English: Many colleagues in this debate have rightly focused on the impact of COVID-19 on individuals needing end-of-life care and their families who, in normal circumstances, would've been able to comfort and support them during this time. Over the last year, there have been some harrowing stories of patients nearing the end of life in hospital or in a care home, where that natural family love and support has not been possible - an issue touched on by Mark Isherwood earlier in opening. In Baroness Tessa Jowell's final powerful speech to the House of Lords, she described so eloquently what it means to live with a life-limiting illness, and she made a profound statement about life and death, which resonates in this debate today. She said, 'In the end, what gives a life meaning is not only how it is lived, but how it draws to a close.' End-of-life care is not just important to how a person dies, but how a person's life is given meaning; how, in part, it is remembered. It not only relates to medical care, but to personal care too. The involvement of family and close friends is at the heart of that. What's been so difficult for those people and their relatives over recent months has been the absence of what would normally be expected when someone is nearing the end of their life and the associated distress for families. And of course, as we've heard, it's not just families who have suffered, it's staff too. That's why our motion includes the impact on our health and care staff who have shown such professionalism and humanity during the course of the pandemic. High-quality palliative care and bereavement support services are needed for families and staff, recognising some of the trauma of the past 10 months. We need to better understand the impact on our staff and how the experiences of this pandemic have shaped their view of their role and the services they provide, and what the battle against COVID means for recruitment of tomorrow's health and care staff. We all know that, in ordinary times, our health and care staff work in tough environments, but no-one could've foreseen some of the conditions in hospital wards and care home rooms over recent months, where so many people have lost their lives. In many cases, staff have not just been doing their job and providing palliative care, but they've acted as surrogate families, where family members were not allowed to visit. If we're serious about responding to the consequences of this pandemic, we need to rethink how bereavement services and support are provided. That's why I'm supporting our call for a national bereavement framework and that we recognise that sufficient funding is needed to ensure that COVID-19 does not create another pandemic - that of poor mental health. In concluding, Dirprwy Lywydd, I'd just like to touch on the specific challenges faced by people living with motor neurone disease across Wales - something that's been highlighted by the MND Association. The MND Association has been campaigning to allow MND patients to access benefits quicker during the pandemic period. At UK level, the Department for Work and Pensions have finished their review, and I'd like to hear from the Minister later about how the Welsh Government can help MND sufferers to access support quicker during the final stages of life. In conclusion, Dirprwy Lywydd, I ask Members to support this motion. Let's strive to help patients with long-term and terminal illnesses access the care that they and their families need. Let's strive to ensure that our doctors and nurses can access a proper support network to help with their emotional well-being, and let's ensure that people from all parts of Wales can access professional bereavement services.
