English: Diolch. Thank you very much, Deputy Presiding Officer. This is the first of two Welsh Conservative debate this afternoon, and I think the Minister will be pleased that our second debate isn't on health as well; she's had a busy afternoon, I know. I do move the motion in the name of my colleague Darren Millar this afternoon. Diabetes is a ticking time bomb and I don't think that we have talked enough about it in this Chamber, and that's why this is the subject of our debate this afternoon. Eight per cent of adults in Wales suffer from the condition, and by 2030 the number of adults with diabetes in Wales is likely to grow further from 8 per cent to 11 per cent, and that's according to Diabetes UK Cymru. Wales also has the highest prevalence of diabetes of any of the UK nations. And I should really say that unless diabetes is tackled, of course, it can lead to such serious conditions that are preventable - sight loss, loss of limbs, stroke. It's a very serious disease that, with the right and treatment, is entirely preventable. And, of course, the other issue is that the increased trajectory of those suffering from diabetes in Wales puts a huge strain on the NHS. It's an enormous strain on the NHS at the moment: diabetes already costs it approximately £500 million a year - that's 10 per cent of the annual budget, and around 80 per cent of that is spent on managing complications, most of which can be prevented. So, there's a huge cost and a huge increase in the number of people potentially facing this disease. And as point 2 of our motion says today: 'Expresses concern about the rapid increase in the diagnosis of diabetes over the last 20 years.' So, it seems to me completely reasonable for there to be an action plan produced to see how the Welsh Government intends to slow down this trend, not only, of course, for the good health of the nation, but also to take pressure off the NHS and allow it to focus on less preventable conditions. I did find it concerning to read that there is an estimated - this is according to Diabetes UK Cymru - over 65,000 people in Wales living with undiagnosed type 2 diabetes, and these people need help, of course, to manage the care that they face and prevent further health conditions occurring. Of course, if that's not dealt with, not only is it bad for their health, but of course, then, it's putting further pressure on health services as well. So, what really persuaded me that we needed to discuss diabetes this afternoon is when I looked at, 'Well, what's the Welsh Government's plan?' So, I did some research, I could see some research from Diabetes UK, and it seems to me that the Government hasn't got a plan for diabetes currently. I might be wrong. I'm looking to see if the Minister will say to me, 'Yes, there is a plan', but from my research, the only plan that I could find, or the latest plan that I could find, was the 2016-20 plan - that was the most recent plan that Welsh Government had brought forward, and there's currently no other plan, and that plan, of course, is now extremely out of date as well. So, I want to hear Members' contributions this afternoon. I will say that we will be supporting Plaid's amendments today; they all add to our debate. I'm disappointed, of course, that the Government has deleted most of our amendment, even though I think it just is a factual position, not just a political view, but a factual position; we're having factual positions being deleted from our debate this afternoon. But unless - . I do really think, Minister, that we do need that plan. Having a plan for diabetes is not only good for people's health across Wales, but having that diabetes plan will also help to take pressure off our NHS staff and workforce as well. But it's such a serious condition, which is preventable. As I said, people can lose limbs, lose eyesight, a greater cause of stroke - all these issues that are absolutely preventable. So, I hope, Minister, you will agree to bring forward a plan this afternoon.
