English: Thank you. I'd like to thank Bethan for bringing this debate today, and also use the opportunity to thank her for all the work that she's done in this field, and how she's made it a really important area of work for the Assembly, and for all her work with the all-party group, and to wish you all the best for the future. I'm really pleased to have an opportunity today to draw attention to Eating Disorder Awareness Week and to emphasise the work that's being done to improve the eating disorder service in Wales. I absolutely accept that eating disorders are serious conditions that affect not only those with the condition, but can have a huge impact on the lives of families and friends. And friends and families are often instrumental in the holistic care of those with eating disorders, and it's fitting that there is an emphasis this week on empowering and supporting these friends and families. I would like to join AMs in commending those who've worked and participated in the eating disorder service review. As Bethan said, in 2018, the Minister for Health and Social Services commissioned Dr Jacinta Tan of Swansea University to review eating disorder services in Wales and to determine what changes need to be made to improve services and outcomes. I know - and I think Bethan did say this at the beginning - that the experience of those with eating disorders and their families was absolutely central to Dr Tan's conclusions, and I'm personally grateful for the investment that these people have made towards improving eating disorder services in Wales. I know it can be very difficult - Rhun very vividly described the young women who contributed to the event at lunch time. I think it's absolutely vital that the human struggles that are going on for people in Wales are absolutely central to policy decisions. I was also very stuck by what Bethan said about - I think it was Zoe John who said that she was not thin enough. The review is quite clear that patients who require treatment should never be told that they're not ill enough. I absolutely fully agree with that. Dr Tan's review provides a wide-ranging analysis of current eating disorder services and made a number of significant recommendations that reflect what services could achieve in the longer term. The review talks about the role of friends and families in participating in treatment: being allies of therapists and motivating their loved ones. It also acknowledges the emotional, financial and occupational sacrifices that are made to support friends and family. The review recommends that the needs and perspectives of families of those with eating disorders should be considered within the development of policy and the design of services, and involved in the treatment of their loved ones. I fully support this principle and expect this, along with other principles underpinning the review, to shape the development of eating disorder services in Wales. The Minister for Health and Social Services wrote to health boards setting out the actions he expects to be taken in response to the review: reconfiguring services towards earlier intervention; working towards achieving NICE standards for eating disorders within two years; and developing plans to achieve a four-week waiting time within two years. Welsh Government have received submissions from all health boards setting out the suggested approach to achieving these targets while ensuring that longer term planning aligns with the ambition of the review. It's clear that extra funding will be necessary in order to start to deliver the level of services needed in Wales, and officials are currently developing an approach to funding that will enable progress to be made. I know that many people would like to see this happen at a greater pace and I think that's been the theme of the contributions here today, but this has been a significant review, which does require detailed analysis. It has been necessary to engage with clinicians to test the recommendations and to ensure that we move forward in a way that takes account of the progress that's already been made in many areas. And to support this progress, the Minister for Health and Social Services announced that there will be a national resource to ensure that the progress seen in some parts of the country can be made across Wales, because the issue of the services being piecemeal across Wales was another very important point that was made. While it is important for health boards to deliver services within their areas, we do need to ensure that people living in Wales can expect excellent treatment for eating disorders, wherever they live. The changes we are working towards are ambitious and do reflect the scale of the challenge we face, and these changes will not happen overnight. The work undertaken by professionals, those with eating disorders, and their families to develop the review has been instrumental in determining the steps being taken forward to improve services in Wales. So, there is a clear plan ahead. I'd like to end, really, by thanking Bethan for contributing to the situation that we have got. We've got a clear plan that we're working towards, but it is complex and it will take time. But, as you heard in my speech, there are time limits given to reach the situation that we want to be in.
