English: May I thank the Cabinet Secretary for his statement, and for all of the work staff and volunteers in the health service and the third sector do in providing end-of-life care and palliative care across Wales? I don't think there's much new, truth be told, in today's statement - although it's always useful to have an update - so may I refer, perhaps, to what should happen in the mind of one of the organisations involved in the area, namely Age Cymru? I will just list some of the requirements that they have set out. They want palliative and end-of-life care to be an entirely central part of care planning for those with chronic and long-term conditions. They want better co-ordination between local authorities and heath boards, in order to give equal opportunity for everyone in our older population to have access to hospice care. They want end-of-life care commissioned by local health boards to include comprehensive care for people in care homes. They want every institution and professional worker to have the necessary training and ensure continuity of training throughout their working lives. They want the orders that you do not attempt resuscitation or to cease to provide food or drink not to be put in place without full consultation with family or other carers. Finally, they want an assurance of very careful monitoring on the implementation and delivery of end-of-life care plans so that it does deliver better care. So, although we are in a situation where some steps have been put in place by Government, there is clearly more to be done in the eyes of those involved in this area. So, three questions emerge from that. One: do you disagree with any of those recommendations, and, if you don't, when can we be given assurance that those will have been implemented? Secondly, the annual report mentions improvements in palliative care for children - and, naturally, that's something that we welcome - but there are far too many children who can't spend their last days in their own homes. Would you agree that there is some work to be done in that area? Do you acknowledge that we need to strengthen services to support the siblings of those who have suffered bereavement? Finally, minority ethnic groups are particularly identified by Marie Curie as an area where services need to improve. So, what does the Government intend to do about that specifically?
Welsh: A gaf i ddiolch am y datganiad a diolch, hefyd, wrth gwrs, am yr holl waith mae staff a gwirfoddolwyr yn y gwasanaeth iechyd a'r trydydd sector yn ei wneud yn darparu gofal diwedd bywyd a gofal lliniarol ar draws Cymru? Nid ydw i'n meddwl bod yna lawer yn newydd, mewn difri, yn y datganiad heddiw, fel y cyfryw - er ei bod hi wastad yn ddefnyddiol cael diweddariad - felly, o bosib, a gaf i gyfeirio at beth ddylai ddigwydd yn llygaid un o'r grwpiau sy'n ymwneud â'r maes yma, sef Age Cymru? Mi restraf i ychydig o'r gofynion sydd ganddyn nhw. Maen nhw am i ofal lliniarol a gofal diwedd bywyd fod yn rhan cwbl ganolog o gynllunio gofal ar gyfer y rheini sydd â chyflyrau cronig a hirdymor. Maen nhw eisiau gwell cydlynu rhwng awdurdodau lleol a byrddau iechyd, i roi cyfle cyfartal i bawb yn ein poblogaeth oedrannus ni i gael mynediad at ofal hosbis. Maen nhw eisiau i ofal diwedd bywyd sy'n cael ei gomisiynu gan fyrddau iechyd lleol gynnwys gofal cynhwysfawr ar gyfer pobl mewn cartrefi gofal. Maen nhw eisiau i bob sefydliad a gweithiwr proffesiynol gael yr hyfforddiant angenrheidiol a sicrhau dilyniant yn yr hyfforddiant yna drwy eu bywydau proffesiynol nhw. Maen nhw eisiau i orchmynion 'Do not attempt resuscitation' neu orchmynion i roi'r gorau i fwydo neu i roi diod beidio â chael eu cymryd heb ymgynghoriad llawn efo'r teulu neu ofalwyr eraill. Yn olaf, maen nhw eisiau sicrwydd o fonitro gofalus iawn o weithredu a chanlyniadau'r cynllun diwedd bywyd i sicrhau ei fod o yn delifro gwell gofal. Felly, er ein bod ni mewn sefyllfa lle mae yna gamau wedi'u cael eu rhoi mewn lle gan y Llywodraeth, mae yna, yn amlwg, fwy o ofynion gan y rheini sy'n ymwneud â'r maes yma. Felly, tri chwestiwn yn deillio o hynny. Un: a ydych chi'n anghytuno efo unrhyw un o'r argymhellion yna? Os nad ydych chi, pa bryd y gallwn ni gael sicrwydd y bydd y rheini wedi cael eu gweithredu? Yn ail, mae'r adroddiad blynyddol yn sôn am welliannau mewn gofal lliniarol i blant - mae hynny, wrth reswm, i'w groesawu - ond mae yna lawer gormod o blant sy'n methu â chael treulio cyfnod olaf eu bywydau yn eu cartrefi eu hunain. A ydych chi'n cytuno bod yna waith i'w wneud yma? A ydych chi'n cydnabod bod angen cryfhau gwasanaethau hefyd i gefnogi'r brodyr a'r chwiorydd sydd wedi mynd drwy eu colled nhw? Yn olaf, mae gwasanaethau grwpiau ethnig lleiafrifol yn cael eu hadnabod yn benodol gan Marie Curie fel rhai sydd angen eu gwella. Beth mae'r Llywodraeth yn bwriadu ei wneud am hyn yn benodol?