English: I'd like to start my comments by saying how glad I am to see Julie Morgan back in the Chamber, and it's a real privilege to work with her on these issues, particularly the contaminated blood, and to support her lead here on this issue with regard to hepatitis C - a real privilege. I support the motion because of the work that has been done by the Welsh Government and health boards in Wales, and agree with what Rhun has said and Mark Isherwood has said that we have more work to do. I'd like to give some examples from the Aneurin Bevan health board, which serves my constituency and the area of Gwent, particularly the recognition that they've made that it can take decades to identify those people who are suffering from this disease and to treat them. The Aneurin Bevan health board's hepatology service works with partners in a variety of settings to increase the diagnosis of hepatitis infection and on the phased introduction of new hepatitis C drugs. The Aneurin Bevan health board prison healthcare team have implemented an opt-out blood-borne virus testing policy at reception appointments at HMP Prescoed in Usk. In 2016, they reported to me - I've investigated this in preparation for this debate - a significant increase in the number of prisoners tested and the percentage of admissions tested, and there's been a steady increase in Prescoed. There's also been, within the Aneurin Bevan area, targeted action to increase access to needle exchange services and blood-borne virus testing in people who inject drugs - those people at risk who've already been mentioned by other Members. Public Health Wales are working with area planning boards on a proposal to develop a five-year costed action plan to increase the investment in needle exchange to ensure 100 per cent coverage, which means that clean needles are used for every injecting occasion. A key policy development in Gwent has been the pharmacy pick and mix pilot, which provides drug-using paraphernalia and harm reduction literature, together with increased interaction with clients to allow for harm reduction messages and signposting for blood-borne virus testing. The Gwent area planning board commissioned an integrated Gwent drug and alcohol service for adults, which went live in May 2015. This includes the delivery of specialist needle exchange, with a small dedicated budget for the provision of needle exchange paraphernalia. And Aneurin Bevan health board have also reported to me the Gwent specialist substance misuse service for people with more complex needs, and this service also offers needle exchange and BBV testing. But, also recognised by other Members, one of the major at-risk groups for hepatitis C infection are people of South Asian origin. Aneurin Bevan's public health team has had discussions with religious leaders about promoting blood-borne virus testing in mosques in Newport. In addition, the 'Living Well Living Longer' programme will also be raising awareness of hepatitis C through its programme of health checks in Newport. These are all examples of what the Aneurin Bevan health board is doing to help with harder-to-reach individuals who are at risk of hepatitis C, and I'd like the Cabinet Secretary to be aware of these practices. The Welsh Government can build on this good practice, and, when it comes to the final point of the motion, consider new operational guidelines to support the NHS in Wales in eradicating hepatitis C. This is something that can be done, and, again, I say it is a privilege to champion the cause that has been pioneered by Julie Morgan in this Chamber. We've come a long way, and eradicating hepatitis C is within our reach.
