English: Diolch, Dirprwy Lywydd. I very much regret the tone of the Deputy Minister's response to this debate today. These are serious issues before the Senedd. It is not right that we are being critical of staff. In fact, we've called upon the Betsi Cadwaladr University Health Board, and indeed the Welsh Government, to apologise to staff for not addressing the failings. I think that indicates a great deal of support and sympathy for the front-line staff who've been working hard trying to deliver improvements. But there is no doubt whatsoever that the Holden report exposed, as far back as 2013, serious failings in mental health care in north Wales: a culture of bullying and intimidation, staff shortages, patients being neglected, some coming to harm. And it's just a matter of fact that it then took a further period, until June 2015, in spite of the Minister's assertions that swift action was taken, for the health board to be placed in special measures, when another report was effectively saying the same things were happening in the Tawel Fan ward, further down the road at Ysbyty Glan Clwyd, that were also problematic and there were serious failings and institutional neglect. I don't think that that was sufficiently rapid action. And in that intervening period, I'm afraid to say, Deputy Minister, that your Government allowed further patients to come to harm, to be neglected and to be subjected to that institutional abuse. That is a matter or fact, whether you like it or not. And for that, I would have thought it would have been decent enough of the Government today to offer an apology to the patients affected, some of whom have now passed away, their loved ones and, indeed, the staff, who were severely let down by the leadership of the Betsi Cadwaladr health board, and indeed the Welsh Government and the decision making of the Welsh Government at that particular time. When the health board was placed into special measures, we were told, with great fanfare, that within 100 days there would be significant improvements in that health board in terms of the mental health care in the region. But that was not the case. Five and a half years later, that health board was removed from special measures, in spite of the fact that there were still huge challenges waiting to be addressed in terms of mental health care, and many of the failings that had been identified in Holden, identified in Ockenden, identified in HASCAS - in spite of their atrocious conclusion in their report that there'd been no institutional abuse - had not been addressed. These are just statements and matters of fact. So, to bury your head in the sand and say that everything is improving - there have been some 'major improvements' is what you said - when we've had two deaths in the Betsi Cadwaladr health board on these mental health units over the past 12 months, which could have been prevented if some of the action that was promised had actually been taken, I think, is frankly disgusting. Frankly, it's disgusting. And to not be able to wake up and smell the coffee and recognise when a service is failing and needs to improve is unacceptable. When are we going to see these promised improvements? It's still got these huge challenges six years later after it was placed in special measures for its mental health services. You're letting down the people of north Wales. You're letting down the mental health patients. You're letting down these vulnerable people who desperately need our support. And for you to simply suggest that everything's hunky-dory, that everything has been significantly improved, I think, is a disgrace. There was a significant delay in the action being taken by the Welsh Government. You talked about discussions with stakeholders. What about the feedback from patients? What about the feedback from families? I didn't hear you refer to them at all in your response. Because I can tell you from my own casework that people aren't happy. The situation isn't good. The situation still needs to improve significantly, and unless we have a Minister who can recognise that, we won't have anybody getting to grips with these challenges. Now I will say this: I do have a lot of faith in the new chief executive and in the chair of the health board, and I believe that they really are determined to want to get to grips with this issue once and for all. I very much hope that you will be part of that team to turn this situation around, but I'm afraid that with the attitude and the unnecessarily politically hostile response that you've given today - and I'm not being political here; I'm simply making the point that we need a Government that recognises that these are challenges - and unless you're prepared to get alongside them, to invest, to make sure that this situation is turned around, we're going to have more deaths, more neglect and more people who are harmed as a result of the situation. I'll happily take the intervention.
