English: Thank you very much. I thank you very much for your welcome for the plan, but also for those important questions as well. You began by talking about how shocking it is that so many people are still smoking and the impact that has on families. In my statement, I said that smoking kills over 5,000 individuals every year. So, that's 5,000 families impacted terribly by smoking. It is the main cause of preventable death and, of course, that keeps driving us forward to reach our targets. Actually, one of the facts that drives me forward on this particularly is that it really is an issue of health inequalities as well, because we know that people in poorer communities are much more likely to smoke, and, as a result, are much more likely to have those poor health impacts as a result of it. So, it really is an equalities and a social justice issue as well. So, this really does drive us forward in pursuit of those targets. You asked about the 16 per cent target. I will put my neck on the line and say that, yes, I think we will be able to achieve that target with the help of the various new actions set out in our plan, and also with the help of our public health Bill - or public health Act now - which was passed recently by this Assembly. It is a challenging target; there's absolutely no doubt about that. But, equally, I think that there is the drive to get there. You asked about future targets, and, of course, our ultimate ambition is for a smoke-free Wales. It will be something that I will be asking the tobacco control delivery board to look at setting new targets when we look to review things in 2020, when this plan comes to an end. So, I would certainly want to have continuous targets to take us to our smoke-free place where we want to be. You're absolutely right to say that we need to redouble our efforts within the NHS in terms of the support that's offered through the NHS to people to quit smoking. There are some really important actions within this particular delivery plan, one of which, actually, is improvement against those cessation services by the design and development of an integrated 'stop smoking' service. Now, we've started that with our new brand, and the new service that I described that has been launched, Help Me Quit. But actually, there's a lot more that we need to be doing there. One of the things we're doing will be strengthening the referral pathway for maternity services to include referrals for all women who smoke to cessation services - who are pregnant - and also strengthening referral pathways to include referral to smoking cessation services for all smokers who are either preoperative patients, because we know the impact that that will have on the likelihood of a positive outcome after surgery, people with lung disease, and also people who have mental health conditions as well. So, that's a specific action here. There are also actions in here for primary health care clusters in terms of defining how many referrals they will need to make in order to see a year-on-year reduction in smoking as well. So, we know primary care has a very important part to play in this. And actions for pharmacy as well. So, we'll be looking to ensure that all pharmacists are able to offer smoking cessation services as part of their training pre-registration. So, this would be a new development as well. And, again, we'll be looking to enhance the role that dentists play in terms of offering smoking cessation services as well. So, lots of work in development and lots of new approaches within the NHS as well. You referred specifically to the fact that social media is fantastic in terms of getting the message out, but not