English: Thank you, Llywydd. I'd like to thank all Members today for their contributions and for bringing forward this debate on such an important topic. There is much in this motion I agree with. I am acutely aware that improvements need to be made to eating disorder services and I am sincerely committed to driving this forward. I also welcome the spotlight that Eating Disorders Awareness Week gives to the impact that eating disorders have on individuals, their families and their friends. We all have a role to play to support and encourage people to access appropriate support. Jenny Rathbone said that we need to be honest, and I agree. The 2018 independent review was important, but some of their recommendations were aspirational, providing a long-term vision of services. Our engagement with services since the publication of the review has demonstrated their commitment to improvement, and whilst there is universal support for the high-level aspiration within the review, there is more to do to shape the service model and approach that best fits our service in Wales, and clinical buy-in for that model is absolutely crucial. I will continue to prioritise eating disorder services in my own ministerial work, including scrutinising the improvement progress in meetings with vice-chairs. I also welcome the review by Beat and look forward to working with partners to improve the full breadth of support needed for people with eating disorders, not just NHS services. Whilst I share the frustration about the pace of these improvements, we do need to recognise the pressure services have been under for the last 18 to 24 months. Eating disorder services have been disproportionately impacted by the pandemic, needing to focus on immediate pressures to ensure services provide a safe and appropriate response for those who need them. With unprecedented levels of demand, higher acuity and more complex patients, prioritisation based on clinical need has been more challenging for our workforce. I'd like to personally thank all of the NHS staff working in eating disorder services, who continue to do all they can to meet patient needs in this most challenging of times. I also recognise the increased demand that has been placed on the third sector as a result of the pandemic, and the vital role the sector has played. Despite these pressures, there is progress. I visited two eating disorder teams last week in Betsi Cadwaladr University Health Board, and saw the work they are doing to improve support in the community and to prevent young people being placed out of area. Whilst describing the key challenges they'd experienced throughout the pandemic, they demonstrated a child-centred and system-wide approach, using a mix of skills to deliver services - the type of service we all want to see across Wales. Our additional and recurrent investment has led to an increase in workforce numbers in specialist ED services, and we have provided additional training for staff. There has also been extensive work to engage those with lived experience and their families and friends across LHB-led eating disorder services, and I am determined that this engagement will underpin our plans for future improvement. At a national level, we responded quickly to the increased pressure and demand that we saw at the start of the pandemic, and significantly strengthened a range of tier 0/1 support. This support provides early open access to help and advice, with specific support for eating disorders through our significant investment in the Beat helpline and their other services. Our additional investment in Beat provided over 7,000 support sessions in Wales during 2021. These are sessions not just targeted at those living with eating disorders, but also friends and family, who are so key to supporting individuals through diagnosis and treatment. We have also taken concerted action to raise awareness of and interest in eating disorders amongst medical professionals. I give way to Rhun ap Iorwerth.
