English: Thank you very much, Deputy Presiding Officer. May I thank you for the statement and for the strategic plan that was published yesterday? I do recognise, certainly, the steps forward that have taken place since the launch of the plan in 2012, but the Cabinet Secretary himself has acknowledged just how much remains to be done, and I do look forward to the debate tomorrow afternoon in the Chamber, where we will have an opportunity to discuss some of the weaknesses - some fundamental weaknesses, indeed - in some areas of provision. I have three questions, first of all on carers. The statement doesn't mention carers of those who have mental health issues, apart from saying that they will be included in the dementia strategy. Looking after a member of the family who has a mental health problem can also affect the mental health of the carer. So, what kind of support structures are going to be put in place, particularly taking into account that caring for someone with mental health problems does pose a very different set of challenges to caring for someone with a physical problem? Secondly, the statement doesn't mention the staff needed in order to deliver improvements in services, namely the need for an increase in the number of therapists and also ensuring that there is adequate time available for continuous professional development. We know, for example, that many therapists work in the private sector, so what plans does the Welsh Government have to actually draw those people into the NHS, even if that's only on a part-time basis, in order to enhance capacity? And thirdly, one of the very real problems, very often in terms of those who need emergency care to prevent self-harm or suicide is either that they are not known to the service or that they have somehow slipped through the net - that there haven't been follow-up calls in order to ask why they didn't they turn up for their appointments and so on. An audit of cases among teenagers recently showed that many of those who had committed suicide weren't known to CAMHS or hadn't been monitored, so it's the exact problem I was mentioning earlier. Would the Cabinet Secretary except that the nature of the problems that some of these individuals face means that they don't have the motivation to turn up for their appointments, particularly, possibly, appointments early in the morning if one of the side effects of the condition is a failure to actually motivate themselves to get up in the morning and so on? In that context, would the Cabinet Secretary accept that, very often, we need to be far more proactive in assisting these individuals who need our support?
Welsh: Diolch yn fawr iawn, Ddirprwy Lywydd. A gaf i ddiolch am y datganiad ac am y cynllun strategol a gafodd ei gyhoeddi ddoe? Rwy'n cydnabod, yn sicr, y camau ymlaen sydd wedi bod ers lansio cynllun 2012, ond mae'r Ysgrifennydd Cabinet ei hun wedi cydnabod gymaint sydd ar ôl i'w wneud, ac rwy'n edrych ymlaen at y ddadl brynhawn fory yn y Siambr hefyd, lle y cawn ni drafod rhai o'r gwendidau - gwendidau sylfaenol o hyd mewn rhai meysydd - sydd yna yn y ddarpariaeth. Tri chwestiwn sydd gen i, yn gyntaf ynglŷn â gofalwyr. Nid ydy'r datganiad ddim yn crybwyll gofalwyr y rheini sydd â phroblemau iechyd meddwl ar wahân i ddweud y byddan nhw'n cael eu cynnwys yn y strategaeth ddementia. Mae edrych ar ôl aelod o'r teulu sydd â phroblem iechyd meddwl hefyd yn gallu effeithio ar iechyd meddwl y gofalwr. Felly, pa fath o strwythurau cefnogaeth sydd yn mynd i gael eu rhoi mewn lle, yn enwedig gan ystyried bod gofalu am rywun sydd â phroblemau iechyd meddwl yn cynnig set wahanol iawn o heriau i ofalu am rywun sydd â phroblem gorfforol? Yn ail, nid ydy'r datganiad ddim yn sôn am y staff sydd eu hangen er mwyn delifro gwelliannau i'r gwasanaeth, sef yr angen am gynnydd yn nifer therapyddion a hefyd sicrhau bod yna ddigon o amser ar gael ar gyfer datblygiad proffesiynol parhaol. Rydym ni'n gwybod, er enghraifft, fod yna lawer o therapyddion yn gweithio yn y sector breifat. Pa gynlluniau sydd gan Lywodraeth Cymru i dynnu'r rheini i mewn i'r NHS, hyd yn oed os dim ond yn rhan amser, er mwyn cynyddu capasiti? Ac yn drydydd, un o'r problemau gwirioneddol yn aml iawn o ran y rheini sydd angen gofal brys er mwyn atal hunananafu neu hunanladdiad ydy un ai eu bod nhw ddim yn hysbys i'r gwasanaeth neu eu bod nhw rhywsut wedi llithro drwy y rhwyd - bod yna ddim galwadau 'follow-up', os liciwch chi, wedi bod i ofyn pam na wnaethon nhw droi i fyny ar gyfer apwyntiadau ac ati. Mi wnaeth awdit o achosion rhai yn eu harddegau yn ddiweddar ddangos bod llawer o'r rheini a oedd wedi cymryd eu bywydau eu hunain ddim yn hysbys i CAMHS neu ddim wedi cael eu monitro, felly yr union broblem rwy'n sôn amdani. A ydy'r Ysgrifennydd Cabinet yn derbyn bod natur y problemau y mae rhai o'r unigolion yma yn eu hwynebu yn golygu nad oes ganddyn nhw'r cymhelliad yn aml - yr un 'motivation' - i droi i fyny ar gyfer apwyntiad, yn enwedig, o bosib, apwyntiadau yn gynnar yn y bore os mai un o sgileffeithiau y cyflwr sydd arnyn nhw ydy methiant i godi yn y bore ac ati? A ydy'r Ysgrifennydd Cabinet, yn y cyd-destun hwnnw, yn derbyn bod angen, yn aml iawn, bod yn llawer mwy rhagweithiol wrth helpu yr unigolion yma sydd angen ein cymorth ni?