English: In many ways, the hepatitis C story in Wales is incredibly optimistic. We have a disease before us, or a condition before us, that is almost entirely curable, and we are within striking distance - if we apply ourselves - to being able to wipe this out. And I think that any illness or condition that we can wipe out - polio being one of them - is something that we should all celebrate, and we can do this with hep C if we all bend our minds to the task. And, Minister, I absolutely recognise that there have been some amazing strides forward in trying to eradicate hep C, or reverse hep C, in individuals. I think there have been some good strides forward in tackling certain members of our population, certain target groups, certain ethnic groups, where there's a prevalence. There have been strides forward in reducing people who use drugs and in their contamination with hepatitis C. But, of course, it's one of those things where, as you bash down one dragon's head, up comes another. And I found one of the very interesting things that came forward from this report is how we are beginning to see more instances of people developing hepatitis C from some of the more modern things today, like having Botox fillers, about going to sports clubs and having steroid injections. And so, Minister, what I'd like to do is ask you a couple of questions first of all around what else you're going to put in place in terms of things like syringe programmes, steroid clinics. There are 270 needle and syringe programmes throughout Wales - do we need more, how will we fund it? What about the idea of having steroid clinics, so that people can understand that there's no stigma to being able to go forward and to get that treatment? Because, of course, like all these things, it's about taking away the stigma. So, very, very positive news, but we had to do this report because it is only a job half done. And I was very concerned to see that, in this report, some of our recommendations were just to be accepted in principle. And I've kind of come to the conclusion, after my years here as an Assembly Member, that, when a Government says 'accept in principle', it is always a euphemism for kicking something out to the long grass. So, I'd just like to go through some of these 'accept in principle' comments that you have. Now, Helen Mary has already talked about recommendation 3, which you've accepted totally, which was the one about accepting the World Health Organization 2030 target. I would like to understand why you haven't followed the Scottish one of 2024, or the UK one of 2025. I just find it very interesting - we're a small country, we can get to people quickly, and I'd like to understand your reasons here. I would like to understand how the health boards will actually deliver the hep C treatment targets that are due to be introduced in April. Can we add these targets to the NHS activity and performance summary dashboard, as a way of formally monitoring progress towards elimination? You spoke in a previous set of questions about the need to have robust data, and how you felt that data was good, and I agree with you - I think that data helps us to drive our public health policy. Are we able to add that to the dashboard? Will you commit to the production of a new Welsh health circular? I'd also like to talk about recommendation 2, and the targeted awareness-raising campaign. Now, I know from slightly bitter experience that the Government is actually quite reluctant to undertake targeted awareness raising campaigns - I've talked to you in the past about sepsis - because you feel that national campaigns sometimes do not achieve their aims. But we've hit this barrier before, and I'd like to really understand why you will not go forward with a targeted awareness-raising campaign. It's been recommended by all the players in this area - the people who go out there and actually have to deliver these services on the ground, they believe that this is a good way forward, the committee believe it's a good way forward, professionals believe it's a good way forward, but the Welsh Government doesn't. I need to really understand and would appreciate an explanation on that. Additional investment into prisons - now, Helen Mary has already touched upon it, but we've done quite a number of reports recently about care for prisoners, about reintegrating people into the community, about ensuring that we have minimal reoffending rates. Letting someone come out of prison feeling in good health, with a good future, a roof over their head, and a pathway forward is one of the key ways of stopping reoffending. And I simply would like to ask you to revisit your investment in prisons, because we need to get prisoner health up so that when they leave those prisons they have a better chance of staying out and a lesser chance of recidivism. Thank you.