everybody is able to access social media. So, as part of our Help Me Quit campaign we did have some television advertising and also some billboards as well. Going on a visit to stand by a billboard was one of the strangest things I've done as a Minister, but that's where we launched the campaign because we felt it was important to have a very, very public and visible presence in communities as well. We will be consulting with mental health service users, staff and stakeholders on the removal of the exemption in spring 2018 for those smoke-free places within mental health units. And I'm really keen that we have the views of people who have experience of stays in mental health units for that. Those are the people who more than anyone else I need to be listening to in these circumstances as well. Lastly, and I did refer to it briefly, but you did mention support for pregnant women. The results from our smoking in pregnancy pilot, models for access to maternal smoking cessation support, which rather conveniently can be shortened to MAMSS, has shown that pregnant women are more likely to engage with smoking cessation services when using support that is embedded within those maternity services. And it's also important to know that children are 70 per cent more likely to smoke if their mother smokes and actually three times more likely to smoke if both parents smoke as well. So, these are the kind of short interventions that healthcare professionals, both midwives and healthcare workers, can be having with families through the work that they are doing as part of the Healthy Child Wales and 10 Steps to a Healthy Weight schemes as well.
Welsh: Diolch yn fawr iawn. Hoffwn ddiolch yn fawr iawn am y croeso y mae'r cynllun wedi'i gael, ond hefyd ar gyfer y cwestiynau pwysig hynny hefyd. Dechreuoch chi drwy sôn am ba mor gywilyddus ydyw hi bod cymaint o bobl yn dal i ysmygu a'r effaith y mae hyn yn ei chael ar deuluoedd. Yn fy natganiad, dywedais fod ysmygu yn lladd mwy na 5,000 o unigolion bob blwyddyn. Felly, mae hynny'n 5,000 o deuluoedd sydd wedi'u heffeithio'n ofnadwy gan ysmygu. Dyma'r prif beth sy'n achosi marwolaethau ataliadwy ac, wrth gwrs, mae hynny'n ein hysgogi i gyrraedd ein targedau. Mewn gwirionedd, un o'r ffeithiau sy'n fy sbarduno ymlaen yn arbennig ar hyn yw ei fod mewn gwirionedd yn broblem o anghydraddoldebau iechyd hefyd, oherwydd y gwyddom fod pobl mewn cymunedau tlotach yn llawer mwy tebygol o ysmygu, ac o ganlyniad, mae'n llawer mwy tebygol o gael yr effeithiau iechyd gwael hynny sy'n ganlyniad iddo. Felly, mewn gwirionedd, mae'n fater o gydraddoldeb a chyfiawnder cymdeithasol hefyd. Felly, mae hyn yn wir yn ein sbarduno ymlaen i geisio cyflawni'r targedau hynny. Gwnaethoch chi ofyn am y targed o 16 y cant. Rwy'n fodlon mentro a dweud, ydw, rwy'n credu y byddwn ni'n gallu cyflawni'r targed hwnnw gyda chymorth y gwahanol gamau gweithredu newydd a nodir yn ein cynllun, a hefyd gyda chymorth Bil iechyd y cyhoedd - neu Ddeddf Iechyd y Cyhoedd erbyn hyn - a basiwyd yn ddiweddar gan y Cynulliad hwn. Mae'n darged heriol; nid oes unrhyw amheuaeth ynglŷn â hynny. Ond, ar yr un pryd, credaf fod yr egni ar gael i gyrraedd yn y fan honno. Gwnaethoch ofyn am dargedau yn y dyfodol, ac, wrth gwrs, ein huchelgais pennaf yw Cymru ddi-fwg. Bydd hyn yn rhywbeth y byddaf yn gofyn i'r bwrdd strategol ar reoli tybaco edrych arno, gosod targedau newydd pan fyddwn yn adolygu pethau yn 2020, pan ddaw'r cynllun hwn i ben. Felly, byddwn yn sicr yn dymuno cael targedau parhaus er mwyn mynd â ni i'r sefyllfa ddi-fwg yr ydym yn dyheu amdani. Rydych chi'n hollol gywir i ddweud bod angen inni gynyddu ein hymdrechion o fewn y GIG o ran y gefnogaeth a