English: Diolch, Dirprwy Lywydd. Seven point two billion pounds, 6,000 emergency admissions into our hospitals and 300 lives per year; that is the cost of mental health every single year here in Wales. And I'm sure that everybody in this Chamber recognises the severity of needing to get to grips with this problem, and the urgency, given that we've had very little progress to date, to take action to tackle it. We know that around three quarters of all mental illnesses start before a child reaches their eighteenth birthday, and that children from socially disadvantaged backgrounds, or those with parents with existing mental health illnesses themselves, are more likely to develop mental health problems of their own. It's very clear from the Children, Young People and Education Committee's work that we need to build more resilience in childhood and adolescence, and to take some urgent action to address the difficulties that many of our young people face when needing to access more specialist care too. Our 'Mind over matter' report sets out the challenges and the details and provides a host of sensible, practical recommendations to address them. It was universally welcomed by stakeholders, but not - or so it seems - by the Welsh Government. I have to say, I don't think I've seen a single Government response, in the 11 years that I've been a member of this National Assembly, that is so disappointing and complacent. Just seven recommendations have been accepted, nine have been rejected in whole or in part, and of the rest, those that have been described as 'accepted in principle' frankly should have 'rejected' sat beside them, because 'accepted in principle' is not an accurate description of the response that we read on the paper. There's no wonder, therefore, that we've had a chorus of voices from stakeholders who have been in touch with committee members and other Members of this National Assembly prior to the debate this afternoon to express their concerns. The Cabinet Secretaries for health and education have managed to unite not one, not two, but 73 psychologists to sign a single letter calling for all of the recommendations in our report to be implemented in full. The children's commissioner has said that the response that's been received is a missed opportunity, and said that the current system it not adequate or coherent. The NSPCC have said that it won't deliver the step change that's required and they are absolutely right. We need to see that step change, and it's a shame that the only one that some people seem interested in is a step change from one office into the First Minister's office. I really do feel that the Welsh Government needs to tear its response up and go back to the drawing board and to produce something that is a little bit more respectful, not just to the committee, but to those stakeholders and those individuals who provided the evidence on which our report is based. We're fed up with empty words. We've seen reports that have identified problems before in previous assemblies, and I'm afraid we haven't seen the action coming from the Welsh Government, from successive Ministers, to be able to deal with the challenges. We saw good practice in the evidence that we received - good practice on building mental health resilience in our schools. Schools such as Ysgol Pen y Bryn in my own constituency and their mindfulness programme - a wonderful opportunity that we presented and suggested should be rolled out further in other schools. Yet, your response to our recommendation 3 was complacent, it was inadequate, and it simply suggested more of the same and suggested that you're already doing the things that were necessary. That isn't the case. You've rejected our recommendation 9 and part of our recommendation 11, which call for simple things like data to be collected and published on a regular basis on mental health waiting times for children and young people seeking assessment and intervention, whether in primary or secondary care. It is shocking - absolutely shocking - that those recommendations have been rejected, and it suggests a complete lack of priority for our children and young people here in Wales. Unless we have that data, we're not going to be able to hold people to account. And it's no wonder that organisations like the Betsi Cadwaladr health board have got in excess of 1,000 young people, more than all of the other health boards in Wales combined, on waiting lists for more than a year, waiting to access assessments and waiting to access treatment for their acute secondary care issues in mental health. It's completely unacceptable. And it's for the sake of those 1,000 individuals in north Wales, and the others around the country, that we need to see the step change that our report refers to. So, I think we need to stick this particular response in a place where the sun don't shine, the shredder, and come up with something much better in accordance with the wishes of the committee, because that's the only thing on which we're going to see any change.
