English: Thank you very much for your statement this afternoon, Deputy Minister. However, it is disappointing that this is not an annual report. While the willingness and enthusiasm is there from the Deputy Minister to improve mental health services, the Senedd needs to be able to analyse progress through clear reporting, rather than just a statement. 'Together for Mental Health' in its decade tenure has only provided one annual report in 2013 and one progress report back in 2018. Given the significance and focus of Welsh Government on mental health, it's imperative that it is able to demonstrate clearly to the Senedd where it has achieved its aims and where more work needs to be carried out. While we realise that COVID-19 has had an impact on mental health services, this is an opportunity to deliver key improvements to the Welsh mental health system. And there are a number of improvements and milestones met. However, the Welsh Government seem to seek to plug the gaps in community mental health services and crisis care with a reliance on third sector organisations to deliver sanctuary. Although I agree that there is a place for the knowledge and experience of the third sector, the Welsh Government should also fully implement its own agenda through the NHS and improvement of services within its own systems. And while the ardour and zeal and warm words are present in the statement this afternoon, Deputy Minister, I believe that an annual report should be published so that the Senedd has the opportunity to scrutinise this in a full, proper and democratic way that will encompass the needs of people the length and breadth of Wales, as I'm sure you can understand, Deputy Minister, that the needs of people in Cardiff will be very different to those in Denbighshire and my constituency, for example. I welcome the mother and baby unit in south Wales, but could I please ask this afternoon as well why this wasn't extended to north Wales, and whether you could provide any more information on whether that could be a possibility for north Wales in the future? I note that some high-level outcomes of the 2012 strategy, including improving the mental health and well-being of the entire population and reducing the stigma of mental ill health, have been turned on their head as a direct result of the pandemic, as you alluded to. It is concerning that, despite 'Together for Mental Health' aims to reduce stigma, Time to Change Wales found that just 5 per cent of adults have more understanding and tolerance of mental health issues, and that help-seeking behaviour has declined, with large drops in the number of people in Wales willing to talk about a mental health problem with family, friends or employers. So, how will your new strategy address the mental health fallout from the pandemic? We're also fully aware that certain local health boards are still failing in their duty of care towards mental health in-patients, despite the significant funds your Government has ring fenced for mental health, Deputy Minister. In Betsi Cadwaladr, for example, under targeted intervention, and previously under special measures for mental health, we're seeing repeated mistakes, including two deaths in two years, and vulnerable and high-risk patients not being protected from avoidable harm in Ysbyty Glan Clwyd's emergency department. So, how will your new strategy ensure that these mistakes aren't made again so that assurances can be provided to people in Denbighshire and north Wales? Deputy Minister, prior to the pandemic, Mind Cymru outlined that thousands of people were waiting longer than ever to receive psychological therapy. Although adult waiting times have improved since the pandemic, it should still be of grave concern that just one in two patients in CAMHS received a local primary mental health support service assessment within 28 days, with just one in five children and young people in Swansea bay receiving their assessment within this time. We also see from the latest figures that therapeutic interventions for children and young people are worse, with just 40 per cent starting their therapy within 28 days. So, Deputy Minister, is this a sign that your current mental health strategy has failed children and young people? What urgent action are you taking to reverse this situation? And are you now going to undertake a full review of mental health services? Thank you.
