English: Diolch, and I welcome this debate this afternoon and thank Members for their comments. As Jack Sargeant said in his introduction, today is timely as we are currently in the middle of Tourette's Awareness Month, and the greater awareness we can get, the better. I've recently met, last week in fact, with Helen and with other parents of children with tic disorders and Tourette's syndrome, and this was the second time I'd met this group of parents. In these meetings, parents told me about the struggles they've experienced trying to access support for their children, and Members today have described some of those struggles that people have had to go through. And the issues they raised, together with their strength and determination, are absolutely at the forefront of my mind as we strive to make positive changes. As, I think, Hefin said, 'Listen to parents first,' and that's what I'm doing, and I think nobody can tell us better than parents themselves what the situation is. And I've listened carefully to what Members have said about the individual experiences of their constituents, and of course I've read the letter that Hefin gave me about Ben from the Vale of Glamorgan, in Jane Hutt's constituency. So, firstly, I must say that I'm committed to making sure that all neurodiverse children, young people and adults, along with their parents and carers, have access to the services and the care that they need. A sustainable service is built on good foundations and the work that's been done to deliver the statutory code of practice on the delivery of autism services has given us a solid base to make real change in improving services for all neurodevelopmental conditions, including Tourette's syndrome. I think services for autism have definitely improved, but we've got to make sure that the other conditions now are improved as well. When we were talking to stakeholders when we were developing the autism code, we listened when we were told that despite the progress made in autism services, many people with other neurodevelopmental conditions and their families and carers are still struggling to access the support they need, even though their needs were often similar or were co-occuring with autism, as has already been mentioned here this afternoon. And these messages were echoed in my conversations with parents of children with Tourette's syndrome. So, that's why we are widening our approach from an autism focus to seeking improvements across neurodevelopmental conditions, such as Tourette's syndrome and also ADHD. We have a dedicated policy team, working across health and social care, linking closely with departments across Welsh Government, such as education. Our national autism team is expanding its remit and its expertise to provide advice across neurodevelopmental conditions. Members will be aware, and I know it's been mentioned several times this afternoon, that we commissioned a demand and capacity review of neurodevelopmental services last year to better understand the increased waiting times and the pressures on the neurodevelopmental service and to try to identify options for improvement. After receiving a presentation on its findings, I'm currently considering the final report from the review. The final report will be published shortly and my intention is to make an announcement about the immediate, medium and long-term actions we'll be taking to support improvement. This will include urgent action to reduce the pressures on assessment services and to put in place early help and support for families who need help now. I've been so struck in my discussions with the families about how desperately they need help and how difficult it has been for them to access that support when they realised that there were issues that had to be dealt with. The third sector will have a key role in providing support to families and we've started working very closely with organisations such as Tourettes Action UK on this. In conclusion, I can assure Members that we're committed to delivering a sustainable neurodevelopmental service for Wales that will essentially be co-designed with individuals and families with lived experience of these conditions, including Tourette's syndrome. I will be making an announcement about our proposals as soon as I'm able to do so.
