English: Back in the spring of 2018, Welsh Government commissioned an independent review of eating disorders services, as they were then, and that review, submitted to the Government in late 2018, found a system geared towards providing care for those who had already become severely ill rather than on early intervention. It found significant variation in the availability and quality of eating disorders treatment across Wales; gaps between services rather than care that was integrated; often families weren't being informed, weren't being supported or empowered through the process of treatment. The review set out an ambitious vision of a world-class service focused on prevention and early intervention, identifying and providing quality treatment before people become severely ill in every part of Wales. So, where are we now? What did Beat find in its three-years-on review? Well, whilst some progress has been made in expanding and improving eating disorder services over that three-year period, Beat would argue that this has been uneven, continuing the inequity documented by that original eating disorders services review. I'll tell you about one young woman who saw her GP in my constituency, and found the GP to be very sympathetic and understanding and eager to help, but who told her, 'Please register where you're at university', because that GP had no faith in the likelihood that her young patient would be able to access support at her home address. And that is totally, totally unacceptable. The eating disorders services review called for treatment to be accessible at an early stage, with the removal of referral or eligibility criteria. In some areas, new specialist teams based in child and adolescent mental health services had been established, some health boards had developed or expanded adult community eating disorders services. But, in some areas, access to specialist treatment is still restricted to those who have already become severely ill and isn't available for those with certain types of eating disorders, such as binge-eating disorder. So, our motion today calls specifically for an end to that variation in service provision, another postcode lottery that is putting sufferers in some parts of Wales in particular at a disadvantage. Welsh Government's amendment deletes that, and instead points to a general commitment to continue the improvements of eating disorder services across Wales, and I haven't denied that there have been improvements. There is reference in the Government's amendment to the need for increased investment. Again, our motion calls for that too, but where the Government's amendment is vague, the motion calls for specific actions to ensure that an increase in mental health funding happens year on year in a five-year drive, as we portray it, to push up the resources available for treatment of eating disorders among other mental health issues. We call for more to be done to hold health boards to account for their investments in eating disorders, but, crucially, we dig down, we call for the publication of a new framework for eating disorder services, including timelines and targets, and we'll support the Conservative amendment, which addresses the issue of timescales and timely reporting too. We need a clear map, a clear map towards providing that early invention that I said is so important. There are significant gaps in the data that health boards currently provide on waiting times. There doesn't appear to be a standardised system in place across Wales to consistently measure and report the full waiting time from initial referral, if that referral takes place at all early enough, to the start of specialist treatment. We need to prioritise prevention too. There needs to be a focus on investing in the workforce. And on integrated care, the eating disorder service review explained that early intervention and evidence-based treatment require an integrated approach with good communication and collaboration between services. In Beat's survey of health and care professionals and volunteers, lack of integrated or collaborative working with other health or social care services and lack of integrated, collaborative working with schools, colleges and universities were commonly identified as restricting the ability of their teams and their services to meet the current demand for eating disorder treatment. There is such a long way to go.
