, a dim ond newydd agor. Felly, rydyn ni yn gwneud pethau, ac mae gennym, eto, gyfleuster wedi'i glustnodi na fydd gofal brys sy'n dod drwy'r drws yn effeithio arno. Rwy'n credu bod yn rhaid i chi fod yn ofalus iawn yn y fan yma hefyd, er hynny, Russell, i ddeall ei bod hi'n gymaint haws os ydych chi'n byw mewn dinas fawr i fod â dau ysbyty, lle mae gan un adran damweiniau ac achosion brys ac yn yr un arall gallwch chi ei gael fel un ar wahân, yna nid yw'r hyn sy'n dod trwy'r drws ffrynt yn effeithio arno. Rydyn ni eisoes yn gwneud hynny. Yng Nghaerdydd, gallwn ni wneud hynny. Mae gennych chi Ysbyty Athrofaol Cymru, ond wedyn mae gennych chi Llandochau, lle maen nhw'n gallu bwrw ymlaen â phethau. Yn Abertawe, mae ganddyn nhw dri ysbyty i bob pwrpas a nawr maen nhw'n dechrau dweud, 'Edrychwch, fe ddyweda i wrthych chi beth, fe wnawn ni roi'r rhan fwyaf o'r gwaith orthopedig yng Nghastell-nedd, felly byddwn ni'n ei gadw draw.' Bydd achosion cymhleth bob amser lle bydd angen i chi - . Er enghraifft, os oes gennych chi rywun sydd angen llawdriniaeth ar ei glun, ond sydd hefyd â phroblem gyda'r galon, allwch chi ddim gwneud hynny mewn hyb wedi'i glustnodi oherwydd mae angen rhywun sy'n arbenigwr mewn calonnau yn eithaf agos. Felly, mae'r achosion cymhleth wastad yn mynd i orfod bod yn yr ysbytai mawr. Y broblem sydd gennym yng Nghymru yw bod gennym lawer - dydy hyn ddim yn broblem, mae'n beth da - mae gennym lawer iawn o ysbytai, ond oherwydd daearyddiaeth yr ardal allwch chi ddim bod â mwy nag un. Felly, os ydych chi eisiau mwy o ganolfannau gofal wedi'u cynllunio, byddai'n rhaid i ni ddileu rhai o'r adrannau damweiniau ac achosion brys. Mae hynny'n anodd iawn pan ydych chi'n byw mewn ardal wasgaredig iawn. Yn Lloegr, oherwydd bod poblogaethau yn tueddu i fyw mewn dinasoedd mawr a chanolfannau trefol mawr, mae'n llawer haws iddyn nhw fynd yn gyflym drwy bethau gyda'r gwahaniadau hynny. Mae hynny'n llawer anoddach yng Nghymru.