English: Speaking here in September, the health Minister said it was important to note that a summary report was published in 2015, including the Holden recommendations. But this is the very brief summary report referred to above, which did not describe the 31 concerns listed by staff. Throughout my time as a Member of the Senedd, since 2003, I have supported a succession of principled whistleblowers who have been threatened, bullied, denigrated or damaged for daring to tell the truth in Wales. An event that led directly to Holden involved two senior nursing staff who had raised safety concerns being summarily marched out of the building on a trumped-up basis. In the case of Tawel Fan, two members of the medical staff were put on restricted duties and referred to the General Medical Council. One of them had raised safety concerns with management, but was told that doing so indicated he was not a team player. A letter I received from Professor Healy in 2019 stated, 'Several of my patients have died, in part because of difficulties in getting them input. I wrote to the health board about one patient - now dead - who was getting more care co-ordination from the north Wales police than from the mental health services, but I do not get even acknowledgement or receipt of letters.' False allegations were made against him; he was exonerated each time, and finally accepted a job offer in Canada. However, a letter received from him this week states, 'A merger of health boards across north Wales put Wrexham-based staff in charge of the entire service. Bullying, thuggery, summary dismissals based on trumped-up charges, invented sexual abuse allegations became par for the course; staff who raised safety concerns were told they were not team players and were dismissed. Some politicians at least acknowledge the receipt of letters from senior staff drawing their attention to these issues. Mr Drakeford never did. His recent comments on what happened have been jaw-droppingly wrong.' Responding here to the 2018 statement by the then health Secretary Vaughan Gething on the Health and Social Care Advisory Service report on the Tawel Fan ward, I stated: 'in 2015, Welsh Government, the health board and Healthcare Inspectorate Wales all accepted the findings of Donna Ockenden's 2015 report.' So, why now, when many serious allegations are peppered throughout the HASCAS report, has it come to the bizarre conclusion that care was good and that institutional abuse didn't happen? The 2018 Ockenden review found that the systems, structures and processes of governance, management and leadership introduced by the health board from 2009 were wholly inappropriate and significantly flawed. In January 2019, Donna Ockenden revealed that staff had told her services were going backwards. Two patients in north Wales mental health units have died from hanging and attempted hanging over the last year. Last month, a Public Services Ombudsman for Wales report revealed that the health board had made a fulsome apology to the son of a lady who had received treatment on the Hergest ward, David Graves, for the failings identified and injustice caused to him and his family. In a letter to the Older People's Commissioner for Wales, the health board's executive director of nursing and midwifery stated that Mr Graves had at times been verbally aggressive and made expressions that have forced the health board to consider the safety of the individual. In response, Donna Ockenden wrote, 'I have always found you, Mr Graves, polite and courteous.' Yesterday, North Wales Community Health Council's chief officer wrote to me ahead of this debate, stating that when it comes to implementing recommendations of challenging reports, Betsi Cadwaladr University Health Board have been slow to act, some may say reluctant. Our motion therefore calls on the Welsh Government to apologise to staff, patients and the families of those adversely affected and to undertake a fundamental review of mental health services across Wales with patients, families, professionals and other stakeholders. This whole episode has been a disgrace, and a stain on the reputation of this establishment and the Government of Wales.
