English: Diolch, Deputy Presiding Officer. I'm very grateful to the Government for bringing forward this incredibly interesting topic, and I formally move the amendment tabled in the name of Paul Davies. We on this side of the Chamber support the general principles of this debate, and we've brought forward our amendment because we believe that social prescribing has no firm definition, a point brought forward by the NHS Confederation, for one, and, of course, they represent the health boards, so it's very important that they should feel very comfortable with this going forward. And we feel that the King's Fund have come up with a clear way of setting out in very simple terms what it means, and they refer to it as: 'a means of enabling GPs, nurses and other primary care professionals to refer people to a range of local, non-clinical services.' And, of course, the King's Fund definition very much follows the direction of travel that we have here in Wales about asking people to start to take control of their own health, to participate, to be participants in their health agenda, and to be participants in their lives going forward. The King's Fund very much identify that there is a range of social and economic factors that will allow patients, and need patients, to be treated in a holistic way. We definitely are not saying that the King's Fund definition should be 'the' definition. We just want to see it as a benchmark - it's what the English NHS have looked at; it's what the Scottish NHS have looked at - because we need to have somewhere where we can start developing our own version of social prescribing, and I'm delighted that you're going to be funding a trial to go forward on how social prescribing works. You've already said about the positive impacts. I'm not going to rehearse all those arguments, but I know, as a committee, the Health and Social Care Committee are looking at loneliness and isolation in older people, and this is something that social prescribing might really be able to help. I know that my colleague Mark Isherwood will be talking in a while about co-production and about the need to bring on board third parties in order to deliver social prescribing. But I just particularly wanted to cleave to one of the points of your original motion where you say 'considers'; you would like us to consider priorities for further promotion of social prescribing, and I would like to make two suggestions to you. How can the Welsh Government encourage a greater roll-out of social prescribing to young people? Throughout Wales, we have a significant number of young people who are in a very dark place: they've got eating disorders, they are self-harming. Some end up in a place so dark that their only alternative is to take their own lives. I represent a constituency that has seen a fair number of suicides from young people in the last couple of years. We know from evidence that, if you can engage people in areas like drama, exercise, art therapy, music therapy - very, very important ways of being able to perhaps bring someone back as they start that walk toward the cliff - if we can identify those people and get them before they've gone too far down that path, I would be really interested to see if we can start bringing this whole social prescribing agenda much closer to younger people as well, and not merely see it as reserved for either the elderly or for those in highly deprived areas. I'd also wonder, as my second point, taking this forward: will the Welsh Government consider other professionals to be part of the social prescribing team - not just health professionals, but people such as school counsellors, or additional leaning needs co-ordinators? Because, as we all know, we've got enormous pressures on our mental health services. Children and adolescent mental health services are stuffed to the gunnels, they can't turn around, and, if you have a school counsellor in a secondary school who's talking to a young person who may be struggling with, for example, grief, because somebody they love desperately has died, that person should be able to socially prescribe a route for that young person to perhaps get to somewhere like Cruse or some other bereavement organisation. If they identify a child who's starting to self-harm at about 12 years old, 13 years old, and those first tell-tale slashes across the tops of the arms appear, can they then pick up that child and refer them straightaway to some kind of therapy group, a counselling session, one of the third-sector providers that we need to engage with to make social prescribing a success? I just think that if we can perhaps broaden it out to other trained professionals, but in other fields, we might be able to alleviate some of the backlog or bottleneck that happens when you go into a doctor's surgery, because they are already under immense pressure, and we can bring more people in in a truly productive way to actually start to produce the solution for people who are desperately in need. I'd be very grateful, Cabinet Secretary, if you would think about those two ideas and perhaps consider them as part of your motion here today. But we absolutely support this motion.