gynigir i bobl drwy'r GIG er mwyn rhoi'r gorau i ysmygu. Mae rhai camau gwirioneddol bwysig o fewn y cynllun cyflawni arbennig hwn, ac un ohonynt, mewn gwirionedd, yw gwelliant i'r gwasanaethau ar gyfer rhoi'r gorau i smygu trwy ddylunio a datblygu gwasanaeth 'stopio ysmygu' integredig. Nawr, rydym ni wedi dechrau hynny gyda'n brand newydd, a'r gwasanaeth newydd y gwnes ei ddisgrifio, Helpa Fi i Stopio, sydd eisoes wedi'i lansio. Ond mewn gwirionedd, mae angen i ni wneud llawer mwy. Un o'r pethau yr ydym yn ei wneud yw cryfhau'r llwybr atgyfeirio ar gyfer gwasanaethau mamolaeth i gynnwys atgyfeirio pob menyw feichiog sy'n ysmygu i wasanaethau rhoi'r gorau iddi, a hefyd cryfhau llwybrau atgyfeirio i gynnwys atgyfeirio i wasanaethau rhoi'r gorau i ysmygu i bawb sy'n ysmygu sy'n naill ai yn gleifion cyn llawdriniaeth, oherwydd ein bod yn gwybod yr effaith y bydd hynny'n ei gael ar y tebygolrwydd o gael canlyniad cadarnhaol ar ôl llawdriniaeth, pobl â chlefyd yr ysgyfaint, a phobl sydd â chyflyrau iechyd meddwl hefyd. Felly, mae hynny'n gam gweithredu penodol yn y fan hon. Mae yna gamau gweithredu hefyd ar gyfer clystyrau gofal iechyd sylfaenol o ran diffinio faint o atgyfeiriadau y bydd angen iddynt eu gwneud er mwyn gweld gostyngiad mewn ysmygu o flwyddyn i flwyddyn hefyd. Felly, rydym ni'n gwybod bod gan ofal sylfaenol ran bwysig iawn i'w chwarae yn hyn o beth. A chamau gweithredu ar gyfer fferyllfeydd hefyd. Felly, byddwn yn ceisio sicrhau bod pob fferyllydd yn gallu cynnig gwasanaethau rhoi'r gorau i ysmygu fel rhan o'u hyfforddiant cyn cofrestru. Felly, byddai hwn yn ddatblygiad newydd hefyd. Ac, unwaith eto, byddwn yn ceisio gwella'r rhan y mae deintyddion yn ei chwarae o ran cynnig gwasanaethau rhoi'r gorau i ysmygu hefyd. Felly, mae llawer o waith ar y gweill a llawer o ddulliau newydd o fewn y GIG hefyd. Gwnaethoch gyfeirio yn benodol at y ffaith bod cyfryngau cymdeithasol yn wych o ran lledu'r neges, ond nid yw pawb yn gallu cael mynediad at gyfryngau cymdeithasol. Felly, yn rhan o'n hymgyrch Helpa Fi i Stopio, roedd gennym ni rai hysbysebion teledu a rhai hysbysfyrddau hefyd. Roedd mynd ar ymweliad i sefyll ger hysbysfwrdd yn un o'r pethau mwyaf rhyfedd yr wyf wedi eu gwneud ers i mi fod yn Weinidog, ond dyna ble y gwnaethom lansio'r ymgyrch oherwydd ein bod ni'n teimlo ei bod yn bwysig bod gennym ni bresenoldeb cyhoeddus iawn a gweladwy mewn cymunedau hefyd. Yn ystod gwanwyn 2018, byddwn ni'n ymgynghori â defnyddwyr, staff a rhanddeiliaid y gwasanaeth iechyd meddwl ar ddileu'r esemptiad ar gyfer y lleoedd hynny sy'n ddi-fwg o fewn unedau iechyd meddwl. Ac rwy'n wirioneddol awyddus i ni gael barn pobl sydd â phrofiad o aros mewn unedau iechyd meddwl yn hynny o beth. Dyna'r bobl y mae angen i mi fod yn gwrando arnynt yn fwy nag unrhyw un arall yn yr amgylchiadau hyn. Yn olaf, a chyfeiriais ato yn fyr, ond gwnaethoch chi sôn am gefnogaeth i fenywod beichiog. Mae canlyniadau ein cynllun peilot ysmygu yn ystod beichiogrwydd, modelau ar gyfer cael gafael ar gefnogaeth i roi'r gorau i ysmygu ar gyfer mamau, sydd â'r acronym cyfleus iawn MAMSS, wedi dangos bod menywod beichiog yn fwy tebygol o ymgysylltu â gwasanaethau rhoi'r gorau i ysmygu wrth ddefnyddio cymorth sydd wedi'i fewnosod yn y gwasanaethau mamolaeth hynny. Ac mae hefyd yn bwysig gwybod bod plant 70 y cant yn fwy tebygol o ysmygu os yw eu mam yn ysmygu, a thair gwaith yn fwy tebygol o ysmygu os yw'r ddau riant yn ysmygu hefyd. Felly, dyma'r math o ymyriadau byr y gall gweithwyr gofal iechyd proffesiynol, bydwragedd a gweithwyr gofal iechyd eu defnyddio gyda theuluoedd drwy'r gwaith y maent yn ei wneud yn rhan o gynlluniau Plant Iach Cymru a 10 Cam i Bwysau Iach hefyd.