English: Thank you, Deputy Presiding Officer. Can I thank the Chair for an excellent opening speech and for doing such a good job of chairing this important piece of work as we embarked on the committee inquiry? Can I also put on record my thanks to the clerks of the committee and the advisers to the committee as well, for their support throughout its course? As the Chair has quite rightly said, having mental health problems during pregnancy is nothing new: one in five women will experience them. In spite of this, I think we were quite disappointed and disheartened, really, that there was a very low level of awareness amongst some of those front-line members of staff as to what to do when some women were presenting with mental health problems during birth or immediately after pregnancy. That's why I think those recommendations, particularly about upskilling the front-line staffing workforce, having some specialist posts so that they can be a resource to the wider team, are so very important and vital. In terms of the mother and baby units, there was some debate, of course, about the need for a mother and baby unit in south Wales, but it was pretty obvious that there was going to be a need for one. In respect of north Wales, of course, it is much more complex, because of the sparsity of the population. We were told, as a committee, that the only beds available at present - the nearest ones to those people in north Wales who need them - are over the border in Manchester. But I think it is important that the Welsh Government should actually give consideration to providing resource based in north Wales - which could be accessed by people from the north-west of England - in order to improve access for mothers and babies. Because it was quite obvious from the evidence that we received from mums who'd been there and gotten the T-shirt in terms of poor perinatal mental health, who required an admission into a mother and baby unit, the fact that it was some distance away had discouraged them and deterred them from making the important decision to actually go there, even though all of the evidence that we received pointed very clearly to the fact that there are much, much better outcomes for mums and for their children if a mother is admitted into an appropriate setting in a mother and baby unit rather than in an adult psychiatric ward and is then being separated from their child. The predictability of the need, we were told by the statisticians, is pretty clear: there are always going to be, based on our population and birth rates, somewhere between 45 and 65 mums per year who are going to require admission into these sorts of wards. Now, because of the population in north Wales, we're talking very small numbers. We're talking a handful, a dozen at most, in the region that might need access to these things, but that doesn't mean that we shouldn't be trying to provide within the region if at all possible. I think that one thing that I was pleased that the Cabinet Secretary referred to is that the Welsh Government is making more of an effort to engage with some of the commissioners over the border in England in terms of trying to have a discussion about where it might be possible to base these sorts of services in the future. Just on north Wales, one of the things that was very striking when we were receiving evidence was the evidence just about the lack of access to these psychological therapies. We've all received an e-mail from Dwynwen Myers, who is one of the perinatal clinical psychologists in north Wales, and she's made it quite clear that she has 18.5 hours per week to cover the whole of north Wales in terms of the perinatal mental health in that region. Much of that time is spent travelling from one place to the next. She gave an example of spending three hours in the car in a six-and-a-quarter-hour day. That is unacceptable. We can't have a situation where people who need access to psychological therapy are simply not getting it. We know that when we nip problems in the bud, sometimes it can resolve things in a way that takes the sting off further down the road. So, I absolutely support the need to spend to save in this particular area in order that we can get things right going forward. I do want to pay tribute as well, as the Chair did, to the voluntary sector and for the work that they're doing. We had some very moving testimony from women who had been in very difficult situations, some of them at the point of wanting to take their own lives at times, who had searched and scoured their local areas looking for support and had suddenly stumbled upon, very often, local groups, help groups, peer support groups. I think we cannot underestimate their value. I, for one, would very much like to see a mapping of those services across Wales and some seed funding to help them grow and to improve the quality of what they do. If there's one thing that I think would make a significant difference to those organisations, it's just that little bit of seed funding in order for them to grow the support networks that they're able to provide. So, I congratulate the Chair on the excellent inquiry, and whilst I'm pleased very much with the Government's response, I do think that there are some areas that are wanting in that response, and I look forward to hearing the rest of the debate.
