English: Unfortunately, deep concerns still exist today about health inequalities and the disproportionate numbers of potentially avoidable deaths of people with a learning disability. I'm sure that many of us can reflect upon a constituent's case that highlights these concerns. It's something that worries me deeply, in that, here we are, in 2019, still having to address such inequality being experienced by people with learning disabilities. Our health and care system needs to do much more to give people with learning disabilities the good-quality health and social care that they ought to expect as a right. People with a learning disability can experience hospitalisation, life-threatening illnesses and even premature death when unable to access health services for even the most routine conditions or ailments. It remains a stark fact that people with learning disabilities die on average 20 years earlier than the general population and that they continue to experience significant disparities in the quality of care and support they receive, as well as the outcomes they can expect. This is unacceptable in a twenty-first century Wales. Llywydd dros dro, as we've already heard, one particular case that we should be aware of is that of Paul Ridd, who lived in Baglan, in my constituency, whose life may have ended in 2009, but whose story lives on and is key to this call for mandatory training for all health and care workers in every health and care setting. Paul's sister is in the gallery today, and she, along with her brother, decided to take action following their loss of Paul to address the fact that the lack of training and ignorance of his needs were considered as contributory factors in his death. And as already pointed out by the Chair of the committee, they established the Paul Ridd Foundation and have campaigned tirelessly for improvement in awareness and understanding by hospital staff of the needs of individuals with learning disabilities, so that they can provide a level of care no different from that of other patients. They have produced training material, created a traffic-light system, logos, which will be used on patients' records, hospital passports, and a pathway care bundle, working with professionals. Those logos are not new - we've seen them with dementia patients: the butterfly logo. They're already in existence for other conditions. This is nothing new in reality, but it's ensuring that it addresses the needs of people with learning disabilities. Now, the pathway care bundle was launched in 2016 in Morriston Hospital and I was privileged to attend that launch. It sets out seven key steps - key steps, which, if followed, will ensure that all patients with learning disabilities will experience the level of care that we expect for all patients and for our loved ones if they attend hospital. And I was pleased that ABMU - as it was then, Swansea Bay as it is now - drew up a comprehensive programme of learning disability awareness training for key nursing and clinical staff, which included appropriate recognition of the role of family - and that's crucial here - carers and advocates in providing vital information to staff, helping to make prudent decisions about care. And Paul's family have been pivotal in ensuring this has been rolled out, and I congratulate them on their part in this. However, as has been pointed out, learning disability training is not mandatory, and if it does take place, I've been made aware that it generally forms part of an induction session. What I don't know is: was that half an hour, 10 minutes? Who knows? It's very simple to say it's in the induction, but it's actually, 'What does the training entail?' That's crucial. Now, is this acceptable? No. It's not acceptable. Learning disability training should be mandatory and more. It should be refreshed, not on a one-off but on a regular basis. So, all staff - and I use the words 'all staff' - working in the hospitals need to have the correct