English: Can I thank you for your statement, Cabinet Secretary? I also welcome your recognition that the report does set out a range of failings that led to real harm being caused. I had a few specific points that I wanted to ask about in relation to the report. The first relates to the concerns that are raised about the treatment people get, with dementia, in A&E and in other medical settings in hospitals. I'm sure you'll be aware that Dr Katie Featherstone at Cardiff University has recently published a new report into the hospital care of people with dementia, and we know that 25 per cent to 50 per cent of hospital beds in Wales are going to have someone with dementia in them. So, it is absolutely critical that everybody in our NHS has the skills and awareness needed to provide person-centred care to people with dementia. So, I wanted to ask you what further lessons you feel what's been found in this report can bring for the wider NHS in Wales. The report refers to the financial pressures, which, it says, have led to things like occupational therapists and the multi-disciplinary team not being available. I know that you are well aware that I've said to you previously that I believe that patients on older people's mental health wards in Wales are some of the most voiceless citizens in our country. They're often on locked wards; they're not wards that people go back and fore to very often. Some of them don't even have relatives to visit them. So, can I ask whether you think there are any further steps that can be taken to strengthen the profile of these patients at health board level, such as by having dementia champions on the board, et cetera, so that they are not out of sight, out of mind? I very much welcome the reference in the report to the need for clarity on legal frameworks in relation to the Mental Health Act and the Mental Capacity Act 2005. I have to say that I think there are definitely wider lessons there for the NHS in Wales, as I genuinely don't believe that those Acts are being fully complied with across Wales. There are recommendations that there is new guidance issued, that these are kept under review and even audited on a patient-by-patient basis, which I really welcome. Can you say a bit more about how you intend to take that forward? The report talks about the need for advocacy. A recent written answer I had off you confirmed that all health boards are currently meeting the all-age target on the provision of independent advocacy, but what I would flag is that we are well aware of the concept of an active offer of advocacy for children and young people in Wales. The current target under the Mental Health (Wales) Measure 2010 refers to people who have requested advocacy receiving it within five days, and I wonder whether you might want to say something about what more we can do to ensure that there is an active offer for older people as well, because there are real challenges in offering advocacy and ensuring advocacy take-up for older people with dementia, and I do think that particular measures need to be put into place. Finally, I know that you are well aware of my view that we should move, at the earliest opportunity, to extend the safe staffing levels legislation to older people's mental health wards in Wales. I think that this report and the issues arising from it confirm the need for that, because many of the issues highlighted would be addressed by staff having the necessary time to do their job properly and to provide person-centred care. So, can you update us on your plans to extend the legislation? Thank you.