Welsh: Diolch, Ddirprwy Lywydd. Rwy'n gresynu at gywair ymateb y Dirprwy Weinidog i'r ddadl hon heddiw. Mae'r rhain yn faterion difrifol gerbron y Senedd. Nid yw'n iawn ein bod yn feirniadol o staff. Mewn gwirionedd, rydym wedi galw ar Fwrdd Iechyd Prifysgol Betsi Cadwaladr, ac yn wir, ar Lywodraeth Cymru, i ymddiheuro i staff am beidio â mynd i'r afael â'r methiannau. Credaf fod hynny'n dangos cryn dipyn o gefnogaeth a chydymdeimlad â'r staff ar y rheng flaen sydd wedi bod yn gweithio'n galed i geisio cyflawni gwelliannau. Ond nid oes unrhyw amheuaeth fod adroddiad Holden wedi datgelu methiannau difrifol, mor bell yn ôl â 2013, ym maes gofal iechyd meddwl yng ngogledd Cymru: diwylliant o fwlio a bygwth, prinder staff, cleifion yn cael eu hesgeuluso, a rhai'n cael eu niweidio. Ac mae'n ffaith ei bod wedyn wedi cymryd mwy o amser, tan fis Mehefin 2015, er gwaethaf honiadau'r Gweinidog fod camau wedi'u rhoi ar waith yn gyflym, i roi'r bwrdd iechyd mewn mesurau arbennig, pan oedd adroddiad arall yn dweud, i bob pwrpas, fod yr un pethau'n digwydd ar ward Tawel Fan, i lawr y ffordd yn Ysbyty Glan Clwyd, pethau a oedd hefyd yn broblemus a lle cafwyd methiannau difrifol ac esgeulustod sefydliadol. Ni chredaf fod gweithredu wedi digwydd yn ddigon cyflym. Ac yn y cyfamser, mae arnaf ofn, Ddirprwy Weinidog, fod eich Llywodraeth wedi caniatáu i gleifion pellach gael eu niweidio, eu hesgeuluso a wynebu'r gamdriniaeth sefydliadol honno. Mae hynny'n ffaith, p'un a ydych yn ei hoffi ai peidio. Ac am hynny, byddwn wedi meddwl y byddai wedi bod yn ddigon gweddus heddiw i'r Llywodraeth ymddiheuro i'r cleifion yr effeithiwyd arnynt, y mae rhai ohonynt wedi marw bellach, eu hanwyliaid, ac yn wir, y staff y gwnaed cam difrifol â hwy gan arweinyddiaeth bwrdd Betsi Cadwaladr, a Llywodraeth Cymru yn wir, a phenderfyniadau Llywodraeth Cymru ar yr adeg honno. Pan osodwyd y bwrdd iechyd mewn mesurau arbennig, dywedwyd wrthym, gyda chryn dipyn o ffanffer, y byddai gwelliannau sylweddol o fewn 100 diwrnod yn y bwrdd iechyd hwnnw mewn perthynas â gofal iechyd meddwl yn y rhanbarth. Ond ni ddigwyddodd hynny. Bum mlynedd a hanner yn ddiweddarach, cafodd y bwrdd iechyd ei dynnu o fesurau arbennig, er bod heriau enfawr heb gael eu datrys ym maes gofal iechyd meddwl, a llawer o'r methiannau a nodwyd yn Holden, a nodwyd yn Ockenden, a nodwyd yn adroddiad y Gwasanaeth Cynghori ar Iechyd a Gofal Cymdeithasol - er gwaethaf eu casgliad gwarthus yn eu hadroddiad na fu unrhyw gam-drin sefydliadol - heb gael sylw. Datganiadau a ffeithiau yw'r rhain. Felly, mae claddu eich pen yn y tywod a dweud bod popeth yn gwella - fe ddywedoch chi fod rhai 'gwelliannau mawr' wedi bod - a ninnau wedi cael dwy farwolaeth ym mwrdd iechyd Betsi Cadwaladr yn yr unedau iechyd meddwl hyn dros y 12 mis diwethaf, marwolaethau y gellid bod wedi eu hatal pe bai rhywfaint o'r camau a addawyd wedi'u cymryd, yn ffiaidd a dweud y gwir. A dweud y gwir, mae'n ffiaidd. Ac mae methu deall realiti'r sefyllfa a chydnabod pan fo gwasanaeth yn methu ac angen gwella yn annerbyniol. Pryd y byddwn yn gweld y gwelliannau hyn a addawyd? Mae'r heriau enfawr hyn yn dal i fodoli chwe blynedd yn ddiweddarach ar ôl rhoi'r bwrdd mewn mesurau arbennig oherwydd ei wasanaethau iechyd meddwl. Rydych yn gwneud cam â phobl gogledd Cymru. Rydych yn gwneud cam â'r cleifion iechyd meddwl. Rydych yn gwneud cam â'r bobl fregus hyn sydd angen ein cymorth yn enbyd. A chredaf fod awgrymu bod popeth yn ardderchog, fod popeth wedi gwella'n sylweddol, yn gwbl warthus. Bu oedi sylweddol cyn i Lywodraeth Cymru weithredu. Fe sonioch chi am drafodaethau â rhanddeiliaid. Beth am yr adborth gan gleifion? Beth am yr adborth gan deuluoedd? Ni chlywais unrhyw gyfeiriad gennych atynt yn eich ymateb. Oherwydd gallaf ddweud wrthych o fy ngwaith achos fy hun nad yw pobl yn hapus. Nid yw'r sefyllfa'n dda. Mae angen i'r sefyllfa wella'n sylweddol o hyd, ac oni bai fod gennym Weinidog a all gydnabod hynny, ni fydd gennym unrhyw un yn mynd i'r afael â'r heriau hyn. Nawr, rwyf am ddweud hyn: mae gennyf lawer o ffydd yn y prif weithredwr newydd ac yng nghadeirydd y bwrdd iechyd, a chredaf eu bod yn wirioneddol benderfynol o fynd i'r afael â'r mater hwn unwaith ac am byth. Rwy'n mawr obeithio y byddwch yn rhan o'r tîm i wella'r sefyllfa, ond mae arnaf ofn, gyda'ch agwedd a'r ymateb gwleidyddol gelyniaethus diangen a roesoch heddiw - ac nid wyf yn bod yn wleidyddol yma; y pwynt rwy'n ei wneud yw bod angen Llywodraeth arnom sy'n cydnabod bod y rhain yn heriau - ac oni bai eich bod yn barod i'w hwynebu, i fuddsoddi, er mwyn sicrhau bod y sefyllfa hon yn gwella, rydym yn mynd i gael mwy o farwolaethau, mwy o esgeulustod a mwy o bobl yn cael eu niweidio o ganlyniad i'r sefyllfa. Rwy'n hapus i dderbyn yr ymyriad.