techiaith/cofnodycynulliad_en-cy huggingface dataset:
English: Thanks, Helen. I think it's really important for us to underline that the health route is not the only route - that, actually, the third sector can do a lot of amazing work in this space. And one of the things that I'm really keen to do is to develop the confidence of GPs, in particular, to feel that they can refer on to other places as well as the medical route. So, I had meetings with the Royal College of General Practitioners last week, just to talk about what more we need to do to increase their confidence that, if they refer to a third sector organisation, they will know that there will be quality associated with that and a consistency in terms of where that can be delivered. So, I think those are conversations that need to continue. That specialist support, you see, is not necessarily something that the health board is best placed to do. There are third sector organisations who can do this probably better than the health board, because of the sensitivities surrounding them, because of lived experience, or whatever. So, for me, that additional support for tier 0, for that third sector, is absolutely where it's at, but now we've got to build that confidence between the medical, the primary care settings and the third sector. It works brilliantly in some areas, but it's not a consistent picture across the whole of Wales.
Welsh: Diolch, Helen. Rwy'n credu ei bod yn bwysig iawn inni bwysleisio nad y llwybr iechyd yw'r unig lwybr - gall y trydydd sector wneud llawer o waith anhygoel yn y maes hwn mewn gwirionedd. Ac un o'r pethau rwy'n awyddus iawn i'w wneud yw datblygu hyder meddygon teulu, yn arbennig, i deimlo y gallant gyfeirio at leoedd eraill yn ogystal â'r llwybr meddygol. Felly, cefais gyfarfodydd gyda Choleg Brenhinol yr Ymarferwyr Cyffredinol yr wythnos diwethaf i drafod beth arall y mae angen inni ei wneud i gynyddu eu hyder fel y gallant fod yn sicr, os ydynt yn cyfeirio rhywun at sefydliad trydydd sector, y bydd ansawdd yn gysylltiedig â hynny a chysondeb o ran ble y gellir darparu hynny. Felly, rwy'n credu bod angen i'r sgyrsiau hynny barhau. Welwch chi, nid yw'r cymorth arbenigol hwnnw o reidrwydd yn rhywbeth y mae'r bwrdd iechyd yn y sefyllfa orau i'w wneud. Mae yna sefydliadau trydydd sector sy'n gallu gwneud hyn yn well na'r bwrdd iechyd, mae'n debyg, oherwydd y sensitifrwydd sy'n gysylltiedig â'r materion hynny, oherwydd profiad bywyd, neu beth bynnag. Felly, i mi, mae'r cymorth ychwanegol ar gyfer haen 0, ar gyfer y trydydd sector, yn union lle dylai fod, ond nawr mae'n rhaid inni fagu hyder rhwng y lleoliadau meddygol, y lleoliadau gofal sylfaenol a'r trydydd sector. Mae'n gweithio'n wych mewn rhai ardaloedd, ond nid yw'n ddarlun cyson ar draws Cymru gyfan.
English: Thank you very much. We've positioned mental health services as essential services during the pandemic. This means that we expect services to be maintained, although we accept that delivery models may need to be adapted due to the restrictions.
Welsh: Diolch yn fawr. Rydyn ni wedi dynodi gwasanaethau iechyd meddwl fel gwasanaethau hanfodol yn ystod y pandemig. Mae hyn yn golygu ein bod ni'n disgwyl i wasanaethau gael eu cynnal, er ein bod ni yn derbyn efallai fod angen addasu modelau cyflenwi o ganlyniad i'r cyfyngiadau.
English: Following on from Helen Mary Jones's question, and the answer, actually, obviously we know as a result of the many pressures - [ Inaudible.] - waiting times are incredibly long and services are stretched. Now, in some areas there is little or no support available. However, we also know that there are independent counsellors across Wales who are prepared to help the NHS in dealing with this issue now, but simply need to be paid to do it. I realise there are all these arguments about workforce planning and time lags and stuff, but these are qualified people now working in the independent sector. As well as that, many people can't afford to go private to access that support. Therefore, will the Government commit to proactively contacting all qualified counsellors in Wales and pay them NHS rates in order to increase the availability of counselling and mental health support services?