Welsh: Diolch yn fawr iawn am eich datganiad y prynhawn yma, Dirprwy Weinidog. Er hynny, mae'n siomedig nad adroddiad blynyddol yw hwn. Er bod y parodrwydd a'r brwdfrydedd yno gan y Dirprwy Weinidog i wella gwasanaethau iechyd meddwl, mae angen i'r Senedd allu dadansoddi cynnydd drwy adrodd clir, yn hytrach na datganiad yn unig. Dim ond un adroddiad blynyddol y mae 'Law yn Llaw at Iechyd Meddwl' wedi ei gyflwyno, yn 2013, yn ei gyfnod o ddegawd ac un adroddiad cynnydd yn ôl yn 2018. O ystyried arwyddocâd a phwyslais Llywodraeth Cymru ar iechyd meddwl, mae'n hanfodol ei bod yn gallu dangos yn glir i'r Senedd lle y mae wedi cyflawni ei nodau a lle mae angen cyflawni mwy o waith. Er ein bod yn sylweddoli bod COVID-19 wedi cael effaith ar wasanaethau iechyd meddwl, mae hwn yn gyfle i gyflwyno gwelliannau allweddol i system iechyd meddwl Cymru. Ac mae nifer o welliannau a cherrig milltir wedi eu cyflawni. Ond mae'n ymddangos bod Llywodraeth Cymru'n ceisio llenwi'r bylchau mewn gwasanaethau iechyd meddwl cymunedol a gofal argyfwng gyda dibyniaeth ar sefydliadau'r trydydd sector i sicrhau lloches. Er fy mod yn cytuno bod lle i wybodaeth a phrofiad y trydydd sector, dylai Llywodraeth Cymru hefyd weithredu ei hagenda ei hun yn llawn drwy'r GIG a gwella gwasanaethau o fewn ei systemau ei hun. Ac er bod brwdfrydedd ac angerdd a geiriau cynnes yn bresennol yn y datganiad y prynhawn yma, Dirprwy Weinidog, rwy'n credu y dylid cyhoeddi adroddiad blynyddol fel bod gan Senedd Cymru gyfle i graffu ar hyn mewn modd llawn, priodol a democrataidd a fydd yn cwmpasu anghenion pobl o bob cwr o Gymru, oherwydd, fel yr wyf yn siŵr y gallwch chi ddeall, Dirprwy Weinidog, bydd anghenion pobl yng Nghaerdydd yn wahanol iawn i'r rhai hynny yn sir Ddinbych a fy etholaeth i, er enghraifft. Rwy'n croesawu'r uned mamau a babanod yn y de, ond a gaf i ofyn y prynhawn yma hefyd pam na chafodd hyn ei ymestyn i'r gogledd, ac a allech chi roi mwy o wybodaeth am a allai hynny fod yn bosibilrwydd i'r gogledd yn y dyfodol? Nodaf fod rhai canlyniadau lefel uchel o strategaeth 2012, gan gynnwys gwella iechyd meddwl a lles y boblogaeth gyfan a lleihau stigma salwch meddwl, wedi'u troi ar eu pen o ganlyniad uniongyrchol i'r pandemig, wrth i chi allu cyfeirio atynt. Mae'n bryderus, er mai nod 'Law yn Llaw at Iechyd Meddwl' yw lleihau stigma, canfu Amser i Newid Cymru mai dim ond 5 y cant o oedolion sydd â mwy o ddealltwriaeth a goddefgarwch o broblemau iechyd meddwl, a bod ymddygiad ceisio cymorth wedi dirywio, a gostyngiad mawr yn nifer y bobl yng Nghymru sy'n barod i siarad am broblem iechyd meddwl gyda theulu, ffrindiau neu gyflogwyr. Felly, sut fydd eich strategaeth newydd yn mynd i'r afael ag effeithiau'r pandemig ar iechyd meddwl? Rydym hefyd yn gwbl ymwybodol bod rhai byrddau iechyd lleol yn dal i fethu yn eu dyletswydd gofal tuag at gleifion iechyd meddwl, er gwaethaf yr arian sylweddol y mae eich Llywodraeth wedi'i glustnodi ar gyfer iechyd meddwl, Dirprwy Weinidog. Yn Betsi Cadwaladr, er enghraifft, o dan ymyrraeth wedi ei dargedu, a chyn hynny dan fesurau arbennig ar gyfer iechyd meddwl, rydym ni'n gweld camgymeriadau mynych, gan gynnwys dwy farwolaeth mewn dwy flynedd, a chleifion bregus a risg uchel ddim yn cael eu hamddiffyn rhag niwed y gellid bod wedi ei osgoi yn adran achosion brys Ysbyty Glan Clwyd. Felly, sut bydd eich strategaeth newydd yn sicrhau nad yw'r camgymeriadau hyn yn cael eu gwneud eto fel bod modd rhoi sicrwydd i bobl yn sir Ddinbych a'r gogledd? Dirprwy Weinidog, cyn y pandemig, fe amlinellodd Mind Cymru, fod miloedd o bobl yn aros yn hirach nag erioed i dderbyn therapi seicolegol. Er bod amseroedd aros oedolion wedi gwella ers y pandemig, dylai dal fod o bryder mawr mai dim ond un o bob dau glaf yn CAMHS a dderbyniodd asesiad gwasanaeth cymorth iechyd meddwl sylfaenol lleol o fewn 28 diwrnod, a dim ond un o bob pump o blant a phobl ifanc ym mae Abertawe yn cael eu hasesiad o fewn yr amser hwn. Rydym hefyd yn gweld o'r ffigurau diweddaraf bod ymyriadau therapiwtig i blant a phobl ifanc yn waeth, a dim ond 40 y cant yn dechrau eu therapi o fewn 28 diwrnod. Felly, Dirprwy Weinidog, ydy hyn yn arwydd bod eich strategaeth iechyd meddwl bresennol wedi methu plant a phobl ifanc? Pa gamau brys ydych chi'n eu cymryd i wella'r sefyllfa hon? Ac a ydych chi y nawr yn mynd i gynnal adolygiad llawn o wasanaethau iechyd meddwl? Diolch.