English: Diolch, Dirprwy Llywydd. I've agreed to give Dai Lloyd a minute of my time during this debate. This video that you've just seen, produced by the Royal National Institute of Blind People, is from the How I See campaign and raises a number of issues that I wish to put before you today. Sight is often cited as the sense that people would be most afraid of losing, and it can be tough. From difficulty accessing treatment and services to a lack of emotional and practical support, blind and partially sighted people each face their own set of challenges every day. Feelings of isolation are unacceptably high, and only one in four blind or partially sighted people of working age has a job. And we know the numbers will increase dramatically. An estimated 107,000 people in Wales live with sight loss and this is expected to double over the next 20 years. That means there will be approximately 218,000 people in Wales living with sight loss by 2050. Sight loss affects people of all ages, but, as we get older, we are increasingly likely to experience it. People with sight loss are more likely to have a fall and are more likely to live in poverty. They're more likely to have depression, to be unemployed and have problems with everyday life, such as going out, cooking and reading. Today, I want to touch on just some of the barriers that blind and partially sighted people face and to challenge us to see and do things differently. As most sight loss conditions are degenerative, but also treatable, it's crucial that people have timely access to eye care and ongoing treatment. Ophthalmology is one of the highest volume hospital outpatient services, and many eye patients have an ongoing need for timely follow-up to preserve their sight. As a member of the cross-party group on vision, I've heard from patients on hospital eye clinic waiting lists that their appointments are being cancelled at exceptionally short notice. I know we've got other members of the group here today, too. Delays to treatment can put people at risk of irreversible sight loss. That said, I would like to welcome Welsh Government's recent announcement of investment to support implementation of the new ophthalmic outcome focused measures - the first nation in the UK to have specific measures for eye care. This is something I've championed for several years and raised the need for in my last debate on this subject. These new measures will provide clinically approved targets and prioritise patients according to their risk of irreversible sight loss. No-one should lose their sight in Wales because of a treatable eye condition. I look forward to hearing that health boards have implemented these new measures and to receiving the first progress reports in April 2019. It's high time we had transparency from health boards as to the number of patients at risk of losing their sight. This is a long overdue system change for eye care in Wales, and let us not forget the patients in all of this. We need to make sure that they're kept fully informed about the changes, and understand what it means for their care and treatment.
Welsh: Diolch, Ddirprwy Lywydd. Rwyf wedi cytuno i roi munud o fy amser i Dai Lloyd yn ystod y ddadl. Cynhyrchwyd y fideo a welsoch yn awr gan Sefydliad Cenedlaethol Brenhinol y Deillion, ac mae'n rhan o'r ymgyrch 'How I See' ac yn tynnu sylw at nifer o faterion yr hoffwn eu cyflwyno i chi heddiw. Yn aml dywedir mai'r golwg yw'r synnwyr y byddai pobl fwyaf o ofn ei golli, ac mae'n gallu bod yn anodd. O anhawster i gael triniaeth a gwasanaethau i ddiffyg cymorth emosiynol ac ymarferol, mae pobl ddall a rhannol ddall fel ei gilydd yn wynebu eu set eu hunain o heriau bob dydd. Mae teimladau o unigrwydd yn annerbyniol o uchel, ac un o bob pedwar yn unig o bobl ddall neu rannol ddall o oedran gweithio sydd mewn gwaith. A gwyddom y bydd y niferoedd yn cynyddu'n ddramatig. Mae tua 107,000 o bobl yng Nghymru yn byw gyda nam ar eu golwg a disgwylir i hyn ddyblu dros yr 20 mlynedd nesaf. Golyga hynny y bydd tua 218,000 o bobl yng Nghymru yn byw gyda nam ar eu golwg erbyn 2050. Mae nam ar y golwg yn effeithio ar bobl o bob oed, ond wrth inni fynd yn hŷn, rydym yn fwyfwy tebygol o gael profiad ohono. Mae pobl sydd â nam ar eu golwg yn fwy tebygol o gael codwm ac yn fwy tebygol o fod yn byw mewn tlodi. Maent yn fwy tebygol o ddioddef iselder, o fod yn ddi-waith ac o gael problemau gyda bywyd bob dydd, megis mynd allan, coginio a darllen. Heddiw, rwyf am gyffwrdd â rhai o'r rhwystrau sy'n wynebu pobl ddall a rhannol ddall a'n herio ni i weld a gwneud pethau'n wahanol. Gan fod y rhan fwyaf o gyflyrau'r golwg yn ddirywiol, ond fod modd eu trin hefyd, mae'n hanfodol fod gan bobl fynediad amserol at ofal llygaid a thriniaeth barhaus. Offthalmoleg yw un o'r gwasanaethau allanol mewn ysbytai gyda'r nifer uchaf o gleifion, ac mae gan lawer o gleifion llygaid angen parhaus am ofal dilynol amserol i gadw eu golwg. Fel aelod o'r grŵp trawsbleidiol ar olwg, rwyf wedi clywed gan gleifion ar restrau aros clinigau llygaid ysbytai fod eu hapwyntiadau'n cael eu canslo heb fawr o rybudd o gwbl. Gwn fod gennym aelodau eraill o'r grŵp yma heddiw hefyd. Gallai oedi cyn cael triniaeth roi pobl mewn perygl o golli eu golwg am byth. Wedi dweud hynny, hoffwn groesawu cyhoeddiad diweddar Llywodraeth Cymru ynglŷn â buddsoddiad i gefnogi gweithrediad y mesurau offthalmig newydd sy'n canolbwyntio ar ganlyniadau - y genedl gyntaf yn y DU i gael mesurau penodol ar gyfer gofal llygaid. Dyma rywbeth rwyf wedi bod yn ei hyrwyddo ers nifer o flynyddoedd ac wedi codi'r angen amdano yn fy nadl ddiwethaf ar y pwnc hwn. Bydd y mesurau newydd hyn yn darparu targedau a gymeradwywyd yn glinigol ac yn blaenoriaethu cleifion yn ôl eu risg o golli eu golwg yn barhaol. Ni ddylai neb golli eu golwg yng Nghymru oherwydd cyflwr llygaid y gellir ei drin. Edrychaf ymlaen at glywed bod byrddau iechyd wedi gweithredu'r mesurau newydd hyn ac at gael yr adroddiadau cynnydd cyntaf ym mis Ebrill 2019. Mae'n hen bryd inni gael tryloywder gan fyrddau iechyd ynghylch nifer y cleifion sydd mewn perygl o golli eu golwg. Mae hwn yn newid hirddisgwyliedig i'r system gofal llygaid yng Nghymru, a gadewch inni beidio ag anghofio'r cleifion yn hyn oll. Mae angen inni wneud yn siŵr eu bod yn cael eu hysbysu'n llawn ynglŷn â'r newidiadau, ac yn deall beth y maent yn ei olygu i'w gofal a'u triniaeth.