Welsh: Mewn sawl ffordd, mae stori hepatitis C yng Nghymru yn hynod optimistaidd. Mae gennym glefyd o'n blaenau, neu gyflwr o'n blaenau, sydd bron yn gwbl welladwy, ac rydym o fewn cyrraedd - os ymrown i hyn - i allu ei ddileu. A chredaf fod unrhyw salwch neu gyflwr y gallwn ei ddileu - mae polio yn un ohonynt - yn rhywbeth y dylai pawb ohonom ei ddathlu, a gallwn wneud hyn gyda hep C os bydd pob un ohonom yn ymroi i'r dasg. Weinidog, rwy'n cydnabod yn llwyr fod camau breision wedi'u cymryd i geisio dileu hep C, neu wrthdroi hep C, mewn unigolion. Rwy'n credu bod camau da wedi'u cymryd i fynd i'r afael â rhai aelodau o'n poblogaeth, grwpiau targed penodol, grwpiau ethnig penodol, lle ceir nifer uwch o achosion. Mae camau breision wedi'u cymryd i leihau nifer y bobl sy'n defnyddio cyffuriau ac yn cael eu heintio â hepatitis C. Ond wrth gwrs, mae'n un o'r pethau hynny lle, wrth i chi dorri pen un ddraig, mae draig arall yn codi. Un peth diddorol iawn sydd wedi deillio o'r adroddiad hwn yw sut rydym yn dechrau gweld mwy o achosion o bobl yn datblygu hepatitis C o ganlyniad i bethau mwy modern heddiw, fel llenwyr Botox, mynd i glybiau chwaraeon i gael pigiadau steroid. Ac felly, Weinidog, yr hyn yr hoffwn ei wneud yw gofyn cwestiwn neu ddau i chi yn gyntaf ynglŷn â beth arall y bwriadwch ei roi ar waith o ran pethau fel rhaglenni chwistrellau, clinigau steroid. Mae 270 o raglenni nodwyddau a chwistrellau ledled Cymru - a oes angen mwy, sut y byddwn yn eu hariannu? Beth am y syniad o gael clinigau steroid, er mwyn i bobl allu deall nad oes stigma i allu mynd i gael y driniaeth honno? Oherwydd, wrth gwrs, fel yr holl bethau hyn, mae'n ymwneud â dileu'r stigma. Felly mae hwnnw'n newyddion cadarnhaol iawn, ond roedd yn rhaid inni wneud yr adroddiad hwn oherwydd mai hanner y gwaith yn unig sydd wedi'i wneud. Ac roeddwn yn bryderus iawn i weld, yn yr adroddiad hwn, mai mewn egwyddor yn unig y cafodd rhai o'n hargymhellion eu derbyn. Ac rwyf wedi dod i'r casgliad, ar ôl treulio blynyddoedd yma fel Aelod Cynulliad, pan fo Llywodraeth yn dweud 'derbyn mewn egwyddor', mai ffordd arall o ddweud eu bod am wthio rhywbeth i'r naill ochr ydyw. Felly, hoffwn grybwyll rhai o'r sylwadau sydd gennych ynglŷn â 'derbyn mewn egwyddor'. Nawr, mae Helen Mary eisoes wedi sôn am argymhelliad 3 a dderbyniwyd yn llwyr gennych, sef yr un am dderbyn targed Sefydliad Iechyd y Byd ar gyfer 2030. Hoffwn ddeall pam nad ydych wedi dilyn targed yr Alban, sef 2024, neu darged y DU, sef 2025. Mae'n ddiddorol iawn i mi - mae Cymru'n wlad fach, gallwn gyrraedd pobl yn gyflym, a hoffwn ddeall eich rhesymau yma. Hoffwn ddeall sut y bydd y byrddau iechyd yn cyflawni'r targedau triniaeth hep C y disgwylir iddynt gael eu cyflwyno ym mis Ebrill. A allwn ni ychwanegu'r targedau hyn at ddangosfwrdd cryno'r GIG ar gyfer gweithgaredd a pherfformiad fel ffordd o fonitro'r cynnydd tuag at ddileu hepatitis c yn ffurfiol? Fe sonioch chi mewn cyfres flaenorol o gwestiynau am yr angen i gael data cadarn, a sut y teimlech fod data'n dda, ac rwy'n cytuno â chi - credaf fod data'n ein helpu i yrru ein polisi iechyd cyhoeddus. A allwn ychwanegu hwnnw at y dangosfwrdd? A wnewch chi ymrwymo i gynhyrchu cylchlythyr iechyd newydd i Gymru? Hoffwn siarad am argymhelliad 2 hefyd, a'r ymgyrch codi ymwybyddiaeth wedi'i thargedu. Nawr, rwy'n gwybod o brofiad ychydig yn chwerw fod y Llywodraeth yn eithaf amharod i gynnal ymgyrchoedd codi ymwybyddiaeth wedi'u targedu mewn gwirionedd - rwyf wedi siarad â chi yn y gorffennol am sepsis - oherwydd eich bod yn teimlo weithiau nad yw ymgyrchoedd cenedlaethol yn cyflawni eu nodau. Ond rydym wedi wynebu'r rhwystr hwn o'r blaen, a hoffwn ddeall yn iawn pam na fyddwch yn bwrw ymlaen ag ymgyrch codi ymwybyddiaeth wedi'i thargedu. Mae wedi cael ei argymell gan bawb sy'n rhan o'r maes hwn - y bobl sy'n gorfod darparu'r gwasanaethau hyn ar lawr gwlad, maent yn credu bod hon yn ffordd dda ymlaen, mae'r pwyllgor yn credu ei bod yn ffordd dda ymlaen, mae gweithwyr proffesiynol yn credu ei bod yn ffordd dda ymlaen, ond nid yw Llywodraeth Cymru yn credu hynny. Mae angen imi ddeall hyn yn iawn a buaswn yn gwerthfawrogi esboniad ar hynny. O ran buddsoddiad ychwanegol mewn carchardai - nawr, mae Helen Mary eisoes wedi crybwyll hyn, ond rydym wedi gwneud cryn dipyn o adroddiadau yn ddiweddar am ofal i garcharorion, am ailintegreiddio pobl i'r gymuned, am sicrhau bod gennym gyfraddau aildroseddu isel. Gadael i rywun ddod allan o'r carchar yn teimlo'n iach, gyda dyfodol da, to dros eu pennau, a llwybr ymlaen yw un o'r ffyrdd allweddol o atal aildroseddu. Ac yn syml, hoffwn ofyn ichi ailystyried eich buddsoddiad mewn carchardai, oherwydd mae angen inni wella iechyd carcharorion fel bod gwell gobaith, pan fyddant yn gadael y carchar, y byddant yn aros allan, a llai o berygl y byddant yn aildroseddu. Diolch.