English: Now, I'm sure that the Minister and the Members present listening this evening understand that home adaptations can help mitigate these risks and ensure accessibility requirements are met. For people living with motor neurone disease, these adaptations range from smaller aids, such as very basic adaptations, grab rails or ramps, which are commonplace, to then more complex, expensive changes, such as wet rooms, stairlifts or even, these days, through-floor lifts. Of course, schemes like the disabled facilities grants, which are administered by local authorities, can provide vital support to people who need to adapt their homes but can't afford to do so. However, the COVID-19 pandemic has meant that work has now been paused and the progress being made on this front pre-pandemic has been halted. Now, of course, I accept fully - it's understandable - that coronavirus has had an overwhelming impact on the Welsh Government's work, but the reality is that, in the meantime, there are people living across Wales with motor neurone disease who are living in properties that aren't equipped to help them live out their days comfortably and safely, and, of course, we are here talking about a terminal illness, so what makes a difference in those last weeks and months of life can make an incredible difference to sufferers and their families. As the Welsh Government's vaccination programme continues to make strides across Wales, it's time for the Welsh Government to start returning to its work on these issues, so that the progress that was made before the pandemic is not lost. People living with MND do not have the time to wait. Due to the rapid progression of MND, people living with the condition don't have time to wait months on end for adaptations to be made. What's more, a lack of information about what help is available, what to expect from the process and who to talk to, can add difficulties for people with MND, their families and carers, when managing their often rapidly changing lives. Three years ago, the Welsh Government published its neurological conditions delivery plan, with the aim of securing improvements in the delivery of health and social care. The references, however, to housing are vague in general, stating that people should be able to engage in the design of their own services. Unfortunately, there is nothing about the need for action in providing adaptations so that people can live with MND and other neurological conditions more comfortably. And that brings me to the heart of my short debate this evening, which supports the MND Association's adapt now Welsh homes for MND campaign, which had its Welsh launch earlier today, and I hope that Members of the Senedd will join me in supporting that campaign. That campaign calls for a clear commitment from the Welsh Government to increase funding for local authorities, so that more people with accessibility needs are supported to live as safely and independently as possible. At a local level, councils must put in place a fast-track non-means-tested process to help to ensure low-cost, high-impact adaptations are delivered in a timely way for people living with MND. The social and economic benefits of investing in accessible housing are clear for all to see: Care and Repair Cymru, who deliver minor adaptations in Wales, estimate that, for every £1 spent, a cost saving of £7.50 is made for health and care, so that's something we should strive for. But, as well as adapting existing homes, more new homes need to be built with higher accessibly standards by default, and a minimum of 10 per cent must be built to higher wheelchair