Welsh: Yn dilyn cwestiwn Helen Mary Jones, a'r ateb, mewn gwirionedd, rydym yn amlwg yn gwybod o ganlyniad i'r pwysau helaeth - [ Anghlywadwy.] - fod amseroedd aros yn eithriadol o hir a bod gwasanaethau dan bwysau. Nawr, mewn rhai ardaloedd nid oes llawer o gymorth ar gael, os o gwbl. Fodd bynnag, gwyddom hefyd fod yna gwnselwyr annibynnol ledled Cymru sy'n barod i helpu'r GIG i ymdrin â hyn nawr, ond bod angen eu talu i wneud hynny. Rwy'n sylweddoli bod gennym yr holl ddadleuon hyn ynglŷn â chynllunio'r gweithlu ac oedi ac yn y blaen, ond mae'r rhain yn bobl gymwysedig sydd bellach yn gweithio yn y sector annibynnol. Yn ogystal â hynny, mae llawer o bobl yn methu fforddio mynd yn breifat i gael y cymorth hwnnw. Felly, a wnaiff y Llywodraeth ymrwymo i fynd ati'n rhagweithiol i gysylltu â phob cwnselydd cymwysedig yng Nghymru a thalu cyfraddau'r GIG iddynt er mwyn sicrhau bod mwy o wasanaethau cwnsela a chymorth iechyd meddwl ar gael?
English: I think it would be very difficult for me to commit to contacting all the people in this space who are available, but I certainly recognise that there is a pool of experts that we could be making use of, and I think one of the things that I'm keen to do is to work with the health boards on this additional funding that we'll be putting in place for that tier 0 level support. There's no reason why those health boards then can't determine that they will effectively contract out some of that work from the health board, which is effectively what they're doing through third sector organisations. I'd rather, if I was honest, see that done through third sector organisations, but I recognise that at the moment there's a shortage of experts and we need to make use of those who are there. So, we can keep an eye on that, but I think when we're dealing with a system that has to cover the whole of Wales, you need big systems in place, rather than a system that tries to connect everybody individually.
Welsh: Rwy'n credu y byddai'n anodd iawn i mi ymrwymo i gysylltu â'r holl bobl sydd ar gael yn y maes hwn, ond rwy'n sicr yn cydnabod bod cronfa o arbenigwyr y gallem fod yn eu defnyddio, ac rwy'n credu mai un o'r pethau rwy'n awyddus i'w wneud yw gweithio gyda'r byrddau iechyd ar y cyllid ychwanegol y byddwn yn ei roi yn ei le ar gyfer y cymorth lefel haen 0 hwnnw. Nid oes unrhyw reswm pam na all y byrddau iechyd benderfynu rhoi rhywfaint o'r gwaith hwnnw ar gontract allanol, sef yr hyn y maent yn ei wneud drwy sefydliadau'r trydydd sector i bob pwrpas. A bod yn onest, byddai'n well gennyf weld hynny'n cael ei wneud drwy sefydliadau'r trydydd sector, ond rwy'n cydnabod bod prinder arbenigwyr ar hyn o bryd a bod angen inni ddefnyddio'r rhai sydd ar gael. Felly, gallwn gadw llygad ar hynny, ond wrth ymdrin â system sy'n gorfod darparu ar gyfer Cymru gyfan, mae angen systemau mawr ar waith, yn hytrach na system sy'n ceisio cysylltu pawb yn unigol.
English: Can I express my support for the Minister and my belief in the importance of mental health support, and can I go along with what Dai Lloyd said about using everybody who can help? I think that excluding any one group of people will only be to the detriment of mental health in Wales. My question is: from my experience, bereavement is a major cause of mental health deterioration - what additional bereavement support is being made available?
