English: Diolch, Dirprwy Lywydd, and I'm very happy to reply to the debate. It's been an excellent debate, and I think that's testament to the quality of the contributions; obviously, it's a testament to the quality of the evidence we took over the months from many witnesses - both written and oral - and obviously to the quality of the support that we have as a committee from our clerks and our researchers. It truly is a team effort, and a justifiable team effort, because we are trying to address an injustice to a very vulnerable group of people, as we've heard. I'd like to thank the Cabinet Secretary and other Members for their contributions this afternoon. We started with Angela Burns and a powerful presentation about the disquiet about recommendations 9 and 2. Lynne Neagle then - truly another excellent performance from Lynne this week again about a step change in performance required here. This is not the first critical report about antipsychotic medication. I could take some of the 'accepts in principle' if this was the very first time that we'd had a report about this very topic. It's the latest in a series of reports that have said much the same thing - that we are failing our most vulnerable people in care homes. Something needs to be done about it, and that's why we can no longer accept things in principle. We have to do something about it. I hear what the Cabinet Secretary has said about that, but I was also hearing what the older people's commissioner said. We need a change - a step change - in culture and performance, and we do need to be addressing those nurse staffing levels in our care homes, and in our hospital wards, as Lynne Neagle was saying. Another excellent contribution as well from Rhun about the whole issue about 'accept in principle', and I do think, as many have said, not just in this debate but in other debates, that that issue needs to be tackled in terms of accepting or rejecting. Thank you also to Caroline Jones for her contribution, and also to Julie Morgan, emphasising again the point that I made at the start: there are tools, there are checklists out there to assess what is causing what we label as challenging behaviour. We need to look at why people react with dementia sometimes in the way that they do. We need to look at the person themselves, and there are various checklist tools that enable us to do that. One excellent example is the Swansea University adverse drug reaction profile that has already been alluded to by myself and by Julie Morgan, developed by Professor Sue Jordan's team in Swansea University. Also, I thank Suzy Davies for an excellent contribution, actually, and also for stipulating the need for urgency. Because, as I've already said, and you said it as well, we have been here before, and the time is now for action, not about another report that is critical of current performance. So, there have been previous reports, the older people's commissioner has raised concerns on several occasions, and we have a legacy report from a previous health committee, as we've alluded to, all highlighting concerns about the inappropriate use of antipsychotic medication in care homes. It should never be the first resort. I hope that, following today's debate, the Cabinet Secretary, as he has assured us, will give further consideration to the evidence gathered, both for this report and also further enunciated in oral contributions today, and also further consider the recommendations we have made in order to deliver the long-term solutions that are needed. Because this is about transforming care. It's not just about subduing people. This is about transforming the care of people with dementia in Wales. Our most vulnerable people in Wales deserve no less. Diolch yn fawr.
