English: The harrowing testimony of overworked front-line staff in this report and some of the scandalous content should give all officials and Government Ministers pause for thought. It is plainly unacceptable that a report of this importance, formed from 700 pages of testimony, provided by 45 members of staff, was kept out of the public domain for so long. Now, during a meeting with the chairman and chief executive of the health board last week, I raised my concerns in relation to this particular report, and I was reassured that future reports where things have been found to go intensely wrong will now be written with publication in mind. I think, to be fair, the health board have acknowledged that this is not the way that reports like this should be just left lingering, and families in agonising waits. However, given that the Betsi Cadwaladr health board now is currently at the second stage of an important report into vascular services, and the urology department, these too will also be subject to review. Minister, I hope that you will use your reply to confirm that the Welsh Government will look to require all health boards to publish reports routinely and in a timely manner so as to improve transparency and patient trust. The findings of the Holden report, which include expansive notes on the understaffing of wards to the point that basic physical care and attention to personal hygiene were neglected, as well as concerns over fractured management structures, are merely reflective of enshrined issues at the health board. Indeed, the Ockenden review found that, from early 2013, Betsi Cadwaladr University Health Board was being told that their management and investigation of concerns, including serious incidents and never events, were not fit for purpose. Moreover, front-line staff within older people's mental health services have consistently reported significant concerns around staffing levels and lack of engagement with the senior management teams within mental health. Taken together, these findings only support the justification for a further inquiry into the workings and management of the Betsi Cadwaladr University Health Board. Despite the fifth Senedd's Public Accounts Committee report in May 2019 noting that there were doubts as to whether the board would be able to get out of special measures within 12 months, after nearly five and a half years languishing in special measures, in November 2020, the former health Minister made a surprise move to lift the board out of special measures, and, as Sam Rowlands, my colleague, said, this was just before a Senedd election. So, it is vital that any inquiries examine whether this political decision has had a negative impact on the health board, particularly as it is still suffering from a lack of staff, spending £180 million on agency staff in the last five years, and the fact that around 40,242 patients are waiting longer than a year for their treatment. Returning to the issue of mental health services, the latest figures show that this board has the second worst waiting times in Wales, with just 56.3 per cent waiting less than 28 days for an assessment in September 2021. Constructively, alongside a refreshed 10-year mental health strategy, I am standing with my Welsh Conservative colleagues to call for a new mental health Act, which would update legislation and include the latest thinking around mental health provision in Wales. My hope is that such an Act will help to establish a network of 24-hour mental health walk-in centres for those experiencing a mental health crisis, as well as support the return of trained nurses to GP surgeries. So, Minister, I trust that your reply will commit to working on a cross-party basis to deliver a new mental health Act so that we can urgently develop radical improvements in the provision of mental health services in the Betsi board and across Wales. And never again do I ever want to rise to speak in this Senedd to debate such serious findings as this report found. And I really do - . The points that my colleague Mark Isherwood said today: as Members who've been here more than one term, this really is probably the saddest day that I've even had to stand up in this Senedd. Diolch.
