English: In terms of understanding the impacts of COVID-19 on mental health, we're continuing to strengthen the arrangements that we put in place at the start of the pandemic. These include analytical support to draw out the latest evidence of outcomes from population surveys, both in Wales and in the wider UK. Caroline was absolutely right to draw attention to the fact that people in Britain seem to have coped with this not as well as in some other countries. I've also recently convened a ministerial oversight and delivery board group, which is providing me with a greater assurance of the progress that's being made in delivering our mental health programme of work, including our continued response to COVID-19. Public Health Wales are represented on the board and will help to strengthen that analytical support. They're taking forward important work to examine the existing and ongoing impact of COVID-19, in particular on children and young people. Caroline was absolutely right to draw attention to this, because we know that the children's commissioner in her survey 'Coronavirus and Me' found that 67 per cent of children between the age of 12 and 18 said that they were sad some or most of the time. Just think about that figure; it's a huge figure, and we really have got to put measures in place. I'm really pleased that the education Minister has being doing that with her whole-school approach; we've now expanded that to the whole-system approach, and all of that was partly a result of responding to the really terrific report written by the children's committee, 'Mind over matter'. We're currently working on a framework for the renewal of mental health services with the NHS, which will sit within the context of the NHS-wide recovery strategy, which will be published very shortly. We're continuing to support the Talking is a Lifeline campaign to encourage men to talk about mental health. Some of you may have seen that programme last night; very traumatic watching how men have such difficulty talking about mental health issues. And we are also supporting groups that have been disproportionately impacted by the pandemic, including black, Asian and minority ethnic groups, and people who are on low income, as we look to extend that support. Caroline, you mentioned the responsibility of employers, and of course, they will play a key role in supporting economic recovery and improving the health of the working-age population. Our Healthy Working Wales programme will focus on mental health and well-being, and we will work with employers to understand the current needs, including potential shifts in working patterns, which will inform the future of work. I know that Public Health Wales are currently undertaking a range of interviews with private and public sector employees to just inform our approach on this. We continue to recognise the potential impact of the pandemic on future employment and health. The chief medical officer chairs a group to consider these issues, and we know that there is a significant impact upon mental health and well-being, particularly due to reduced employment opportunities, and a need to support action across a range of partners and stakeholders. I've spoken previously about the work we've done to strengthen our universal offer for low-level mental health issues, and you referred to that SilverCloud offering, that cognitive behavioural therapy support, which has been used now by about 6,000 in six months. I've committed a further £4 million next year to expand this type of support, and other support - it's not just online, of course. This is part of additional funding of £42 million next year to support mental health services. We know this will strengthen service improvements within health boards, and in particular the out-of-hours response, which is really important when it comes to mental health support. We've got to remember that this additional funding is against the backdrop of a much larger pot of money that we allocate to local health boards each year. I've been clear that, whilst I understand the need to protect specialist support, I'd really like to see a shift in resources towards prevention and earlier mental health support, and in particular towards the needs of children and young people, because we know 80 per cent of problems relating to mental health generally start when people are children and young people. In conclusion, I'm clear that, whilst mental health support has been available throughout the pandemic, as we emerge, we need to renew and rebuild that provision in a way that's far more preventative in nature, and which reflects the needs in our population. By working closely with the NHS and other partners, I think that the significant additional funding we've secured will help to do this in a way that will make it sustainable for the future. So, thank you, Caroline, again, for bringing this really important issue to the attention of the Chamber, and certainly I hope that people will try and reach out for the support that is there for them. Diolch yn fawr.
