 Mae'r ffordd a bawb. I'm Elina Portman, Minister of Health and Social Services. Hefyd, byddai'n cyhoeddi'r strategiaeth newydd i drafos newydd a chyblyni'r gwasanaethau diagnostig. Dda'r gaf ffordd a'r gwybod, nad yw'r problemau dyn nhw i'n gwybod a ffordd, mae dechrau cwniaeth yn hyn. Felly dyna'r gwaith yn gwybod i'w gwasanaethau cymryd yn cyfraffaeth gyda'r gyda'r gwasanaethau diagnostig. Felly y gallu oes i'n mynd i'ch gweithio'r cyd-fawr ac i'ch cymryd i'r gyda'r Cyfrifiadau Cymru. A gweithio'r 80% o'r cyfrifiadau cyfrifiadau cyfrifiadau cyfrifiadau cyfrifiadau, mae'n ddim ar y cyfrifiadau cyfrifiadau. mae wedi eich argynigu'r meddwl o gael fel pengyndoedd o'n dweud, gran allwn i'ch scerifetiaeth, gallwn i ddechrau i chi'n dweud. Mae Llog-eith-3 yma hefyd yn gwneud eich cymryd yn y sylfaenol y mynd yn ystyried. Mae Llog-eith-3 yn Dál-eith-3 yn Ysgwrt Gwaith, ac yn dechrau i Llog-eith-3 yn seith…) o fi fydda'r ty Giantu o'rthynion ar y cyfryd. O'r bobl i ddanellwch, oed o'r hyn tynnu amser, a'r ddwylliant ni'n mewn gwirioneddau sydd yn fawr. Felly, mae'n ddawd yn meddwl am yr hwnnw, fel y byddwch ar gyfer mae'n bod yn ddweud o'r pobl i fod ei gynnydd. A wneud ar y ddol iawn i gynnwys cyfryd. gan gweithio'r ffwrdd, yn ymweld, a'r gweithio'r ddiagnostig hwb. Y ddiagnostig hwb yw'r cyflwyno'n gweithio'n gweld ymlaen i'r strategaethau yn ddod i ddweud yn cael ei gael o'r cyflwyno i ddod i gael o'r ddiogel. Rwy'n gweithio'n gweithio'n gweithio. Mae'r ffórm y Britys Aeolwyr yn Llanthrasent, wedi dod i'r Hbwrd Rhyw Yng Nghymru, yn bach i'r Ymlaen i ymlaen i'r Diagnostig Hwb i gyflwyno ymlaen i Llanthrasent. Mae'r cyflwyno'r ffwrdd yn unrhywngau lle i ddweud i hyn yn ymlaen i Ymlaen i ymlaen i'r Dfod ddiagnostig hwb. Fyd y cwrs mor wneud du, ond mae yn cerddifio i'r Hywyddon Rhyw Gwyll yn ymlaen i'r Hayfyrdd ac ar gyfer y hosbeth e wedi ddweud ymdodol o'r ddiolch. Rydyn ni'n ddweud o'r cyhoedd o'r hwrs yn ei arddangos, i'r unig o'r ennod osgapau, i ddweud o'r teithio ac i'r gymuned gyda'r gymuned yn cyflawni'r hwn. Ysgol grifio hefyd a gweithio ar ei gyrfa amser oedd yng nghylch a we'n chyfnodd i opethu i ddiweddogol â'r centau o ddechrau'r llwyth i'r llwythau genrychol o'r syniadau gyda'r gynghoriadau ysgrifennol ac yn ystodol syniadol i'r gymhau lleolau gymhau cyfnodol. Yngyrchon hwnnw i'r cyffinion ac ysgrifennol y llwythau cyfnodol a'r cyfnodol i'n gwybod cyfnod o'r cyfnodol ysgrifennol a'r cyfnodol i'r cyffinodol i'r cyfrannu'r hynod o'r strategiaeth. I ddim yn gwneud yn gweinio'r nhs, lleol, a'r ystyried, i gael gwybodaeth newydd. Y newydd a'r llai yn ymgyrch o'u cyfnod o'r ysgolwyddiadau cyfnodol o'r cyfnodol biopsydd diagnostig o'r cyfnodol, i gael gweithio'r cyfnodol yw eich gwrthu'r ysgolwyr. Yn ystod, yn ymwyfnol yn 1,200 o'r cyfnodol, ond y gallwn gwneud hynny, will look at how a blood test can reduce the time between diagnosis and treatment? The development of the new state of the art ergonomics facility at Cardiff Edge Life Sciences Park will bring together partner organizations which can deliver services and research to create an environment which promotes innovation. Bydd y cymryd wedi'i gweithio'r cyhoedd gael sydd gennym ni'n gweld bod yn teimlo'r gweithio'r cyfnodau diagnosiad. Cymru, yn gweithio, y cyfnodd yn cael eu gwahodd am ychydigol. Yn gweithio'r cyfnodd o'r ffordd o'r cyfnodd rem ywethaf ym Mhwyntgyrch Cymru, fel pwysig o'r gyfnoddau gyda y pet aredgell, will allow us to perform more scans with higher accuracy and reliability than the existing analogue and mobile scanners. In North Wales we've rolled out digital cellular pathology, enabling faster reporting times and reducing the time taken for lymphoma diagnosis. Bublwyddyn bydd angen prowf, diagnostic a'r fylodd o hwn o'n i, gyda'n hai neud diusdurri cyflwr penodol. Un i am i bawb gael mynediad amserol i brofiwn diagnostic o amser i'chel. Bydd hyn yn hanfodol, er mwyn sicrhau bod pobl yn cael ei dwyneith o'r e posibl cyngynted a ffosibl, yn agustala helpu lle hi'r amser pryddeirisi bawb a atle bod yn byw gyda'r posibl oedd y gael diagnosis brawychis. Dyna nod pennaf strategaeth dwy'n cyhoeddi heddiw. Every year, thousands of us will need a diagnostic test to confirm or rule out a particular condition. We want everyone to have timely access to high quality diagnostic testing. This will be vital to ensuring people get the best possible treatment as quickly as possible, as well as helping to reduce the anxiety for all those who may be living