English: I agree with a fair amount of what Dai Lloyd has said about this being a matter of real seriousness and gravity. It is a serious issue. That is why I ordered the inquiry, with the report that we've published. And, if you look at the report, there's no hiding place in the report. It sets out a range of areas where there is a need for real improvement. It sets out a range of failings and disappointments about past conduct. And that is important to have an honest picture to improve upon. But, actually, in terms of learning disability, I recognise what Dai Lloyd says about differential mortality. That is not a cause for celebration, it is a cause for not just for concern, but for action. That is why the Government has, of its own volition, undertaken a review across Government in terms of learning disability services, which I, Rebecca Evans in a previous role, but also Huw Irranca-Davies in a previous role as well, have been actually part of undertaking and reviewing and taking forward, because we do recognise we need to do better. We recognise there are real challenges and a need for improvement. There's no lack of understanding or commitment from the Government to do better. If you want to see examples, there's real leadership from the chief nursing officer as well on this issue. She has made it a real priority within the last few years, because of the mounting evidence about differential outcomes and the failure to make appropriate progress. For example, earlier this term, I met the family of Paul Ridd to look at what had happened with his care, where, again, he was let down, and the family then came back, after a period of time - we quite understand that they were angry and did not want to come back. They then decided they wanted to do something to make sure others did not go through the same experience. And that has actually been a really positive experience for this health board as well. The learning they have taken on board for matters on the ward - and, indeed, Melanie Thomas, one of the nurses they have dealt with, the learning disability co-ordinator, was actually recognised for her work on learning disability within the recent new year's honours list. So, there is good practice within Wales. As ever, the challenge is how consistent is that and that the learning isn't simply kept in one part of our service. So, I do recognise that there have been failings. I want to be clear that the Welsh Government does not authorise a desktop review as the only response that should take place. The health board undertook a desktop review, and, following that, I was not satisfied that was the appropriate course of action, that the learning had actually been deep enough or, indeed, that they'd learnt all the lessons and asked all the right people. So, I ordered Healthcare Inspectorate Wales to undertake a review. In terms of the treatment of the whistleblower, well, the challenge here is that Healthcare Inspectorate Wales went through that. I would always want whistleblowers to be believed, and I would want - . Again, you start off by believing the whistleblower and taking what they say seriously if you want the right culture to take place. I certainly do believe there's more learning to take place and it's been raised directly with me by the British Medical Association. I think we will be in a better place but, as ever, we will continue to learn from where we get things wrong as well as where we get things right. There is much that we should not be proud of here, but also I think what is most important is the commitment to do better in the future.
