Translate the text from English to Welsh.



 
I updated the Senedd about progress to improve eating disorder services and support just over a year ago. Since then, health boards have continued to provide high\-quality care in the face of increasing needs and complexity, and against a challenging financial backdrop. I would like to place on record my thanks to all our NHS staff who provide compassionate care and support to some of our most vulnerable people. 

We have provided dedicated resources in the new NHS Executive to improve mental health services through a new strategic programme and a mental health patient safety programme. This includes the appointment of a new national clinical lead for eating disorders, who is working with all health boards to drive change, with a focus on early intervention. This is a vital role, with a remit to ensure high\-quality services and reduce variation across Wales. 

The eating disorder clinical implementation network has also been established to ensure there is a critical interface between Welsh Government policy and service delivery, providing direction and support to NHS Wales organisations with the aim of improving quality, safety, and outcomes for eating disorder services.

While further modelling and feasibility work to review and improve inpatient support is continuing, I’m pleased that, as part of an interim solution, the Welsh Health Specialised Services Committee has secured access to dedicated adult eating disorder beds in Wales. This additional capacity can support eight people, with the potential to commission support for up to 15 people if needed. It has been developed to provide care and treatment for women with anorexia nervosa, bulimia nervosa and atypical eating disorders. Our aim is to deliver on our commitment to provide care closer to home for those people who would previously have received care in specialist units in England. The vast majority of people who need specialist inpatient care now receive it in Wales.

While improving access to inpatient support is important, we want to prevent people from escalating to that level by focusing on earlier intervention and investing in community services. I have seen first\-hand how the funding we have provided is improving and expanding such care. A wider range of professionals is supporting a multi\-disciplinary approach and teams have been expanded to provide better access to care, for young people and adults. 

In September, I visited Cardiff and Vale University Health Board’s eating disorder services. Its specialist CAMHS eating disorder service has been increased by three whole\-time equivalent staff and the skill mix has also been increased. Welsh Government funding they have received has supported a further increase in the capacity for assessment and intervention for under 18’s. Their CAMHS also team has successfully reduced assessment and treatment waiting times to within four weeks of referral.

Aneurin Bevan University Health Board screens all referrals with telephone assessments being carried out on the day. A peer mentor works in the service and it also provides assessment and treatment within four weeks of referral. The services are going further, accepting avoidant restrictive food intake disorder (ARFID) referrals and to provide an intervention, and we are seeing this across other teams in other health boards across Wales. 

The focus on early intervention by Betsi Cadwaladr University Health Board’s specialist eating disorder (SPEED) team has reduced the number of people with anorexia who are admitted to hospital and reduced the use of feeding tubes in both the community and on inpatient wards. Their SPEED hub team are the first to embed paediatrics in the initial assessment of the patients journey and have an advanced nurse practitioner as part of the team paediatric service. It has also recruited a specialist cardiologist – thought to be the first in the UK – providing dedicated paediatric cardiology to the SPEED hub team.

We are also investing in easy\-to\-access support, which doesn’t need a referral from a health professional. This includes support for people while they are waiting for more specialist care. We have continued to fund BEAT’s Wales specific helpline and peer support services. By April 2024, it hopes to have provided 3,500 support sessions through the helpline. 

Improving eating disorders services is a priority for me and I expect to see our services continue to develop and expand. Early intervention is important and over the next year a number of health boards will be working with the national clinical lead to explore implementing First Episode and Rapid Early Intervention in Eating Disorders (FREED). This is an early intervention service model and care package targeted specifically for young people aged 16 to 25 years tailored to developmental and illness stage and designed to reduce the duration of untreated eating disorders and improve clinical outcomes. 

My expectation is that our services will continue to develop with better outcomes and experiences for people. However, eating disorders are complex, with no single, common cause. It is therefore vital that we continue to take a multi\-faceted approach, including support around body image, the impact of social media and healthy eating.

I will be setting out the longer\-term actions to improve mental health support, including eating disorders, when we publish our new draft mental health strategy. 







