English: The past year has, of course, been difficult for everyone in their different ways but, for many stroke survivors in Wales, it's meant putting their recoveries on hold, and people who are desperate to regain mobility, independence and fitness have, as Huw referred to now, seen cancelled therapy sessions - around half of those surveyed by the Stroke Association experiencing that. As he mentioned as well, more than two thirds said that they'd been feeling anxious and depressed since the pandemic. No-one should feel hopeless after a stroke and, of course, it's not just the stroke survivors who are affected; carers for stroke survivors have also been feeling the impact, with two thirds of them also saying that they were carrying out more caring duties during lockdown. A big part of stroke recovery are the social clubs and meetings, so that people can share their experiences and help each other on that road to recovery. These were important in terms of therapy, yes, but also broader socialising and, of course, as fundraisers for those little extras that can make such a big difference in enabling stroke survivors to recovery. Now that fundraising, of course, has come to an abrupt halt, and the face-to-face socialising has all now gone online, as we all have, but what I've been told is that for many, particularly in rural parts of Wales, far too many stroke survivors are finding that their broadband service isn't good enough for a Zoom call and that increases the sense of isolation. That's particularly the case, of course, when you have speech difficulties in light of your stroke, and need that practice to recover. We've all faced the frustrations of buffering and lagging internet connections at some point, and we've experienced that in our Plenary session this afternoon, but imagine that when your speech is already compromised and, of course, your resilience is low. It's demoralising to say the least. The same applies for people leaving hospital and unable to access services because of their geographic remoteness. So, my call in this debate is simple: we need a stroke service that recognises these specific challenges in more remote and less well-connected parts of the country. We need parity of service, because for far too long there's been a high level of variation in treatments and support at different stroke units in Wales. Of course, the pandemic has been exceptional across the health service, but let's not kid ourselves that things were perfect for stroke survivors beforehand. In recovering previous services available to stroke survivors, we should also be looking to strengthen them with a new national plan for stroke survivors. It's been almost four years since the Government had a stroke delivery plan that agreed to deliver hyper acute stroke units that would improve survivability, and despite some good work by Betsi Cadwaladr and other health boards, none have been delivered so far because the commitment by this Government wasn't matched with the funding necessary. So, these hyper acute units remain on the drawing board because of a lack of leadership from Government in that respect. So, in conclusion, let's make sure that despite this awful pandemic, we see some good come out of this crisis, and for stroke survivors, let's ensure that they get the services they need in all parts of the country, and that we finally start to deliver on aspirations and strategies.
Welsh: Mae'r flwyddyn ddiwethaf, wrth gwrs, wedi bod yn anodd i bawb yn eu gwahanol ffyrdd ond i lawer o oroeswyr strôc yng Nghymru, mae wedi golygu gohirio eu hadferiad ac mae pobl sy'n awyddus iawn i adfer symudedd, annibyniaeth a ffitrwydd, fel y nododd Huw yn awr, wedi gweld sesiynau therapi'n cael eu canslo - roedd tua hanner y rhai a arolygwyd gan y Gymdeithas Strôc wedi profi hynny. Fel y soniodd hefyd, dywedodd mwy na dwy ran o dair eu bod wedi teimlo'n bryderus ac yn isel eu hysbryd ers y pandemig. Ni ddylai neb deimlo'n ddiobaith ar ôl strôc ac wrth gwrs, nid dim ond goroeswyr strôc sy'n cael eu heffeithio; mae gofalwyr goroeswyr strôc hefyd wedi teimlo'r effaith, gyda dwy ran o dair ohonynt yn dweud hefyd eu bod yn cyflawni mwy o ddyletswyddau gofalu yn ystod y cyfyngiadau symud. Rhan fawr o'r broses o wella ar ôl strôc yw'r clybiau cymdeithasol a'r cyfarfodydd, fel y gall pobl rannu eu profiadau a helpu ei gilydd ar y ffordd tuag at wellhad. Roedd y rhain yn bwysig o ran therapi, oeddent, ond hefyd o ran cymdeithasu'n ehangach ac wrth gwrs, fel ffyrdd o godi arian ar gyfer y pethau bach ychwanegol a all wneud cymaint o wahaniaeth i alluogi goroeswyr strôc i wella. Nawr mae codi arian, wrth gwrs, wedi dod i ben yn ddisymwth, ac mae'r cymdeithasu wyneb yn wyneb i gyd wedi mynd ar-lein erbyn hyn, fel y mae pob un ohonom wedi'i wneud, ond yr hyn a ddywedwyd wrthyf yw bod llawer gormod o oroeswyr strôc, yn enwedig mewn rhannau gwledig o Gymru, yn canfod nad yw eu gwasanaeth band eang yn ddigon da ar gyfer gwneud galwad Zoom ac mae hynny'n cynyddu'r ymdeimlad o unigedd. Mae hynny'n arbennig o wir, wrth gwrs, pan fydd gennych nam ar y lleferydd o ganlyniad i'ch strôc, ac angen ymarfer er mwyn gwella. Rydym i gyd wedi wynebu rhwystredigaeth yn sgil byffro a chysylltiadau rhyngrwyd araf ar ryw adeg neu'i gilydd, ac rydym wedi profi hynny yn ein Cyfarfod Llawn y prynhawn yma, ond dychmygwch hynny pan fydd eich lleferydd eisoes yn aneglur a'ch ysbryd yn lluddedig. Mae'n ddigalon a dweud y lleiaf. Mae'r un peth yn wir am bobl sy'n gadael yr ysbyty heb allu manteisio ar wasanaethau oherwydd eu pellter daearyddol. Felly, mae fy ngalwad yn y ddadl hon yn syml: mae arnom angen gwasanaeth strôc sy'n cydnabod yr heriau penodol hyn mewn rhannau mwy anghysbell a llai cysylltiedig o'r wlad. Mae arnom angen gwasanaeth cydradd, oherwydd ers gormod o amser mae lefel uchel o amrywio wedi bod rhwng triniaethau a chymorth yn y gwahanol unedau strôc yng Nghymru. Wrth gwrs, mae'r pandemig wedi creu sefyllfa eithriadol ar draws y gwasanaeth iechyd, ond gadewch i ni beidio â thwyllo ein hunain fod pethau'n berffaith i oroeswyr strôc cyn hynny. Wrth adfer gwasanaethau blaenorol a oedd ar gael i oroeswyr strôc, dylem hefyd geisio eu cryfhau gyda chynllun cenedlaethol newydd ar gyfer goroeswyr strôc. Mae bron i bedair blynedd wedi mynd heibio ers i'r Llywodraeth gael cynllun cyflawni ar gyfer strôc a gytunodd i ddarparu unedau strôc hyper-acíwt i wella'r gallu i oroesi, ac er gwaethaf rhywfaint o waith da gan Betsi Cadwaladr a byrddau iechyd eraill, nid oes yr un ohonynt wedi'u darparu hyd yn hyn gan nad oedd cyllid angenrheidiol ar gael i gyd-fynd ag ymrwymiad y Llywodraeth. Felly, mae'r unedau hyper-acíwt hyn yn dal i fod ar y cam cynllunio oherwydd diffyg arweiniad gan y Llywodraeth yn hynny o beth. Felly, i gloi, er gwaethaf y pandemig ofnadwy hwn, gadewch inni sicrhau ein bod yn gweld rhywfaint o les yn dod o'r argyfwng, a gadewch inni sicrhau bod goroeswyr strôc yn cael y gwasanaethau y maent eu hangen ym mhob rhan o'r wlad, a'n bod o'r diwedd yn dechrau gwireddu dyheadau a strategaethau.