English: I'm grateful to Rhun for opening today's debate and outlining why we as a group wanted to table this important motion today. And, as has already been referenced, it's timely that we're able to do so during Eating Disorders Awareness Week, which once again provides a spotlight on an issue that affects so many. I'd also like to put on record my appreciation of the work of Beat, who work tirelessly to raise awareness, as well as providing direct support to those that are suffering. As has been previously outlined, there are a number of factors that have impacted progress since the review, ranging from limited and uneven investment in eating disorder services, workforce challenges, as well as, of course, the impact of COVID-19. So, the question today is: how can we finally make progress on these issues? In 2009, the Welsh Government published 'Eating Disorders - A Framework for Wales', which helped steer the development of services in the years that followed. The terms of reference for the service review referred to publishing a new framework in 2019, and so far the Welsh Government has only set out initial high-level priorities for eating disorder services. The Welsh Government's 'Together for Mental Health' 2019-2022 strategy commits it to work with service users, carers and health boards to develop a new model of service in response to the recent independent review. The Welsh Government needs to publish a new framework or model for eating disorder services that contains timelines for the achievement of each milestone, which should focus on early intervention and prevention, integrated care, support for families and other carers and investment in the workforce, including support for staff well-being. The publication of such a framework or model would demonstrate a renewed commitment from the Welsh Government to ensuring that the eating disorder service review shapes future services in Wales. The adoption of an ambitious, long-term vision for eating disorder services would also very likely play a key role in staff recruitment as well as, crucially, retention. In order to make the implementation of a new framework or service model achievable, changes are needed to ensure sufficient and equitable investment in eating disorder services across Wales. A community child and adolescent mental health services clinician told Beat that, if the Welsh Government wants this development, they need to be very clear and directive to the health boards. The Welsh Government should specify a minimum spend on eating disorders from the service improvement funding that it allocates to health boards, and hold health boards to account over their investment in eating disorders. As has been noted, including yesterday in the Chamber, we know that 78 per cent of patients referred to the specialist child and adolescent mental health services are left waiting for over four weeks for their first appointment, and waiting times for mental health services for young people are now the worst on record. These are young people who have been deemed to require urgent, specialist treatment, and yet they're being made to wait over a month to even be seen. We must have robust provision in place so that patients can receive the best possible treatment at the earliest opportunity, before their situation worsens. The national clinical lead for eating disorders has provided valuable support to health boards, services and clinicians across Wales. The extent of the challenges facing services and continued variation in service provision across Wales underlines the importance of a central resource to help guide improvements. The Welsh Government should make the position of national clinical lead for eating disorders a permanent post. And during 2021 the national clinical lead has often consulted with people that have lived experience of eating disorders to help inform her work and that of health boards. This must now be built on to ensure that the voices of patients and families are always heard in the development of services, both at the national and local levels. Beat found that there are significant gaps in the data on eating disorders that is collated by health boards. If this continues, it will limit the ability to monitor progress and deliver accountability. An eating disorders audit is expected to be commissioned in 2022, and at present this audit is only due to cover England, but it could be extended to also cover Wales. The Welsh Government should fund an eating disorders clinical audit as part of efforts to ensure that all health boards collect and report a standard and comprehensive set of high-quality data. I hope that we can work cross-party to achieve this motion today. Diolch.