Translation:


 
Ychydig dros flwyddyn yn ôl, fe roddais ddiweddariad i'r Senedd ar hynt y gwaith o wella gwasanaethau a chymorth anhwylderau bwyta. Ers hynny, mae'r byrddau iechyd wedi parhau i ddarparu gofal o ansawdd uchel yn wyneb anghenion a chymhlethdod cynyddol ac yn erbyn cefndir ariannol heriol. Hoffwn gofnodi fy niolch i holl staff y GIG sy'n darparu gofal a chymorth tosturiol i rai o'n pobl fwyaf agored i niwed. 

Rydym wedi darparu adnoddau pwrpasol o fewn Gweithrediaeth newydd y GIG er mwyn gwella gwasanaethau iechyd meddwl drwy raglen strategol newydd a rhaglen diogelwch cleifion iechyd meddwl. Mae hyn yn cynnwys penodi arweinydd clinigol cenedlaethol newydd ar gyfer anhwylderau bwyta, sy'n gweithio gyda'r holl fyrddau iechyd i ysgogi newid, gan ganolbwyntio ar ymyrraeth gynnar. Mae hon yn rôl hanfodol, gyda chylch gwaith i sicrhau bod y gwasanaethau o ansawdd uchel, ac i leihau amrywiaeth yn y gwasanaethau a ddarperir ledled Cymru. 

Hefyd cafodd rhwydwaith gweithredu clinigol ar gyfer anhwylderau bwyta ei sefydlu i sicrhau bod rhyngwyneb a all ddadansoddi'r sefyllfa rhwng polisi Llywodraeth Cymru a darparu gwasanaethau, gan ddarparu cyfeiriad a chymorth i sefydliadau GIG Cymru gyda'r nod o wella ansawdd, diogelwch a chanlyniadau gwasanaethau anhwylderau bwyta.

Er bod angen i'r gwaith modelu ac asesu dichonoldeb barhau er mwyn adolygu a gwella cymorth cleifion mewnol, rwy'n falch bod Pwyllgor Gwasanaethau Iechyd Arbenigol Cymru, fel rhan o ateb dros dro, wedi sicrhau mynediad i welyau anhwylderau bwyta dynodedig i oedolion yng Nghymru. Gall y capasiti ychwanegol hwn gefnogi wyth o bobl, gyda'r potensial i gomisiynu cymorth ar gyfer hyd at 15 o bobl os oes angen. Fe'i datblygwyd i ddarparu gofal a thriniaeth i fenywod sydd ag anorecsia nerfosa, bwlimia nerfosa ac anhwylderau bwyta annodweddiadol. Ein nod yw cyflawni ein hymrwymiad i ddarparu gofal yn nes at adref i'r bobl hynny a fyddai wedi derbyn gofal mewn unedau arbenigol yn Lloegr yn y gorffennol. Mae'r mwyafrif helaeth o bobl y mae angen gofal cleifion mewnol arbenigol arnynt bellach yn cael y gofal hwnnw yng Nghymru.

Er bod gwella mynediad at gymorth cleifion mewnol yn bwysig, rydym yn awyddus i atal pobl rhag gwaethygu i'r lefel honno trwy ganolbwyntio ar ymyrryd yn gynharach a buddsoddi mewn gwasanaethau cymunedol. Rwyf wedi gweld drosof fy hun sut mae'r cyllid rydym wedi ei ddarparu yn gwella ac yn ehangu gofal o'r fath. Mae ystod ehangach o weithwyr proffesiynol yn cefnogi dull amlddisgyblaethol, ac mae timau wedi cael eu hehangu i ddarparu gwell fynediad at ofal, i bobl ifanc ac i oedolion. 

Ym mis Medi, ymwelais â gwasanaethau anhwylderau bwyta Bwrdd Iechyd Prifysgol Caerdydd a'r Fro. Mae ei wasanaeth anhwylderau bwyta CAMHS arbenigol wedi ei gynyddu gan dri aelod staff cyfwerth ag amser llawn ac mae'r cymysgedd o sgiliau hefyd wedi ei ehangu. Mae'r cyllid y maent wedi ei gael gan  Lywodraeth Cymru wedi cefnogi cynnydd pellach yn y capasiti asesu ac ymyrryd i bobl ifanc dan 18 oed, ac mae eu tîm CAMHS hefyd wedi llwyddo i leihau amseroedd aros ar gyfer asesu a thriniaeth i fod o fewn pedair wythnos wedi iddynt gael eu hatgyfeirio.