Welsh: Diolch yn fawr iawn, Ddirprwy Lywydd. Hon yw'r gyntaf o ddwy ddadl gan y Ceidwadwyr Cymreig y prynhawn yma, a chredaf y bydd y Gweinidog yn falch nad yw ein hail ddadl ar iechyd hefyd; gwn ei bod wedi cael prynhawn prysur. Rwy'n gwneud y cynnig y prynhawn yma yn enw fy nghyd-Aelod, Darren Millar. Bom sy'n tician yw diabetes, ac ni chredaf ein bod wedi siarad digon amdano yn y Siambr hon, a dyna pam mai dyma destun ein dadl y prynhawn yma. Mae 8 y cant o oedolion yng Nghymru yn dioddef o'r cyflwr, ac erbyn 2030, mae nifer yr oedolion â diabetes yng Nghymru yn debygol o dyfu ymhellach, o 8 y cant i 11 y cant, yn ôl Diabetes UK Cymru. Cymru hefyd sydd â'r nifer uchaf o achosion o ddiabetes o gymharu ag unrhyw un o wledydd y DU. A dylwn ddweud, oni bai yr eir i'r afael â diabetes, wrth gwrs, gall arwain at gyflyrau difrifol ataliadwy - colli golwg, colli coesau neu freichiau, strôc. Mae'n glefyd difrifol iawn sy'n gwbl ataliadwy gyda'r driniaeth a'r amodau cywir. Ac wrth gwrs, y broblem arall yw bod y cynnydd yn y nifer sy'n dioddef o ddiabetes yng Nghymru yn rhoi straen enfawr ar y GIG. Mae'n straen enfawr ar y GIG ar hyn o bryd: mae diabetes eisoes yn costio oddeutu £500 miliwn y flwyddyn - 10 y cant o'r gyllideb flynyddol, ac mae oddeutu 80 y cant o hynny'n cael ei wario ar reoli cymhlethdodau, y gellir atal y rhan fwyaf ohonynt. Felly, mae cost enfawr a chynnydd enfawr yn nifer y bobl a allai fod yn wynebu'r clefyd hwn. Ac fel y dywed pwynt 2 o'n cynnig heddiw: 'Yn mynegi pryder am y cynnydd cyflym yn y diagnosis o ddiabetes dros yr 20 mlynedd diwethaf.' Felly, ymddengys i mi ei bod yn gwbl resymol cynhyrchu cynllun gweithredu i weld sut y mae Llywodraeth Cymru yn bwriadu arafu'r duedd hon, nid yn unig er lles iechyd y genedl, wrth gwrs, ond hefyd er mwyn lleddfu'r pwysau ar y GIG a chaniatáu iddo ganolbwyntio ar gyflyrau llai ataliadwy. Roeddwn yn bryderus wrth ddarllen yr amcangyfrifir - yn ôl Diabetes UK Cymru - fod dros 65,000 o bobl yng Nghymru yn byw gyda diabetes math 2 heb ddiagnosis, ac mae angen cymorth ar y bobl hyn, wrth gwrs, i reoli'r gofal y maent yn ei wynebu ac i atal cyflyrau iechyd pellach rhag digwydd. Wrth gwrs, os na wneir hynny, nid yn unig fod hynny'n wael i'w hiechyd, ond wrth gwrs, wedyn, mae'n rhoi pwysau pellach ar wasanaethau iechyd hefyd. Felly, yr hyn a'm perswadiodd fod angen inni drafod diabetes y prynhawn yma yw pan edrychais ar, 'Wel, beth yw cynllun Llywodraeth Cymru?' Felly, gwneuthum rywfaint o waith ymchwil, darllenais rywfaint o waith ymchwil gan Diabetes UK, ac ymddengys i mi nad oes gan y Llywodraeth gynllun ar gyfer diabetes ar hyn o bryd. Efallai fy mod yn anghywir. Rwy'n edrych i weld a yw'r Gweinidog yn mynd i ddweud wrthyf, 'Oes, mae yna gynllun', ond o fy ymchwil i, yr unig gynllun y gallwn ddod o hyd iddo, neu'r cynllun diweddaraf y gallwn ddod o hyd iddo, oedd cynllun 2016-20 - dyna'r cynllun diweddaraf a gyflwynwyd gan Lywodraeth Cymru, ac nid oes unrhyw gynllun arall ar hyn o bryd, ac mae'r cynllun hwnnw, wrth gwrs, yn hen iawn bellach. Felly, hoffwn glywed cyfraniadau'r Aelodau y prynhawn yma. Hoffwn ddweud y byddwn yn cefnogi gwelliannau Plaid Cymru heddiw; mae pob un ohonynt yn ychwanegu at ein dadl. Rwy'n siomedig, wrth gwrs, fod y Llywodraeth wedi dileu'r rhan fwyaf o'n gwelliant, er y credaf ei fod yn cynnwys safbwynt ffeithiol, nid barn wleidyddol yn unig, ond safbwynt ffeithiol; mae safbwyntiau ffeithiol yn cael eu dileu o'n dadl y prynhawn yma. Ond oni bai - . Weinidog, rwy'n credu o ddifrif fod angen y cynllun hwnnw arnom. Mae cael cynllun ar gyfer diabetes nid yn unig yn dda i iechyd pobl ledled Cymru, ond bydd cael y cynllun diabetes hwnnw hefyd yn helpu i leddfu'r pwysau ar staff a gweithlu ein GIG. Ond mae'n gyflwr mor ddifrifol, ac mae'n ataliadwy. Fel y dywedais, gall pobl golli coesau neu freichiau, colli eu golwg, wynebu risg uwch o strôc - yr holl broblemau hyn sy'n gwbl ataliadwy. Felly, Weinidog, rwy'n gobeithio y byddwch yn cytuno i gyflwyno cynllun y prynhawn yma.