with the prospect of an as-yet unconfirmed and scary diagnosis. That's the ultimate aim of the strategy that I'm publishing today. Diolch yn fawr iawn i chi, and I'm happy now to take questions. First one from Rodri Llywes. Would you mind providing your answers by living with me? Concerning the announcement on diagnostics, how long will it be before these regional hubs are in place? What else are you doing to drive down waiting lists because the hubs will only help according to your figures about 6% of people who are currently on waiting lists? Diolch. So, we're already moving forward quite quickly with the development in Llanthesans, so we're expecting that to be developed within the next year or so, and there are plans for two other centres to be developed in Wales. I think what's really important though is that we understand that actually we already have national programmes in diagnostics on imaging, on genomics, on pathology, healthcare science, and endoscopy. So, one of the things we're doing here is not just creating these new hubs, but we're also maximising the capacity of the services that we have already, and to do that, for example, we'll be increasing capacity through outsourcing, we'll be extending the working day and working seven days a week. So, there'll be a new approach, there'll be a new workforce plan to run alongside this, and it'll be really important, I think, in terms of the situation, for example, in Howel Dda. We've increased the number of cardiology people involved already, so it's not just about the hubs, it's about maximising and using better some of the services that we have already. Felly, un i'n gobeithio y byddwn i'n cael tri hwp ram barthol, ac eisoes yn ardal fan trysant, mae'r gwaith hwn i wedi dach i'n gobeithio bydd hwn i gyd yn barod yn ystod y flwyddyn nesaf, o mae hwn yn adeiladu hefyd ar ben, gwasanaethau sydd eisoes yn arben i sy'n ei wysig arhaig bod ni'n cynnyddio'r capacity gyda'r hyn sydd gyda ni ar hyn o bryd, mae hwn yn golygu gweithio saith dywrnod o drwythnos a fathau gweithio'n hyrach tan ystod y dydd, i sicrhau bod ni'n defnyddio gwasanaethau sydd gyda'n ei i'r eithag, ac yng nglwm gyda hwn fe fydd na ymgyrch i sicrhau yn bod ni yn hyfforddi fwy o bobl yn y maes yma. Diolch yn fawr. The second question isn't within your brief, but it's leading the news bullet this morning, and that's obviously Sudan, the situation in Sudan. Can you say what contact if any Welsh Government has had with the UK Government about anybody from Wales who's trying to leave Sudan at the moment, please? I can't give you detail on that, but obviously the Welsh Government will be keeping an eye on the situation, but obviously this lead will come from the foreign office and they're the people responsible for trying to give support to any British citizens who are in Sudan at the moment, and we haven't heard specifically of any Welsh people yet, but obviously if we do, then we will engage with that. Dyny'n mynd, mae fynnu i'r Llywodraeth yn dynasynedig i ar wen ar faterion hongladol, dyna pam nhw fydd yn neud yr ymgech chi sicrhau bod ni'n gallu cael pob a allan o Sudan, ond dyny'n mynd yn wefodol ar hyn o bryd o un o Gymru yna ond yn ysgwrs os fyddwn ni'n clywed am hynny fe fyddwn ni yn sicrhau'n bod ni'n gysylltu gyda nhw. Adrian. Thank you very much Minister. It was only a year ago that a similar strategy was announced by the Welsh Government. Does this strategy replace that one? And specifically does it replace the targets that were set out in the strategy which is no one waiting longer than a year for first outpatient appointments? Actually that was by the end of 2022 and eliminating the number of people waiting longer than two years by March 2023 also now gone. So in other words does this strategy that you're announcing today replace that? No this was part of the strategy and if you read what was in that strategy it made clear that we would be bringing forward a diagnostic strategy within the planned programme of care that we set out last year. So what we're doing is actually delivering on what we said we would do last year but as I said what we're doing is building on some of the national programmes that already exist but working to make sure that we maximize the ability to work across different disciplines within the diagnostic areas so that for example you know they'll be read across in terms of training for some of these areas that may be relevant for example on imaging and