English: I thank the Member for those comments and, again, for the very constructive way in which the party has sought to engage with the Bill at this early stage. With regard to the register of e-cigarettes, I'm really pleased to say that e-cigarettes will be included in the register of retailers. This is the only part of the Bill where you will find e-cigarettes, because you'll be familiar with the fact that the First Minister made a commitment not to include the banning of the use of e-cigarettes in public spaces within this Bill. However, we are including them in the proposed register because, in the White Paper, a number of correspondents, particularly from the local government sector, said it would be appropriate for registration requirements to be extended to the retailers of nicotine products, including electronic cigarettes. The Chartered Trading Standards Institute conducted a rapid review of the Nicotine Inhaling Products (Age of Sale and Proxy Purchasing) Regulations 2015, which came into force in October of last year. So, this is a new piece of research, which found that a total of 634 test purchases of e-cigarette products were made by young volunteers under the age of 18, and the results showed that compliance with the new regulations prohibiting nicotine inhaling products being sold to people under the age of 18 is still very low, with 39 per cent of young people being able to purchase them. So, I think it is, as you say, right that e-cigarettes should be included on the proposed register. The fact that they'll be on there will help enforcement authorities with their enforcement duties as well. I do share the concerns that the previous Minister had in terms of the impact of e-cigarettes on young people and the normalisation of smoking, and the normalisation of smoking whether it is through traditional cigarettes or e-cigarettes, because recent research has shown us that primary school-age children in Wales are more likely to have used e-cigarettes than tobacco. Six per cent of 10 to 11-year-olds and 12 per cent of 11 to 16-year-olds have used an e-cigarette at least once. So, it is an issue. I think it's fair to say that the jury is probably still out in terms of the health benefits or costs in terms of e-cigarettes. I feel like the weight is moving against e-cigarettes in terms of the advice that the World Health Organization has given just this week. However, just to be clear, e-cigarettes beyond the register won't be included in this Bill. You moved on then to talk about special procedures. The Bill seeks to create a compulsory national licensing system for practitioners of special procedures, so defined in the Bill as acupuncture, body piercing, electrolysis and tattooing. This system will mean that to perform any of those procedures an individual must be licensed, and also that premises or the vehicle from which they operate must be approved. So, the aim here is to drive up standards in relation to the performance of special procedures and reduce the associated health risks, such as infection and transmission of blood-borne viruses as well. I know this is an issue that had a lot of interest in terms of scrutiny in the previous Assembly. Our health impact assessments are going to offer a systematic means of taking health into account as part of decision-making and planning processes. So, this is really bringing life to our aspiration of health in all policies. The Bill includes provisions that will require Welsh Ministers to make regulations about the circumstances in which public bodies in Wales must carry out health impact assessments. So, the aim is that those assessments should be limited to policies, plans and programmes that have outcomes of national or major significance, or that will have a significant effect at the local level as well. The precise circumstances where they'll be required will be set out in regulations following a process of consultation. Just briefly there you referred to pharmacy and the pharmaceutical needs assessment and the importance of supporting rural pharmacies. I think that this is part of taking the strategic approach and making sure that people who live in rural communities have access to community pharmacies. I feel, as I'm sure many others do, they are underused resources at the moment. Pharmacists go through a great deal of training. They have a huge amount of expertise, and I feel that in the spirit of prudent healthcare they are able to operate at a higher level to offer more services than many do at the moment. So, the pharmaceutical needs assessment, and then the decisions that follow that, will hopefully make access to pharmacies and pharmacist advice more reliable in rural communities. Finally, with regard to access to toilets, local authorities will be required to publish that local strategy to which you refer. But then, they will also have to provide details as to how they will propose to meet the population needs assessment. This isn't just about toilets. This includes changing facilities for babies and changing places facilities for disabled people as well.