Welsh: A gaf fi fynegi fy nghefnogaeth i'r Gweinidog a fy nghred ym mhwysigrwydd cymorth iechyd meddwl, ac a gaf fi gytuno â'r hyn a ddywedodd Dai Lloyd am ddefnyddio pawb a all helpu? Rwy'n credu y bydd eithrio unrhyw grŵp o bobl yn niweidiol i iechyd meddwl yng Nghymru. Fy nghwestiwn yw: o fy mhrofiad i, mae profedigaeth yn un o brif achosion dirywiad iechyd meddwl - pa gymorth profedigaeth ychwanegol sy'n cael ei ddarparu?
English: Thanks very much, Mike. There is significant additional bereavement support that has been made available, and there's a recognition, in particular after suicide, that people may need some additional bereavement support under those situations. We've got to recognise that there are tens of thousands of people in Wales now who have lost loved ones during this crisis, and we need to make sure that there is support for them. That bereavement support is in place. If we find that there is a need for more, then we'll look at that, but certainly, one of the things that I've been very keen to do in recent weeks is to make sure that people know where they can access the support easily, and I've been pushing in particular for health boards to make it easy for people to navigate to where they can find help, and I hope you, along with all the other Senedd Members, received a letter from me last week, indicating where people can go to for help, and we've ensured that every health board now has that information clearly set out on their web pages, which is something that was very much welcomed by the children's commissioner. She asked for that to be done in a much clearer way, so that it's easier for people to navigate.
Welsh: Diolch yn fawr iawn, Mike. Mae cryn dipyn o gymorth profedigaeth ychwanegol ar gael, ac mae cydnabyddiaeth, yn enwedig ar ôl hunanladdiad, y gallai fod angen cymorth profedigaeth ychwanegol ar bobl yn y sefyllfaoedd hynny. Mae'n rhaid i ni gydnabod bod degau o filoedd o bobl yng Nghymru bellach wedi colli anwyliaid yn ystod yr argyfwng hwn, ac mae angen inni sicrhau bod cymorth ar gael iddynt. Mae'r cymorth profedigaeth hwnnw ar waith. Os gwelwn fod angen mwy, byddwn yn ystyried hynny, ond yn sicr, un o'r pethau rwyf wedi bod yn awyddus iawn i'w wneud yn ystod yr wythnosau diwethaf yw sicrhau bod pobl yn gwybod ble y gallant gael gafael ar gymorth yn hawdd, ac rwyf wedi bod yn pwyso'n arbennig ar fyrddau iechyd i'w gwneud yn hawdd i bobl ddod o hyd i gymorth, ac rwy'n gobeithio eich bod chi, ynghyd â holl Aelodau eraill y Senedd, wedi cael llythyr gennyf yr wythnos diwethaf, yn nodi ble y gall pobl fynd am help, ac rydym wedi sicrhau bod pob bwrdd iechyd wedi nodi'r wybodaeth honno'n glir ar eu tudalennau gwe erbyn hyn, sy'n rhywbeth a groesawyd yn fawr gan y comisiynydd plant. Gofynnodd i hynny gael ei wneud mewn ffordd lawer cliriach, fel ei bod yn haws i bobl ddod o hyd i'r wybodaeth.
English: Thanks, David, and I understand that there's been permission given to group this with question 8. Is that right? Great. The Welsh Government published a national rehabilitation framework underpinning population-specific guidance in May 2020 to help services to consider increasing the demand for rehabilitation, reablement and recovery throughout health and social care services. Mental health and well-being needs are embedded across the populations identified in that framework.
Welsh: Diolch, David, a deallaf fod caniatâd wedi'i roi i grwpio'r cwestiwn hwn gyda chwestiwn 8. A yw hynny'n gywir? Gwych. Cyhoeddodd Llywodraeth Cymru fframwaith adsefydlu cenedlaethol yn sail i ganllawiau ar gyfer poblogaethau penodol ym mis Mai 2020 i helpu gwasanaethau i ystyried cynyddu'r galw am adsefydlu, ailalluogi ac adfer ym mhob rhan o'r gwasanaethau iechyd a gofal cymdeithasol. Mae anghenion iechyd meddwl a llesiant wedi'u gwreiddio ar draws y poblogaethau a nodir yn y fframwaith hwnnw.