Welsh: Hoffwn ddechrau fy sylwadau drwy ddweud mor falch yr wyf o weld Julie Morgan yn ôl yn y Siambr, ac mae'n fraint gweithio gyda hi ar y materion hyn, yn enwedig y gwaed halogedig, ac i gefnogi ei harweiniad yma ar y mater hwn mewn perthynas â hepatitis C - braint go iawn. Cefnogaf y cynnig oherwydd y gwaith a wnaed gan Lywodraeth Cymru a byrddau iechyd yng Nghymru, ac rwy'n cytuno â'r hyn y mae Rhun wedi'i ddweud ac mae Mark Isherwood wedi dweud bod gennym fwy o waith i'w wneud. Hoffwn roi rhai enghreifftiau o fwrdd iechyd Aneurin Bevan, sy'n gwasanaethu fy etholaeth ac ardal Gwent, yn arbennig eu cydnabyddiaeth y gall gymryd degawdau i nodi pa bobl sy'n dioddef o'r clefyd hwn a rhoi triniaeth iddynt. Mae gwasanaeth hepatoleg bwrdd iechyd Aneurin Bevan yn gweithio gyda phartneriaid mewn amrywiaeth o leoliadau i gynyddu lefelau diagnosis o haint hepatitis ac i gyflwyno cyffuriau hepatitis C newydd fesul cam. Mae tîm gofal iechyd mewn carchardai bwrdd iechyd Aneurin Bevan wedi gweithredu polisi optio allan ar gyfer cynnal profion feirysau a gludir yn y gwaed yn ystod apwyntiadau derbyn carcharorion i Garchar Prescoed ym Mrynbuga. Yn 2016, clywais ganddynt - rwyf wedi ymchwilio i hyn wrth baratoi ar gyfer y ddadl hon - am gynnydd sylweddol yn nifer y carcharorion a gafodd brofion a chanran y carcharorion newydd a gafodd profion, ac mae cynnydd cyson wedi bod yng Ngharchar Prescoed. Cyflawnwyd camau gweithredu wedi'u targedu yn ardal Aneurin Bevan hefyd i gynyddu mynediad at wasanaethau cyfnewid nodwyddau a phrofion feirysau a gludir yn y gwaed i bobl sy'n chwistrellu cyffuriau - y bobl sy'n wynebu risg a grybwyllwyd eisoes gan Aelodau eraill. Mae Iechyd Cyhoeddus Cymru yn gweithio gyda byrddau cynllunio'r ardaloedd ar gynnig i ddatblygu cynllun gweithredu pum mlynedd wedi'i gostio i gynyddu'r buddsoddiad mewn cynlluniau cyfnewid nodwyddau i sicrhau darpariaeth 100 y cant, sy'n golygu bod nodwyddau glân yn cael eu defnyddio ar gyfer pob achos o chwistrellu. Datblygiad polisi allweddol yng Ngwent yw'r cynllun peilot 'dewis a dethol' ar gyfer fferyllfeydd, sy'n darparu deunydd defnyddio cyffuriau a thaflenni ar leihau niwed, ynghyd â mwy o ryngweithio â chleientiaid i hyrwyddo negeseuon i leihau niwed a chyfeirio at brofion feirysau a gludir yn y gwaed. Comisiynodd bwrdd cynllunio ardal Gwent wasanaeth cyffuriau ac alcohol integredig Gwent i oedolion, gwasanaeth a ddaeth yn weithredol ym mis Mai 2015. Mae'n cynnwys cyflwyno gwasanaethau cyfnewid nodwyddau arbenigol, gyda chyllideb fach bwrpasol ar gyfer darparu deunyddiau cyfnewid nodwyddau. Ac mae bwrdd iechyd Aneurin Bevan hefyd wedi sôn wrthyf am wasanaeth camddefnyddio sylweddau arbenigol Gwent ar gyfer pobl sydd ag anghenion mwy cymhleth, ac mae'r gwasanaeth hwn hefyd yn cynnig gwasanaeth cyfnewid nodwyddau a phrofion feirysau a gludir yn y gwaed. Ond fel roedd Aelodau eraill hefyd yn cydnabod, un o'r prif grwpiau risg ar gyfer haint hepatitis C yw pobl sy'n hanu o dde Asia. Mae tîm iechyd cyhoeddus Aneurin Bevan wedi cael trafodaethau gydag arweinwyr crefyddol ynglŷn â hyrwyddo profion feirysau a gludir yn y gwaed mewn mosgiau yng Nghasnewydd. Yn ogystal, bydd y rhaglen 'Byw'n Dda, Byw'n Hirach' hefyd yn codi ymwybyddiaeth o hepatitis C drwy ei rhaglen o archwiliadau iechyd yng Nghasnewydd. Mae'r rhain i gyd yn enghreifftiau o'r hyn y mae bwrdd iechyd Aneurin Bevan yn ei wneud i helpu gydag unigolion anos eu cyrraedd sydd mewn perygl o fod â hepatitis C, a hoffwn i Ysgrifennydd y Cabinet fod yn ymwybodol o'r arferion hyn. Gall Llywodraeth Cymru adeiladu ar yr arfer da hwn, a phan ddaw at bwynt olaf y cynnig, gallai ystyried canllawiau gweithredol newydd i gynorthwyo'r GIG yng Nghymru i ddileu hepatitis C. Mae hyn yn rhywbeth y gellir ei wneud, ac unwaith eto, mae'n fraint cael hyrwyddo'r achos a gafodd ei arwain gan Julie Morgan yn y Siambr hon. Rydym wedi dod yn bell, ac mae dileu hepatitis C o fewn ein cyrraedd.