Mae Bwrdd Iechyd Prifysgol Aneurin Bevan yn sgrinio pob atgyfeiriad, gydag asesiadau dros ffôn yn cael eu cynnal ar y diwrnod. Mae mentor cymheiriaid yn gweithio yn y gwasanaeth, ac mae hefyd yn darparu asesiad a thriniaeth o fewn pedair wythnos wedi'r atgyfeiriad. Mae'r gwasanaethau'n cael eu hymestyn i dderbyn atgyfeiriadau sy'n ymwneud ag anhwylder osgoi/cyfyngu o ran y bwyd (ARFID), gan ddarparu ymyrraeth. Rydym yn gweld hyn yn digwydd ar draws timau eraill mewn byrddau iechyd eraill ledled Cymru. 

Mae'r ffocws ar ymyrraeth gynnar gan dîm anhwylderau bwyta arbenigol Bwrdd Iechyd Prifysgol Betsi Cadwaladr (SPEED) wedi lleihau nifer y bobl ag anorecsia sy'n cael eu derbyn i'r ysbyty, ac wedi lleihau'r defnydd o diwbiau bwydo yn y gymuned ac ar wardiau cleifion mewnol. Tîm eu canolfan SPEED yw'r gyntaf i ymgorffori pediatreg yn asesiad cychwynnol taith y claf, a chael ymarferydd nyrsio uwch fel rhan o wasanaeth pediatreg y tîm. Mae hefyd wedi recriwtio cardiolegydd arbenigol \- a chredir bod hwn yn benodiad cyntaf o'i fath yn y DU – gan ddarparu gwasanaeth cardioleg bediatrig bwrpasol i dîm SPEED.

Rydym hefyd yn buddsoddi mewn cymorth hawdd ei gyrchu nad oes angen cael atgyfeiriad ar ei gyfer gan weithiwr iechyd proffesiynol. Mae hyn yn cynnwys cefnogaeth i bobl wrth iddynt aros am ofal mwy arbenigol. Rydym wedi parhau i ariannu llinell gymorth benodol Cymru a gwasanaethau cymorth cymheiriaid BEAT. Erbyn mis Ebrill 2024, mae'n gobeithio y bydd wedi darparu 3,500 o sesiynau cymorth drwy'r llinell gymorth. 

Mae gwella gwasanaethau anhwylderau bwyta yn flaenoriaeth i mi, ac rwy'n disgwyl gweld ein gwasanaethau'n parhau i ddatblygu ac ehangu. Mae ymyrraeth gynnar yn bwysig, ac yn ystod y flwyddyn nesaf bydd nifer o fyrddau iechyd yn gweithio gyda'r arweinydd clinigol cenedlaethol i edrych ar y posibiliadau o ran gweithredu model FREED, sef ymyrraeth cyfnod cyntaf ac ymyrraeth gynnar gyflym mewn achosion o anhwylderau bwyta. Mae hwn yn fodel gwasanaeth ymyrraeth gynnar a phecyn gofal a dargedir yn benodol at bobl ifanc 16 i 25 oed, ac  sydd wedi eu teilwra ar gyfer y cyfnod datblygu a salwch, ac sydd wedi ei gynllunio i leihau hyd amser anhwylderau bwyta heb eu trin a gwella canlyniadau clinigol. 

Rwy'n disgwyl y bydd ein gwasanaethau'n parhau i ddatblygu, gan ddarparu canlyniadau a phrofiadau gwell i bobl. Fodd bynnag, mae anhwylderau bwyta yn gymhleth, heb unrhyw achos cyffredin unigol. Felly, mae'n hanfodol ein bod yn parhau i ddefnyddio dull amlochrog, gan gynnwys cefnogaeth mewn perthynas â delwedd y corff, effaith y cyfryngau cymdeithasol, a'r angen i fwyta'n iach.

Byddaf yn nodi'r camau tymor hirach i wella cymorth iechyd meddwl, gan gynnwys anhwylderau bwyta, pan fyddwn ni'n cyhoeddi ein strategaeth iechyd meddwl ddrafft newydd.