Welsh: Diolch, Lywydd. Hoffwn ddiolch i'r holl Aelodau heddiw am eu cyfraniadau ac am gyflwyno'r ddadl hon ar bwnc mor bwysig. Mae llawer yn y cynnig hwn rwy'n cytuno ag ef. Rwy'n ymwybodol iawn fod angen gwneud gwelliannau i wasanaethau anhwylderau bwyta ac rwyf wedi ymrwymo'n ddiffuant i hyrwyddo hyn. Rwyf hefyd yn croesawu'r sylw y mae Wythnos Ymwybyddiaeth Anhwylderau Bwyta yn ei roi i'r effaith y mae anhwylderau bwyta yn ei chael ar unigolion, eu teuluoedd a'u ffrindiau. Mae gan bob un ohonom ran i'w chwarae yn cefnogi ac annog pobl i ddod o hyd i gymorth priodol. Dywedodd Jenny Rathbone fod angen inni fod yn onest, ac rwy'n cytuno. Roedd adolygiad annibynnol 2018 yn bwysig, ond roedd rhai o'u hargymhellion yn uchelgeisiol, gan ddarparu gweledigaeth hirdymor o wasanaethau. Mae ein hymgysylltiad â gwasanaethau ers cyhoeddi'r adolygiad wedi dangos eu hymrwymiad i wella, ac er bod cefnogaeth gyffredinol i'r dyhead mawr yn yr adolygiad, mae mwy i'w wneud i lunio'r model gwasanaeth a'r dull gweithredu sy'n gweddu orau i'n gwasanaeth yng Nghymru, ac mae cefnogaeth glinigol i'r model hwnnw yn gwbl hanfodol. Byddaf yn parhau i flaenoriaethu gwasanaethau anhwylderau bwyta yn fy ngwaith gweinidogol fy hun, gan gynnwys craffu ar y cynnydd mewn cyfarfodydd gydag is-gadeiryddion. Rwyf hefyd yn croesawu'r adolygiad gan Beat ac yn edrych ymlaen at weithio gyda phartneriaid i wella'r ystod lawn o gymorth sydd ei angen ar bobl ag anhwylderau bwyta, nid gwasanaethau'r GIG yn unig. Er fy mod yn rhannu'r rhwystredigaeth ynghylch cyflymder y gwelliannau hyn, mae angen inni gydnabod y pwysau ar wasanaethau yn y 18 i 24 mis diwethaf. Mae'r pandemig wedi effeithio'n anghymesur ar wasanaethau anhwylderau bwyta, gyda'r angen i ganolbwyntio ar bwysau uniongyrchol i sicrhau bod gwasanaethau'n darparu ymateb diogel a phriodol i'r rhai sydd ei angen. Gyda lefelau digynsail o alw, problemau mwy difrifol a chleifion mwy cymhleth, mae blaenoriaethu'n seiliedig ar angen clinigol wedi bod yn fwy heriol i'n gweithlu. Hoffwn ddiolch yn bersonol i holl staff y GIG sy'n gweithio ym maes gwasanaethau anhwylderau bwyta, sy'n parhau i wneud popeth yn eu gallu i ddiwallu anghenion cleifion yn y cyfnod eithriadol o heriol hwn. Rwyf hefyd yn cydnabod y galw cynyddol ar y trydydd sector o ganlyniad i'r pandemig, a'r rôl hanfodol y mae'r sector wedi'i chwarae. Er gwaethaf y pwysau hwn, mae cynnydd i'w weld. Ymwelais â dau dîm anhwylder bwyta yr wythnos diwethaf ym Mwrdd Iechyd Prifysgol Betsi Cadwaladr, a gwelais y gwaith y maent yn ei wneud ar wella'r gefnogaeth yn y gymuned ac i atal pobl ifanc rhag cael eu lleoli y tu allan i'r ardal. Wrth ddisgrifio'r heriau allweddol yr oeddent wedi'u profi drwy gydol y pandemig, roeddent yn dangos dull gweithredu sy'n canolbwyntio ar y plentyn ac ar draws y system gyfan, gan ddefnyddio cymysgedd o sgiliau i ddarparu gwasanaethau - y math o wasanaeth yr ydym i gyd am ei weld ledled Cymru. Mae ein buddsoddiad ychwanegol a rheolaidd wedi arwain at gynyddu'r gweithlu gwasanaethau anhwylderau bwyta arbenigol, ac rydym wedi darparu hyfforddiant ychwanegol i staff. Gwnaed gwaith helaeth hefyd ar ymgysylltu â'r rhai sydd â phrofiad bywyd a'u teuluoedd a'u ffrindiau ar draws gwasanaethau anhwylderau bwyta a arweinir gan y bwrdd iechyd lleol, ac rwy'n benderfynol y bydd yr ymgysylltu hwn yn sail i'n cynlluniau ar gyfer gwella yn y dyfodol. Ar lefel genedlaethol, gwnaethom ymateb yn gyflym i'r pwysau a'r galw cynyddol a welsom ar ddechrau'r pandemig, a chryfhau ystod o gymorth haen 0/1 yn sylweddol. Mae'r cymorth hwn yn darparu mynediad agored cynnar i gymorth a chyngor, gyda chymorth penodol ar gyfer anhwylderau bwyta drwy ein buddsoddiad sylweddol yn llinell gymorth Beat a'u gwasanaethau eraill. Darparodd ein buddsoddiad ychwanegol yn Beat dros 7,000 o sesiynau cymorth yng Nghymru yn ystod 2021. Sesiynau yw'r rhain sydd nid yn unig wedi'u targedu at y rhai sy'n byw gydag anhwylderau bwyta, ond ffrindiau a theulu yn ogystal, sydd mor allweddol i gefnogi unigolion drwy ddiagnosis a thriniaeth. Rydym hefyd wedi cymryd camau ar y cyd i godi ymwybyddiaeth o anhwylderau bwyta ymhlith gweithwyr meddygol proffesiynol ac i ysgogi diddordeb ynddynt. Fe ildiaf i Rhun ap Iorwerth.