Welsh: Diolch, ac rwy'n croesawu'r ddadl hon y prynhawn yma a diolch i'r Aelodau am eu sylwadau. Fel y dywedodd Jack Sargeant yn ei gyflwyniad, mae heddiw'n amserol gan ein bod ar hyn o bryd yng nghanol Mis Ymwybyddiaeth Syndrom Tourette, a gorau po fwyaf o ymwybyddiaeth y gallwn ei godi. Rwyf wedi cyfarfod yn ddiweddar, yr wythnos ddiwethaf mewn gwirionedd, â Helen a chyda rhieni eraill i blant ag anhwylderau tic a syndrom Tourette, a dyma'r ail dro i mi gyfarfod â'r grŵp hwn o rieni. Yn y cyfarfodydd hyn, dywedodd rhieni wrthyf am y trafferthion y maent wedi'u cael wrth geisio cymorth i'w plant, ac mae Aelodau heddiw wedi disgrifio rhai o'r anawsterau y mae pobl wedi gorfod eu hwynebu. Ac mae'r materion a godwyd ganddynt, ynghyd â'u cryfder a'u penderfyniad, ar flaen fy meddwl wrth inni ymdrechu i wneud newidiadau cadarnhaol. Fel y dywedodd Hefin, rwy'n credu, 'Gwrandewch ar rieni yn gyntaf,' a dyna beth rwy'n ei wneud, a chredaf na all neb egluro'r sefyllfa yn well na'r rhieni eu hunain. Ac rwyf wedi gwrando'n astud ar yr hyn y mae Aelodau wedi'i ddweud am brofiadau unigol eu hetholwyr, ac wrth gwrs rwyf wedi darllen y llythyr a roddodd Hefin i mi am Ben o Fro Morgannwg, yn etholaeth Jane Hutt. Felly, yn gyntaf, mae'n rhaid imi ddweud fy mod wedi ymrwymo i sicrhau bod pob plentyn, person ifanc ac oedolyn niwroamrywiol, ynghyd â'u rhieni a'u gofalwyr, yn gallu manteisio ar y gwasanaethau a'r gofal sydd ei angen arnynt. Mae gwasanaeth cynaliadwy wedi ei adeiladu ar seiliau da ac mae'r gwaith a wnaed i ddarparu'r cod ymarfer statudol ar ddarparu gwasanaethau awtistiaeth wedi rhoi sail gadarn i ni wneud newidiadau gwirioneddol er mwyn gwella gwasanaethau ar gyfer pob cyflwr niwroddatblygiadol, gan gynnwys syndrom Tourette. Rwy'n credu bod gwasanaethau ar gyfer awtistiaeth yn bendant wedi gwella, ond mae'n rhaid i ni sicrhau bod y cyflyrau eraill yn cael eu gwella hefyd. Pan oeddem yn siarad â rhanddeiliaid, pan oeddem yn datblygu'r cod awtistiaeth, fe wnaethom wrando pan ddywedwyd wrthym, er gwaethaf y cynnydd a wnaed yn y gwasanaethau awtistiaeth, fod llawer o bobl â chyflyrau niwroddatblygiadol eraill a'u teuluoedd a'u gofalwyr yn dal i'w chael hi'n anodd cael gafael ar y cymorth sydd ei angen arnynt, er bod eu hanghenion yn aml yn debyg neu'n cyd-ddigwydd gydag awtistiaeth, fel y crybwyllwyd eisoes y prynhawn yma. Ac adleisiwyd y negeseuon hyn yn fy sgyrsiau â rhieni plant â syndrom Tourette. Felly, dyna pam ein bod yn ehangu ein dull o weithredu o ffocws ar awtistiaeth i geisio gwelliannau ar draws y cyflyrau niwroddatblygiadol, megis syndrom Tourette a hefyd Anhwylder Diffyg Canolbwyntio a Gorfywiogrwydd. Mae gennym dîm polisi penodedig, sy'n gweithio ar draws iechyd a gofal cymdeithasol, gan gysylltu'n agos ag adrannau ar draws Llywodraeth Cymru, megis addysg. Mae ein tîm awtistiaeth cenedlaethol yn ehangu ei gylch gwaith a'i arbenigedd i ddarparu cyngor ar draws y cyflyrau niwroddatblygiadol. Bydd yr Aelodau'n ymwybodol, a gwn ei fod wedi cael ei grybwyll sawl gwaith y prynhawn yma, ein bod wedi comisiynu adolygiad gallu a galw o wasanaethau niwroddatblygiadol y llynedd i geisio cael gwell dealltwriaeth o'r amseroedd aros cynyddol a'r pwysau ar y gwasanaeth niwroddatblygiadol ac i geisio nodi opsiynau ar gyfer gwella. Ar ôl derbyn cyflwyniad ar ei ganfyddiadau, rwy'n ystyried adroddiad terfynol yr adolygiad ar hyn o bryd. Bydd yr adroddiad terfynol yn cael ei gyhoeddi'n fuan ac rwy'n bwriadu gwneud cyhoeddiad am y camau gweithredu uniongyrchol, tymor canolig a hirdymor y byddwn yn eu cymryd i gefnogi gwelliant. Bydd hyn yn cynnwys gweithredu ar frys i leihau'r pwysau ar wasanaethau asesu a rhoi cymorth a chefnogaeth gynnar ar waith i deuluoedd sydd angen cymorth ar unwaith. Yn fy nhrafodaethau gyda'r teuluoedd, cefais dy nharo gan daerineb eu hangen am gymorth a pha mor anodd oedd cael gafael ar y cymorth hwnnw pan wnaethant sylweddoli fod yna broblemau yr oedd yn rhaid ymdrin â hwy. Bydd gan y trydydd sector rôl allweddol yn darparu cymorth i deuluoedd ac rydym wedi dechrau gweithio'n agos iawn gyda sefydliadau fel Tourettes Action UK ar hyn. I gloi, gallaf sicrhau'r Aelodau ein bod wedi ymrwymo i ddarparu gwasanaeth niwroddatblygiadol cynaliadwy i Gymru a fydd yn ei hanfod wedi'i gydgynllunio gydag unigolion a theuluoedd sydd â phrofiad byw o'r cyflyrau hyn, gan gynnwys syndrom Tourette. Byddaf yn gwneud cyhoeddiad am ein cynigion cyn gynted ag y gallaf wneud hynny.