Welsh: Dylai tystiolaeth dorcalonnus staff rheng flaen sydd wedi'u gorlethu â gwaith yn yr adroddiad hwn a pheth o'r cynnwys gwarthus wneud i bob swyddog a Gweinidog y Llywodraeth feddwl yn ofalus. Mae'n amlwg yn annerbyniol fod adroddiad mor bwysig â hwn, sy'n cynnwys 700 tudalen o dystiolaeth gan 45 aelod o staff, wedi'i gadw rhag y cyhoedd am amser mor hir. Nawr, mewn cyfarfod â chadeirydd a phrif weithredwr y bwrdd iechyd yr wythnos diwethaf, lleisiais fy mhryderon mewn perthynas â'r adroddiad penodol hwn, a chefais sicrwydd y bydd adroddiadau yn y dyfodol lle canfyddir bod pethau wedi mynd o chwith yn ddifrifol yn cael eu hysgrifennu gyda'r bwriad o'u cyhoeddi. A bod yn deg, credaf fod y bwrdd iechyd wedi cydnabod na ddylid oedi yn y fath fodd gydag adroddiadau fel hyn, a gadael i deuluoedd boeni am amser maith wrth aros i'w gweld. Fodd bynnag, o gofio bod bwrdd iechyd Betsi Cadwaladr bellach ar ail gam adroddiad pwysig ar wasanaethau fasgwlaidd, a'r adran wroleg, bydd y rhain hefyd yn destun adolygiad. Weinidog, rwy'n gobeithio y byddwch yn defnyddio'ch ateb i gadarnhau y bydd Llywodraeth Cymru yn ceisio'i gwneud yn ofynnol i bob bwrdd iechyd gyhoeddi adroddiadau fel mater o drefn ac mewn modd amserol er mwyn gwella tryloywder ac ymddiriedaeth cleifion. Mae canfyddiadau adroddiad Holden, sy'n cynnwys nodiadau helaeth ar brinder staff ar wardiau i'r graddau fod gofal corfforol sylfaenol a sylw i hylendid personol wedi cael eu hesgeuluso, yn ogystal â phryderon ynghylch strwythurau rheoli gwallus, yn adlewyrchu problemau yn y bwrdd iechyd. Yn wir, canfu adolygiad Ockenden fod Bwrdd Iechyd Prifysgol Betsi Cadwaladr, ers dechrau 2013, yn cael clywed nad oedd eu rheolaeth a'u hymdrechion i ymchwilio i bryderon, gan gynnwys digwyddiadau difrifol a digwyddiadau 'byth', yn addas at y diben. Yn ychwanegol at hynny, mae staff rheng flaen ym maes gwasanaethau iechyd meddwl pobl hŷn wedi adrodd yn gyson am bryderon sylweddol ynghylch lefelau staffio a diffyg ymgysylltiad â'r uwch dimau rheoli iechyd meddwl. At ei gilydd, mae'r canfyddiadau hyn yn cefnogi'r cyfiawnhad dros ymchwiliad pellach i waith a rheolaeth Bwrdd Iechyd Prifysgol Betsi Cadwaladr. Er gwaethaf adroddiad Pwyllgor Cyfrifon Cyhoeddus y pumed Senedd ym mis Mai 2019, a oedd yn nodi amheuon ynglŷn ag a fyddai'r bwrdd yn gallu dod allan o fesurau arbennig o fewn 12 mis, ar ôl bron i bum mlynedd a hanner mewn mesurau arbennig, ym mis Tachwedd 2020, cymerodd y cyn-Weinidog iechyd y cam annisgwyl i ddod â'r bwrdd allan o fesurau arbennig, ac fel y dywedodd Sam Rowlands, fy nghyd-Aelod, roedd hyn ychydig cyn etholiad Senedd. Felly, mae'n hanfodol fod unrhyw ymholiadau yn archwilio a yw'r penderfyniad gwleidyddol hwn wedi cael effaith negyddol ar y bwrdd iechyd, yn enwedig gan ei fod yn dal i ddioddef yn sgil prinder staff, ac wedi gwario £180 miliwn ar staff asiantaeth dros y pum mlynedd diwethaf, a'r ffaith bod oddeutu 40,242 o gleifion yn aros yn hwy na blwyddyn am eu triniaeth. Gan ddychwelyd at fater gwasanaethau iechyd meddwl, mae'r ffigurau diweddaraf yn dangos mai gan y bwrdd hwn y mae'r amseroedd aros gwaethaf ond un yng Nghymru, gyda 56.3 y cant yn unig yn aros llai na 28 diwrnod am asesiad ym mis Medi 2021. Mewn ysbryd adeiladol, ynghyd â strategaeth iechyd meddwl 10 mlynedd newydd, rwy'n sefyll gyda fy nghyd-Aelodau o blith y Ceidwadwyr Cymreig i alw am Ddeddf iechyd meddwl newydd, a fyddai'n diweddaru'r ddeddfwriaeth ac yn cynnwys y syniadau diweddaraf ynghylch y ddarpariaeth iechyd meddwl yng Nghymru. Fy ngobaith yw y bydd Deddf o'r fath yn helpu i sefydlu rhwydwaith o ganolfannau iechyd meddwl galw i mewn 24 awr ar gyfer pobl mewn argyfwng iechyd meddwl, yn ogystal â chefnogi cael nyrsys hyfforddedig yn ôl i feddygfeydd teulu. Felly, Weinidog, rwy'n gobeithio y bydd eich ateb yn ymrwymo i weithio ar sail drawsbleidiol i gyflwyno Deddf iechyd meddwl newydd fel y gallwn ddatblygu gwelliannau radical ar frys i'r ddarpariaeth o wasanaethau iechyd meddwl ym mwrdd Betsi Cadwaladr a ledled Cymru. Ac nid wyf yn dymuno codi i siarad yn y Senedd hon byth eto i drafod canfyddiadau mor ddifrifol ag y canfu'r adroddiad hwn. Ac rwy'n - . Y pwyntiau a ddywedodd fy nghyd-Aelod, Mark Isherwood, heddiw: fel Aelodau sydd wedi bod yma ers mwy nag un tymor, mae'n debyg dyma'r diwrnod tristaf i mi orfod codi yn y Senedd hon. Diolch.