Part of the debate – in the Senedd at 4:24 pm on 15 November 2016.
I thank the Cabinet Secretary for the statement today. As it happens, the health committee here at the Assembly is having an inquiry into winter preparedness in the NHS. We’re looking forward to the evidence session with the Cabinet Secretary in the next few days. Yes, there is evidence that has been heard as part of our inquiry so far that does show elements of additional pressure—paediatrics is a specific one that has emerged. But what does come to the surface most is that, if the health service had the general capacity to cope throughout the year, it would have the capacity to deal with any temporary increase that happened, whether in the winter or at any other time of the year, for example, in the summer, when A&E departments are busiest. What we have in this statement today is an outline of a number of things that the Government is doing to try and respond to the challenges of the winter, but I do believe that that does ignore those broader factors. He mentions trying to reduce access to A&E departments and overnight stays, but he doesn’t mention much about social care apart from saying that social workers are going to be in hospitals in order to accelerate the process of getting people discharged. And we know, of course, that there is a lack of integration in the system as it stands.
Pedwar cwestiwn cyflym os caf i: mae’r datganiad yn cydnabod bod y pwysau ar y system drwy gydol y flwyddyn, fel y dywedais. A yw Ysgrifennydd y Cabinet yn hapus y gall capasiti cyffredinol y system ymdopi â'r pwysau y mae bob tymor yn ei chyflwyno? A chofiwn fod y gaeaf yn dod bob blwyddyn. Yn ail, gwelyau ychwanegol: efallai y gallech roi ychydig mwy o fanylion i ni am y math o welyau ychwanegol yr ydych chi’n eu gweld yn cael eu cyflwyno. Yn drydydd, cwestiwn penodol ynglŷn â chadw cleifion draw oddi wrth eu meddyg teulu: mae GIG Lloegr wedi cael llawer iawn o gyhoeddusrwydd ynghylch ei gynllun i adael i fferyllwyr weld pobl â dolur gwddf er mwyn penderfynu a yw'r haint yn firaol neu’n facteriol. A yw GIG Cymru yn ystyried hynny yn benodol? Ac, yn olaf, gan ei droi wyneb i waered i ryw raddau, ymddengys bod llawer o ymdrechion y Llywodraeth, yn canolbwyntio ar gyflymu’r broses o ryddhau cleifion, ond gwyddom am waith ymchwil sy'n dangos peryglon i rai cleifion o gael eu rhyddhau’n rhy gynnar. Beth y mae'r Llywodraeth yn ei wneud i sicrhau bod ysbytai yn rhoi cymaint o sylw i gadw pobl yn yr ysbyty, os mai dyna'r penderfyniad clinigol cywir, beth bynnag fo pwysau’r gaeaf, fel na chaiff y broses o ryddhau cleifion fyth ei chymell gan y pwysau yn y tymor byr i greu lle?