Welsh: Rwy'n ddiolchgar i Rhun am agor y ddadl heddiw ac am amlinellu pam ein bod ni fel grŵp yn awyddus i gyflwyno'r cynnig pwysig hwn heddiw. Ac fel y crybwyllwyd eisoes, mae'n amserol ein bod yn gallu gwneud hynny yn ystod Wythnos Ymwybyddiaeth Anhwylderau Bwyta, sydd unwaith eto yn rhoi sylw i fater sy'n effeithio ar gynifer o bobl. Hoffwn gofnodi hefyd fy ngwerthfawrogiad o waith Beat, sy'n gweithio'n ddiflino i godi ymwybyddiaeth, yn ogystal â darparu cymorth uniongyrchol i'r rheini sy'n dioddef. Fel yr amlinellwyd eisoes, mae nifer o ffactorau wedi effeithio ar gynnydd ers yr adolygiad, gan amrywio o fuddsoddiad cyfyngedig ac anwastad mewn gwasanaethau anhwylderau bwyta, heriau'r gweithlu, yn ogystal, wrth gwrs, ag effaith COVID-19. Felly, y cwestiwn heddiw yw: sut y gallwn wneud cynnydd o'r diwedd ar y materion hyn? Yn 2009, cyhoeddodd Llywodraeth Cymru 'Fframwaith Anhwylderau Bwyta Cymru', a helpodd i lywio'r gwaith o ddatblygu gwasanaethau yn y blynyddoedd canlynol. Roedd cylch gorchwyl yr adolygiad gwasanaeth yn cyfeirio at gyhoeddi fframwaith newydd yn 2019, a hyd yn hyn, dim ond blaenoriaethau lefel uchel cychwynnol ar gyfer gwasanaethau anhwylderau bwyta y mae Llywodraeth Cymru wedi'u nodi. Mae strategaeth 'Law yn Llaw at Iechyd Meddwl' Llywodraeth Cymru ar gyfer 2019-2022 yn ei hymrwymo i weithio gyda defnyddwyr gwasanaethau, gofalwyr a byrddau iechyd i ddatblygu model gwasanaeth newydd mewn ymateb i'r adolygiad annibynnol diweddar. Mae angen i Lywodraeth Cymru gyhoeddi fframwaith neu fodel newydd ar gyfer gwasanaethau anhwylderau bwyta sy'n cynnwys amserlenni ar gyfer cyflawni pob carreg filltir, a ddylai ganolbwyntio ar atal ac ymyrraeth gynnar, gofal integredig, cymorth i deuluoedd a gofalwyr eraill a buddsoddiad yn y gweithlu, gan gynnwys cymorth ar gyfer lles staff. Byddai cyhoeddi fframwaith neu fodel o'r fath yn dangos ymrwymiad o'r newydd gan Lywodraeth Cymru i sicrhau bod yr adolygiad o wasanaethau anhwylderau bwyta yn llywio gwasanaethau'r dyfodol yng Nghymru. Byddai mabwysiadu gweledigaeth uchelgeisiol, hirdymor ar gyfer gwasanaethau anhwylderau bwyta hefyd yn debygol iawn o chwarae rhan allweddol wrth recriwtio staff, yn ogystal â chadw staff, sy'n hollbwysig. Er mwyn sicrhau bod gweithredu fframwaith neu fodel gwasanaeth newydd yn gyraeddadwy, mae angen newidiadau i sicrhau buddsoddiad digonol a theg mewn gwasanaethau anhwylderau bwyta ledled Cymru. Dywedodd clinigydd gwasanaethau iechyd meddwl cymunedol plant a'r glasoed wrth Beat, os yw Llywodraeth Cymru yn dymuno gweld y datblygiad hwn, fod angen iddynt fod yn glir ac yn gyfarwyddiadol iawn gyda'r byrddau iechyd. Dylai Llywodraeth Cymru bennu isafswm gwariant ar anhwylderau bwyta o'r cyllid gwella gwasanaethau y mae'n ei ddyrannu i fyrddau iechyd, a dwyn byrddau iechyd i gyfrif mewn perthynas â'u buddsoddiad mewn anhwylderau bwyta. Fel a nodwyd, gan gynnwys ddoe yn y Siambr, gwyddom fod 78 y cant o gleifion a atgyfeirir at wasanaethau iechyd meddwl arbenigol plant a'r glasoed yn aros am dros bedair wythnos am eu hapwyntiad cyntaf, ac mae amseroedd aros am wasanaethau iechyd meddwl pobl ifanc yn waeth nag a gofnodwyd erioed erbyn hyn. Pobl ifanc yr ystyrir eu bod angen triniaeth frys, arbenigol yw'r rhain, ond cânt eu gorfodi i aros dros fis i gael eu gweld hyd yn oed. Mae'n rhaid inni gael darpariaeth gadarn ar waith fel y gall cleifion gael y driniaeth orau bosibl cyn gynted â phosibl, cyn i'w sefyllfa waethygu. Mae'r arweinydd clinigol cenedlaethol ar gyfer anhwylderau bwyta wedi darparu cymorth gwerthfawr i fyrddau iechyd, gwasanaethau a chlinigwyr ledled Cymru. Mae maint yr heriau sy'n wynebu gwasanaethau a'r amrywio parhaus yn y gwasanaethau a ddarperir ledled Cymru yn tanlinellu pwysigrwydd adnodd canolog i helpu i lywio gwelliannau. Dylai Llywodraeth Cymru wneud swydd arweinydd clinigol cenedlaethol ar gyfer anhwylderau bwyta yn swydd barhaol. Ac yn 2021, ymgynghorodd yr arweinydd clinigol cenedlaethol yn aml â phobl â phrofiad bywyd o anhwylderau bwyta i helpu i lywio ei gwaith a gwaith y byrddau iechyd. Mae'n rhaid adeiladu ar hyn yn awr i sicrhau bod lleisiau cleifion a theuluoedd yn cael eu clywed bob amser wrth ddatblygu gwasanaethau, ar lefel genedlaethol a lleol. Canfu Beat fod bylchau sylweddol yn y data sy'n cael ei goladu gan fyrddau iechyd ar anhwylderau bwyta. Os bydd hyn yn parhau, bydd yn cyfyngu ar y gallu i fonitro cynnydd a sicrhau atebolrwydd. Disgwylir i archwiliad anhwylderau bwyta gael ei gomisiynu yn 2022, ac ar hyn o bryd, dim ond Lloegr sydd i'w gynnwys yn yr archwiliad hwn, ond gellid ei ymestyn i gynnwys Cymru hefyd. Dylai Llywodraeth Cymru ariannu archwiliad clinigol o anhwylderau bwyta fel rhan o ymdrechion i sicrhau bod pob bwrdd iechyd yn casglu ac yn adrodd ar set ddata safonol a chynhwysfawr o ansawdd uchel. Rwy'n gobeithio y gallwn weithio'n drawsbleidiol i gyflawni'r cynnig hwn heddiw. Diolch.