Welsh: Yn ôl yng ngwanwyn 2018, comisiynodd Llywodraeth Cymru adolygiad annibynnol o wasanaethau anhwylderau bwyta, fel y'u gelwid bryd hynny, a chanfu'r adolygiad hwnnw, a gyflwynwyd i'r Llywodraeth ar ddiwedd 2018, system wedi'i hanelu at ddarparu gofal i'r rheini a oedd eisoes yn ddifrifol wael yn hytrach nag ymyrraeth gynnar. Canfu amrywiaeth sylweddol yn argaeledd ac ansawdd triniaeth anhwylderau bwyta ledled Cymru; bylchau rhwng gwasanaethau yn hytrach na gofal integredig; yn aml, nid oedd teuluoedd yn cael gwybodaeth, ni chaent eu cefnogi na'u grymuso drwy broses y driniaeth. Amlinellodd yr adolygiad weledigaeth uchelgeisiol ar gyfer gwasanaeth o'r radd flaenaf a ganolbwyntiai ar atal ac ymyrraeth gynnar, gan nodi a darparu triniaeth o safon cyn i bobl fynd yn ddifrifol wael ym mhob rhan o Gymru. Felly, ble rydym arni bellach? Beth a ddarganfu Beat yn eu hadolygiad dair blynedd yn ddiweddarach? Wel, er y gwnaed rhywfaint o gynnydd ar ehangu a gwella gwasanaethau anhwylderau bwyta dros y cyfnod hwnnw o dair blynedd, byddai Beat yn dadlau ei fod wedi bod yn anwastad, gan barhau â'r anghydraddoldeb a gofnodwyd gan yr adolygiad gwreiddiol o wasanaethau anhwylderau bwyta. Rwyf am sôn wrthych am un fenyw ifanc a welodd ei meddyg teulu yn fy etholaeth, ac roedd y meddyg teulu'n llawn cydymdeimlad a dealltwriaeth ac yn awyddus i helpu, ond dywedodd wrthi, 'Cofrestrwch yn y man lle'r ydych yn y brifysgol', gan nad oedd gan y meddyg teulu unrhyw ffydd yn y tebygolrwydd y byddai ei chlaf ifanc yn gallu cael cymorth yn ei chyfeiriad cartref. Ac mae hynny'n gwbl annerbyniol. Galwodd yr adolygiad o wasanaethau anhwylderau bwyta am i driniaeth fod yn hygyrch yn gynnar, gan ddileu'r meini prawf cymhwysedd neu atgyfeirio. Mewn rhai ardaloedd, roedd timau arbenigol newydd wedi'u sefydlu yng ngwasanaethau iechyd meddwl plant a'r glasoed, roedd rhai byrddau iechyd wedi datblygu neu ehangu gwasanaethau anhwylderau bwyta cymunedol i oedolion. Ond mewn rhai ardaloedd, mae mynediad at driniaeth arbenigol yn dal i fod yn gyfyngedig i'r rheini sydd eisoes yn ddifrifol wael ac nid yw ar gael i bobl â mathau penodol o anhwylderau bwyta, megis anhwylder gorfwyta mewn pyliau. Felly, mae ein cynnig heddiw yn galw'n benodol am roi diwedd ar yr amrywio yn y modd y darperir gwasanaethau, loteri cod post arall sy'n rhoi dioddefwyr mewn rhai rhannau penodol o Gymru o dan anfantais. Mae gwelliant Llywodraeth Cymru yn dileu hynny, ac yn hytrach, yn nodi ymrwymiad cyffredinol i barhau â'r gwelliannau i wasanaethau anhwylderau bwyta ledled Cymru, ac nid wyf wedi gwadu y gwnaed gwelliannau. Mae cyfeiriad yng ngwelliant y Llywodraeth at yr angen am ragor o fuddsoddiad. Unwaith eto, mae ein cynnig yn galw am hynny hefyd, ond lle mae gwelliant y Llywodraeth yn amwys, mae'r cynnig yn galw am gamau gweithredu penodol i sicrhau bod cynnydd mewn cyllid iechyd meddwl yn digwydd flwyddyn ar ôl blwyddyn mewn ymgyrch bum mlynedd, fel rydym yn ei disgrifio, i gynyddu'r adnoddau sydd ar gael i drin anhwylderau bwyta ymhlith materion iechyd meddwl eraill. Rydym yn galw am wneud mwy i ddwyn byrddau iechyd i gyfrif am eu buddsoddiadau mewn anhwylderau bwyta, ond yn hollbwysig, rydym yn mynd ymhellach, rydym yn galw am gyhoeddi fframwaith newydd ar gyfer gwasanaethau anhwylderau bwyta, gan gynnwys amserlenni a thargedau, a byddwn yn cefnogi gwelliant y Ceidwadwyr, sy'n mynd i'r afael â mater amserlenni ac adrodd amserol hefyd. Mae arnom angen cynllun clir, map clir tuag at ddarparu'r ymyrraeth gynnar honno y dywedais ei bod mor bwysig. Ceir bylchau sylweddol yn y data y mae byrddau iechyd yn ei ddarparu ar amseroedd aros ar hyn o bryd. Nid yw'n ymddangos bod system safonol ar waith ledled Cymru i fesur ac adrodd yn gyson ar yr amser aros llawn rhwng yr atgyfeirio cychwynnol, os bydd atgyfeirio'n digwydd yn ddigon cynnar o gwbl, a dechrau triniaeth arbenigol. Mae angen inni flaenoriaethu atal hefyd. Mae angen canolbwyntio ar fuddsoddi yn y gweithlu. Ac ar ofal integredig, esboniodd yr adolygiad o wasanaethau anhwylderau bwyta fod angen dull integredig gyda chyfathrebu a chydweithio da rhwng gwasanaethau er mwyn darparu ymyrraeth gynnar a thriniaeth ar sail tystiolaeth. Yn arolwg Beat o weithwyr proffesiynol a gwirfoddolwyr ym maes iechyd a gofal, nodwyd bod diffyg gweithio integredig neu gydweithredol gyda gwasanaethau iechyd neu ofal cymdeithasol eraill a diffyg cydweithredu integredig ag ysgolion, colegau a phrifysgolion yn aml yn cyfyngu ar allu eu timau a'u gwasanaethau i ateb y galw presennol am driniaeth anhwylderau bwyta. Mae cymaint o ffordd i fynd.