English: And for that I'm extremely grateful, Presiding Officer - Chair, sorry. Yesterday, my colleague Mark Isherwood highlighted once again the vulnerability of looked-after children. He said that, although looked-after children are taken into local authority care to improve their welfare, they are over represented in child criminal county lines exploitation and are therefore far from being effectively safeguarded. It's disappointing, then, that looked-after children merit just one mention in Welsh Government's mental health delivery plan 2019-2022, which is 'to ensure specialist mental health servicesare equally accessible forchildren and young people' in 'or on the edge of care.' I don't think that is the greatest ambition that should be reflected in that report. And still, this year, Welsh Government was still expecting to be at the stage of developing proposals for better integration between health and social services and agreeing the scope of work streams. What happened to the prompts in 'Listen. Act. Thrive.', the report that was presented to David Melding's advisory group? And where is the particular attention for looked-after children in the £15 million that has gone to the regional partnership boards? Have they even caught up with children's mental health needs yet? These young people, even if they remain looked after for longer, thanks to the When I am Ready policy, and even if they've been with the most nurturing and restorative foster families, will inevitably find any transition to adult mental health services very challenging. Not all looked-after children will need formal mental health care when they are younger, but you can see why the challenge of moving into independent adult life could trigger or exacerbate poor mental health. It's not only looked-after children who face that challenge. I spoke to a constituent today who feared that their teenage autistic child - very loved and very supported, doing very well at a specialist school - would really struggle once they had to move to the oversight of adult social services. And while that's not mental health services, they were worried that the collapse of the child's familiar support system and the loss of parental responsibility would result in that young person needing mental health support too. Just as When I am Ready recognised the arbitrariness of a birthday as the signal to switch services, so did the Together for Children and Young People programme. We heard in evidence for the original 'Mind over matter' report that young people felt that they were expected to become adults overnight, that it was scary, that it was like jumping off a cliff edge to move from CAMHS to adult services. The Royal College of GPs said that young people disappear into a black hole. Youth workers told us that some young people find even basic things impossible. And, yes, guidance on how to transition well existed then and subsequently, but the essential failure remains, and that is delivery. And it matters acutely, because it's amongst those 18 to 19-year-olds that we see suicide rates rise. The impact of the guidance, which Together for Children and Young People prepared then, was due to be reviewed by this month. So, did you discover, Minister, any delivery on our recommendations? What we heard two years later - well, the attempt to move away from the arbitrary transition date of a person's eighteenth birthday isn't consistently successful. Many young people are still being automatically transferred to adult services on that birthday, and that inconsistency and lack of continuity is setting young people back. While we understand that extending