accessibility standards, as recommended by the Equality and Human Rights Commission in 2018. As more people could live longer with neurological conditions - although, for MND, the future is still pretty bleak - we need to ensure that more homes are built ready to support those whose mobility is impaired. In 2019, Welsh Government put in place a housing adaptation service standard, setting out the level of service expected for the delivery and installation of the housing adaptation that service users, regardless of their location and tenure, can expect. I'm asking for the Welsh Government to develop appropriate outcome measures on good practice, to time the installations of adaptations, and to monitor and report outcomes against this delivery tool. That's a very complex way of saying that we're asking for the Welsh Government to review this so that adaptations are more accessible, more timely and that people living with end-of-life care, and towards the end of life, get the support they need to live life more comfortably. If the service standards are to have any meaning, then we need to be able to judge progress in securing what people need. People living with MND and their carers have enough to worry about without having to navigate complex systems to secure these adaptations, so we have a duty to deliver housing solutions quickly for those most in need. In closing, I hope the Minister will accept the sincerity of today's debate and take back the message that time is critical and that action is desperately needed to support people living with MND in Wales. Let's do what we can to make sure that people living with this condition and, indeed, other neurological conditions, live the final months and weeks of their lives as comfortably and as safely as possible. Diolch.
Welsh: Nawr, rwy'n siŵr bod y Gweinidog a'r Aelodau sy'n gwrando heno yn deall y gall addasiadau i'r cartref helpu i liniaru'r risgiau hyn a sicrhau bod gofynion hygyrchedd yn cael eu bodloni. I bobl sy'n byw gyda chlefyd niwronau motor, mae'r addasiadau hyn yn amrywio o gymhorthion llai, megis addasiadau sylfaenol iawn, rheiliau neu rampiau, sy'n gyffredin, i newidiadau drutach, mwy cymhleth, megis ystafelloedd gwlyb, lifftiau grisiau neu hyd yn oed lifftiau o un llawr i'r llall y dyddiau hyn. Wrth gwrs, gall cynlluniau fel y grantiau cyfleusterau i'r anabl, sy'n cael eu gweinyddu gan awdurdodau lleol, roi cymorth hanfodol i bobl sydd angen addasu eu cartrefi ond na allant fforddio gwneud hynny. Fodd bynnag, mae'r pandemig COVID-19 wedi golygu bod gwaith bellach wedi'i ohirio ac mae'r cynnydd a wnaed ar hyn cyn y pandemig wedi'i atal. Nawr, wrth gwrs, rwy'n derbyn yn llawn - mae'n ddealladwy - fod coronafeirws wedi cael effaith aruthrol ar waith Llywodraeth Cymru, ond y realiti yw bod pobl ledled Cymru, yn y cyfamser, yn byw gyda chlefyd niwronau motor mewn eiddo nad yw wedi'i gyfarparu i'w helpu i fyw eu dyddiau olaf yn gyfforddus ac yn ddiogel, ac wrth gwrs, rydym yn sôn yma am salwch terfynol, felly gall yr hyn sy'n gwneud gwahaniaeth yn yr wythnosau a'r misoedd olaf o oes rhywun wneud gwahaniaeth anhygoel i ddioddefwyr a'u teuluoedd. Wrth i raglen frechu Llywodraeth Cymru barhau i fynd o nerth i nerth ledled Cymru, mae'n bryd i Lywodraeth Cymru ddechrau dychwelyd at ei gwaith ar y materion hyn, fel na chollir y cynnydd a wnaed cyn y pandemig. Nid oes gan bobl sy'n byw gydag MND amser i aros. Oherwydd bod MND yn datblygu'n gyflym, nid oes gan bobl sy'n byw gyda'r cyflwr amser i aros misoedd diddiwedd i addasiadau gael eu gwneud. Yn fwy na hynny, gall diffyg gwybodaeth am ba gymorth sydd ar gael, beth i'w ddisgwyl o'r broses