Welsh: O ran deall effeithiau COVID-19 ar iechyd meddwl, rydym yn parhau i gryfhau'r trefniadau a roddwyd ar waith gennym ar ddechrau'r pandemig. Mae'r rhain yn cynnwys cymorth dadansoddol i ganfod y dystiolaeth ddiweddaraf o ganlyniadau arolygon poblogaeth, yng Nghymru ac yn y DU yn ehangach. Roedd Caroline yn llygad ei lle yn tynnu sylw at y ffaith ei bod yn ymddangos nad yw pobl Prydain wedi ymdopi â hyn cystal â rhai gwledydd eraill. Rwyf hefyd wedi cynnull grŵp bwrdd cyflawni a throsolwg y Gweinidog yn ddiweddar, i roi mwy o sicrwydd i mi ynglŷn â'r cynnydd sy'n cael ei wneud ar gyflawni ein rhaglen waith iechyd meddwl, gan gynnwys ein hymateb parhaus i COVID-19. Cynrychiolir Iechyd Cyhoeddus Cymru ar y bwrdd a bydd yn helpu i gryfhau'r cymorth dadansoddol hwnnw. Maent yn bwrw ymlaen â gwaith pwysig i archwilio effaith bresennol a pharhaus COVID-19, yn enwedig ar blant a phobl ifanc. Roedd Caroline yn llygad ei lle yn tynnu sylw at hyn, oherwydd gwyddom fod y comisiynydd plant yn ei harolwg 'Coronafeirws a Fi' wedi canfod bod 67 y cant o blant rhwng 12 a 18 oed wedi dweud eu bod yn drist rywfaint neu'r rhan fwyaf o'r amser. Meddyliwch am y ffigur hwnnw; mae'n ffigur enfawr, ac mae'n rhaid inni roi mesurau ar waith. Rwy'n falch iawn fod y Gweinidog addysg wedi bod yn gwneud hynny gyda'i dull ysgol gyfan; rydym bellach wedi ehangu hynny i'r dull system gyfan, ac roedd hynny i gyd yn rhannol o ganlyniad i ymateb i'r adroddiad gwirioneddol wych a ysgrifennwyd gan y pwyllgor plant, 'Cadernid meddwl'. Ar hyn o bryd rydym yn gweithio ar fframwaith ar gyfer adnewyddu gwasanaethau iechyd meddwl gyda'r GIG, a fydd yn rhan o gyd-destun strategaeth adfer gyfan y GIG, a gyhoeddir yn fuan iawn. Rydym yn parhau i gefnogi ymgyrch Mae Siarad yn Hollbwysig i annog dynion i siarad am iechyd meddwl. Efallai fod rhai ohonoch wedi gweld y rhaglen honno neithiwr; roedd hi'n drawmatig iawn gwylio sut y mae dynion yn ei chael hi mor anodd siarad am faterion iechyd meddwl. Ac rydym hefyd yn cefnogi grwpiau yr effeithiwyd arnynt yn anghymesur gan y pandemig, gan gynnwys grwpiau pobl dduon, Asiaidd a lleiafrifoedd ethnig, a phobl sydd ar incwm isel, wrth inni geisio ymestyn y cymorth hwnnw. Caroline, fe sonioch chi am gyfrifoldeb cyflogwyr, ac wrth gwrs, byddant yn chwarae rhan allweddol yn y broses o gefnogi adferiad economaidd a gwella iechyd y boblogaeth oedran gweithio. Bydd ein rhaglen Cymru Iach ar Waith yn canolbwyntio ar iechyd meddwl a llesiant, a byddwn yn gweithio gyda chyflogwyr i ddeall yr anghenion presennol, gan gynnwys newidiadau posibl i batrymau gwaith, a fydd yn llywio dyfodol gwaith. Gwn fod Iechyd Cyhoeddus Cymru wrthi'n cynnal amrywiaeth o gyfweliadau gyda gweithwyr yn y sector preifat a'r sector cyhoeddus i lywio ein dull o weithredu ar hyn. Rydym yn parhau i gydnabod effaith bosibl y pandemig ar gyflogaeth ac iechyd yn y dyfodol. Mae'r prif swyddog meddygol yn cadeirio grŵp i ystyried y materion hyn, a gwyddom fod effaith sylweddol ar iechyd meddwl a llesiant, yn enwedig yn sgil llai o gyfleoedd cyflogaeth, a'r angen i gefnogi gweithredu ar draws ystod o bartneriaid a rhanddeiliaid. Rwyf wedi siarad o'r blaen am y gwaith rydym wedi'i wneud ar gryfhau ein cynnig cyffredinol ar gyfer problemau iechyd meddwl lefel isel, ac fe gyfeirioch chi at gynnig SilverCloud, cymorth therapi gwybyddol ymddygiadol sydd bellach wedi'i ddefnyddio gan oddeutu 6,000 mewn chwe mis. Rwyf wedi ymrwymo £4 miliwn arall y flwyddyn nesaf i ehangu'r math hwn o gymorth, a chymorth arall - nid ar-lein yn unig, wrth gwrs. Mae'n rhan o gyllid ychwanegol o £42 miliwn y flwyddyn nesaf i gefnogi gwasanaethau iechyd meddwl. Gwyddom y bydd hyn yn cryfhau gwelliannau i wasanaethau o fewn byrddau iechyd, ac yn enwedig yr ymateb y tu allan i oriau, sy'n wirioneddol bwysig yng nghyd-destun cymorth iechyd meddwl. Mae'n rhaid inni gofio bod yr arian ychwanegol hwn yn dod yn erbyn cefndir y gronfa lawer mwy o arian a ddyrannwn i fyrddau iechyd lleol bob blwyddyn. Er fy mod yn deall yr angen i ddiogelu cymorth arbenigol, rwyf wedi bod yn glir yr hoffwn yn fawr weld newid yn yr adnoddau tuag at atal a chymorth iechyd meddwl cynharach, ac yn arbennig tuag at anghenion plant a phobl ifanc, oherwydd gwyddom at ei gilydd fod 80 y cant o'r problemau sy'n ymwneud ag iechyd meddwl yn dechrau pan fydd pobl yn blant a phobl ifanc. I gloi, er bod cymorth iechyd meddwl wedi bod ar gael drwy gydol y pandemig, wrth inni ddod allan ohono, rwy'n glir fod angen inni adnewyddu ac ailadeiladu'r ddarpariaeth honno mewn ffordd sy'n llawer mwy ataliol ei natur, ac sy'n adlewyrchu'r anghenion yn ein poblogaeth. Drwy weithio'n agos gyda'r GIG a phartneriaid eraill, credaf y bydd y cyllid ychwanegol sylweddol rydym wedi'i sicrhau yn helpu i wneud hyn mewn ffordd a fydd yn ei wneud yn gynaliadwy ar gyfer y dyfodol. Felly, diolch unwaith eto, Caroline, am ddod â'r mater pwysig hwn i sylw'r Siambr, ac yn sicr rwy'n gobeithio y bydd pobl yn ceisio estyn am y cymorth sydd ar gael iddynt. Diolch yn fawr.