Welsh: Cytunaf â rhywfaint o'r hyn y mae Dai Lloyd wedi'i ddweud am ddifrifoldeb gwirioneddol y mater hwn. Mae'n fater difrifol. Dyna pam y gelwais am yr ymchwiliad, gyda'r adroddiad a gyhoeddwyd gennym. Ac os edrychwch ar yr adroddiad, nid oes lle i guddio ynddo. Mae'n nodi amrywiaeth o feysydd lle mae angen gwneud gwelliannau go iawn. Mae'n nodi amrywiaeth o fethiannau a siomedigaethau ynglŷn ag ymddygiad yn y gorffennol. Ac mae hynny'n bwysig i gael darlun gonest er mwyn gwella arno. Ond o ran anabledd dysgu, rwy'n cydnabod yr hyn a ddywed Dai Lloyd ynghylch lefelau marwolaethau gwahaniaethol. Nid yw hynny'n achos dathlu, mae'n achos pryder ond mae'n achos dros weithredu hefyd. Dyna pam fod y Llywodraeth, o'i dewis ei hun, wedi cynnal adolygiad ar draws y Llywodraeth mewn perthynas â gwasanaethau anabledd dysgu, ac rwyf fi, Rebecca Evans mewn rôl flaenorol, a Huw Irranca-Davies mewn rôl flaenorol hefyd, wedi bod yn rhan o'r gwaith o gyflawni ac adolygu a datblygu, oherwydd rydym yn cydnabod bod angen i ni wneud yn well. Rydym yn cydnabod bod heriau gwirioneddol a bod angen gwella. Nid oes diffyg dealltwriaeth neu ymrwymiad gan y Llywodraeth i wneud yn well. Os ydych eisiau gweld enghreifftiau, mae'r prif swyddog nyrsio wedi dangos arweinyddiaeth go iawn ar y mater hwn hefyd. Mae hi wedi sicrhau ei fod yn flaenoriaeth go iawn dros yr ychydig flynyddoedd diwethaf, oherwydd y dystiolaeth gynyddol am ganlyniadau gwahaniaethol a'r methiant i wneud cynnydd priodol. Er enghraifft, yn gynharach y tymor hwn, cyfarfûm â theulu Paul Ridd i edrych ar yr hyn a ddigwyddodd gyda'i ofal, lle roedd wedi cael cam, unwaith eto, ac yna daeth y teulu yn ôl wedi cyfnod o amser - ac rydym yn deall eu bod yn ddig ac nad oeddent eisiau dod yn ôl. Yna, penderfynasant eu bod eisiau gwneud rhywbeth er mwyn sicrhau nad oedd pobl eraill yn gorfod dioddef yr un profiad. Ac mae hwnnw wedi bod yn brofiad cadarnhaol awn i'r bwrdd iechyd hwn hefyd. Maent wedi dysgu gwersi ar faterion ar y ward - ac yn wir, mae Melanie Thomas, un o'r nyrsys y maent wedi ymwneud â hi, y cydlynydd anabledd dysgu, wedi cael cydnabyddiaeth yn ddiweddar am ei gwaith ar anabledd dysgu yn rhestr anrhydeddau'r flwyddyn newydd. Felly, mae yna arferion da yng Nghymru. Fel erioed, mae'r her yn ymwneud â pha mor gyson yw'r rheini ac nad yw'r dysgu'n cael ei gadw mewn un rhan o'n gwasanaeth yn unig. Felly, rwy'n cydnabod bod methiannau wedi bod. Hoffwn ei gwneud yn glir nad yw Llywodraeth Cymru yn awdurdodi adolygiad bwrdd gwaith fel yr unig ymateb a ddylai ddigwydd. Cynhaliodd y bwrdd iechyd adolygiad bwrdd gwaith, ac yn dilyn hwnnw, nid oeddwn yn fodlon mai dyna oedd y llwybr gweithredu priodol, nid oeddwn yn fodlon fod y dysgu wedi bod yn ddigon dwfn nac yn wir eu bod wedi dysgu'r gwersi i gyd ac wedi gofyn i'r bobl iawn i gyd. Felly, gelwais ar Arolygiaeth Gofal Iechyd Cymru i gynnal adolygiad. O ran triniaeth y chwythwr chwiban, wel, yr her yma yw bod Arolygiaeth Gofal Iechyd Cymru wedi mynd drwy hynny. Buaswn bob amser eisiau i bobl gredu chwythwyr chwiban, a hoffwn - . Unwaith eto, rydych yn dechrau drwy gredu'r chwythwr chwiban a chymryd yr hyn y maent yn ei ddweud o ddifrif os ydych am sicrhau'r diwylliant cywir. Yn sicr, credaf fod angen dysgu mwy ac mae Cymdeithas Feddygol Prydain wedi codi'r mater hwnnw'n uniongyrchol gyda mi. Credaf y byddwn mewn sefyllfa well, ond fel erioed, byddwn yn parhau i ddysgu o'n camgymeriadau yn ogystal â'r pethau rydym yn eu gwneud yn iawn. Mae llawer na ddylem fod yn falch ohono yma, ond credaf hefyd mai'r peth pwysicaf yw'r ymrwymiad i wneud yn well yn y dyfodol.