English: The 'Mind over matter: two years on' report gives us a perfect opportunity to take stock of the progress that's been made. I'm pleased that the committee has recognised the action that has been taken by Government, key partners and stakeholders. Implementing the recommendations agreed continues to be a key priority for this Government, and my appointment highlights our commitment and provides an additional focus at ministerial level in order to do so. Although we have made real progress over the past two years, we recognise the committee's concern about the pace of that progress with some of the action points. I have taken steps to hasten the change already. Myself and the education Minister have agreed to refocus the task and finish group from the whole-school approach to a whole-system approach by expanding its remit and reviewing its membership. We met this week, and we intend to meet on a monthly basis to build momentum in order to implement improvements to the system. And in addition to that, I have ensured that the latest information on the action points on CAMHS are a standing item on the agenda. I have also met with the deputy chairs of the health boards and emphasised the need for them to focus on CAMHS improvements and to incorporate an early assistance framework and higher level assistance when that is available, and we expect that to be published in April. I will meet with the chairs of the regional partnership boards and other stakeholders in order to ensure a co-ordinated approach in supporting the needs of young people. In this difficult period, I can also provide assurances that mental health services will continue to be key services, including, of course, for children and young people. Our framework ensures that health boards do note plans to meet new demand and changing demand for mental health services as a result of the pandemic. It's crucially important, and health boards do need to ensure that their communities understand how to access mental health services, particularly if service models have changed because of restrictions, and the new information will be included on all health board websites over the next week. Having said that, I do recognise and acknowledge the concerns on accessing support. This is an area that I am focused on in order to ensure that there is not a lack of connectivity between the assurances that we receive and the quality of the care that children and young people who need assistance are experiencing. To understand that better, I have met the Wales Alliance for Mental Health, and I will continue to do that. I've also met with the Children's Commissioner for Wales, and I will be meeting with the youth stakeholder group to understand what's important to them in terms of mental health and mental health support. Turning now to crisis care, which is of particular interest to Laura Anne Jones, improving crisis care is a key theme in 'Mind over matter', and recently we've received the results of the review of urgent access to mental health services. The review looked at data across a range of services - 111, the police, the ambulance service, the third sector and so on - in order to better understand the demand for services. And the review highlights the breadth of the social and well-being issues that are the basis for much of this demand. The need for a multi-agency pathway to meet the needs of people is clear. This is not something that the NHS can do alone. Specific recommendations in the review relate to children and young people, and we will be focusing on delivering those at a meeting of the task and finish group in future. A multi-agency sub-group has been established to co-ordinate the response to the review, and that group met for the first time last week. I expect to see a plan put in place on how that work is to be developed before Christmas. It's worth emphasising that we are not beginning at the beginning, and we do need to build on the work of the group on crisis care. We've already looked at the pilot schemes of the 111 service, which will look at the experiences of service users in mental health crisis, and this will commence in January. I have committed to improving support for those children and young people who have the most complex needs, and we have two clear work streams in order to do this: improvements to the level 4 provision and our work on secure accommodation.