Welsh: Diolch, Ddirprwy Lywydd, ac rwy'n hapus iawn i ymateb i'r ddadl. Bu'n ddadl ardderchog, ac rwy'n meddwl bod hynny'n dyst i ansawdd y cyfraniadau; yn amlwg, mae'n dyst i ansawdd y dystiolaeth a gymerasom dros y misoedd gan nifer o dystion - yn ysgrifenedig ac ar lafar - ac yn amlwg mae'n dyst i ansawdd y cymorth a gawn fel pwyllgor gan ein clercod a'n hymchwilwyr. Dyma ymdrech tîm yn wir, ac ymdrech tîm y gellir ei chyfiawnhau am ein bod yn ceisio mynd i'r afael ag anghyfiawnder tuag at grŵp o bobl agored iawn i niwed, fel y clywsom. Hoffwn ddiolch i Ysgrifennydd y Cabinet a'r Aelodau eraill am eu cyfraniadau y prynhawn yma. Dechreuasom gydag Angela Burns a chyflwyniad grymus am yr anesmwythyd ynglŷn ag argymhellion 9 a 2. Lynne Neagle wedyn - perfformiad arall gwirioneddol ardderchog gan Lynne yr wythnos hon eto am y newid perfformiad sylfaenol sydd ei angen yma. Nid dyma'r adroddiad beirniadol cyntaf ynglŷn â meddyginiaeth wrthseicotig. Gallwn gymryd rhai o'r argymhellion 'derbyn mewn egwyddor' pe bai hwn y tro cyntaf inni gael adroddiad am yr union bwnc hwn. Dyma'r diweddaraf mewn cyfres o adroddiadau sydd wedi dweud yr un peth fwy neu lai - ein bod yn gwneud cam â'n pobl fwyaf agored i niwed mewn cartrefi gofal. Mae angen gwneud rhywbeth am y peth, a dyna pam na allwn dderbyn pethau mewn egwyddor mwyach. Rhaid inni wneud rhywbeth yn ei gylch. Clywaf yr hyn a ddywedodd Ysgrifennydd y Cabinet am hynny, ond clywais yr hyn a ddywedodd y comisiynydd pobl hŷn hefyd. Mae angen newid - newid sylweddol - mewn diwylliant a pherfformiad, ac mae angen inni fynd i'r afael â lefelau staff nyrsio yn ein cartrefi gofal, ac ar ein wardiau ysbyty, fel roedd Lynne Neagle yn dweud. Cyfraniad ardderchog arall hefyd gan Rhun am yr holl fater ynghylch 'derbyn mewn egwyddor', a chredaf, fel y dywedodd sawl un, nid yn unig yn y ddadl hon ond mewn dadleuon eraill, fod angen ymdrin â'r mater yn nhermau derbyn neu wrthod. Diolch hefyd i Caroline Jones am ei chyfraniad, a hefyd i Julie Morgan, a bwysleisiodd eto y pwynt a wneuthum ar y dechrau: mae yna offer ar gael, mae yna restrau gwirio ar gael i asesu beth sy'n achosi'r hyn a labelwn fel ymddygiad heriol. Mae angen inni edrych i weld pam y mae pobl â dementia yn adweithio yn y ffordd y maent yn ei wneud weithiau. Mae angen inni edrych ar yr unigolyn ei hun, ac mae yna offer rhestr wirio amrywiol sy'n ein galluogi i wneud hynny. Un enghraifft ragorol yw proffil adwaith niweidiol i gyffuriau Prifysgol Abertawe y cyfeiriwyd ato eisoes gennyf fi a chan Julie Morgan, ac a ddatblygwyd gan dîm yr Athro Sue Jordan ym Mhrifysgol Abertawe. Hefyd, diolch i Suzy Davies am gyfraniad rhagorol, a hefyd am nodi'r angen am frys. Oherwydd, fel rwyf eisoes wedi dweud, ac rydych chi wedi'i ddweud hefyd, buom yma o'r blaen, ac yn awr yw'r amser i weithredu, nid i gael adroddiad arall i feirniadu perfformiad presennol. Felly, cafwyd adroddiadau blaenorol, mae'r comisiynydd pobl hŷn wedi mynegi pryderon ar sawl achlysur, ac mae gennym adroddiad etifeddiaeth gan bwyllgor iechyd blaenorol, fel rydym wedi sôn a phob un yn tynnu sylw at bryderon ynghylch y defnydd amhriodol o feddyginiaeth wrthseicotig mewn cartrefi gofal. Ni ddylai byth fod yn ddewis cyntaf. Yn dilyn y ddadl heddiw, rwy'n gobeithio y bydd Ysgrifennydd y Cabinet, fel y mae wedi ein sicrhau, yn rhoi ystyriaeth bellach i'r dystiolaeth a gasglwyd ar gyfer yr adroddiad hwn a'r hyn a fynegwyd yn y cyfraniadau llafar heddiw, ac yn ystyried hefyd yr argymhellion a wnaed gennym er mwyn darparu'r atebion hirdymor sydd eu hangen. Oherwydd mae hyn yn ymwneud â thrawsnewid gofal. Nid ymwneud â chadw pobl dan reolaeth y mae. Mae'n ymwneud â thrawsnewid gofal pobl â dementia yng Nghymru. Nid yw ein pobl fwyaf agored i niwed yng Nghymru yn haeddu dim llai. Diolch yn fawr.