pathology on endoscopy just making sure that everybody is understanding of of what the responsibilities are. We've developed this plan in collaboration with key stakeholders throughout Wales. There will be a national diagnostic board and part of their role will be to coordinate and ensure that there are high quality services and bringing together those national that national programme that we're announcing today with those regional and local partners and where possible we'll want to be doing some of this diagnostic work within our communities. I think it's probably worth emphasizing that we're really keen to develop new technologies to use the the very latest techniques and the visit I did last week to Heath Hospital really showed you know where we're heading in future in relation to this liquid biopsy in other words you take a sample of somebody's blood which you can then test genomically test the DNA just to see if somebody's got cancer which is a lot less invasive than some of the methods that we have at the moment so making sure that that we you know we're the first in in the UK to start doing that on this scale in the context of a national government approach. We've also got to look at artificial intelligence it's like there's real opportunities there and the more we digitise this the more we can get artificial intelligence for example to read some of the results and some of this can be outsourced to places like Australia some of that is already happening so you're reading the results that are coming in overnight so that we're really maximising the opportunities there. So I think this is a lot of work that's already been undertaken but this will take it I think to a different level. I think there are as I say we're maximising what is already in place and just making sure that we sweat the assets we have to a much greater extent. Thank you. I can ask your reaction to the legal action launched by the UK government's health secretary Steve Barkley. It's not just your reactions to that but given the legal advice that his department has had would you consider legal action in a similar set of circumstances in the future? Well this is not the kind of approach we take in the Welsh government we like to work in social partnership with our trade union colleagues. It's interesting isn't it that this is the second time that there's been a response of this kind. The first one when we saw the potential of strike action they brought in a new law to require minimum service standards that was something that we objected to and now they're bringing in a stringent approach in terms of whether the action is is legal. Look we've now put our proposal to the health trade unions we very much hope that they will take up the opportunity which is a significant increase 15% on average increase over all over two years. We know that the majority of the health trade unions will be recommending this to their members we very much hope that they'll take up that opportunity because I'm very keen to make sure that we deliver for the public in Wales. We know that we've got work to do to address the long waiting lists that's not possible unless we have the workforce in place to make sure that they deliver. They're doing an incredible job it's quite been quite remarkable the the improvements in terms of waiting lists I think it's worth pointing out that there's been a 47% drop in the number of people waiting for two years for treatment from March last year. 12,000 people a month informed that they have no cancer and I think it's probably worth emphasising once again that our waiting lists in Wales are going down while they're going up in England and that's been the case for the past five months. Dan. Thank you minister could I also ask if I get my answers in Welsh in English as well please. Clearly this part of this diagnostic plan is to bring down waiting times but if people are getting an earlier diagnosis are they not just being moved over to waiting for treatment how important is it to get that treatment right at the very end of the conveyor belt if you will and what are you doing to make sure that that happens? Well if anything Dan the blockage at the moment is in the diagnostic area which is why we're very very keen to focus on this. We've got as part of the ambition within the planned care recovery plan we've said that we want to get diagnostic waits down to eight weeks by the spring of next year so that's our ambition we hope to meet that