training to ensure a smooth experience for patients with learning disabilities and their families. It must not be, as my colleague pointed out, e-learning-based or even classroom-based, it must be interactive with individuals and use the collaboration of organisations that work with people with learning disabilities in that process. And as I said, all staff, from the point at which they enter the healthcare system - whether it's a receptionist in a doctor's surgery, a receptionist in a hospital, or the nurse in an A&E unit - from that point they enter to whomever they meet in that journey through that system, they need that training. Different levels of training, I understand, but everyone needs to understand that training so that patients entering our hospitals are treated with the dignity and respect we would expect for everybody. And it is a challenge, but it's a challenge we must meet. Now, in this Chamber, we should be determined that everybody who has a learning disability receives the high-quality care that meets their needs and their expectations, and which results in positive outcomes for that individual. In life, like many others, Paul had a right to be listened to and their needs understood, but tragically, this was not always the case. We owe it to their memory that people with learning disabilities are supported to live healthy and happy lives. They deserve nothing less. We must deliver a system that ensures that patients and service users receive safe, effective and dignified care, and that those who provide care have the knowledge, skills and behaviours to support people with learning disabilities. I am aware that England yesterday announced they will actually be doing the mandatory training. I hope, therefore, that Wales will follow suit and ensure that training is training and not simply a half-hour exercise so it can be a tick box.
Welsh: Yn anffodus, mae pryderon dwfn yn dal i fodoli heddiw ynghylch anghydraddoldebau iechyd a niferoedd anghymesur o farwolaethau pobl ag anabledd dysgu y gellir bod wedi eu hosgoi. Rwy'n siŵr y gall llawer ohonom fyfyrio ar achos etholwr sy'n tynnu sylw at y pryderon hyn. Mae'n rhywbeth sy'n fy mhoeni'n fawr, yn yr ystyr ein bod ni, yn 2019, yn dal i orfod mynd i'r afael ag anghydraddoldeb o'r fath a ddioddefir gan bobl ag anableddau dysgu. Mae angen i'n system iechyd a gofal wneud llawer mwy i roi'r gofal iechyd a'r gofal cymdeithasol o ansawdd da y dylent ei ddisgwyl fel hawl i bobl ag anableddau dysgu. Gall pobl ag anabledd dysgu wynebu gorfod mynd i'r ysbyty, salwch sy'n peryglu bywyd a marwolaeth gynamserol hyd yn oed pan na allant gael mynediad at wasanaethau iechyd ar gyfer y cyflyrau neu'r anhwylderau mwyaf cyffredin hyd yn oed. Mae'n parhau i fod yn ffaith enbyd fod pobl ag anableddau dysgu yn marw 20 mlynedd yn gynt ar gyfartaledd na'r boblogaeth gyffredinol a'u bod yn parhau i ddioddef gwahaniaethau sylweddol yn ansawdd y gofal a'r gefnogaeth a gânt yn ogystal â'r canlyniadau y gallant eu disgwyl. Mae hyn yn annerbyniol yng Nghymru'r unfed ganrif ar hugain. Lywydd dros dro, fel y clywsom eisoes, un achos penodol y dylem fod yn ymwybodol ohono yw achos Paul Ridd, a oedd yn byw ym Maglan yn fy etholaeth, ac er i'w fywyd ddod i ben yn 2009, mae ei stori'n fyw o hyd ac yn allweddol i'r alwad hon am hyfforddiant gorfodol i'r holl weithwyr iechyd a gofal ym mhob lleoliad iechyd a gofal. Mae chwaer Paul yn yr oriel heddiw, a phenderfynodd hi a'i brawd weithredu yn sgil colli Paul i fynd i'r afael â'r ffaith bod diffyg hyfforddiant ac anwybodaeth ynglŷn â'i anghenion yn cael eu hystyried yn ffactorau a gyfrannodd at ei farwolaeth. Ac fel y nodwyd eisoes gan Gadeirydd y pwyllgor, fe wnaethant sefydlu Sefydliad Paul Ridd ac maent wedi ymgyrchu'n ddiflino i wella ymwybyddiaeth a dealltwriaeth staff ysbytai o anghenion unigolion ag anableddau dysgu fel y gallant ddarparu lefel o ofal nad yw'n wahanol i'r hyn y bydd cleifion eraill yn ei gael. Maent wedi cynhyrchu deunydd