Welsh: Diolch. Hoffwn ddiolch i Bethan am gyflwyno'r ddadl hon heddiw, a defnyddio'r cyfle hefyd i ddiolch iddi am yr holl waith y mae wedi'i wneud yn y maes hwn, a'r modd y mae hi wedi'i wneud yn faes gwaith pwysig iawn i'r Cynulliad, ac am ei holl waith gyda'r grŵp trawsbleidiol, ac i ddymuno'r gorau i chi ar gyfer y dyfodol. Rwy'n falch iawn o gael cyfle heddiw i dynnu sylw at Wythnos Ymwybyddiaeth o Anhwylderau Bwyta ac i bwysleisio'r gwaith sy'n cael ei wneud i wella'r gwasanaeth anhwylderau bwyta yng Nghymru. Rwy'n derbyn yn llwyr fod anhwylderau bwyta'n gyflyrau difrifol sy'n effeithio nid yn unig ar y rhai sydd â'r cyflwr, ond y gallant gael effaith enfawr ar fywydau teuluoedd a chyfeillion. Ac mae ffrindiau a theuluoedd yn aml yn allweddol yng ngofal holistaidd y rhai sydd ag anhwylderau bwyta, ac mae'n addas fod pwyslais yr wythnos hon ar rymuso a chefnogi'r ffrindiau a'r teuluoedd hyn. Hoffwn ymuno ag Aelodau'r Cynulliad i ganmol y rhai sydd wedi gweithio a chymryd rhan yn adolygiad y gwasanaeth anhwylderau bwyta. Fel y dywedodd Bethan, yn 2018, comisiynodd y Gweinidog Iechyd a Gwasanaethau Cymdeithasol Dr Jacinta Tan o Brifysgol Abertawe i adolygu gwasanaethau anhwylderau bwyta yng Nghymru ac i benderfynu pa newidiadau y mae angen eu gwneud er mwyn gwella gwasanaethau a chanlyniadau. Rwy'n gwybod - a chredaf fod Bethan wedi dweud hyn ar y dechrau - fod profiad y rhai sydd ag anhwylderau bwyta a'u teuluoedd yn gwbl ganolog i gasgliadau Dr Tan, ac rwy'n ddiolchgar yn bersonol am y buddsoddiad y mae'r bobl hyn wedi'i wneud tuag at wella gwasanaethau anhwylderau bwyta yng Nghymru. Rwy'n gwybod y gall fod yn anodd iawn - disgrifiodd Rhun yn fyw iawn y menywod ifanc a gyfrannodd at y digwyddiad amser cinio. Rwy'n credu ei bod yn gwbl hanfodol fod y brwydrau y mae pobl yng Nghymru yn eu hwynebu yn gwbl ganolog i benderfyniadau polisi. Cefais fy nharo hefyd gan yr hyn a ddywedodd Bethan am - rwy'n credu mai Zoe John a ddywedodd nad oedd hi'n ddigon tenau. Mae'r adolygiad yn eithaf clir na ddylid ar unrhyw gyfrif ddweud wrth gleifion sydd angen triniaeth nad ydynt yn ddigon sâl. Rwy'n cytuno'n llwyr â hynny. Mae adolygiad Dr Tan yn darparu dadansoddiad eang o wasanaethau anhwylderau bwyta cyfredol a gwnaeth nifer o argymhellion pwysig sy'n adlewyrchu'r hyn y gallai gwasanaethau ei gyflawni yn fwy hirdymor. Mae'r adolygiad yn sôn am rôl ffrindiau a theuluoedd yn cyfranogi yn y driniaeth: yn bod yn gynghreiriaid i therapyddion a chymell eu hanwyliaid. Mae hefyd yn cydnabod yr aberth emosiynol, ariannol a galwedigaethol a wneir i gefnogi ffrindiau a theulu. Mae'r adolygiad yn argymell y dylid ystyried anghenion a safbwyntiau teuluoedd y rhai sydd ag anhwylderau bwyta wrth ddatblygu polisi a llunio gwasanaethau, a'u cynnwys yn nhriniaeth eu hanwyliaid. Rwy'n cefnogi'r egwyddor hon yn llwyr ac yn disgwyl i hyn, ynghyd ag egwyddorion eraill sy'n sail i'r adolygiad, lywio datblygiad gwasanaethau anhwylderau bwyta yng Nghymru. Ysgrifennodd y Gweinidog Iechyd a Gwasanaethau Cymdeithasol at y byrddau iechyd yn nodi'r camau y mae'n disgwyl iddynt gael eu cymryd mewn ymateb i'r adolygiad: ad-drefnu gwasanaethau tuag at ymyrraeth gynharach; gweithio tuag at gyflawni safonau NICE ar gyfer anhwylderau bwyta o fewn dwy flynedd; a datblygu cynlluniau i gyrraedd targed amser aros o bedair wythnos o fewn dwy flynedd. Mae Llywodraeth Cymru wedi derbyn sylwadau gan bob bwrdd iechyd yn nodi dull awgrymedig ar gyfer cyflawni'r targedau hyn gan sicrhau bod cynlluniau mwy hirdymor yn cyd-fynd ag uchelgais yr adolygiad. Mae'n amlwg y bydd angen cyllid ychwanegol er mwyn dechrau darparu'r lefel o wasanaethau sydd eu hangen yng Nghymru, ac mae swyddogion wrthi'n datblygu dull o ariannu a fydd yn ein galluogi i wneud cynnydd. Gwn y byddai llawer o bobl yn hoffi gweld hyn yn digwydd yn gyflymach ac rwy'n credu mai dyna oedd thema'r cyfraniadau yma heddiw, ond mae hwn wedi bod yn adolygiad sylweddol, sy'n galw am ei ddadansoddi'n fanwl. Bu'n rhaid ymgysylltu â chlinigwyr i brofi'r argymhellion a sicrhau ein bod yn symud ymlaen mewn ffordd sy'n ystyried y cynnydd a wnaed eisoes mewn sawl maes. Ac i gefnogi'r cynnydd hwn, cyhoeddodd y Gweinidog Iechyd a Gwasanaethau Cymdeithasol y bydd adnodd cenedlaethol ar gael i sicrhau bod modd gwneud y cynnydd a welir mewn rhai rhannau o'r wlad ar draws Cymru, oherwydd roedd y broblem fod y gwasanaethau'n dameidiog ar draws Cymru'n bwynt pwysig arall a wnaethpwyd. Er ei bod yn bwysig i fyrddau iechyd ddarparu gwasanaethau yn eu hardaloedd, mae angen inni sicrhau bod pobl sy'n byw yng Nghymru yn gallu disgwyl triniaeth ragorol ar gyfer anhwylderau bwyta, lle bynnag y maent yn byw. Mae'r newidiadau rydym yn gweithio tuag atynt yn uchelgeisiol ac yn adlewyrchu maint yr her sy'n ein hwynebu, ac ni fydd y newidiadau hyn yn digwydd dros nos. Mae'r gwaith a wnaed gan weithwyr proffesiynol, y rhai ag anhwylderau bwyta a'u teuluoedd ar ddatblygu'r adolygiad wedi bod yn allweddol ar gyfer pennu'r camau sy'n cael eu cymryd i wella gwasanaethau yng Nghymru. Felly, mae cynllun clir ar y gweill. Hoffwn gloi, a dweud y gwir, drwy ddiolch i Bethan am gyfrannu at y sefyllfa sydd gennym. Mae gennym gynllun clir rydym yn gweithio tuag ato, ond mae'n gymhleth a bydd yn cymryd amser. Ond fel y clywsoch yn fy araith, rhoddir terfynau amser ar gyfer cyrraedd y sefyllfa rydym am fod ynddi.