CAMHS to the age of 25 would incur cost, what does it cost us and that young person if they have no real chance to wean themselves away from previous support? We also heard from Welsh Government in February this year, and remember, please, that 'Mind over matter' was published in April 2018, that a draft consultation on draft transition guidance was beginning. Beginning - almost two years later. The recent expectation on health boards to monitor and evaluate implementation of the guidance, Welsh Government's commitment to a review of those approaches, Professor John's very welcome review of suicide and self-harm incidences in the last five years - I just really don't feel that Welsh Government's response to our recommendations on this issue of transition has been urgent, and it needed to be urgent. In the mental health delivery plan, there is no mention in the 'progress to date' section of transition, and that's not surprising, because there are no proposals to even develop the arrangements to monitor the use of the guidance until next year or the year after. Why on earth is this taking so long? There was already good guidance in 2018, enhanced by the subsequent work of Together for Children and Young People, and yet you still wanted to review it. In short, Minister, I'm afraid that our fears have been realised. By absorbing responsibility for the mental health of children and young people into an all-age plan, it has lost its priority. For all the hard work that has been done - and we acknowledge that, and the millions poured into this - we are, to all intents and purposes, no further on in helping young people transfer seamlessly, with support, into adult services.
Welsh: Ac am hynny rwy'n hynod ddiolchgar, Lywydd - Gadeirydd, mae'n ddrwg gennyf. Ddoe, tynnodd fy nghyd-Aelod Mark Isherwood sylw unwaith eto at natur fregus plant sy'n derbyn gofal. Er bod plant sy'n derbyn gofal yn cael eu derbyn i ofal awdurdod lleol i wella eu llesiant, dywedodd fod cyfran fwy ohonynt yn gysylltiedig â throseddau camfanteisio ar blant drwy linellau cyffuriau ac felly maent ymhell o gael eu diogelu'n effeithiol. Mae'n siomedig, felly, mai dim ond un cyfeiriad at blant sy'n derbyn gofal a geir yng nghynllun cyflawni ar iechyd meddwl Llywodraeth Cymru ar gyfer 2019-2022, sef 'sicrhau bod gwasanaethau iechyd meddwl arbenigolyn hygyrch i blant a phobl ifanc' mewn gofal 'neu sydd ar gyrion gofal.' Nid wyf yn credu mai dyna'r uchelgais mwyaf y dylid ei adlewyrchu yn yr adroddiad hwnnw. Ac eto, eleni, roedd Llywodraeth Cymru yn dal i ddisgwyl bod ar y cam o ddatblygu argymhellion ar gyfer gwell integreiddio rhwng iechyd a gwasanaethau cymdeithasol a chytuno ar gwmpas ffrydiau gwaith. Beth a ddigwyddodd i'r awgrymiadau yn 'Gwrando. Gweithredu. Ffynnu.', yr adroddiad a gyflwynwyd i grŵp cynghori David Melding? A ble mae'r sylw arbennig i blant sy'n derbyn gofal yn y £15 miliwn sydd wedi mynd i'r byrddau partneriaeth rhanbarthol? A ydynt wedi dal i fyny hyd yn oed ag anghenion iechyd meddwl plant eto? Hyd yn oed os ydynt yn parhau i dderbyn gofal am fwy o amser, diolch i'r polisi Pan Fydda i'n Barod, a hyd yn oed os ydynt wedi bod gyda'r teuluoedd maeth mwyaf meithringar ac atgyfnerthol, mae'n anochel y bydd y bobl ifanc hyn yn gweld unrhyw bontio i wasanaethau iechyd meddwl i oedolion yn heriol iawn. Ni fydd angen gofal iechyd meddwl ffurfiol ar bob plentyn sy'n derbyn gofal pan fyddant yn iau, ond gallwch weld pam y gallai'r her o symud i fywyd annibynnol fel oedolyn sbarduno neu waethygu iechyd meddwl gwael. Nid plant sy'n derbyn gofal yn unig sy'n wynebu'r her honno. Siaradais ag etholwr heddiw a oedd yn ofni y byddai eu