English: Thank you for that response, Minister. As you will know, I've been greatly concerned to read the conclusions in that report, and I've read it from cover to cover. It talks about serious unwarranted variation in the provision, access, practice and culture amongst the delivery of psychological therapies in north Wales. Unacceptably long waits in some areas; pathways that are under-resourced and not fit for purpose; an enormous data deficit; and, amongst staff, a sense of despondency and helplessness as to how the organisation might lift itself into a better place. That, to me, makes pretty terrible reading for an organisation's psychological therapies, when we consider that the Betsi Cadwaladr University Health Board has been in special measures for almost five years. We were told when it was placed in special measures that there would be a sense of urgency in terms of improving mental health services for patients in north Wales, and I know that that's an ambition that you and I both share. The self-evaluation reports that are produced by the health board, and then reported through its governance processes, including to the Welsh Government, are completely at odds with the findings of the psychological therapies review. I want to know what action you will now take as Minister to make sure that the governance systems in the health board are fit for purpose; that when reports like this are commissioned they are absolutely shared in a timely manner with the Welsh Government, with Healthcare Inspectorate Wales, and the Wales Audit Office given the advice that they provide to you about special measures; and I want to know what assurances you can give to the people of north Wales that these issues will be remedied very quickly, and that we won't be here in another five years looking at a similar report again.
Welsh: Diolch am yr ateb hwnnw, Weinidog. Fel y gwyddoch, rwyf wedi bod yn bryderus iawn o ddarllen casgliadau'r adroddiad hwnnw, ac rwyf wedi'i ddarllen o glawr i glawr. Mae'n sôn am amrywiadau difrifol a di-alw-amdanynt yn y ddarpariaeth, mynediad, arferion a diwylliant ymhlith y rhai sy'n darparu therapïau seicolegol yng ngogledd Cymru. Amseroedd aros annerbyniol o hir mewn rhai ardaloedd; llwybrau nad ydynt yn cael digon o adnoddau ac nad ydynt yn addas i'r diben; diffyg data enfawr; ac ymhlith staff, ymdeimlad o anobaith a diymadferthedd ynglŷn â sut y gallai'r sefydliad wella ei hun. Mae hynny, i mi, yn gwneud deunydd darllen pur ofnadwy i therapïau seicolegol sefydliad, pan ystyriwn fod Bwrdd Iechyd Prifysgol Betsi Cadwaladr wedi bod yn destun mesurau arbennig ers bron i bum mlynedd. Dywedwyd wrthym pan gafodd ei wneud yn destun mesurau arbennig y byddai ymdeimlad o frys o ran gwella gwasanaethau iechyd meddwl i gleifion yng ngogledd Cymru, a gwn fod hwnnw'n uchelgais rydych chi a minnau'n ei rannu. Mae'r adroddiadau hunanwerthuso a gynhyrchir gan y bwrdd iechyd, ac a adroddir wedyn drwy ei brosesau llywodraethu, gan gynnwys i Lywodraeth Cymru, yn gwbl groes i ganfyddiadau'r adolygiad o therapïau seicolegol. Hoffwn wybod pa gamau y byddwch yn eu cymryd yn awr fel Gweinidog i sicrhau bod systemau llywodraethu'r bwrdd iechyd yn addas i'r diben; pan fydd adroddiadau fel hyn yn cael eu comisiynu, eu bod yn cael eu rhannu'n brydlon gyda Llywodraeth Cymru, gydag Arolygiaeth Gofal Iechyd Cymru, a Swyddfa Archwilio Cymru o ystyried y cyngor y maent yn ei roi i chi am fesurau arbennig; ac rwyf eisiau gwybod pa sicrwydd y gallwch ei roi i bobl gogledd Cymru y bydd y materion hyn yn cael eu hunioni'n gyflym iawn, ac na fyddwn yma ymhen pum mlynedd arall yn edrych ar adroddiad tebyg eto.