English: This debate takes place on the afternoon when we've all had the opportunity to ask questions of our health Minister. So, we have fresh in our minds the areas of health provision where we can all agree we need to do better, whether that's eating disorders, ADHD, hearing loss, social prescribing, or, earlier, I attended a meeting about ovarian cancer, which was hosted by Mark Isherwood. On all these things we need to do better, and nobody in the Senedd would disagree with that. So, I have to just repeat that no change is not an option for us. It is our duty to ensure that we are constantly reshaping services to better meet the needs of our population, and that we are constantly delivering best value with limited resources. I was born in the era where people routinely had their tonsils and adenoids removed when they were aged seven, and how traumatic was that for a child to be removed from their parents for something that was proved to be a completely pointless intervention, unless there were very particular issues. So, as with COVID, we need to follow the latest scientific evidence, and the experts tell us really clearly that HPV is what causes 99.7 per cent of cervical cancers. That's why we offer all teenagers the HPV vaccine, so that the HPV virus is going to be put out of business and no longer able to cause cervical cancers in the future, once the people who've benefited from the vaccine have grown up. So, we have to recognise that the cervical screen has changed substantially. It's much more sensitive, much more accurate and it's now checking first for the presence of HPV. And by reducing the period of time when women are screened, it makes it possible to free up time to concentrate on that small minority of the female population who are causes for concern, where they have HPV present in their cells and can be benefiting from even better screens to ensure that, were they to develop cervical cancer, that will be picked up earlier. I spent many, many years of my life, before I became a Senedd Member, trying to help drive up cervical cancer screening rates. So, I find it extremely disappointing that, despite all the evidence presented by Cancer Research UK and Jo's Cervical Cancer Trust, still Laura Jones decided she was going to put out a statement of opinion about the inaccurate information that people had been given. This simply won't do. Yes, this week is Cervical Screening Awareness Week, and a very important week it is too, because the people we need to focus on are the people who never turn up to have a cancer screen. The sort of people that we're talking about are people who have caring responsibilities and have nobody to leave their child with in order to go for a screen, who are in zero-hours work and therefore are unable to take time out from their work in order to go for their screening appointment. So, one of the ways in which we can benefit from this blast of publicity on a pretty unnecessary story is to focus on how we improve the rates of young women who attend for screening, or who get the cancer screen. And I particularly want to focus on the pilot of home screening that has been going on at King's College London, in an area where there are predictable low levels of presentation for the regular screening because -
Welsh: Cynhelir y ddadl hon ar y prynhawn pan fo pob un ohonom wedi cael cyfle i ofyn cwestiynau i'n Gweinidog iechyd. Felly, ar flaen ein meddyliau mae gennym y meysydd darpariaeth iechyd lle gallwn i gyd gytuno bod angen inni wneud yn well, boed hynny'n anhwylderau bwyta, ADHD, colli clyw, presgripsiynu cymdeithasol, neu, yn gynharach, mynychais gyfarfod ar ganser yr ofari a gynhaliwyd gan Mark Isherwood. Ar yr holl bethau hyn mae angen inni wneud yn well, ac ni fyddai neb yn y Senedd yn anghytuno â hynny. Felly, rhaid imi ailadrodd nad yw peidio â newid yn opsiwn i ni. Ein dyletswydd yw sicrhau ein bod yn ail-lunio gwasanaethau'n gyson i ddiwallu anghenion ein poblogaeth yn well, a'n bod yn darparu'r gwerth gorau gydag adnoddau cyfyngedig yn gyson. Cefais fy ngeni yn yr oes pan oedd pobl yn cael tynnu eu tonsiliau a'u hadenoidau fel mater o drefn pan oeddent yn saith oed, ac roedd mynd â phlentyn o ofal ei rieni ar gyfer rhywbeth y profwyd ei bod yn ymyrraeth gwbl ddibwrpas, oni bai bod problemau penodol iawn, yn brofiad trawmatig i blentyn. Felly, fel gyda COVID, mae angen inni ddilyn y dystiolaeth wyddonol ddiweddaraf, ac mae'r arbenigwyr yn dweud wrthym yn glir iawn mai HPV sy'n achosi 99.7 y cant o ganserau serfigol. Dyna pam ein bod yn cynnig y brechlyn HPV i rai yn eu harddegau er mwyn difa'r feirws HPV ac fel na all achosi canserau serfigol yn y dyfodol, pan fydd y bobl sydd wedi elwa o'r brechlyn wedi tyfu'n oedolion. Felly, rhaid inni gydnabod bod y sgriniad serfigol wedi newid yn sylweddol. Mae'n llawer mwy sensitif, yn llawer mwy cywir ac mae bellach yn edrych yn gyntaf am bresenoldeb HPV. A thrwy leihau'r cyfnod o amser pan gaiff menywod eu sgrinio, mae'n ei gwneud yn bosibl rhyddhau amser i ganolbwyntio ar y lleiafrif bach o'r boblogaeth fenywaidd sy'n peri pryder, lle mae ganddynt HPV yn bresennol yn eu celloedd a gallant fod yn elwa o sgriniadau gwell byth i sicrhau, pe baent yn datblygu canser serfigol, y bydd yn cael ei ganfod yn gynharach. Treuliais flynyddoedd lawer o fy mywyd, cyn imi ddod yn Aelod o'r Senedd, yn ceisio helpu i gynyddu cyfraddau sgriniadau canser ceg y groth. Felly, rwy'n siomedig iawn, er gwaethaf yr holl dystiolaeth a gyflwynwyd gan Cancer Research UK ac Ymddiriedolaeth Canser Ceg y Groth Jo, fod Laura Jones wedi penderfynu ei bod am barhau i gyflwyno datganiad barn am y wybodaeth anghywir a roddwyd i bobl. Nid yw hyn yn iawn. Ydy, mae'n Wythnos Ymwybyddiaeth o Sgrinio Serfigol yr wythnos hon, ac mae'n wythnos bwysig iawn, am mai'r bobl y mae angen inni ganolbwyntio arnynt yw'r bobl nad ydynt byth yn dod am sgriniad canser. Y math o bobl rydym yn sôn amdanynt yw pobl sydd â chyfrifoldebau gofalu ac nad oes ganddynt rywun y gallant adael eu plentyn gyda hwy er mwyn mynd am sgriniad, pobl sydd mewn gwaith ar drefniant dim oriau ac felly'n methu cymryd amser o'u gwaith er mwyn mynd am eu hapwyntiad sgrinio. Felly, un o'r ffyrdd y gallwn elwa o'r ffrwydrad hwn o gyhoeddusrwydd i stori eithaf diangen yw canolbwyntio ar sut y gallwn wella cyfraddau'r menywod ifanc sy'n dod i gael eu sgrinio, neu sy'n cael sgriniad canser. Ac rwyf am ganolbwyntio'n benodol ar y peilot sgrinio yn y cartref sydd wedi bod ar y gweill yng Ngholeg King's Llundain, mewn ardal lle ceir lefelau rhagweladwy o isel o bobl yn mynd i'r apwyntiad sgrinio rheolaidd oherwydd -