a phwy i siarad â hwy, ychwanegu anawsterau i bobl ag MND, eu teuluoedd a'u gofalwyr, wrth iddynt geisio rheoli eu bywydau sy'n aml yn newid yn gyflym. Dair blynedd yn ôl, cyhoeddodd Llywodraeth Cymru ei chynllun cyflawni ar gyfer cyflyrau niwrolegol, gyda'r nod o sicrhau gwelliannau yn y ddarpariaeth iechyd a gofal cymdeithasol. Fodd bynnag, mae'r cyfeiriadau at dai yn amwys yn gyffredinol, ac yn dweud y dylai pobl allu cymryd rhan yn y gwaith o gynllunio eu gwasanaethau eu hunain. Yn anffodus, nid oes dim am yr angen i weithredu drwy ddarparu addasiadau fel y gall pobl fyw'n fwy cyfforddus gydag MND a chyflyrau niwrolegol eraill. A daw hynny â mi at wraidd fy nadl fer heno, sy'n cefnogi ymgyrch y Gymdeithas MND dros addasu cartrefi Cymru nawr ar gyfer MND, a gafodd ei lansio yng Nghymru yn gynharach heddiw, a gobeithio y bydd yr Aelodau o'r Senedd yn ymuno â mi i gefnogi'r ymgyrch honno. Mae'n galw am ymrwymiad clir gan Lywodraeth Cymru i gynyddu'r cyllid ar gyfer awdurdodau lleol, fel bod mwy o bobl sydd ag anghenion hygyrchedd yn cael eu cynorthwyo i fyw mor ddiogel ac annibynnol â phosibl. Ar lefel leol, rhaid i gynghorau sefydlu proses llwybr carlam nad yw'n seiliedig ar brawf modd i helpu i sicrhau bod addasiadau effeithiol, cost isel, yn cael eu darparu mewn modd amserol i bobl sy'n byw gydag MND. Mae manteision cymdeithasol ac economaidd buddsoddi mewn tai hygyrch yn glir i bawb eu gweld: mae Gofal a Thrwsio Cymru, sy'n darparu mân addasiadau yng Nghymru, yn amcangyfrif, am bob £1 a werir, yr arbedir cost o £7.50 i iechyd a gofal, felly mae hynny'n rhywbeth y dylem anelu tuag ato. Ond yn ogystal ag addasu cartrefi sy'n bodoli eisoes, mae angen adeiladu mwy o gartrefi newydd gyda safonau hygyrchedd uwch yn ddiofyn, a rhaid adeiladu o leiaf 10 y cant sy'n cydymffurfio â safonau uwch o ran hygyrchedd cadeiriau olwyn, fel yr argymhellwyd gan y Comisiwn Cydraddoldeb a Hawliau Dynol yn 2018. Gan y gallai mwy o bobl fyw'n hwy gyda chyflyrau niwrolegol - er bod y dyfodol yn dal i fod yn eithaf llwm o ran MND - mae angen inni sicrhau bod mwy o gartrefi'n cael eu hadeiladu'n barod i gefnogi'r rheini yr amharwyd ar eu symudedd. Yn 2019, sefydlodd Llywodraeth Cymru safon gwasanaeth addasu tai i nodi lefel y gwasanaeth y gall defnyddwyr gwasanaethau ei disgwyl ar gyfer cyflawni a gosod addasiadau tai, ni waeth beth fo'u lleoliad na'u math o ddeiliadaeth. Rwy'n gofyn i Lywodraeth Cymru ddatblygu mesurau o ganlyniadau priodol ar gyfer ymarfer da, i amseru'r broses o osod addasiadau, ac i fonitro ac adrodd ar ganlyniadau yn erbyn yr offeryn cyflawni hwn. Mae honno'n ffordd gymhleth iawn o ddweud ein bod yn gofyn i Lywodraeth Cymru adolygu hyn fel bod addasiadau'n fwy hygyrch, yn fwy amserol a bod pobl sy'n byw gyda gofal diwedd oes, a thuag at ddiwedd eu hoes, yn cael y cymorth sydd ei angen arnynt i fyw bywyd yn fwy cyfforddus. Os yw'r safonau gwasanaeth i fod yn ystyrlon o gwbl, mae angen i ni allu barnu cynnydd o ran sicrhau'r hyn sydd ei angen ar bobl. Mae gan bobl sy'n byw gydag MND a'u gofalwyr ddigon i boeni amdano heb orfod llywio drwy systemau cymhleth i sicrhau'r addasiadau hyn, felly mae gennym ddyletswydd i ddarparu atebion tai yn gyflym i'r rhai sydd fwyaf o'u hangen. Wrth gloi, rwy'n gobeithio y bydd y Gweinidog yn derbyn didwylledd y ddadl heddiw ac yn cyfleu'r neges fod amser yn hollbwysig a bod taer angen gweithredu i gefnogi pobl sy'n byw gydag MND yng Nghymru. Gadewch inni wneud yr hyn a allwn i sicrhau bod pobl sy'n byw gyda'r cyflwr hwn, a chyflyrau niwrolegol eraill yn wir, yn byw misoedd ac wythnosau olaf eu bywydau mor gyfforddus ac mor ddiogel â phosibl. Diolch.