Welsh: Mae llawer o gyd-Aelodau yn y ddadl hon wedi canolbwyntio'n briodol ar effaith COVID-19 ar unigolion sydd angen gofal diwedd oes a'u teuluoedd a fyddai, mewn amgylchiadau arferol, wedi gallu eu cysuro a'u cefnogi ar yr adeg hon. Dros y flwyddyn ddiwethaf, cafwyd straeon dirdynnol am gleifion yn agosáu at ddiwedd eu hoes yn yr ysbyty neu mewn cartref gofal, lle na fu'r cariad a'r gefnogaeth deuluol naturiol honno'n bosibl - mater y cyfeiriodd Mark Isherwood ato'n gynharach wrth agor. Yn araith rymus olaf y Farwnes Tessa Jowell i Dŷ'r Arglwyddi, disgrifiodd mor huawdl yr hyn y mae'n ei olygu i fyw gyda salwch sy'n byrhau bywyd, a gwnaeth ddatganiad dwfn am fywyd a marwolaeth, sy'n berthnasol i'r ddadl hon heddiw. Dywedodd, Yn y pen draw, yr hyn sy'n rhoi ystyr i fywyd yw nid yn unig sut y caiff ei fyw, ond sut y mae'n dirwyn i ben. Mae gofal diwedd oes nid yn unig yn bwysig i'r ffordd y mae unigolyn yn marw, ond sut y rhoddir ystyr i fywyd unigolyn; sut, yn rhannol, y caiff y bywyd hwnnw ei gofio. Mae nid yn unig yn ymwneud â gofal meddygol, ond â gofal personol hefyd. Mae cynnwys teulu a ffrindiau agos yn ganolog i hynny. Yr hyn a fu mor anodd i bobl a'u perthnasau dros y misoedd diwethaf yw absenoldeb yr hyn y byddid yn ei ddisgwyl fel arfer pan fo rhywun yn agosáu at ddiwedd eu hoes a'r trallod a fo ynghlwm wrth hynny i deuluoedd. Ac wrth gwrs, fel y clywsom, nid teuluoedd yn unig sydd wedi dioddef, mae staff wedi dioddef hefyd. Dyna pam y mae ein cynnig yn cynnwys yr effaith ar ein staff iechyd a gofal sydd wedi dangos y fath broffesiynoldeb a thrugaredd yn ystod y pandemig. Mae angen gwasanaethau gofal lliniarol a chymorth profedigaeth o ansawdd uchel ar deuluoedd a staff, i gydnabod rhywfaint o drawma'r 10 mis diwethaf. Mae angen i ni ddeall yn well yr effaith ar ein staff a sut y mae profiadau'r pandemig hwn wedi llywio eu barn am eu rôl a'r gwasanaethau y maent yn eu darparu, a beth y mae'r frwydr yn erbyn COVID yn ei olygu mewn perthynas â recriwtio staff iechyd a gofal y dyfodol. Rydym i gyd yn gwybod bod ein staff iechyd a gofal yn gweithio mewn amgylcheddau anodd ar adegau arferol, ond ni allai neb fod wedi rhagweld rhai o'r amodau mewn wardiau ysbytai ac ystafelloedd cartrefi gofal dros y misoedd diwethaf, lle mae cynifer o bobl wedi colli eu bywydau. Mewn llawer o achosion, mae staff nid yn unig wedi bod yn gwneud eu gwaith ac yn darparu gofal lliniarol, ond maent wedi gweithredu fel teuluoedd dirprwyol lle na chaniatawyd i aelodau o'r teulu ymweld. Os ydym o ddifrif am ymateb i ganlyniadau'r pandemig hwn, mae angen inni ailystyried sut y darperir gwasanaethau profedigaeth a chymorth. Dyna pam rwy'n cefnogi ein galwad am fframwaith profedigaeth cenedlaethol a'n bod yn cydnabod bod angen digon o arian i sicrhau nad yw COVID-19 yn creu pandemig arall - pandemig salwch meddwl. Wrth gloi, Ddirprwy Lywydd, hoffwn sôn am yr heriau penodol a wynebir gan bobl sy'n byw gyda chlefyd niwronau motor (MND) ledled Cymru - heriau y mae'r Gymdeithas MND wedi tynnu sylw atynt. Mae'r Gymdeithas MND wedi bod yn ymgyrchu i ganiatáu i gleifion MND gael budd-daliadau'n gyflymach dros gyfnod y pandemig. Ar lefel y DU, mae'r Adran Gwaith a Phensiynau wedi gorffen eu hadolygiad, a hoffwn glywed gan y Gweinidog yn nes ymlaen sut y gall Llywodraeth Cymru helpu dioddefwyr MND i gael cymorth yn gyflymach yn ystod camau olaf bywyd. I gloi, Ddirprwy Lywydd, gofynnaf i'r Aelodau gefnogi'r cynnig hwn. Gadewch inni ymdrechu i helpu cleifion sydd â salwch hirdymor ac angheuol i gael y gofal sydd ei angen arnynt hwy a'u teuluoedd. Gadewch inni ymdrechu i sicrhau bod ein meddygon a'n nyrsys yn gallu manteisio ar rwydwaith cymorth priodol i'w helpu gyda'u lles emosiynol, a gadewch inni sicrhau bod pobl o bob rhan o Gymru yn gallu manteisio ar wasanaethau profedigaeth proffesiynol.