Welsh: Mae adroddiad 'Cadernid meddwl: ddwy flynedd yn ddiweddarach' yn rhoi cyfle gwerthfawr inni gymryd stoc o'r cynnydd sydd wedi bod. Dwi'n falch bod y pwyllgor wedi cydnabod y gweithredu sydd wedi ei gyflawni gan y Llywodraeth, partneriaid allweddol a rhanddeiliaid. Mae gweithredu'r argymhellion a gytunwyd arnynt yn parhau i fod yn flaenoriaeth allweddol i'r Llywodraeth yma, ac mae fy mhenodiad yn tanlinellu ein hymrwymiad ac yn darparu ffocws ychwanegol ar lefel weinidogol i wneud hynny. Er ein bod ni wedi gwneud cynnydd pendant dros y ddwy flynedd diwethaf, rŷn ni'n cydnabod pryder y pwyllgor ynglŷn â chyflymder y cynnydd gyda rhai o'r camau gweithredu. Dwi wedi cymryd camau i gyflymu'r newid yn barod. Dwi a'r Gweinidog Addysg wedi cytuno i ailffocysu'r grŵp gorchwyl a gorffen o ddull ysgol gyfan i un system gyfan trwy ehangu ei gwmpas ac adolygu'r aelodaeth. Gwnaethom ni gyfarfod yr wythnos yma, ac rydym ni'n bwriadu cwrdd yn fisol i adeiladu momentwm i weithredu gwelliannau i'r system. Ac ar ben hynny, dwi wedi sicrhau bod y wybodaeth ddiweddaraf am y camau gweithredu ar CAMHS yn eitem sefydlog ar yr agenda. Dwi hefyd wedi cwrdd ag is-gadeiryddion y byrddau iechyd ac wedi pwysleisio'r angen iddyn nhw ganolbwyntio ar welliannau CAMHS ac ymgorffori fframwaith cymorth cynnar a chefnogaeth uwch pan fydd hwnnw wedi ei gyhoeddi, ac rydym ni'n disgwyl i hwnna gael ei gyhoeddi ym mis Ebrill. Byddaf i'n cwrdd â chadeiryddion y byrddau partneriaeth rhanbarthol a rhanddeiliaid eraill i sicrhau dull gydgysylltiedig wrth gefnogi anghenion pobl ifanc. Yn y cyfnod anodd yma, gallaf i hefyd roi sicrwydd y bydd gwasanaethau iechyd meddwl yn parhau yn wasanaethau hanfodol, gan gynnwys, wrth gwrs, ar gyfer plant a phobl ifanc. Mae'n fframwaith gweithredol yn sicrhau bod byrddau iechyd yn nodi cynlluniau i ateb galw newydd a newidiol am wasanaethau iechyd meddwl o ganlyniad i'r pandemig. Yn hollbwysig, mae angen i fyrddau iechyd sicrhau bod eu cymunedau yn deall sut i gael mynediad at wasanaethau iechyd meddwl, yn enwedig os yw modelau gwasanaethau wedi newid oherwydd y cyfyngiadau, a bydd y wybodaeth newydd yn cael ei chynnwys ar holl wefannau'r byrddau iechyd yn ystod yr wythnos nesaf. Wedi dweud hynny, dwi'n cydnabod y pryderon ynghylch cael gafael ar gymorth. Mae hwn yn faes dwi'n canolbwyntio arno i sicrhau nad oes diffyg cysylltiad rhwng y sicrwydd rŷn ni'n ei dderbyn ac ansawdd y gofal mae plant a phobl ifanc y mae angen cymorth arnynt yn ei brofi. I ddeall y persbectif yna'n well, dwi wedi cwrdd â Chynghrair Iechyd Meddwl Cymru, ac fe fyddaf i'n parhau i wneud hynny. Dwi hefyd wedi cwrdd â Chomisiynydd Plant Cymru, a byddaf i'n cyfarfod â'n grŵp rhanddeiliaid ieuenctid i ddeall yr hyn sy'n bwysig iddyn nhw o ran iechyd meddwl a chymorth iechyd meddwl. I droi nawr at crisis care, gofal argyfwng, sydd o ddiddordeb arbennig i Laura Anne Jones, mae gwella gofal argyfwng yn thema allweddol yn 'Cadernid meddwl' ac yn ddiweddar rŷn ni wedi derbyn canfyddiadau'r adolygiad o fynediad brys i wasanaethau iechyd meddwl. Edrychodd yr adolygiad ar ddata ar draws ystod o wasanaethau - 111, yr heddlu, y gwasanaeth ambiwlans, y trydydd sector ac ati - er mwyn deall y galw am wasanaethau yn well. Ac mae'r adolygiad yn amlygu ehangder y materion cymdeithasol a llesiant sy'n sail i lawer o'r galw yma. Mae'r angen am lwybr amlasiantaethol i ddiwallu anghenion y bobl yn glir. Dyw hyn ddim yn rhywbeth y gall yr NHS wneud ar ei ben ei hun. Mae argymhellion penodol yn yr adolygiad sy'n ymwneud â phlant a phobl ifanc, a byddwn ni'n ffocysu ar eu gwireddu mewn cyfarfod o'r grŵp gorchwyl a gorffen yn y dyfodol. Mae is-grŵp amlasiantaethol wedi ei sefydlu i gydlynu'r ymateb i'r adolygiad, ac fe wnaeth y grŵp hwnnw gyfarfod am y tro cyntaf yr wythnos diwethaf. Dwi'n disgwyl gweld cynllun ar sut y bydd y gwaith hwn yn cael ei ddatblygu cyn y Nadolig. Mae hi werth pwysleisio dydyn ni ddim yn dechrau o'r dechrau, ac mae angen i'r gwaith adeiladu ar y grŵp sicrwydd gofal brys. Rydyn ni eisoes wedi cytuno cynlluniau peilot y gwasanaeth 111 a fydd yn profi'n llwybr defnyddiol i ddefnyddwyr gwasanaethau mewn argyfwng iechyd meddwl, ac mae hwn i ddechrau ym mis Ionawr. Dwi wedi ymrwymo i wella cefnogaeth i'r plant a phobl ifanc hynny sydd â'r anghenion mwyaf cymhleth, ac mae gennym ni ddwy ffrwd waith clir i wneud hyn: gwelliannau i ddarpariaeth haen 4 a'n gwaith ar lety diogel.