English: Thank you, Minister. Can I urge that the mental health ministerial delivery oversight board that you have established looks at this? You also reflect on the recent report of the Senedd's Health, Social Care and Sport Committee, which looked at the pandemic and its implications. We will have people with long COVID, we've become increasingly aware of post syndromes - post polio, for instance, those who had polio in the last great epidemic in the 1950s presenting with problems and mental health is often one of them directly associated. And also, there will be people who would've been quite traumatized by their treatment, just because of the invasive nature of it. They are going to present with some very real mental health concerns that will require quite a specific response that relates to the context of those mental health difficulties being created.
Welsh: Diolch i chi, Weinidog. A gaf fi annog bwrdd cyflawni a throsolwg y Gweinidog ar iechyd meddwl a sefydlwyd gennych i edrych ar hyn? Rydych hefyd yn ystyried adroddiad diweddar Pwyllgor Iechyd, Gofal Cymdeithasol a Chwaraeon y Senedd, a oedd yn edrych ar y pandemig a'i oblygiadau. Bydd gennym bobl â COVID hir, rydym wedi dod yn fwyfwy ymwybodol o ôl-syndromau - fel polio, er enghraifft, unigolion a gafodd polio yn ystod yr epidemig mawr diwethaf yn y 1950au sydd â phroblemau ac mae problemau iechyd meddwl yn aml yn un ohonynt sy'n uniongyrchol gysylltiedig. A hefyd, byddai'r driniaeth, oherwydd ei natur ymyrrol, wedi bod yn brofiad trawmatig iawn i rai pobl. Bydd ganddynt broblemau iechyd meddwl real iawn a fydd yn galw am ymateb eithaf penodol sy'n ymwneud â chyd-destun yr anawsterau iechyd meddwl sy'n cael eu creu.
English: Minister, the amount of questions you've received today from Members regarding the impact of COVID on mental well-being, I think, highlights the challenges that are ahead of us in addressing some of those issues. And it's not often that we talk about the individuals in relation to this, but of course, the individuals are part of a family unit, very often, and families are also affected by their trauma - and I think the word you used in answer to David Melding, 'trauma', was correct, and we need to address this. Mike Hedges highlighted the bereavement issue and there'll be challenges there with people who feel guilty because they weren't at the end of life for the individual because they weren't allowed to be. So, it's a large trauma upon our families, and my colleague in my neighbouring constituency of Neath, Jeremy Miles, has initiated a trauma awareness programme that he runs with Neath Port Talbot Mind. What discussions is the Welsh Government having with the third sector organisations and mental health charities to discuss how they're going to address the trauma awareness agenda, which is definitely going to be coming down the line to families as well as individuals?
Welsh: Weinidog, rwy'n credu bod nifer y cwestiynau rydych wedi'u cael gan Aelodau heddiw ynghylch effaith COVID ar lesiant meddyliol yn tynnu sylw at yr heriau sydd o'n blaenau wrth fynd i'r afael â rhai o'r materion hynny. Ac nid yn aml y byddwn yn sôn am yr unigolion mewn perthynas â hyn, ond wrth gwrs, mae'r unigolion yn rhan o uned deuluol yn aml iawn, ac mae eu trawma hefyd yn effeithio ar deuluoedd - a chredaf fod y gair a ddefnyddiwyd gennych wrth ateb David Melding, 'trawma', yn gywir, ac mae angen inni fynd i'r afael â hyn. Tynnodd Mike Hedges sylw at brofedigaeth a bydd heriau yno gyda phobl sy'n teimlo'n euog am nad oeddent yno gyda'r unigolyn pan ddaeth eu bywyd i ben a hynny am nad oeddent yn cael bod yno. Felly, mae'n drawma mawr i'n teuluoedd, ac mae Jeremy Miles, fy nghyd-Aelod yn yr etholaeth gyfagos yng Nghastell-nedd, wedi cychwyn rhaglen ymwybyddiaeth trawma gyda Mind Castell-nedd Port Talbot. Pa drafodaethau y mae Llywodraeth Cymru yn eu cael gyda sefydliadau'r trydydd sector ac elusennau iechyd meddwl i drafod sut y byddant yn mynd i'r afael â'r agenda ymwybyddiaeth trawma, a fydd yn sicr o wynebu teuluoedd yn ogystal ag unigolion?
