 Thank you very much Helen, that was a great start to get us all in our seats. Wow, let's see her faces in front of me that is absolutely wonderful. I've got to say this is one of the high points of my year and it's a real delight to be sharing today as we talk about successors share excellent new ideas and innovations, do a bit of networking and a little bit gossiping with the folks I haven't seen for a while ac yn y gweithio argyrchod. Yna wrth gwrs yma'r 3rd gyflwyniad yng nghymru, ac ymlaen nhw'n dduol hynny'n ddod, ac mae'n dda i gael ei ddysgu, mwyaf yma'r mylwstyn. Mae'n ddod 10 yr wych, a wnaethnodd yn ymdwy'r ffyrdd ffyrdd a'r Llyfynodol Llyfynodol Fyllfaenol. Mae'r ydych chi'n meddwl yw'r cyfwysig, yn ddod ddod i'r ddod i'u gael. Mae'n ddod 11 yma, a oedd ymdugi a chyfnodol ni'n gofynu. Felly, ymdugi'n rhoi am y byddai maes ystod, ymateb yn ymdugi argyffredig o'r gwaith oedd yn dda i'r UK. Felly, mae'r mhagirau'n gwybod am ymddig i'w gweithio ar hyn a'r ymddangos. A oedd ymddangos yw, rydyn ni'n byw, ddechrau'n gwneud o gwybod ymdugi'r cyfreol ac'r cyfnodol o'i ddweud o'r wneud a'r cyfechidliadau gŷnol. I particularly want to thank the energy supplies this year for being our main sponsor. So thank you so much for those who have contributed to today. To be honest today also works by your engagement, your enthusiasm and contribution to the discussion within breakout sessions by engaging with the poster authors and presenters, but also making sure that you pick up things that you can take away and say, do you know what? I'm going to give that a go. Let me think about how that will change my practice. These good ideas, as I'll follow this up and do something with it. Now we have a lot of speakers here today, and to be honest it's quite interesting for me taking the title of Together for Care standing here within a football stadium. And you could say, yes, absolutely a perfect venue because this is all about working together. That's around team-working, it's around an ethos shared by team members. And the supply is equal to football as it does to the NHS and the delivery of health services. The only thing I shouldn't comment on is how that ethos actually helps to say friendly league because it is a little sensitive around here at the moment. So this is all about sharing good ideas. I find this telling you a particularly reflective moment. We've just had a celebration of flyers 90 girls' birthdays. We had the international day as a nurse and a week before that international day as a midwife. And it's useful for us, I think, to take stock about what our contribution to care is, both here in Wales and on a wider and more international stage. There are a lot of challenges across the world and many of the people working in Wales do reach outside our borders and have contributed to our Welsh graphical programme and have participated in things that are raising the profile of nurses and midwives across the world. And it's very well done to all of those involved in that. Now, if you like, I suppose it's a point of reflection back on the year. You could say it's the year of two halves, the game of two halves. And I didn't want to know because all four puns Helen may be doing. She said to me, you're going to be in a football stadium, do your best. I don't know anything about football, so I'm doing my best. Just hang in there. So a year of two halves, we've had challenges and we've had successes. And it would be quite easy for me to stand here focusing too much on the challenges. But I do want to spend a few moments before I look back on all the successes and the inspiring things that have been happening in Wales. So if you like, looking back at the media stories that have been hitting us, we had last summer, the Francis Inquiry reporting to Fadies in Care in the Staff. Close to home just a few weeks ago, we had a similarly very challenging report trusted to care into caring hospitals in South Wales. Very tough for the staff working in these organisations. But those people come in every day wanting and desiring and achieving a good job. However, there are lessons to be learned when you have reports like this. And I think it's a point for us now to start saying, OK, is there something different we need to be doing about the care of our older, frail elderly patients coming into our services? We've had a number of reports like the two I've just referred to, but we've also had the Old People's Commissioner talk about dignified care in our hospitals. So for me, I think a point in time here now that we need to do some honest reflection. And this last year has been filled with talk about, let's make sure our staffing levels are right. And I'm really pleased to see that our Minister actually committed additional funds to increase the nursing staffing levels on our medical and surgical ward. It was the only thing out of the Francis response that actually had additional funding. We've had a wonderful year of testing out and developing an impurity tool to help local decisions about making sure we've got the right level of staff with the right skill mix on our wards. And I have looked across Wales at our staff levels and skill mix have improved over the last year. However, it doesn't matter if you get your skill mix right, your staffing numbers right, if the value set and the culture within your organisation is one that does not value or listen to the patients and actually engage with them about what is best for them. And so, yes, by all means, Wales gets certain basic things right, like the staffing levels. But let's not kid ourselves that there's something that we need to do collectively as a profession to say, all right, what are we doing about talking to, listening to and making decisions with our patients. We have to make sure that we turn some of the rhetoric that you hear from people such as I and the Minister when we talk about co-production and prudent healthcare. These are wonderful terms we knock around. But what we're really talking about is doing these with our patients, engaging and listening to what they are telling us to decide what is best for them. They know what is best for them. And we're not doing that well enough. Now, I said it's a game of two hearts, so that's my challenges bit aside. But I thought I could not pass up this moment without giving that feeling that I have. So I'm now going to focus a little bit on some of the successes from last year. And I've got a half a page here. I couldn't actually fill the whole page of examples. So I apologise to those of you thinking, is she going to talk about you on what I've done because there are a huge number of successes we can celebrate. So this is just a snapshot if you like. We've put out a couple of bundles this year. Care bundles give us a proper evidence base around the practices