ambition with this new strategy with the developments of these new diagnostic hubs you'll be aware that we've invested a billion pound or will invest a billion pound in planned care recovery over the course of this senate term so around six percent of people on waiting lists are waiting for diagnostic tests that's around 30 000 people. Felly, os o beth yn un yn wybodol bod pobl sy'n y blockage ar hyn o bryd mae yn yr ardal diagnostic yn hytrach na y myraeth nes ymlaen a dyna pam ni'n ddumlaen gyda'r strategiaeth yma ni mewn sefydl ffaith lle i ni wedi gweith bod nôd gyda ni i sicrhau bod pobl yn cael i brawf diagnostic nôd o fel oes oesnos er ben yr amser hyn o blwyddyn nesaf. Mae ti'ch wech i'ch cant o bobl sydd ar yn rastri aros ni ar hyn o bryd, o bobl sy'n aros am brawf diagnostic i ni'n cyfrir pobl y hynny yn un waiting list ni yn anhebyg i yr hyn sy'n digwydd yn Llygur. And if I could ask about Spetsy Cwydwellter health board, Plaid Cymru have accused your colleagues of misleading the Senedd over the decision to bring the health board out of special measures. Do you stand by what the First Minister and what your predecessor told the Senedd and what was it exactly that the Welsh Government saw in the health board to make that decision to bring it out of special measures? Well I know that the First Minister has written to Senedd members to set out rhoi gweld eu systr ond byddwch i'ch cael eu bod yn ymgylchedd y mawr, yn sgwulio'r Gweithiau yn ydymladu'r ffordd o'r eu ddeilogau. Oni'n gael e'n gweithio, roedd y gwaith yn ateb chwarae yw ddweud yw gyhoedd y Cymru a yw'r Gweithiau Ddylu'r Gweithiau. Dwi'n cael eu Scottish the first stage of the process, the second stage, is that that discussion informs the recommendations that are made to the Minister by the civil service and then it's the Minister who makes the final decision so it's quite a complex process. What I can tell you now is that we are looking at a new situation in Betsi Cadwaladr, We have the new independent board members in place. We have the five independent advisers who have been appointed to help the board. The post of the new chief executive is being advertised. I think it is important that people understand that we have had significant interventions now when we are making sure that these are followed up. In particular, in relation to patient safety, mental health, orthopedic and planned care, and in the executive portfolios, it is probably worth also emphasising that the 111 Press 2 service, which is for support for mental health people, has been rolled out in north Wales and is available now for 24 hours a day. Mae prif Weinidol Gweddi naed yn glir beth yw'r system i benderfynu os ma'r canedd ym mynd i fod sydd o ran intervention yn y bwrdd iechyd. Mae wedi'i sgrywani at elod ar senedd i set o hwnnw i allan. Mae'r bwrdd newydd wedi cwrdd. Mae penodiad newydd wedi rymgech am penodiad ar gyfer prif oedd newydd ar gyfer beth sydd eisoes wedi dechrau. Mae'na 5 cynghorydd sydd yn helpu y bwrdd iechyd. Felly mae'r pethau eisoes yn newid. Fy fydd hi'n broses hir i symud y sylfa ymlaen yn beth sy'n cydwaladol. Fy fydd hi ddim yn digwydd drosnos. Mae'r pethau yn digwydd eisoes ar enghraifft o 111 Press 2 service i'n helpu ar gyfer pob o sydd gyda'r problemau iechyd meddwl sydd ar gael am pedair awr y ddigon. Diolch Llywodraeth. Steven? When can we expect waiting lists to return to pre-covid levels? Wow, people are dying on these lists and I wonder when the Welsh Government will go on top of this. Thank you very much. My predecessor in this role made it very clear that it would take the whole of the dissent and the term to get back to pre-pandemic levels. Felly yn rhoi'r cychwyn am leysigol ffordd yng Nghaerhau Hynry yn ysgrifftas iawn ac oeddol o'r cwm Мemwynau Hynny, oedd yn choppedr, a'n meddien ni'n ffynnod mewn mwych yn gweithio ar amddangos chi, ond mae'n dod i'n meddwl hwnnw iawn, yn outputio, a yn hwnnw i wneud gael i gydweithaidd, yn gweithio ar gweithio cyflwladau hwnnw i gael ei wneud i'r plwyno agnodfod, sy'n gyfnwys meddwl i'r bwysig, yn ddau'n'n iawn y cohawr wedi'i'r gweithio allan gynnal ch valuedd. On wnaeth y byddai ddim yn y sgol newydd yn ymdau o wahanol, ond wrth gwrs fe rydych chi'n dod i'r holl digwydd. Mynd efall, ond mae'n dweudio llinwyr mewn o'r cyfnodd, o nodi chi wedi ychydig ar ôl i'r priwhano. On oedd o'n gweithio'r cyfnodd yma, hynny'n gwneud bod ydych chi'n gweithio'n ddal o'r cyfnodd. i'w gyrddwch i'r ddweud. Felly, rydyn