Welsh: Wrth siarad yma ym mis Medi, dywedodd y Gweinidog iechyd ei bod yn bwysig nodi bod adroddiad cryno wedi'i gyhoeddi yn 2015, yn cynnwys argymhellion Holden. Ond dyma'r adroddiad cryno byr iawn y cyfeirir ato uchod, nad oedd yn disgrifio'r 31 o bryderon a restrwyd gan staff. Drwy gydol fy amser fel Aelod o'r Senedd, ers 2003, rwyf wedi cefnogi rhes o chwythwyr chwiban egwyddorol sydd wedi cael eu bygwth, eu bwlio, eu difrïo neu eu niweidio am fentro dweud y gwir yng Nghymru. Mewn digwyddiad a arweiniodd yn uniongyrchol at Holden cafodd dau uwch aelod o staff nyrsio a oedd wedi mynegi pryderon ynglŷn â diogelwch eu tywys allan o'r adeilad ar sail ffug. Yn achos Tawel Fan, rhoddwyd dau aelod o'r staff meddygol ar ddyletswyddau cyfyngedig a'u cyfeirio at y Cyngor Meddygol Cyffredinol. Roedd un ohonynt wedi mynegi pryderon ynglŷn â diogelwch wrth y rheolwyr, ond dywedwyd wrtho fod gwneud hynny'n dangos nad oedd yn gallu gweithio mewn tîm. Nododd llythyr a gefais gan yr Athro Healy yn 2019, 'Mae nifer o fy nghleifion wedi marw, yn rhannol oherwydd anawsterau i'w cael i mewn. Ysgrifennais at y bwrdd iechyd am un claf - sydd bellach wedi marw - a oedd yn cael mwy o gydgysylltu gofal gan heddlu gogledd Cymru na chan y gwasanaethau iechyd meddwl, ond ni chaf gydnabyddiaeth fod fy llythyrau'n cael eu derbyn hyd yn oed.' Gwnaed honiadau ffug yn ei erbyn; fe'i cafwyd yn ddieuog bob tro, ac yn y pen draw derbyniodd gynnig swydd yng Nghanada. Fodd bynnag, mae llythyr a ddaeth ganddo yr wythnos hon yn datgan, 'Mae uno byrddau iechyd ar draws gogledd Cymru wedi rhoi staff sy'n gweithio yn Wrecsam yng ngofal y gwasanaeth cyfan. Daeth bwlio, ymosodiadau, diswyddiadau diannod yn seiliedig ar gyhuddiadau ffug, honiadau ffug o gam-drin rhywiol yn ddigwyddiadau cyffredin; dywedwyd wrth staff a fynegodd bryderon ynglŷn â diogelwch nad oeddent yn gallu gweithio mewn tîm a chawsant eu diswyddo. Mae rhai gwleidyddion o leiaf yn cydnabod eu bod wedi derbyn llythyrau gan uwch staff yn tynnu eu sylw at y materion hyn. Ni wnaeth Mr Drakeford gydnabod hynny erioed. Mae ei sylwadau diweddar ar yr hyn a ddigwyddodd wedi bod yn syfrdanol o anghywir.' Wrth ymateb yma i ddatganiad 2018 gan yr Ysgrifennydd iechyd ar y pryd, Vaughan Gething, ar adroddiad y Gwasanaeth Cynghori ar Iechyd a Gofal Cymdeithasol ar ward Tawel Fan, dywedais: 'yn 2015, derbyniodd Llywodraeth Cymru, y bwrdd iechyd ac Arolygiaeth Gofal Iechyd Cymru ganfyddiadau adroddiad Donna Ockenden a gyhoeddwyd y flwyddyn honno.' Felly, yn awr, pan fo llawer o honiadau difrifol yn britho adroddiad y Gwasanaeth Cynghori ar Iechyd a Gofal Cymdeithasol, pam ei fod wedi dod i'r casgliad rhyfedd fod y gofal yn dda ac na ddigwyddodd unrhyw cam-drin sefydliadol? Canfu adolygiad Ockenden yn 2018 fod y systemau, y strwythurau a'r prosesau llywodraethu, y drefn reoli a'r arweinyddiaeth a gyflwynwyd gan y bwrdd iechyd o 2009 ymlaen yn gwbl amhriodol ac yn ddiffygiol iawn. Ym mis Ionawr 2019, datgelodd Donna Ockenden fod staff wedi dweud wrthi fod gwasanaethau'n mynd tuag yn ôl. Mae dau glaf yn unedau iechyd meddwl gogledd Cymru wedi marw drwy grogi ac ymgais i grogi dros y flwyddyn ddiwethaf. Y mis diwethaf, datgelodd adroddiad gan Ombwdsmon Gwasanaethau Cyhoeddus Cymru fod y bwrdd iechyd wedi ymddiheuro'n annidwyll i fab dynes a oedd wedi cael triniaeth ar ward Hergest, David Graves, am y methiannau a nodwyd a'r anghyfiawnder a achoswyd iddo ef a'i deulu. Mewn llythyr at Gomisiynydd Pobl Hŷn Cymru, dywedodd cyfarwyddwr gweithredol nyrsio a bydwreigiaeth y bwrdd iechyd fod Mr Graves wedi bod yn ymosodol ar lafar ar brydiau ac wedi gwneud datganiadau sydd wedi gorfodi'r bwrdd iechyd i ystyried diogelwch yr unigolyn. Mewn ymateb, ysgrifennodd Donna Ockenden, 'Rwyf bob amser wedi eich ystyried chi, Mr Graves, yn gwrtais ac yn foesgar.' Ddoe, ysgrifennodd prif swyddog Cyngor Iechyd Cymuned Gogledd Cymru ataf cyn y ddadl hon, i ddweud, pan ddaw'n fater o weithredu argymhellion adroddiadau heriol, fod Bwrdd Iechyd Prifysgol Betsi Cadwaladr wedi bod yn araf i weithredu, a gallai rhai ddweud, yn amharod i weithredu. Felly, mae ein cynnig yn galw ar Lywodraeth Cymru i ymddiheuro i staff, cleifion a theuluoedd y rhai yr effeithiwyd arnynt yn andwyol ac i gynnal adolygiad sylfaenol o wasanaethau iechyd meddwl ledled Cymru gyda chleifion, teuluoedd, gweithwyr proffesiynol a rhanddeiliaid eraill. Mae'r holl hanes hwn wedi bod yn warthus, ac yn staen ar enw da'r sefydliad hwn a Llywodraeth Cymru.