Welsh: Diolch, Dirprwy Lywydd. Rwy'n ddiolchgar iawn i'r Llywodraeth am gyflwyno'r pwnc hynod ddiddorol hwn, a chynigiaf y gwelliant a gyflwynwyd yn enw Paul Davies yn ffurfiol. Rydym ni ar yr ochr hon i'r Siambr yn cefnogi egwyddorion cyffredinol y ddadl hon, ac rydym wedi cyflwyno ein gwelliant oherwydd ein bod o'r farn nad oes diffiniad pendant i ragnodi cymdeithasol, pwynt a gyflwynwyd gan Gydffederasiwn y GIG, yn un, sydd, wrth gwrs, yn cynrychioli'r byrddau iechyd, felly mae'n bwysig iawn eu bod yn teimlo'n gyfforddus iawn â hyn wrth symud ymlaen. Ac rydym o'r farn bod Cronfa'r Brenin wedi canfod ffordd glir o nodi yn syml iawn yr hyn y mae'n ei olygu, gan gyfeirio ato fel: modd o alluogi meddygon teulu, nyrsys a gweithwyr proffesiynol gofal sylfaenol eraill i atgyfeirio pobl at amrywiaeth o wasanaethau lleol, nad ydynt yn rhai clinigol. Ac, wrth gwrs, mae diffiniad Cronfa'r Brenin yn dilyn, i raddau helaeth iawn, y cyfeiriad yr ydym ni yng Nghymru yn ei ddilyn o ofyn i bobl ddechrau rheoli eu hiechyd eu hunain, cymryd rhan, bod yn rhan o'u hagenda iechyd, a chymryd rhan yn eu bywydau yn y dyfodol. Mae Cronfa'r Brenin yn nodi'n bendant y ceir amrywiaeth o ffactorau cymdeithasol ac economaidd a fydd yn caniatáu i gleifion, ac angen i gleifion, gael eu trin mewn modd cyfannol. Yn sicr, nid ydym yn dweud mai diffiniad Cronfa'r Brenin ddylai fod 'y' diffiniad. Ond rydym ni eisiau edrych arno fel meincnod - dyna y mae'r GIG yn Lloegr wedi edrych arno; dyma mae'r GIG yn yr Alban wedi edrych arno - oherwydd bod arnom angen man cychwyn i ddatblygu ein fersiwn ein hunain o ragnodi cymdeithasol, ac rwyf wrth fy modd eich bod yn mynd i ariannu cynllun treialu wrth symud ymlaen ar sut y mae rhagnodi cymdeithasol yn gweithio. Rydych eisoes wedi sôn am yr effeithiau cadarnhaol. Nid wyf am ailadrodd yr holl ddadleuon hynny, ond gwn, fel pwyllgor, bod y Pwyllgor Iechyd a Gofal Cymdeithasol yn edrych ar unigrwydd ac ynysu ymhlith pobl hŷn, ac mae hyn yn rhywbeth y gall rhagnodi cymdeithasol wir helpu gydag ef. Gwn y bydd fy nghyd-Aelod Mark Isherwood yn siarad yn nes ymlaen am gydgynhyrchu ac am yr angen i gynnwys trydydd partïon er mwyn cyflwyno rhagnodi cymdeithasol. Ond rwyf i eisiau mynd ar drywydd un o'r pwyntiau yn eich cynnig gwreiddiol yn arbennig lle'r ydych yn dweud 'ystyried'; hoffech i ni ystyried blaenoriaethau ar gyfer hyrwyddo rhagnodi cymdeithasol ymhellach, a hoffwn i gynnig dau awgrym i chi. Sut y gall Llywodraeth Cymru annog cyflwyno rhagnodi cymdeithasol yn ehangach i bobl ifanc? Ledled Cymru, mae gennym nifer sylweddol o bobl ifanc sydd mewn lle tywyll iawn: mae ganddyn nhw anhwylderau bwyta, maen nhw'n hunan-niweidio. Mae rhai yn y pen draw yn cyrraedd lle mor dywyll fel mai eu hunig ddewis arall yw lladd eu hunain. Rwyf i'n cynrychioli etholaeth lle bu nifer o hunanladdiadau ymhlith pobl ifanc yn ystod y ddwy flynedd ddiwethaf. Gwyddom o dystiolaeth, os gallwch chi ymgysylltu pobl â meysydd fel drama, ymarfer corff, therapi celf, therapi cerddoriaeth - ffyrdd pwysig iawn, iawn o allu tynnu rhywun yn ôl sy'n dechrau mynd tuag at y dibyn - os gallwn ni nodi'r bobl hynny a'u dal cyn iddynt fynd yn rhy bell ar y llwybr hwnnw, byddai gennyf ddiddordeb mawr mewn gweld a allwn ni ddechrau dod â'r agenda rhagnodi cymdeithasol hon yn llawer nes at bobl iau hefyd, ac nid ei gweld fel rhywbeth sydd ond ar gyfer yr henoed neu rai mewn ardaloedd difreintiedig iawn. Roeddwn hefyd yn meddwl tybed, a dyma fy ail bwynt, wrth gyflwyno hyn: a fydd Llywodraeth Cymru yn ystyried gweithwyr proffesiynol eraill i fod yn rhan o'r tîm rhagnodi cymdeithasol - nid dim ond gweithwyr iechyd proffesiynol, ond pobl fel cwnselwyr ysgol, neu gydgysylltwyr anghenion dysgu ychwanegol? Oherwydd, fel y gwyddom, mae pwysau enfawr ar ein gwasanaethau iechyd meddwl. Mae gwasanaethau iechyd meddwl plant a'r glasoed yn llawn dop, nid oes lle i droi, ac, os oes gennych gwnsler ysgol mewn ysgol uwchradd sy'n siarad â pherson ifanc sydd efallai'n cael trafferth gydag, er enghraifft, galar, oherwydd bod rhywun annwyl iawn iddynt wedi marw, dylai'r person hwnnw allu rhagnodi'n gymdeithasol llwybr ar gyfer y person ifanc hwnnw i gyrraedd, o bosibl, rywle fel Cruse neu sefydliad profedigaeth arall. Os ydyn nhw'n canfod plentyn sy'n dechrau hunan-niweidio pan ei fod tua 12 oed, 13 oed, a'r marciau dangosol cyntaf hynny i'w gweld ar ran uchaf y breichiau, a allan nhw wedyn siarad â'r plentyn hwnnw a'i atgyfeirio ar unwaith i ryw fath o grŵp therapi, sesiwn gwnsela, un o ddarparwyr y trydydd sector y mae angen i ni ymgysylltu â nhw er mwyn i ragnodi cymdeithasol lwyddo? Rwy'n credu os gallwn ni ei ehangu, efallai, i gynnwys gweithwyr proffesiynol hyfforddedig eraill, ond mewn meysydd eraill, y gallem efallai leddfu rhywfaint ar yr ôl-gronni neu'r aros sy'n digwydd pan eich bod yn mynd i feddygfeydd meddygon teulu, oherwydd eu bod eisoes o dan bwysau aruthrol, a gallwn gynnwys rhagor o bobl mewn modd gwirioneddol gynhyrchiol i ddechrau cyflawni ateb i bobl sydd mewn angen dybryd. Byddwn i'n ddiolchgar iawn, Ysgrifennydd y Cabinet, pe byddech yn meddwl am y ddau syniad yna ac efallai eu hystyried yn rhan o'ch cynnig yma heddiw. Ond rydym yn cefnogi'r cynnig hwn yn llwyr.