English: Can I say at the outset that there has certainly been, I think, an improvement in mental health services since the mental health Measure was introduced, but, without a doubt, there are a number of areas where we need further improvement? I also welcome the update from the Government on their delivery plan; it seems to be a step forward from the last plan. There are definite actions here, and a timetable is noted as well, for implementation, and also - very importantly, I think - there's specific reference in the plan to who is responsible for the different actions. But, on the other hand, there are major questions remaining in terms of several aspects, including how progress is measured. For some indicators the target is very definitive. For example, a 100 per cent of girls who were identified as having serious mental health problems are offered appropriate support during pregnancy. That is good, but in other areas there are not so prominent improvement targets. There are specific points, I think, that arise from the availability of talking therapies. A report by Gofal, the mental health charity, notes that far too many people are still being offered treatment by medication rather than other types of treatment and support. And even though they welcome the work that has been done by health boards to expand the provision, they believe that much more needs to be done to expand the range of treatments available. Specifically, they feel that people fail to be offered talking therapies because provision is not available in some areas, or because waiting lists are too long - that is, it's not for clinical reasons. I'll also mention another area that Gofal thinks has inadequate attention, and that is eating disorders. They are very disappointed, they say, after working with the cross-party group on eating disorders to recommend a number of ways forward and specific actions that could be taken, as well as how to measure performance, that there was a big deficiency in the strategy in terms of tackling problems in that area. If I can move on to an area that I know concerns many of us here in the Chamber - and we've just had a reference here to it - namely mental health services for children and young people specifically. We are very concerned here as Members because we do hear consistently from far too many constituents who share their concerns. I received a letter recently from the chair of governors of Cemaes Primary School in Ynys Môn. I'll read from it: 'The board of governors of Ysgol Cemaes has asked me to write to you to express our serious concerns about the child and adolescent mental health service. We have a number of children in primary school who need support and our understanding is that there is a waiting time of six months to access the service. We feel that this is quite unacceptable, and it does raise significant questions about the commitment of the national health service in Wales to the well-being and welfare of our children.' It says it all; the people who are -
Welsh: A gaf i ddweud yn gyntaf fod yna wella, yn sicr, wedi bod, rydw i'n meddwl, mewn gwasanaethau iechyd meddwl ers cyflwyno'r Mesur iechyd meddwl, ond, heb os, mae yna lawer iawn o feysydd lle mae yna angen gwella mawr o hyd? Rydw i hefyd yn croesawu diweddariad y Llywodraeth ar eu cynllun nhw; mae o i'w weld yn gam ymlaen o'r cynllun diwethaf. Mae yna gamau gweithredu pendant yma rŵan, amserlen yn cael ei nodi hefyd, ar gyfer gweithredu, ac mae yna hefyd - yn bwysig iawn, rydw i'n meddwl - gyfeiriad penodol yn y cynllun at bwy sydd i fod yn gyfrifol am wahanol gamau gweithredu. Ond, ar y llaw arall, mae yna gwestiynau mawr o hyd ynglŷn â sawl agwedd, gan gynnwys sut mae mesur cynnydd. Ar gyfer rhai dangosyddion mae'r targed yn bendant iawn. Er enghraifft, mae 100 y cant o ferched a gafodd eu hadnabod i fod â phroblemau iechyd meddwl difrifol yn cael cynnig cefnogaeth briodol yn ystod beichiogrwydd. Mae hynny'n dda o beth, ond mewn meysydd eraill nid oes yna dargedau cynnydd cweit mor amlwg. Mae yna bwyntiau penodol, rydw i'n meddwl, yn codi o argaeledd therapïau siarad. Mae adroddiad gan yr elusen iechyd meddwl Gofal yn nodi bod llawer gormod o bobl o hyd yn cael cynnig triniaeth drwy feddyginiaeth yn hytrach na mathau eraill o driniaethau a chefnogaeth. Ac er eu bod nhw croesawu'r gwaith sydd wedi cael ei wneud gan fyrddau iechyd i ehangu'r ddarpariaeth, maen nhw'n credu bod angen gwneud llawer mwy o hyd i ehangu'r ystod yma o driniaethau sydd ar gael. Yn benodol, maen nhw'n teimlo bod pobl yn methu â chael cynnig therapi siarad oherwydd nid oes darpariaeth therapi siarad ar gael mewn ambell i ardal, neu oherwydd bod rhestrau aros yn rhy hir - hynny yw, nid am resymau clinigol. Gwnaf hefyd sôn am faes arall mae Gofal, yn benodol, yn teimlo ei fod yn cael sylw annigonol, a hynny ydy anhwylderau bwyta. Maen nhw'n siomedig iawn, medden nhw, ar ôl gweithio efo'r grŵp trawsbleidiol ar anhwylderau bwyta i argymell nifer o ffyrdd posib ymlaen, a chamau gweithredu pendant a allai gael eu cymryd, yn ogystal â sut i fesur perfformiad, fod yna ddiffyg mawr yn y strategaeth i fynd i'r afael â phroblemau yn y maes yma. Os caf symud ymlaen at faes rwy'n gwybod sydd yn achosi pryder i lawer ohonom ni yma yn y Siambr - ac rydym ni newydd gael cyfeiriad ato fo yn fan hyn - sef gwasanaethau iechyd meddwl i blant a phobl ifanc yn benodol. Rydym ni'n bryderus iawn fel Aelodau yma oherwydd ein bod ni'n clywed yn gyson gan lawer gormod o etholwyr yn rhannu eu pryderon nhw. Mi dderbyniais lythyr yn ddiweddar gan gadeirydd llywodraethwyr Ysgol Gynradd Cemaes yn Ynys Môn. Mi wnaf ddarllen ohono: 'Mae llywodraethwyr Ysgol Cemaes wedi gofyn i mi ysgrifennu atoch i leisio ein pryderon sylweddol am y gwasanaeth iechyd meddwl i blant a phobl ifanc. Mae gennym nifer o blant yn yr ysgol gynradd sydd angen cymorth a'n dealltwriaeth yw bod cyfnod disgwyl o chwe mis ar gyfer cael mynediad i'r gwasanaeth. Teimlwn fod hyn yn gwbl annerbyniol, ac mae'n codi cwestiynau arwyddocaol am ymrwymiad y gwasanaeth iechyd gwladol yng Nghymru i les ein plant.' Mae'n dweud y cyfan; pobl sydd ar -