English: We are making significant progress, but we also recognise there is more to do, and we remain committed to improving perinatal mental health services, and this has been a priority area for action within our 'Together for Mental Health' delivery plan 2019-2022. We're now working on the development of the successor to the plan, and I can tell the Chamber that perinatal mental health will continue to be a priority in the successor plan. We will be engaging with the perinatal mental health network as we develop this work. As part of this, we'll also be looking to see how we can develop the pathway approach, recognising that specialist services are one element of this. As part of our maternity and early years care and support, health boards already work with families as part of an early intervention approach. Every mother and family has a named midwife to support them in pregnancy and postnatally. This includes consideration of perinatal mental well-being, and pathways are in place for those who need a referral to specialist services. All health boards now have a specialist perinatal mental health midwife in post who can support mothers and families to ensure they receive the care and support they need. Since 2015, we've invested in specialist perinatal mental health services across Wales, and, as a result, significant progress has been made in provision. There are now services in every health board area, and over £3 million of mental health service improvement funding is supporting these services annually. From a north Wales perspective, over £800,000 of this funding has been allocated to support perinatal mental health. I was really pleased to get the opportunity a while ago to visit the perinatal mental health team in north Wales. Their commitment to the mothers they support was palpable, and I want to pay tribute to them for the work they do day in, day out supporting mothers in north Wales. Can I give Siân Gwenllian the commitment that I will look at what she has said today about the lower level support? It's not something that has been picked up in my conversations about perinatal mental health in north Wales, but I will pick that up with officials and provide you with a further update. All health boards are also working towards meeting the relevant Royal College of Psychiatrists' quality standards, and we've also made service improvement funding available to support this work. Health boards have made good progress towards these standards, including in north Wales, but there is more work to be done to ensure the care provided is of the highest standard. In Betsi Cadwaladr University Health Board, services are currently compliant with 91 per cent of type 1 standards and 75 per cent of type 2 standards. Our national clinical lead for perinatal mental health is continuing to work with services to identify where there are gaps in meeting the standards, and to put plans in place to address this. Welsh Government continues to be committed to supporting services to meet these standards. Common themes that have been identified for improvement include the provision of clinical space that is family orientated, which you've highlighted, adequate office space for teams, and the provision of information around carers' rights and advocacy. Over recent months, the all-Wales perinatal mental health clinical lead and the perinatal mental health network have developed a pathway of care. The aim of the pathways is to standardise practice, to provide clarity around roles and responsibilities, and reflect a preventative early intervention and evidence-based approach. As well as providing equity, these pathways should ensure that the right care is provided by the right people and at the right time. As Members have highlighted, in April 2021 we opened a mother and baby unit within the Swansea Bay University Health Board area. This marked a really important step forward in providing improved perinatal mental health support for mothers in Wales. This centre is an important part of improving the experience of new mothers, as they will be able to get the specialist support they need for themselves and their babies closer to home. I was able to visit the south Wales MBU, our Uned Gobaith, last year. It was