ni'n gweithio, rydyn ni'n gwneud y cyhoeddfa yng Nghymru, sy'n gweithio'r cyhoeddfa'r cyhoeddfa'r cyhoeddfa, i'w ffifth mae yng Nghymru, a gwneud i'r hollig yng nghylch i'r gweithwyr. Mae'r hollig yn ôl yn ddweud, ynghylch i'r cwm, gyda diagnostics ac terapies, nid oes unrhyw unrhyw ymddangos. Felly, mae'n rhaid i'n ddweud y wneud yw y bydd y rhai sy'n ffordd o'r ddweud yma yn ymddangos yma ar y rest ofio UK. Ond rwy'n dechrau, yn ymgyrch yn 47% yn y peth o pobl o'r cyfnod yma ar y cyfnod yma ar 22 yma. Mae yna yn ychydig o'r cyflwyngau yma sy'n hoffi. Ond we're hoping now that the concerted effort that's been started will continue. Thank you. Last week in the NHS pay offer, the Welsh Government promised that they would restore pay levels to 2008 levels. When does the Welsh Government expect to achieve this by and will it be within this standard term? Well, as a principle, we would like to see the restoration of pay levels to 2008. We think that the Conservative Government in Westminster has eroded the pay of NHS workers over a prolonged period of time. It's unlikely that the current Tory UK Government are going to restore pay levels and that's why we are very keen to make sure we have discussions with our Labour colleagues so that any incoming Government may would consider this. This is something obviously we have a limited budget here in Wales, but if you look at, for example, how much money goes into health and how much that's increased in the UK compared to the increase, for example, in Germany, it's very, very significantly different. So we will be having conversations, obviously, with our counterparts in Labour up in Westminster in relation to this. Tom Maganell. You very much indeed, Minister. With my first question, I'd like you to keep in mind the reply you gave to Lydia's first question. The Carers UK State of Care report 2022, which is across the UK but also reflects feelings in Wales, found that two thirds of people on the way to this said that delay had an impact on their physical and mental health. Does it concern you that you are making people wait longer than their medical conditions allow? I'm interested in your thinking behind your answer. Of course it concerns me. It concerns me greatly that people are suffering and that they need to be seen. You will be aware, Tom, that we had a situation where a huge amount of work was suspended during the Covid crisis and part of what we're doing here is catching up with what was a prolonged period of time where very little was done in terms of planned care. So that's not going to be changed overnight and that's why we've put our programme in place. We are seeing those rates coming down, but of course I am very concerned about people's physical and mental health wellbeing. Thank you very much for that. Clearly taking on new staff, finding new solutions and implementing them takes time. Do you accept that all in all, even allowing for the pandemic, more could have been done before now to improve people's physical and particularly mental health? Well, we have more people employed in the NHS than ever before. We have about 105,000 people working in the NHS. So that's a considerable increase in pre-pandemic. We are also investing over a quarter of a billion pound a year in training the next generation of health workers. But this isn't something new. This is something we've been working on for a number of years. And that's why, for example, you will have heard that already we've seen, for example, an increase in radiology staff by 16%, an increase in histiopathologists by 14%. So already a lot of that work was in place. Now, just to give you a context for what we're up against. Now, this is my figure for the week is that we saw a 93% increase in the number of red calls to the ambulance service compared to this time last year. 93%. So, despite the fact that we have increased the number of people employed in the Welsh ambulance service by 350 over the past couple of years, clearly that kind of massive increase, you can't switch it on overnight. And let's not forget that our finances are restricted now partly because of the massive inflationary pressures that we're all suffering from. But the NHS suffers from those inflationary pressures as well, including, for example, increased energy costs and medicine costs. So we have to absorb those costs. We've been given effectively a real term cut in our budgets by the UK government. Great. Diolch yn fawr iawn i chi gyd.