English: Thanks very much, David. I meet very regularly with the third sector and it was there where there were people who emphasised the importance of understanding trauma. They're the people who have really made sure that I've understood that that is fundamental to the way we move forward as a society - that we have been through a traumatic experience as a society. But of course, you're quite right, there are individuals who are affected, but the individuals within the families may then have a ripple effect on other members in the family, and those are things that we need to keep an eye on as well. There are different projects that we're funding. Certainly, we've given about £750,000 to Action for Children and Mind Active Monitoring. So, we're recognising that there's a family issue here that needs to be addressed. Also, we have given an additional £900,000 to our hospices and bereavement people to make sure that there is that support there to help those families through what is a very, very difficult time in their lives.
Welsh: Diolch yn fawr iawn, David. Rwy'n cyfarfod yn rheolaidd iawn â'r trydydd sector ac roedd yno bobl yn pwysleisio pa mor bwysig yw deall trawma. Hwy yw'r bobl sydd wedi gwneud yn siŵr fy mod wedi deall bod hynny'n hanfodol i'r ffordd rydym yn symud ymlaen fel cymdeithas - ein bod wedi bod drwy brofiad trawmatig fel cymdeithas. Ond wrth gwrs, rydych yn llygad eich lle, mae yna unigolion sy'n cael eu heffeithio, ond efallai y bydd yr unigolion hynny'n cael effaith ganlyniadol ar aelodau eraill yn y teulu, ac mae'r rheini'n bethau y mae angen i ni gadw llygad arnynt hefyd. Rydym yn ariannu gwahanol brosiectau. Yn sicr, rydym wedi rhoi tua £750,000 i Gweithredu dros Blant a Monitro Gweithredol Mind. Felly, rydym yn cydnabod bod problem yma sy'n galw am sylw o safbwynt teuluoedd. Hefyd, rydym wedi rhoi £900,000 ychwanegol i'n hosbisau a'n gweithwyr profedigaeth i sicrhau bod y cymorth hwnnw ar gael i helpu'r teuluoedd hynny drwy gyfnod anodd iawn yn eu bywydau.
English: Minister, those fortunate enough to leave hospital following admission for COVID-19 not only face many months of physical recuperation, they also have to come to terms with the mental trauma they have suffered. New research shows that one in five survivors will develop mental illness and many survivors struggle with post-traumatic stress disorder for months after leaving hospital. It has also been discovered that survivors are at a greater risk of developing dementia. Minister, how will the Welsh Government ensure all survivors are closely monitored and receive the necessary support early enough to stave off the most severe complications? Diolch.
Welsh: Weinidog, mae'r rhai sy'n ddigon ffodus i adael yr ysbyty ar ôl derbyn triniaeth ar gyfer COVID-19 nid yn unig yn wynebu misoedd lawer o wella corfforol, mae'n rhaid iddynt hefyd ddod i delerau â'r trawma meddyliol y maent wedi'i ddioddef. Mae ymchwil newydd yn dangos y bydd un o bob pump o oroeswyr yn datblygu salwch meddwl ac mae llawer o oroeswyr yn cael trafferth gydag anhwylder straen wedi trawma am fisoedd ar ôl gadael yr ysbyty. Canfuwyd hefyd fod goroeswyr mewn mwy o berygl o ddatblygu dementia. Weinidog, sut y bydd Llywodraeth Cymru yn sicrhau bod pob goroeswr yn cael eu monitro'n ofalus ac yn cael y cymorth angenrheidiol yn ddigon cynnar i osgoi'r cymhlethdodau mwyaf difrifol? Diolch.