hyfforddi, wedi creu system goleuadau traffig, logos, a ddefnyddir ar gofnodion cleifion, pasbortau ysbyty, a bwndel llwybr gofal, gan weithio gyda gweithwyr proffesiynol. Nid yw'r logos hynny'n newydd - fe'u gwelsom gyda chleifion dementia: logo'r pili pala. Maent eisoes yn bodoli ar gyfer cyflyrau eraill. Nid yw hyn yn ddim byd newydd mewn gwirionedd, ond mae'n sicrhau ei fod yn ateb anghenion pobl ag anableddau dysgu Nawr, lansiwyd y bwndel llwybr gofal yn 2016 yn Ysbyty Treforys a chefais y fraint o fynychu'r lansiad hwnnw. Mae'n nodi saith cam allweddol - camau allweddol a fydd, os cânt eu dilyn, yn sicrhau y bydd pob claf ag anableddau dysgu yn profi'r lefel o ofal rydym yn ei disgwyl i'r holl gleifion ac i'n hanwyliaid os ydynt yn mynd i'r ysbyty. Ac roeddwn yn falch fod ABMU - fel yr oedd bryd hynny, Bae Abertawe fel y mae yn awr - wedi llunio rhaglen gynhwysfawr o hyfforddiant ymwybyddiaeth anabledd dysgu ar gyfer staff nyrsio a staff clinigol allweddol, rhaglen a oedd yn cynnwys cydnabyddiaeth briodol i rôl teulu - ac mae hynny'n allweddol yma - gofalwyr ac eiriolwyr yn y broses o ddarparu gwybodaeth hanfodol i staff, gan helpu i wneud penderfyniadau doeth ynglŷn â gofal. A bu teulu Paul yn rhan ganolog o sicrhau bod hyn wedi'i gyflwyno, a hoffwn eu llongyfarch ar eu rhan yn hyn. Fodd bynnag, fel y nodwyd, nid yw hyfforddiant anabledd dysgu yn orfodol, ac os yw'n digwydd, rwyf wedi cael gwybod ei fod fel arfer yn ffurfio rhan o sesiwn gynefino. Yr hyn nad wyf yn ei wybod yw: ai hanner awr o hynny a gafwyd, 10 munud? Pwy â ŵyr? Mae'n hawdd iawn dweud ei fod yn rhan o'r cyfnod cynefino, ond beth y mae'r hyfforddiant yn ei gynnwys? Mae hynny'n hollbwysig. Nawr, a yw hyn yn dderbyniol? Nac ydyw. Nid yw'n dderbyniol. Dylai hyfforddiant anabledd dysgu fod yn orfodol a mwy na hynny. Dylid ei ddiweddaru, nid ar sail untro ond yn rheolaidd. Felly, mae angen i bob aelod o staff - a defnyddiaf y geiriau 'pob aelod o staff' - sy'n gweithio yn yr ysbytai gael yr hyfforddiant cywir i sicrhau profiad llyfn i gleifion ag anableddau dysgu a'u teuluoedd. Rhaid iddo beidio â bod, fel y nododd fy nghyd-Aelod, yn seiliedig ar e-ddysgu neu hyd yn oed yn ddysgu yn yr ystafell ddosbarth, rhaid iddo fod yn rhyngweithiol gydag unigolion a defnyddio cydweithrediad sefydliadau sy'n gweithio gyda phobl ag anableddau dysgu yn y broses honno. Ac fel y dywedais, pob aelod o staff, o'r adeg y maent yn cychwyn yn y system gofal iechyd - boed yn dderbynnydd mewn meddygfa, yn dderbynnydd mewn ysbyty, neu'n nyrs mewn uned ddamweiniau ac achosion brys - o'r pwynt y maent yn mynd i mewn i bwy bynnag y byddant yn eu cyfarfod ar y daith drwy'r system, mae angen yr hyfforddiant hwnnw arnynt. Lefelau gwahanol o hyfforddiant, rwy'n deall hynny, ond mae angen i bawb ddeall yr hyfforddiant fel bod cleifion sy'n mynd i mewn i'n hysbytai yn cael eu trin gyda'r urddas a'r parch y byddem yn ei ddisgwyl i bawb. Ac mae'n her, ond mae'n her y mae'n rhaid i ni ei goresgyn. Nawr, yn y Siambr hon, dylem fod yn benderfynol fod pawb sydd ag anabledd dysgu yn cael y gofal o safon uchel sy'n diwallu eu hanghenion a'u disgwyliadau, ac sy'n arwain at ganlyniadau cadarnhaol i'r cyfryw unigolyn. Fel llawer o rai eraill, roedd gan Paul hawl i gael ei glywed a chael ei anghenion wedi'u deall, ond yn drasig, nid oedd hyn yn digwydd bob amser. Er cof amdanynt hwy, mae'n ddyletswydd arnom i sicrhau bod pobl ag anableddau dysgu'n cael eu cynorthwyo i fyw bywydau iach a hapus. Maent yn haeddu hynny, a dim llai na hynny. Rhaid inni ddarparu system sy'n sicrhau bod cleifion a defnyddwyr gwasanaethau'n cael gofal diogel, effeithiol ac urddasol, a bod gan y rhai sy'n darparu gofal wybodaeth, sgiliau ac ymddygiad i gefnogi pobl ag anableddau dysgu. Rwy'n ymwybodol fod Lloegr wedi cyhoeddi ddoe y byddant yn rhoi hyfforddiant gorfodol. Rwy'n gobeithio, felly, y bydd Cymru'n dilyn eu hesiampl ac yn sicrhau bod hyfforddiant yn hyfforddiant yn hytrach nag ymarfer hanner awr i allu rhoi tic yn y blwch.