Welsh: Diolch ichi, Ddirprwy Lywydd. A gaf fi ddiolch i'r Cadeirydd am araith agoriadol ardderchog ac am wneud gwaith mor dda yn cadeirio'r gwaith pwysig hwn wrth inni ddechrau ar ymchwiliad y pwyllgor? A gaf fi hefyd gofnodi fy niolch i glercod y pwyllgor a chynghorwyr y pwyllgor hefyd, am eu cefnogaeth drwy gydol ei waith? Fel y dywedodd y Cadeirydd yn gwbl briodol, nid yw cael problemau iechyd meddwl yn ystod beichiogrwydd yn ddim byd newydd: bydd un o bob pump o fenywod yn eu profi. Er gwaethaf hyn, credaf ein bod wedi cael ein siomi a'n digalonni mewn gwirionedd ynghylch y lefel isel iawn o ymwybyddiaeth a geir ymysg rhai o'r aelodau o staff rheng flaen ynglŷn â beth i'w wneud pan fydd rhai menywod yn cael problemau iechyd meddwl yn ystod beichiogrwydd neu'n union ar ôl rhoi genedigaeth. Dyna pam y credaf fod yr argymhellion hynny, yn enwedig ynghylch uwchsgilio'r gweithlu staffio rheng flaen, a chael swyddi arbenigol fel y gallant fod yn adnodd i'r tîm ehangach, mor bwysig a hanfodol. O ran unedau mamau a babanod, cafwyd peth dadlau, wrth gwrs, am yr angen am uned mamau a babanod yn ne Cymru, ond roedd yn eithaf amlwg y byddai angen un. Mewn perthynas â gogledd Cymru, wrth gwrs, mae'n llawer mwy cymhleth, oherwydd teneurwydd y boblogaeth. Dywedwyd wrthym fel pwyllgor fod yr unig welyau sydd ar gael ar hyn o bryd - y rhai agosaf at y bobl yng ngogledd Cymru sydd eu hangen - dros y ffin ym Manceinion. Ond rwy'n credu ei bod hi'n bwysig i Lywodraeth Cymru ystyried darparu adnoddau wedi'u lleoli yng ngogledd Cymru - y gallai pobl o ogledd-orllewin Lloegr eu defnyddio - er mwyn gwella mynediad ar gyfer mamau a babanod. Oherwydd roedd yn eithaf amlwg o'r dystiolaeth a gawsom gan famau a oedd wedi bod drwy'r felin o ran salwch meddwl amenedigol ac angen eu derbyn i unedau mamau a babanod fod y ffaith eu bod gryn bellter i ffwrdd wedi eu hatal rhag gwneud y penderfyniad pwysig i fynd yno mewn gwirionedd, er bod yr holl dystiolaeth a gawsom wedi nodi'n glir iawn fod y canlyniadau'n llawer iawn gwell i famau a'u plant os caiff mam ei derbyn i leoliad priodol mewn uned mamau a babanod yn hytrach nag i ward seiciatrig oedolion a chael ei gwahanu oddi wrth ei phlentyn. Dywedwyd wrthym gan ystadegwyr fod rhagweladwyedd yr angen yn eithaf clir: yn seiliedig ar ein poblogaeth a chyfraddau geni, bydd yna bob amser rywle rhwng 45 a 65 o famau y flwyddyn angen eu derbyn i'r mathau hyn o wardiau. Nawr, oherwydd y boblogaeth yng ngogledd Cymru, rydym yn sôn am niferoedd bach iawn. Rydym yn siarad am lond llaw, dwsin ar y mwyaf, yn y rhanbarth a allai fod angen mynediad at y pethau hyn, ond nid yw hynny'n golygu na ddylem geisio darparu o fewn y rhanbarth os yn bosibl. Credaf mai un peth yr oeddwn yn falch fod Ysgrifennydd y Cabinet wedi cyfeirio ato yw bod Llywodraeth Cymru yn gwneud mwy o ymdrech i ymgysylltu â rhai o'r comisiynwyr dros y ffin yn Lloegr o ran ceisio cael trafodaeth ynghylch ble y gallai fod yn bosibl lleoli'r mathau hyn o wasanaethau yn y dyfodol. O ran gogledd Cymru, un o'r pethau a oedd yn drawiadol iawn pan oeddem yn derbyn tystiolaeth oedd y dystiolaeth a oedd yn ymwneud â diffyg mynediad at y therapïau seicolegol hyn. Mae pawb ohonom wedi cael e-bost gan Dwynwen Myers, sy'n un o'r seicolegwyr clinigol amenedigol yng ngogledd Cymru, ac mae hi wedi ei gwneud yn gwbl glir fod ganddi 18.5 awr yr wythnos i wasanaethu'r cyfan o ogledd Cymru mewn perthynas ag iechyd meddwl amenedigol yn y rhanbarth. Treulir llawer o'r amser hwnnw'n teithio o un lle i'r llall. Rhoddodd enghraifft o dreulio tair awr yn y car mewn diwrnod gwaith chwe awr a chwarter o hyd. Mae hynny'n annerbyniol. Ni allwn gael sefyllfa lle nad yw pobl sydd angen mynediad at therapi seicolegol yn ei gael. Wrth i ni ddatrys problemau cyn iddynt waethygu, gwyddom weithiau y gall ddatrys pethau mewn ffordd sy'n gwneud pethau'n well ymhellach i lawr y ffordd. Felly, rwy'n bendant yn cefnogi'r angen i wario i arbed yn y maes penodol hwn fel y gallwn wneud pethau'n iawn yn y dyfodol. Hoffwn dalu teyrnged yn ogystal, fel y gwnaeth y Cadeirydd, i'r sector gwirfoddol ac am y gwaith y maent yn ei wneud. Cawsom dystiolaeth emosiynol iawn gan fenywod a oedd wedi bod mewn sefyllfaoedd anodd dros ben, a rhai ohonynt wedi cyrraedd pwynt lle roeddent eisiau cyflawni hunanladdiad ar adegau, menywod a oedd wedi chwilio'n ddygn drwy eu hardaloedd lleol am gymorth ac a oedd wedi baglu'n sydyn ar draws grwpiau lleol yn aml iawn, grwpiau cymorth, grwpiau cymorth gan rai a oedd wedi bod drwy'r un peth. Ni allwn danbrisio eu gwerth yn fy marn i. Yn bersonol, hoffwn yn fawr weld y gwasanaethau hynny'n cael eu mapio ledled Cymru a chyllid sbarduno i'w helpu i dyfu ac i wella ansawdd yr hyn a wnânt. Os oes un peth y credaf y byddai'n gwneud gwahaniaeth arwyddocaol i'r sefydliadau hynny, ychydig o arian sbarduno yw hwnnw, er mwyn iddynt dyfu'r rhwydweithiau cymorth y gallant eu darparu. Felly, hoffwn longyfarch y Cadeirydd ar yr ymchwiliad rhagorol, ac er fy mod yn hapus iawn gydag ymateb y Llywodraeth, credaf fod rhai meysydd yn ddiffygiol yn yr ymateb hwnnw, ac edrychaf ymlaen at glywed gweddill y ddadl.