we should be doing. And I'm particularly pleased that we had a launch in January from a care bundle for people with learning disabilities who are accessing acute services. They are the most vulnerable of our population. And acute services are not designed to deal with them very well. And we have come out of a case of failure of care in the past. We've actually set out a much better way of looking after them. Particularly proud of that piece of work that was done with service. We have tested and trained on the new acuity tool for inpatient care. It is ready to go live and a letter will be winging its way out to service to say, right, this is how you're going to use it this year. So this is a big step change for us because it's a national approach to workforce planning on a local level. We have seen a central funding for advanced practice for the very first time up until now. We've been talking, sorry. Up until this time we've set out our aspirations around advanced practice by setting out a framework. But we've never actually funded development. So this year we've actually put money where our mouth is and the funding is designed to grow as time goes by as we take on advantages of advanced practice within our services. We've continued our focus on healthcare-associated infections. We had a whole team Wales event over a day and a half that looked at where we've got to with massive improvements in preventing healthcare infections. But every single preventable infection that happens is a failure for that individual. It affects their long-term outcome. They let them stay in hospital. It's a lot of money and if it's preventable then we should have been doing something about that. So this drive for zero tolerance has been refreshed this year and I encourage all of you to get involved in that agenda. We've done a complete revamp on the fund amounts of care audit and the data collection took part in the autumn. I read this morning the report, the first cut of the report and it shows high levels of patient satisfaction with the way that we deliver services in Wales. That's very reassuring to me and I'm sure to you as well. When you hear the negative it colours your impression of what actually is going on. 96% of our patients are saying, do you know what? I was treated with care. My dignity was respected. I was engaged in what was happening to me. Those are kinds of things that I think we should focus on what our patients are telling us is a different story. We've had lots of people have awards this year and I was particularly pleased as much as she's in the audience. Helen Dynham, who won my CNL award at the RCN nurse of the year last November then went on to become the British Journal of Nursing nurse of the year. So it's wonderful to see somebody come from Wales that actually is recognised on an international stage. A little more poignantly for me as a member of staff in the past of Swansea University, I was absolutely delighted to see that they've got the Student Nursing Times Award for the best place to train for pre-registration nursing. It's poignant because they had a school that recently passed away, Melanie Jasper, and my condolence is to their family at the moment. It is a very sad loss for somebody so young to be taken from us. But if you'd like to see the award, Dr Barton, who is sitting in the front here, a dear friend has brought it with him. So if you'd like to go to the stand, I did get up a concern and he says, come and see my award, Jean. I thought, this is some kind of... Our award. Our award. Well, that's not quite right. I didn't think to myself, this is some sort of come and see my etchings, Jean. But anyway, it's wonderful to see prizes and there are lots of other awards given out at different ceremonies across the year. And I particularly enjoy the artsy annuals of the year, ceremonies last autumn, for that very reason. I also want to say thank you to a couple of people. I visited the Fire and Light Museum in Cardiff Castle a few years back with my very, very aged uncle. He's 93 this year. A store run stream is around me. Anyway, he wanted to go and have a little look at the Fire and Light Museum. And when I visited it, I thought, it would be fantastic if we could showcase Betsi Cadwaladr and actually the role of nurses in wartime. So I said to the curator, would you be interested? She said, yes, it's okay. So I went to Professor Dola Mead and said, could you help me out? And she says, absolutely. So she, with support of the Royal College of Nursing, have actually now got a display in the Fire and Light Museum. It talks about the life of Betsi Cadwaladr. There are uniforms and memorabilia. There are going to be packs going out to schools talking about iconic nurse from a crime year war and about the contribution that nurses make within a military conflict setting. And staying with that theme, I have to say, I was humbled when I went on a visit to the 203 Welsh Field Hospital on their deployment in Camp Bastion, Afghanistan. I saw genuinely world-class care given by nurses from Wales and choreographers and biomedical scientists and all the other folk. And it's really tough. These are not luxurious settings and I was really, really humbled by what I saw and I'm really delighted to see that we'll come back safely from deployment and very well done to them. I don't know any in the audience here today but thank you for going that extra mile for our troops. So what have we got looking forward to? Well, a particular area for me that I'm excited about coming this year is that with the work of the Royal College of Midwives with Cardiff University there is every possibility that they will become the only midwifery world health organisation research collaborating centre for the whole 53 countries for the European Union. That means a spotlight on midwifery practice in Wales. I'm hugely impressed by that. In this city that we'll be able to advise and showcase good midwifery care and help guide other parts of the European Union and the European region which have a very different set of challenges to maternal care than we did here. So I think my time is not enough. Helen will start going, stop, gig, stop. So I want to just reflect on what I said to you last year and the year before. Every year I set to you the same challenge which is take something away today. I don't care how small it is. Take something and go and do something with it. I hope some of you reflected on that last year and said, you know what? I'm going to go and test something out. I'm going to have a conversation with somebody. I'm going to read more about that. So please, that's what I'm setting you as a task this year. Please go and pick something and do something with it. Otherwise this is just a nice day out. Let's try to make something better as a result of this.