plentyn sydd yn eu harddegau ac yn awtistig - plentyn a gâi lawer o gariad a chymorth, ac a oedd yn gwneud yn dda iawn mewn ysgol arbenigol - yn ei chael yn anodd iawn ar ôl iddynt orfod symud at wasanaethau cymdeithasol i oedolion. Ac er nad gwasanaethau iechyd meddwl yw'r rheini, roeddent yn poeni y byddai colli system gymorth gyfarwydd y plentyn a cholli cyfrifoldeb rhiant yn golygu y byddai angen cymorth iechyd meddwl ar y person ifanc hwnnw hefyd. Yn union fel roedd Pan Fydda i'n Barod yn cydnabod mympwy pen-blwydd fel arwydd i newid gwasanaethau, felly hefyd y rhaglen Law yn Llaw at Blant a Phobl Ifanc. Clywsom mewn tystiolaeth ar gyfer yr adroddiad 'Cadernid Meddwl' gwreiddiol fod pobl ifanc yn teimlo bod disgwyl iddynt ddod yn oedolion dros nos, a bod symud o CAMHS i wasanaethau oedolion yn brofiad brawychus, fel neidio oddi ar ymyl clogwyn. Dywedodd Coleg Brenhinol y Meddygon Teulu fod pobl ifanc yn diflannu i dwll du. Dywedodd gweithwyr ieuenctid wrthym fod rhai pobl ifanc yn gweld pethau sylfaenol hyd yn oed yn amhosibl. Ac oedd, roedd canllawiau ar sut i bontio'n dda yn bodoli bryd hynny ac wedi hynny, ond erys y methiant hanfodol, sef cyflawniad. Ac mae'n bwysig iawn, oherwydd ymhlith y bobl ifanc 18 i 19 oed hynny y gwelwn gyfraddau hunanladdiad yn codi. Roedd effaith y canllawiau, a baratowyd gan Law yn Llaw at Blant a Phobl Ifanc bryd hynny, i fod i gael ei hadolygu erbyn y mis hwn. Felly, Weinidog, a wnaethoch chi ddarganfod unrhyw gyflawniad ar ein hargymhellion? Nid yw'r hyn a glywsom ddwy flynedd yn ddiweddarach - wel, nid yw'r ymgais i symud oddi wrth ddyddiad pontio mympwyol pen-blwydd unigolyn yn ddeunaw oed yn llwyddiannus bob amser. Mae llawer o bobl ifanc yn dal i gael eu trosglwyddo'n awtomatig i wasanaethau i oedolion ar y pen-blwydd hwnnw, ac mae'r anghysondeb a'r diffyg parhad yn golygu bod pobl ifanc yn cymryd cam yn ôl. Er ein bod yn deall y byddai ymestyn CAMHS i 25 oed yn arwain at gostau, beth y mae'n ei gostio i ni a'r person ifanc os nad ydynt yn cael cyfle go iawn i ddiddyfnu eu hunain oddi wrth gymorth blaenorol? Clywsom hefyd gan Lywodraeth Cymru ym mis Chwefror eleni, a chofiwch, os gwelwch yn dda, fod 'Cadernid Meddwl' wedi'i gyhoeddi ym mis Ebrill 2018, fod ymgynghoriad drafft ar ganllawiau pontio drafft yn dechrau. Yn dechrau - bron i ddwy flynedd yn ddiweddarach. Y disgwyliad diweddar i fyrddau iechyd fonitro a gwerthuso gweithrediad y canllawiau, ymrwymiad Llywodraeth Cymru i adolygu'r dulliau hynny, adolygiad yr Athro John o achosion o hunanladdiad a hunan-niweidio yn ystod y pum mlynedd diwethaf, adolygiad sydd i'w groesawu'n fawr - nid wyf yn teimlo bod ymateb Llywodraeth Cymru i'n hargymhellion ar bontio wedi bod yn fater brys, ac roedd angen iddo fod yn fater brys. Yn y cynllun cyflawni ar iechyd meddwl, nid oes sôn am bontio yn yr adran 'cynnydd hyd yma', ac nid yw hynny'n syndod, oherwydd nid oes unrhyw argymhellion i hyd yn oed ddatblygu'r trefniadau i fonitro'r defnydd o'r canllawiau tan y flwyddyn nesaf neu'r flwyddyn wedyn. Pam ar y ddaear y mae hyn yn cymryd cyhyd? Roedd canllawiau da eisoes yn 2018, wedi'u gwella gan waith dilynol Law yn Llaw at Blant a Phobl Ifanc, ac eto roeddech yn dal i fod eisiau ei adolygu. Yn fyr, Weinidog, mae arnaf ofn fod ein hofnau wedi'u gwireddu. Drwy amsugno cyfrifoldeb am iechyd meddwl plant a phobl ifanc i mewn i gynllun ar gyfer pob oedran, mae wedi colli ei flaenoriaeth. Er yr holl waith caled sydd wedi'i wneud - ac rydym yn cydnabod hynny, a'r miliynau a arllwyswyd i mewn i hyn - i bob pwrpas, nid ydym gam ymhellach ymlaen tuag at helpu pobl ifanc i bontio'n ddi-dor, gyda chymorth, i wasanaethau oedolion.