Welsh: A gaf i ddiolch ichi am eich datganiad, Ysgrifennydd y Cabinet? Rwy'n croesawu hefyd eich bod yn cydnabod bod yr adroddiad yn amlinellu'r amrywiaeth o ddiffygion a arweiniodd at achosi niwed gwirioneddol. Mae gennyf ambell bwynt penodol yr hoffwn i holi yn eu cylch mewn cysylltiad â'r adroddiad. Mae'r cyntaf yn ymwneud â'r pryderon a grybwyllwyd ynglŷn â'r driniaeth y mae pobl yn ei chael, gyda dementia, mewn unedau damweiniau ac achosion brys ac mewn lleoliadau meddygol eraill mewn ysbytai. Rwy'n siŵr y byddwch yn ymwybodol bod Dr Katie Featherstone ym Mhrifysgol Caerdydd wedi cyhoeddi adroddiad newydd yn ddiweddar ynglŷn â'r gofal a roddir mewn ysbytai i bobl â dementia, ac rydym ni'n gwybod bod rhwng 25 y cant a 50 y cant o welyau mewn ysbytai yng Nghymru yn cynnwys rhywun â dementia. Felly, mae'n gwbl hanfodol bod gan bawb yn ein GIG y sgiliau a'r ymwybyddiaeth sydd eu hangen i ddarparu gofal sy'n canolbwyntio ar y person i bobl â dementia. Felly, roeddwn i eisiau gofyn ichi, yn eich barn chi, pa wersi pellach all yr hyn a ganfuwyd yn yr adroddiad hwn ei ddysgu i'r GIG ehangach yng Nghymru. Mae'r adroddiad yn cyfeirio at y pwysau ariannol, sydd, mae'n dweud, wedi arwain at sefyllfaoedd lle nad yw therapyddion galwedigaethol a'r tîm aml-ddisgyblaethol ar gael. Rwy'n gwybod eich bod yn ymwybodol iawn fy mod i wedi dweud wrthych chi o'r blaen fy mod i'n credu bod cleifion ar wardiau iechyd meddwl pobl hŷn yng Nghymru ymhlith y dinasyddion sydd â'r lleiaf o lais yn ein gwlad. Maen nhw yn aml ar wardiau dan glo; dydy'r rhain ddim yn wardiau lle mae pobl yn mynd a dod yn aml iawn. Does gan rai ohonyn nhw hyd yn oed ddim perthnasau i ymweld â nhw. Felly, a gaf i ofyn a ydych chi'n credu a oes unrhyw beth arall y gellir ei wneud i roi mwy o statws i'r cleifion hyn yn y Bwrdd Iechyd, er enghraifft drwy gael hyrwyddwyr dementia ar y Bwrdd, ac ati, fel nad ydyn nhw'n angof anweledig. Rwy'n croesawu'n fawr y cyfeiriad yn yr adroddiad at yr angen am eglurder ynglŷn â fframweithiau cyfreithiol o ran y Ddeddf Iechyd Meddwl a Deddf Galluedd Meddyliol 2005. Mae'n rhaid imi ddweud fy mod i'n credu yn bendant bod gwersi ehangach i'w dysgu ar gyfer y GIG yng Nghymru, oherwydd rwy'n credu o ddifri nad oes cydymffurfiad llwyr â'r deddfau hynny ledled Cymru. Mae argymhellion i gyhoeddi canllawiau newydd, ac y caiff y rhain eu hadolygu a hyd yn oed eu harchwilio fesul claf, ac rwy'n croesawu hynny'n fawr. A allwch chi ddweud ychydig mwy wrthym ni ynglŷn â sut yr ydych chi'n bwriadu datblygu hynny? Mae'r adroddiad yn sôn am yr angen am eiriolaeth. Roedd ateb ysgrifenedig diweddar a gefais gennych chi yn cadarnhau bod yr holl fyrddau iechyd ar hyn o bryd yn cyrraedd y targed pob oedran o ran darparu eiriolaeth annibynnol, ond yr hyn y byddwn yn tynnu sylw ato yw ein bod ni'n ymwybodol iawn o'r cysyniad o gynnig gweithredol am eiriolaeth ar gyfer plant a phobl ifanc yng Nghymru. Mae'r targed presennol o dan Fesur Iechyd Meddwl (Cymru) 2010 yn cyfeirio at bobl sydd wedi gofyn am eiriolaeth yn cael hynny o fewn pum niwrnod, ac rwy'n meddwl tybed a hoffech chi ddweud rhywbeth ynglŷn â beth mwy y gallwn ni ei wneud i sicrhau bod cynnig rhagweithiol ar gyfer pobl hŷn yn ogystal, oherwydd bod heriau gwirioneddol o ran cynnig eiriolaeth a sicrhau bod p obl hŷn â dementia yn defnyddio gwasanaethau eiriolaeth, ac rwy'n credu bod angen gweithredu mesurau penodol. Yn olaf, rwy'n gwybod eich bod yn ymwybodol iawn o fy marn y dylem ni geisio, ar y cyfle cynharaf, ymestyn y ddeddfwriaeth ynglŷn â lefelau staffio diogel i gynnwys wardiau iechyd meddwl pobl hŷn yng Nghymru. Rwy'n credu bod yr adroddiad hwn a'r materion sy'n deillio o hynny yn cadarnhau'r angen am hynny, oherwydd gellid datrys llawer o'r materion y rhoddwyd sylw iddyn nhw pe bai gan staff yr amser angenrheidiol i wneud eu gwaith yn iawn ac i ddarparu gofal sy'n canolbwyntio ar y person. Felly, a allwch chi roi diweddariad i ni ar eich cynlluniau i ymestyn y ddeddfwriaeth? Diolch.