English: So you're already a vulnerable person and you're put into a place that makes you even more vulnerable. A lot is made of the fact that we don't have the capacity here in Wales, and we don't, but when you're away, everybody needs family or friends, or an anchor. That anchor is so important. It is the way you find your way back to good health. If your anchor is 200 miles away or 300 miles away and you can't access that anchor easily, then it is very difficult to find your route home. So I absolutely urge the Welsh Government to have a look at this and to have a look at how we provide medium-secure units in Wales. Please, with your indulgence, I just want to address points (d) and (e), because a senior responsible officer is absolutely critical, Deputy Minister. One of the big problems you have is that a health board will say, 'This person needs medium-secure provision.' The Welsh Health Specialised Services Committee will then go and commission it and then, between the two of them, there's no clear line of sight on that person, on their progression or on their treatment plan. And, of course, people get moved around. Every time you get moved around from place A to place B, then you are re-reviewed, re-analysed and a new treatment plan is put into place. It's very hard to make those steps going forward; it's always two steps forward, one step back. Finally, a communications plan. That is absolutely key, because a lot of the conflict that we see is because family and friends are not given clear communication as to what is happening, what the next steps are and what part they can play in helping that person get better. And the person in there doesn't have a clear communication plan. They immediately feel that they're at the mercy of the people in charge of them, and that, in my experience and for all the people I've seen, has been one of the biggest sources of conflict. So I'd like to see a senior responsible officer and I would like to see clear communication plans laid out with the nearest and dearest alongside the treatment plan, and of course I want to see medium-secure units here in Wales. It's ridiculous having to travel so far away for treatment that should be normal in our NHS.
Welsh: Felly rydych chi'n berson agored i niwed yn barod ac rydych chi'n cael eich rhoi mewn lle sy'n eich gwneud chi'n fwy agored byth i niwed. Mae llawer yn cael ei wneud o'r ffaith nad oes gennym gapasiti yma yng Nghymru, ac mae hynny'n wir, ond pan fyddwch i ffwrdd, mae pawb angen teulu neu ffrindiau, neu angor. Mae'r angor mor bwysig. Dyna sut y dowch o hyd i'ch ffordd yn ôl i iechyd da. Os yw eich angor 200 milltir i ffwrdd neu 300 milltir i ffwrdd ac ni allwch gael mynediad at yr angor hwnnw'n hawdd, mae'n anodd iawn dod o hyd i'ch llwybr adref. Felly rwy'n annog Llywodraeth Cymru yn gryf i edrych ar hyn ac i edrych ar sut rydym yn darparu unedau diogelwch canolig yng Nghymru. Gyda'ch caniatâd chi, hoffwn roi sylw i bwyntiau (d) ac (e), oherwydd mae uwch-swyddog cyfrifol yn gwbl allweddol, Ddirprwy Weinidog. Un o'r problemau mawr sydd gennych yw y bydd bwrdd iechyd yn dweud, 'Mae'r person hwn angen darpariaeth uned diogelwch canolig.' Yna, bydd Pwyllgor Gwasanaethau Iechyd Arbenigol Cymru yn mynd ati i'w gomisiynu ac yna, rhwng y ddau, collir golwg ar y person hwnnw, ar ei gynnydd neu ei gynllun triniaeth. Ac wrth gwrs, mae pobl yn cael eu symud o gwmpas. Bob tro y cewch eich symud o A i B, byddwch yn cael eich ailadolygu, eich ailddadansoddi a gweithredir cynllun triniaeth newydd. Mae'n anodd iawn gwneud y camau hynny wrth symud ymlaen; mae bob amser yn ddau gam ymlaen, un cam yn ôl. Yn olaf, cynllun cyfathrebu. Mae hwnnw'n gwbl allweddol, oherwydd mae llawer o'r gwrthdaro a welwn yn ymwneud â'r ffaith na chyfathrebir yn glir â theulu a ffrindiau ynglŷn â'r hyn sy'n digwydd, beth yw'r camau nesaf a pha ran y gallant ei chwarae i helpu'r unigolyn dan sylw i wella. Ac nid oes gan y person sydd i mewn yno gynllun cyfathrebu clir. Teimlant ar unwaith eu bod ar drugaredd y bobl sy'n gyfrifol amdanynt, a dyna fu un o'r achosion gwrthdaro mwyaf yn fy mhrofiad i ac i'r holl bobl a welais. Felly, hoffwn weld uwch-swyddog cyfrifol a hoffwn weld cynlluniau cyfathrebu clir yn cael eu gosod gyda'r bobl agosaf a cheraint ochr yn ochr â'r cynllun triniaeth, ac wrth gwrs rwyf am weld unedau diogelwch canolig yma yng Nghymru. Mae'n hurt fod rhaid teithio mor bell i gael triniaeth a ddylai fod yn normal yn ein GIG.