fantastic to meet the hugely committed team, but also to meet some mothers, who spoke really powerfully about the difference having MBU support had made to them. The Welsh Health Specialised Services Committee have undertaken a review of the south Wales mother and baby unit, where it was agreed to continue to support the service on the current Tonna site, and to keep this under review. Whilst I am really pleased we have this service in south Wales, I recognise that this is too far away to be an appropriate service for women living in north Wales, and I am committed to providing provision closer to home for mothers in north Wales. The modelling undertaken in Wales has evidenced that we do not currently have enough demand to have a standalone unit in north Wales, and that's why we've been working with NHS England in order to develop a joint unit in north-west England that enables access to mothers from north Wales. As such, there continues to be significant engagement between Betsi Cadwaladr University Health Board, the Welsh Health Specialised Services Committee and NHS England regarding the development of this new unit. The business case was signed off in December 2022 and we're expecting the service to be operational in summer 2024. I recognise that this is some time away, and officials are working with WHSSC to identify any opportunities to accelerate these timescales if possible. We're also working with the provider to support the Welsh language needs of patients when developing the unit. And can I assure you, Siân, that I entirely recognise the importance of being able to communicate - and to Jane as well - through your first language when you are in the situation where you are needing such acute mental health support? So, establishing this provision for north Wales will be a key priority over these coming months. I hope that this provides some reassurance to Members about the support that is currently available for mothers in north Wales and the progress that has been made on developing provision across Wales. I recognise -
Welsh: Rydym yn gwneud cynnydd sylweddol, ond rydym hefyd yn cydnabod bod mwy i'w wneud, ac rydym yn parhau i fod yn ymrwymedig i wella gwasanaethau iechyd meddwl amenedigol, a bu hwn yn faes blaenoriaeth ar gyfer gweithredu yn ein cynllun cyflawni 'Law yn Llaw at Iechyd Meddwl' 2019-2022. Rydym yn gweithio nawr ar ddatblygu olynydd i'r cynllun, a gallaf ddweud wrth y Siambr y bydd iechyd meddwl amenedigol yn parhau i fod yn flaenoriaeth yn y cynllun olynol. Byddwn yn ymwneud â'r rhwydwaith iechyd meddwl amenedigol wrth inni ddatblygu'r gwaith hwn. Yn rhan o hyn, byddwn hefyd yn ceisio gweld sut y gallwn ddatblygu'r dull llwybr, gan gydnabod bod gwasanaethau arbenigol yn un elfen o hyn. Yn rhan o'n gofal a chymorth mamolaeth a blynyddoedd cynnar, mae byrddau iechyd eisoes yn gweithio gyda theuluoedd fel rhan o ddull ymyrraeth gynnar. Mae gan bob mam a theulu fydwraig benodol i'w cefnogi yn ystod beichiogrwydd ac yn ôl-enedigol. Mae hyn yn cynnwys ystyried lles meddyliol amenedigol, ac mae llwybrau yn eu lle ar gyfer y rhai sydd angen cael eu hatgyfeirio at wasanaethau arbenigol. Erbyn hyn, mae gan bob bwrdd iechyd fydwraig iechyd meddwl amenedigol arbenigol yn ei swydd sy'n gallu cefnogi mamau a theuluoedd i sicrhau eu bod yn cael y gofal a'r gefnogaeth sydd eu hangen arnynt. Ers 2015, rydym wedi buddsoddi mewn gwasanaethau iechyd meddwl amenedigol arbenigol ar draws Cymru, ac o ganlyniad, gwnaed cynnydd sylweddol yn y ddarpariaeth. Erbyn hyn, ceir gwasanaethau ym mhob ardal bwrdd iechyd, ac mae dros £3 miliwn o gyllid gwella gwasanaeth iechyd meddwl yn cefnogi'r gwasanaethau hyn yn flynyddol. O safbwynt y gogledd, mae dros £800,000 o'r cyllid hwn wedi'i ddyrannu i gefnogi iechyd meddwl amenedigol. Roeddwn yn falch iawn o gael cyfle ychydig yn ôl i ymweld â'r tîm iechyd meddwl amenedigol yng ngogledd Cymru. Roedd eu hymrwymiad i'r mamau y maent yn eu cefnogi yn amlwg, ac rwyf eisiau talu teyrnged iddynt am y gwaith a wnânt ddydd ar ôl dydd yn cefnogi mamau yng ngogledd Cymru. A gaf fi roi ymrwymiad i Siân Gwenllian y byddaf yn edrych ar yr hyn a ddywedodd heddiw am y cymorth lefel is? Nid yw'n rhywbeth sydd wedi'i godi yn fy sgyrsiau am iechyd meddwl amenedigol yng ngogledd Cymru, ond byddaf yn mynd ar drywydd hynny gyda swyddogion ac yn rhoi diweddariad pellach i chi. Mae pob bwrdd iechyd hefyd yn gweithio tuag at gyrraedd safonau ansawdd perthnasol Coleg Brenhinol y Seiciatryddion, ac rydym wedi sicrhau bod cyllid gwella gwasanaeth ar gael i gefnogi'r gwaith hwn hefyd. Mae byrddau iechyd wedi gwneud cynnydd da tuag at y safonau hyn, gan gynnwys yn y gogledd, ond mae mwy o waith i'w wneud i sicrhau bod y gofal sy'n cael ei ddarparu o'r safon uchaf. Ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr, ar hyn o bryd mae gwasanaethau'n cydymffurfio â 91 y cant o safonau math 1 a 75 y cant o safonau math 2. Mae ein harweinydd clinigol cenedlaethol ar gyfer iechyd meddwl amenedigol yn parhau i weithio gyda gwasanaethau i nodi lle mae bylchau o ran cyrraedd y safonau, ac i roi cynlluniau ar waith i fynd i'r afael â hyn. Mae Llywodraeth Cymru'n parhau'n ymrwymedig i gynorthwyo gwasanaethau i gyrraedd y safonau hyn. Ymhlith y themâu cyffredin sydd wedi'u nodi ar gyfer gwella mae darparu gofod clinigol sy'n canolbwyntio ar y teulu, rhywbeth y gwnaethoch chi dynnu sylw ato, digon o ofod swyddfa ar gyfer timau, a darparu gwybodaeth ynghylch hawliau gofalwyr ac eiriolaeth. Dros y misoedd diwethaf, mae arweinydd clinigol iechyd meddwl amenedigol Cymru a'r rhwydwaith iechyd meddwl amenedigol wedi datblygu llwybr gofal. Nod y llwybrau yw safoni ymarfer, darparu eglurder ynghylch rolau a chyfrifoldebau, ac adlewyrchu ymyrraeth gynnar ataliol a dull sy'n seiliedig ar dystiolaeth. Yn ogystal â darparu tegwch, dylai'r llwybrau hyn sicrhau bod y gofal cywir yn cael ei ddarparu gan y bobl gywir ac ar yr adeg gywir. Fel y nododd yr Aelodau, ym mis Ebrill 2021 fe wnaethom agor uned i famau a babanod yn ardal Bwrdd Iechyd Prifysgol Bae Abertawe. Roedd hwn yn gam pwysig iawn ymlaen i ddarparu gwell cefnogaeth iechyd meddwl amenedigol i famau yng Nghymru. Mae'r ganolfan hon yn rhan bwysig o wella profiad mamau newydd, gan y byddant yn gallu cael y gefnogaeth arbenigol y maent ei hangen iddynt eu hunain a'u babanod yn nes at adref. Gallais ymweld ag uned mamau a babanod de Cymru, ein Huned Gobaith, y llynedd. Roedd yn wych cael cyfarfod â'r tîm hynod ymroddedig, a mamau hefyd, a siaradodd yn wirioneddol bwerus am y gwahaniaeth roedd cael cefnogaeth uned mamau a babanod wedi'i wneud iddynt hwy. Mae Pwyllgor Gwasanaethau Iechyd Arbenigol Cymru wedi cynnal adolygiad o'r uned mamau a babanod yn ne Cymru, lle cytunwyd i barhau i gefnogi'r gwasanaeth ar safle presennol Tonna, a chadw hyn dan arolwg. Er fy mod yn falch iawn fod gennym y gwasanaeth hwn yn ne Cymru, rwy'n cydnabod ei fod yn rhy bell i ffwrdd i fod yn wasanaeth priodol i fenywod sy'n byw yn y gogledd, ac rwyf wedi ymrwymo i sicrhau darpariaeth yn nes at adref i famau yn y gogledd. Mae'r gwaith modelu a wnaed yng Nghymru wedi dangos nad oes digon o alw ar hyn o bryd i gael uned annibynnol yng ngogledd Cymru, a dyna pam ein bod wedi bod yn gweithio gyda GIG Lloegr er mwyn datblygu uned ar y cyd yng ngogledd-orllewin Lloegr sy'n galluogi mamau i ddod iddi o ogledd Cymru. Yn hynny o beth, mae cryn dipyn o ymgysylltiad rhwng Bwrdd Iechyd Prifysgol Betsi Cadwaladr, Pwyllgor Gwasanaethau Iechyd Arbenigol Cymru a GIG Lloegr ynghylch datblygu'r uned newydd hon. Cafodd yr achos busnes ei gymeradwyo ym mis Rhagfyr 2022 ac rydym yn disgwyl i'r gwasanaeth fod yn weithredol yn ystod haf 2024. Rwy'n cydnabod bod hyn beth amser i ffwrdd, ac mae swyddogion yn gweithio gyda Phwyllgor Gwasanaethau Iechyd Arbenigol Cymru ar nodi unrhyw gyfleoedd i gyflymu'r amserlenni hyn os yn bosibl. Rydym hefyd yn gweithio gyda'r darparwr i gefnogi anghenion cleifion Cymraeg eu hiaith wrth ddatblygu'r uned. Ac a gaf fi eich sicrhau, Siân, fy mod i'n llwyr gydnabod pwysigrwydd gallu cyfathrebu - a Jane hefyd - drwy eich iaith gyntaf pan fyddwch chi mewn sefyllfa lle rydych chi gymaint o angen cymorth iechyd meddwl? Felly, bydd sefydlu'r ddarpariaeth hon ar gyfer gogledd Cymru yn flaenoriaeth allweddol dros y misoedd nesaf hyn. Gobeithio bod hyn yn rhoi rhywfaint o dawelwch meddwl i'r Aelodau ynglŷn â'r gefnogaeth sydd ar gael ar hyn o bryd i famau yng ngogledd Cymru a'r cynnydd a wnaed ar ddatblygu'r ddarpariaeth ledled Cymru. Rwy'n cydnabod -