Welsh: Diolch, Ddirprwy Lywydd. £7.2 biliwn o bunnoedd, 6,000 o dderbyniadau brys i'n hysbytai a 300 o fywydau y flwyddyn; dyna yw cost iechyd meddwl bob blwyddyn yma yng Nghymru. Ac rwy'n siŵr fod pawb yn y Siambr hon yn cydnabod difrifoldeb yr angen i fynd i'r afael â'r broblem hon, a'r brys, o gofio nad ydym wedi cael fawr iawn o gynnydd hyd yn hyn ar roi camau ar waith i fynd i'r afael â hyn. Rydym yn gwybod bod tua thri chwarter yr holl achosion o salwch meddwl yn dechrau cyn i'r plentyn gyrraedd eu pen blwydd yn ddeunaw oed, a bod plant o gefndiroedd difreintiedig, neu'r rhai sydd â rhieni sydd â salwch meddwl eu hunain eisoes, yn fwy tebygol o i ddatblygu problemau iechyd meddwl eu hunain. Mae'n glir iawn o waith y Pwyllgor Plant, Pobl Ifanc ac Addysg fod angen inni adeiladu mwy o wydnwch yn ystod plentyndod a blynyddoedd yr arddegau, a rhoi camau ar waith ar frys i fynd i'r afael â'r anawsterau y mae llawer o'n pobl ifanc yn eu hwynebu pan fyddant angen gofal mwy arbenigol hefyd. Mae ein hadroddiad 'Cadernid Meddwl' yn nodi'r heriau a'r manylion ac yn darparu llu o argymhellion synhwyrol ac ymarferol i fynd i'r afael â hwy. Cafodd ei groesawu'n unfrydol gan randdeiliaid, ond nid gan Lywodraeth Cymru - neu felly mae'n ymddangos. Rhaid imi ddweud, nid wyf yn meddwl fy mod wedi gweld un ymateb gan y Llywodraeth, yn yr 11 mlynedd y bûm yn aelod o'r Cynulliad Cenedlaethol hwn, sydd mor siomedig a hunanfodlon. Saith o argymhellion yn unig a gafodd eu derbyn, gwrthodwyd naw yn llwyr neu'n rhannol, ac o blith y gweddill, a bod yn onest, dylai'r rhai a ddisgrifiwyd fel rhai a dderbyniwyd mewn egwyddor fod wedi'u nodi fel rhai a wrthodwyd, gan nad yw 'derbyn mewn egwyddor' yn ddisgrifiad cywir o'r ymateb a ddarllenasom ar y papur. Nid yw'n syndod felly fod llu o randdeiliaid wedi bod mewn cysylltiad ag aelodau'r pwyllgor ac aelodau eraill o'r Cynulliad Cenedlaethol hwn cyn y ddadl y prynhawn yma i fynegi eu pryderon. Mae Ysgrifennydd y Cabinet dros addysg ac Ysgrifennydd y Cabinet dros iechyd wedi llwyddo i uno nid un, nid dau, ond 73 o seicolegwyr i lofnodi un llythyr yn galw am weithredu pob un o'r argymhellion yn ein hadroddiad yn llawn. Mae'r comisiynydd plant wedi dweud bod yr ymateb a ddaeth i law yn gyfle a gollwyd, a dywedodd nad yw'r system bresennol yn ddigonol nac yn gydlynol. Mae'r NSPCC wedi dweud nad yw'n mynd i sicrhau'r newid sylweddol sydd ei angen, ac maent yn hollol gywir. Mae angen inni weld y newid sylweddol hwnnw, ac mae'n drueni mai'r unig newid y mae rhai pobl i'w gweld â diddordeb ynddo yw'r newid sylweddol o un swydd i swydd y Prif Weinidog. Rwy'n teimlo o ddifrif fod angen i Lywodraeth Cymru rwygo'i hymateb ac ailfeddwl a chynhyrchu rhywbeth sy'n dangos ychydig bach mwy o barch, nid yn unig at y pwyllgor, ond at y rhanddeiliaid a'r unigolion a ddarparodd y dystiolaeth y seiliwyd ein hadroddiad arni. Rydym wedi cael llond bol ar eiriau gwag. Rydym wedi gweld adroddiadau sydd wedi nodi problemau o'r blaen mewn Cynulliadau blaenorol, ac yn anffodus nid ydym wedi gweld gweithredu gan Lywodraeth Cymru, gan Weinidogion olynol, i allu ymdrin â'r heriau. Gwelsom arferion da yn y dystiolaeth a gawsom - arfer da ar adeiladu gwydnwch iechyd meddwl yn ein hysgolion. Ysgolion megis Ysgol Pen y Bryn yn fy etholaeth fy hun a'u rhaglen ymwybyddiaeth ofalgar - cyfle gwych a gyflwynwyd gennym ac yr awgrymwyd y dylid ei gyflwyno ymhellach mewn ysgolion eraill. Eto i gyd, roedd eich ymateb i argymhelliad 3 yn hunanfodlon, yn annigonol, ac yn awgrymu mwy o'r un peth a dim mwy na hynny. Roedd hefyd yn awgrymu eich bod eisoes yn gwneud y pethau a oedd yn angenrheidiol. Nid yw hynny'n wir. Rydych wedi gwrthod argymhelliad 9 a rhan o'n hargymhelliad 11, sy'n galw am bethau syml megis casglu a chyhoeddi data yn rheolaidd ar amseroedd aros iechyd meddwl ar gyfer plant a phobl ifanc sydd wedi gofyn am asesiad ac ymyrraeth, mewn gofal sylfaenol neu ofal eilaidd. Mae'n waradwyddus - yn gwbl warthus - fod yr argymhellion hynny wedi'u gwrthod, ac mae'n awgrymu diffyg blaenoriaeth i'n plant a'n pobl ifanc yma yng Nghymru. Oni bai ein bod yn cael y data hwnnw, nid ydym yn mynd i allu dwyn pobl i gyfrif. Ac nid yw'n syndod fod gan sefydliadau fel bwrdd iechyd Betsi Cadwaladr dros 1,000 o bobl ifanc, mwy na'r holl fyrddau iechyd eraill yng Nghymru gyda'i gilydd, ar restrau aros ers dros flwyddyn, yn aros i gael asesiadau ac yn aros i gael triniaeth ar gyfer eu problemau gofal eilaidd acíwt mewn iechyd meddwl. Mae'n gwbl annerbyniol. Ac er mwyn y 1,000 o unigolion yng ngogledd Cymru, ac eraill o amgylch y wlad, mae angen inni weld y newid sylweddol y mae ein hadroddiad yn cyfeirio ato. Felly, credaf y dylem roi'r ymateb penodol hwn mewn man lle nad yw'r haul yn disgleirio, y peiriant rhwygo papur, a meddwl am rywbeth llawer gwell yn unol â dymuniadau'r pwyllgor, gan mai dyna'r unig beth rydym yn mynd i weld unrhyw newid yn ei gylch.