English: Thank you, Deputy Presiding Officer, for the opportunity to respond to this debate and to place on my record my recognition of the commitment of Betsi Cadwaladr health board to continue to improve mental health services. I'd like to acknowledge the dedication of the staff on the ground in north Wales, who work hard to deliver high-quality and compassionate care for patients who need mental health support. Members will recall that we debated this subject on 29 September, before the legal process around the freedom of information request for the full Holden report was completed. It was also the subject of a number of questions to the First Minister in recent weeks, following the release of the full report by the health board. But here we are again, debating a motion that seeks to apportion blame for events from eight years ago and does little to acknowledge that, whilst there is no doubt that significant challenges remain, the health board has taken steps to address the issues highlighted in the Holden report and, indeed, other failings in their mental health services. On Holden itself, it is important to remember that the summary report that was published by the health board in 2015 included all of the recommendations made by Robin Holden. The health board took action at that time to address the issues raised, and commissioned work to ensure that the Holden recommendations had been implemented. This piece of work was reported to the health board's quality, safety and experience committee in January this year, and is publicly available. This provided assurance that action was taken against each of the recommendations in the report. The chief executive has acknowledged that certain issues, including having older people with functional mental illness cared for in the same environment as acute adult mental health, have proved complex to resolve due to the design and layout of the Hergest unit and the staffing resources involved. This does not mean these issues are not being addressed. The needs of each patient are considered, and they are managed according to need. We are working with the health board around options for a longer term solution.
Welsh: Diolch, Ddirprwy Lywydd, am y cyfle i ymateb i'r ddadl hon ac i gofnodi fy nghydnabyddiaeth o ymrwymiad bwrdd iechyd Betsi Cadwaladr i barhau i wella gwasanaethau iechyd meddwl. Hoffwn gydnabod ymroddiad y staff ar lawr gwlad yng ngogledd Cymru, sy'n gweithio'n galed i ddarparu gofal tosturiol o ansawdd uchel i gleifion sydd angen cymorth iechyd meddwl. Bydd yr Aelodau'n cofio inni drafod y pwnc hwn ar 29 Medi, cyn cwblhau'r broses gyfreithiol ynghylch y cais rhyddid gwybodaeth am adroddiad Holden yn llawn. Roedd hefyd yn destun nifer o gwestiynau i'r Prif Weinidog yn ystod yr wythnosau diwethaf, ar ôl i'r bwrdd iechyd ryddhau'r adroddiad llawn. Ond dyma ni eto, yn trafod cynnig sy'n ceisio taflu bai am bethau a ddigwyddodd wyth mlynedd yn ôl ac nad yw'n gwneud llawer i gydnabod, er nad oes amheuaeth fod heriau sylweddol o hyd, fod y bwrdd iechyd wedi cymryd camau i fynd i'r afael â'r materion a amlygwyd yn adroddiad Holden, a methiannau eraill yn wir yn eu gwasanaethau iechyd meddwl. Ar adroddiad Holden ei hun, mae'n bwysig cofio bod yr adroddiad cryno a gyhoeddwyd gan y bwrdd iechyd yn 2015 yn cynnwys yr holl argymhellion a wnaed gan Robin Holden. Rhoddodd y bwrdd iechyd gamau ar waith bryd hynny i fynd i'r afael â'r problemau a nodwyd, a chomisiynodd waith i sicrhau bod argymhellion Holden wedi'u gweithredu. Rhoddwyd adroddiad am y gwaith hwn wrth bwyllgor ansawdd, diogelwch a phrofiad y bwrdd iechyd ym mis Ionawr eleni, ac mae ar gael i'r cyhoedd. Roedd yn darparu sicrwydd fod camau wedi'u cymryd ar bob un o argymhellion yr adroddiad. Mae'r prif weithredwr wedi cydnabod bod rhai materion, gan gynnwys y ffaith bod pobl hŷn â salwch meddwl gweithredol yn derbyn gofal yn yr un amgylchedd â gwasanaethau iechyd meddwl acíwt i oedolion, wedi bod yn gymhleth i'w datrys oherwydd dyluniad a chynllun llawr uned Hergest a'r adnoddau staffio sydd ynghlwm wrth hynny. Nid yw hyn yn golygu nad yw'r materion hyn yn cael sylw. Mae anghenion pob claf yn cael eu hystyried, a chânt eu rheoli yn ôl yr angen. Rydym yn gweithio gyda'r bwrdd iechyd ar opsiynau ar gyfer ateb mwy hirdymor.