Welsh: Diolch i'r Aelod am y sylwadau yna ac, unwaith eto, am y modd adeiladol iawn y mae'r blaid wedi ceisio ymgysylltu â'r Bil ar y cyfnod cynnar hwn. O ran y gofrestr e-sigaréts, rwy'n falch iawn o ddweud y bydd e-sigaréts yn cael eu cynnwys ar y gofrestr manwerthwyr. Dyma'r unig ran o'r Bil lle y gwelwch chi sôn am e-sigaréts, oherwydd byddwch yn gyfarwydd â'r ffaith bod y Prif Weinidog wedi gwneud ymrwymiad i beidio â chynnwys gwahardd y defnydd o e-sigaréts mewn mannau cyhoeddus yn y Bil hwn. Fodd bynnag, rydym yn eu cynnwys yn y gofrestr arfaethedig oherwydd bod nifer o ohebwyr, yn y Papur Gwyn, o'r sector llywodraeth leol yn arbennig, yn dweud y byddai'n briodol ymestyn gofynion cofrestru i gynnwys manwerthwyr cynhyrchion nicotin, gan gynnwys sigaréts electronig. Cynhaliodd y Sefydliad Safonau Masnach Siartredig adolygiad cyflym o Reoliadau Cynhyrchion Anadlu Nicotin (Oed Gwerthu a Phrynu ar Ran) 2015, a ddaeth i rym fis Hydref y llynedd. Felly, mae hwn yn ddarn newydd o waith ymchwil, a ganfu bod cyfanswm o 634 o brofion prynu cynhyrchion e-sigarét wedi eu gwneud gan wirfoddolwyr ifanc o dan 18 oed, a dangosodd y canlyniadau fod lefelau cydymffurfio â'r rheoliadau newydd sy'n gwahardd gwerthu cynhyrchion anadlu nicotin i bobl dan 18 oed yn dal i fod yn isel iawn, wrth i 39 y cant o bobl ifanc allu eu prynu. Felly, credaf ei fod, fel y dywedwch, yn iawn y dylai e-sigaréts gael eu cynnwys ar y gofrestr arfaethedig. Bydd y ffaith eu bod nhw arni yn helpu awdurdodau gorfodi â'u dyletswyddau gorfodi hefyd. Rwyf yn rhannu'r pryderon a oedd gan y Gweinidog blaenorol o ran effaith e-sigaréts ar bobl ifanc a normaleiddio ysmygu, a normaleiddio ysmygu, pa un a yw hynny drwy sigaréts traddodiadol neu e-sigaréts, gan fod ymchwil diweddar wedi dangos i ni fod plant o oed ysgol gynradd yng Nghymru yn fwy tebygol o fod wedi defnyddio e-sigaréts na thybaco. Mae chwech y cant o blant 10 i 11 oed a 12 y cant o blant 11 i 16 oed wedi defnyddio e-sigarét o leiaf unwaith. Felly, mae hi'n broblem. Rwy'n credu ei bod hi'n deg i ddweud nad oes gennym wybodaeth bendant yn ôl pob tebyg am fanteision neu gostau e-sigaréts o ran iechyd. Rwy'n teimlo bod y pwysau yn symud yn erbyn e-sigaréts o ran y cyngor y mae Sefydliad Iechyd y Byd wedi ei roi dim ond yr wythnos hon. Fodd bynnag, dim ond i fod yn glir, ni fydd e-sigaréts y tu hwnt i'r gofrestr yn cael eu cynnwys yn y Bil hwn. Fe wnaethoch symud ymlaen wedyn i siarad am weithdrefnau arbennig. Mae'r Bil yn ceisio creu system drwyddedu genedlaethol orfodol i ymarferwyr gweithdrefnau arbennig, a ddiffinnir yn y Bil fel aciwbigo, tyllu'r corff, electrolysis a thatŵio. Bydd y system hon yn golygu bod yn rhaid i unigolyn gael ei drwyddedu i gyflawni unrhyw un o'r gweithdrefnau hynny, a hefyd bod yn rhaid i'r safle neu'r cerbyd maen nhw'n gweithredu ohonyn nhw gael eu cymeradwyo. Felly, y nod yw codi safonau o ran perfformio gweithdrefnau arbennig a lleihau'r peryglon iechyd sy'n gysylltiedig, fel heintio a throsglwyddo firysau a gludir yn y gwaed hefyd. Rwy'n gwybod y bu llawer o ddiddordeb yn y mater hwn o ran craffu yn y Cynulliad blaenorol. Bydd ein hasesiadau o'r effaith ar iechyd yn cynnig dull systematig o ystyried iechyd yn rhan o wneud penderfyniadau a phrosesau cynllunio. Felly, mae hyn wir yn rhoi bywyd i'n dyhead o gynnwys iechyd ym mhob polisi. Mae'r Bil yn cynnwys darpariaethau a fydd yn ei gwneud yn ofynnol i Weinidogion Cymru wneud rheoliadau ynghylch yr amgylchiadau sy'n golygu bod yn rhaid i gyrff cyhoeddus yng Nghymru gynnal asesiadau o effaith ar iechyd. Felly, y nod yw y dylai'r asesiadau hynny gael eu cyfyngu i bolisïau, cynlluniau a rhaglenni sy'n arwain at arwyddocâd cenedlaethol neu bwysig, neu a fydd yn cael effaith sylweddol ar y lefel leol yn ogystal. Bydd yr amgylchiadau penodol pryd y bydd yn ofynnol iddyn nhw gael eu nodi mewn rheoliadau yn dilyn proses ymgynghori. Dim ond yn fyr yn y fan yna cyfeiriasoch at fferyllfeydd a'r asesiad o anghenion fferyllol a phwysigrwydd cefnogi fferyllfeydd gwledig. Credaf fod hyn yn rhan o gymryd yr agwedd strategol a gwneud yn siŵr bod pobl sy'n byw mewn cymunedau gwledig yn gallu defnyddio fferyllfeydd cymunedol. Rwy'n teimlo, fel rwy'n siŵr bod llawer o bobl eraill yn ei deimlo, eu bod yn adnoddau na ddefnyddir digon arnyn nhw ar hyn o bryd. Mae fferyllwyr yn cael llawer iawn o hyfforddiant. Mae ganddyn nhw lawer iawn o arbenigedd, ac rwy'n teimlo, mewn ysbryd o ofal iechyd doeth, eu bod yn gallu gweithredu ar lefel uwch er mwyn cynnig mwy o wasanaethau nag y mae llawer ohonyn nhw'n ei wneud ar hyn o bryd. Felly, gobeithir y bydd yr asesiad o anghenion fferyllol, ac yna'r penderfyniadau a fydd yn dilyn hynny, yn gwneud mynediad i fferyllfeydd a chyngor gan fferyllydd yn fwy dibynadwy mewn cymunedau gwledig. Yn olaf, o ran mynediad i doiledau, bydd yn ofynnol i awdurdodau lleol gyhoeddi'r strategaeth leol honno y cyfeiriwch ati. Ond wedyn, bydd yn rhaid iddyn nhw hefyd ddarparu manylion am sut y maen nhw'n bwriadu bodloni'r asesiad o anghenion y boblogaeth. Nid yw hyn yn ymwneud â thoiledau yn unig. Mae hyn yn cynnwys cyfleusterau newid ar gyfer babanod a chyfleusterau lleoedd newid i bobl anabl hefyd.