English: Thanks very much, and you're absolutely right, Caroline, that we must recognise that when people have a physical problem in these very difficult circumstances, there is a real possibility that there will be a spillover into a mental health problem. In particular, those who've had, frankly, a confrontation with death - there are a lot of people who've come very, very close, and that in itself is a traumatic experience. That's why we recognise that PTSD is likely to become something that we need to pay more attention to in future. Also, we need to monitor people who have left hospital. Obviously, at the moment, people are very focused on just getting people well, but there has been follow-up in local authorities just to make sure that people are on the right track. Dementia is another point that you mentioned. I think one of the things that is clear to me is that a lot of people who are, perhaps, beginning to have an issue with dementia - we've seen that the isolation that many have felt has actually increased the speed at which that dementia has taken hold. So, that is, again, something that we need to keep an eye on, and you'll be aware that we've got a £10 million programme addressing the issue of dementia in Wales.
Welsh: Diolch yn fawr iawn, ac rydych yn llygad eich lle, Caroline, fod yn rhaid i ni gydnabod, pan fydd gan bobl broblem gorfforol yn yr amgylchiadau anodd hyn, fod posibilrwydd gwirioneddol y bydd hynny'n arwain at broblem iechyd meddwl. Yn fwyaf arbennig, mae'r rheini sydd wedi bod ar eu gwely angau - mae llawer o bobl wedi bod yn agos iawn at farw ac mae hynny ynddo'i hun yn brofiad trawmatig. Dyna pam ein bod yn cydnabod bod anhwylder straen wedi trawma yn debygol o ddod yn rhywbeth y mae angen inni roi mwy o sylw iddo yn y dyfodol. Hefyd, mae angen inni fonitro pobl sydd wedi gadael yr ysbyty. Yn amlwg, ar hyn o bryd, mae pobl yn canolbwyntio'n fawr ar wella pobl, ond mae gwaith dilynol wedi bod mewn awdurdodau lleol i sicrhau bod pobl ar y trywydd iawn. Mae dementia yn bwynt arall y sonioch chi amdano. Rwy'n credu mai un o'r pethau sy'n amlwg i mi yw bod llawer o bobl yn dechrau cael problem gyda dementia o bosibl - rydym wedi gweld bod yr unigrwydd y mae llawer wedi'i deimlo wedi cynyddu cyflymder dementia. Felly, mae hwnnw, unwaith eto, yn rhywbeth y mae angen inni gadw llygad arno, ac fe fyddwch yn ymwybodol fod gennym raglen gwerth £10 miliwn sy'n mynd i'r afael â dementia yng Nghymru.
English: Betsi Cadwaladr University Health Board is responsible for ensuring service provision meets the needs of the local community, including for mental health. Health boards set out their plans for quarter 3 and 4 in the operational framework.
Welsh: Mae Bwrdd Iechyd Prifysgol Betsi Cadwaladr yn gyfrifol am sicrhau bod darpariaeth gwasanaethau yn cwrdd ag anghenion y gymuned leol, gan gynnwys iechyd meddwl. Nododd y byrddau iechyd eu cynlluniau ar gyfer chwarter 3 a chwarter 4 yn y fframwaith gweithredol.
English: Well, there are grave concerns as to whether mental health services in Betsi Cadwaladr should have been taken out of special measures because of the ongoing weaknesses within the service. In a recent report to the health board, the interim nursing director listed a number of weaknesses within the service. The report concluded that at the moment it couldn't give a full assurance to the board on the quality of the service provided. So, if he can't provide assurances on the service, how can you?
Welsh: Wel, mae yna amheuon mawr ynghylch a ddylai gwasanaethau iechyd meddwl Betsi Cadwaladr fod wedi cael eu tynnu mas o fesurau arbennig oherwydd y gwendidau sy'n parhau o fewn y gwasanaeth. Mewn adroddiad diweddar i'r bwrdd iechyd, fe restrodd y cyfarwyddwr nyrsio dros dro amryw o wendidau o fewn y gwasanaeth, ac mae'n rhestr ddamniol, mae'n rhaid i mi ddweud. Mi orffennodd yr adroddiad drwy ddweud ar y foment na allai roi sicrwydd llawn i'r bwrdd ynglŷn ag ansawdd y gwasanaeth. Felly, os nad yw e yn medru rhoi sicrwydd ynghylch y gwasanaeth, sut allwch chi?