Can I firstly thank Russell George for bringing forward this very important debate? I know as well as he does about the long-standing challenges faced by the residents of Montgomeryshire in accessing health services. Thank you. Diolch yn fawr iawn. Like other speakers, I would also like to record my thanks and my appreciation and gratitude to all of our health workers, ambulance drivers, volunteers, care workers across Wales. During these past 18 months, they have worked relentlessly throughout this COVID time. As we're heading into winter, with COVID cases sadly starting to rise, we need to really address this issue together. 

It's no wonder that we hear so often now that some in the ambulance service are saying that morale is at rock bottom. From my understanding, this is a perfect storm of ambulance waiting times, patients needing to stay in hospital due to the lack of social care, increased use of our health services because of COVID and other issues that have been waiting for the health services to open up, and our health and social care workers being stressed and exhausted and taking time off sick. 

My frustration is that this isn't a new problem. In the region of Mid and West Wales, all three of the local health boards now fall short of the Government's target for ambulance response times, according to the most recently published figures. It's clear that there needs to be long-term reform. We cannot wait another decade to see change. The health Minister helpfully said earlier this month that it would take significant time to introduce the reforms necessary for the NHS and social care system, but this needs to be about people. And I would just appeal to us all to work together to develop a plan and support that plan that clearly addresses this health and social care crisis. Thank you. Diolch yn fawr iawn.