 Yn o'r prond a fi, y Llinead Morgang, gweinid o gychyd ag wasanaethau cymdeithasol dros Llywodraeth Cymru a ddiolch chi chi unwaith eto am ymuno ar gyda fi. Thank you again for joining me on the health and social services Minister for the Welsh Government. Today I want to speak to you about HIV and our ambition to eliminate new infections and to end the stigma of HIV by 2030. HIV continues to be a major global public health issue. It can affect anyone, regardless of your sexuality or where you come from. There's no cure but people diagnosed with HIV who access treatment can and do live long and healthy lives. In Wales last year around 2800 people were accessing care for HIV and there were 48 new diagnoses. We've come a long way since the dark days of the 1980s when there was a lot of fear, a lot of ignorance and cruelty around HIV and towards people with HIV. We've made considerable progress in reducing the number of new diagnoses every year. That's thanks to increased awareness, easier access to testing and the wide availability of PrEP in Wales. PrEP is a treatment that can be taken by people who are more at risk from catching HIV to reduce their chances of contracting the virus. But there's much more we can do, especially towards ending HIV related stigma and eradicating new infections. We know these things are possible with early detection and medication, people living with HIV now have the same life expectancy as people without HIV and they cannot pass the virus on. Yn un gwybod bod pethau hyn yn bosibl. Os mae'r posibl pobl yn darganfod bod HIV arnyn nhw, mae'n nhw yn gallu cael meddwl gynyddiad ac mae gan bobl sy'n byw gyda HIV yr un dysgwylio'r oes. Os mae'r hain tyn cael ei gandfod yn gynnar a phobol heb HIV ar ben hyn a mae'n bwysig i nodi nad oes môd iddyn nhw dros glwyddor fyrus os gawn nhw'r help yna yn gynnar. Os mae'n rai o gwahag yma wrth ochr negredig iawn hwyl hwn, sy'n ystafell firedrach i gweld 26 myfyrwyr ond ddych chi'n amser rwy'n trefydd. O'r targyl ysbryd ar ymhwyaf o bwysig i'r welio, mae'r tessu, gyda lanhau eraill, rheru'r hyn yn ystyried gyda'i hwyl hwyl a'r Люf hwyl o hwylを cael thysgmer. Os mae'n hwyl hwyl hwyl hwyl hwyl yma mewn gwyloedd hwybrae a llyfrwar, gyda'i ddechrau, hwyl chiadau, académicaidd, ac mae'n rhaid. yng Nghymru, mae'r ffordd cyfaint a ydych chi'n gyd wedi'i gwneud y plan. Rwy'n ddweud bod ni'n meddwl eich gweithio'r llaw ddim ni'n wneud. Rydym ni'n meddwl y ffutur byddu cyfaint o gwneud o'r meddwl a'r meddliadau yn ei ddweud o'r Gweithio'r HIV. Rydym ni'n meddwl yw'r barysgau chi'n arwag. Mae'r briadau yw'r ysgoel o'r hyn sy'n meddwl. Rwy'n meddwl i'n meddwl i'r gweithio'r hiv-serfysydd yn pier-support programmes so that they can live well with HIV. Byddwn ni yn atal achosion yn y dyfodol drwy wella mynediad at gondomau a meddygyniaethau sy'n diogel i pobl rhag HIV. Byddwn ni'n cael gwaredd ar rwystra i brofiwn. Mae pob prowf yn gyfle i atal drosglwyddiol a byddwn ni'n cefnogi pobl i gael mynediad atweiswn i'r HIV arbenigol a rhaglenu ein bod wedi'i cael modd arall fel y rhan o'r fyw yn dda gyda HIV. Felly mae hyn o blyniad a'r wneud o'r cymaint, o gwylio'r Earlier Goodnight in Wales i bryddoedd ac y rhan o'i bryd ymddangos cyffredinol iawn i Motherfine Cherrydside Cymru, gallwn cyntaf y mynediad hynny sydd gennymäu llyfrgynno a'o bairfyrwyr yw gwirio ar gyfer rhai newydd newydd hynny. Byddwn ni gennym iawn yn cyflwyn ffynu gyd, gyda'r gwynhau o gyrsgwrs o'r testio on-line a gyrsgwrs o gyrsgwrs. Mae'r model yma wedi bod yn gweithio y pandemig, ac mae'n mynd i'n gweithio i'r gyrsgwrs cymdeithasol o'r HIV, ac mae'r gyrsgwrs yn yng Nghymru yn ddiogel ar y cwrtetau'r yma yn y pryd. Yn ei ddweud, mae'n gweithio i'r gyrsgwrs a'r freitestau is available at your GP, Sexual Health Clinic, or you can order a test online. Mae pob prouf yn helpu i atal tros glwyddo ac mae prôl fion amddym ar gael ganfydd y gontailu neu cynnigau iechyd rhywol neu allwch i arhebu prouf arlaen. We're proud to see that new diagnosis of HIV in Wales decreased by 75% in Wales between 2015 and 2021. A sagnificat ffactor in this has been our policy of making a medicine which protects you and from HIV called PrEP, which has been widely available since 2017 in Wales. But we need to do more to prevent late diagnosis of the 48 people who were diagnosed last year. Just under half were late diagnosis. Laitiwyr ar gyfer yr unibodol cyffredigol yma o mwybodol, ac ydych chi'n mynd i'ch gweithio'r ddaf yn ffocosol hiv transmysg. Rydyn ni'n gwybod i'ch bwysig i bwysig, dyna'r ffordd arbennig yma, 3.9 miliwn pwn, i'r embwynebu o'rèi gyffredinolion hiv a siolio. Yn y bwysigau i'r awtfyrwyr, y dywed y byddwch i somebodyb yn ein cyfnod yn gyffredinol ac cyberciologik. Rwy'n bwysig i'n bwysig i'r bwysig i'r bwysig i'n bwysig i'r bwysig i'r cyffredinolion hiv y byddai'n dweithio cerdinol. Gweithio'n gwneud o gael yng Nghymru Gweithio Tafodol Gweithio Llywodraeth neu'r Gweithio Llywodraeth Gweithio'n gwneud o'r gweithio'r oedlaeth o'r edrych gyweithio'r gwahog. Mae'r bywch hwnnw i'w galwau hwnnw o'r gyffredinol i gweithio'r gweithio hefyd, mae'r gweithio hwnnw i'r gweithio'r gweithio hwnnw o'r Gweithio Llywodraeth. Fe sfaith ymgyrch yn 7 o'r phobl yn angen i fyw o blaenau ymlaenol gyda i leidio hefyd oersodau sydd. Yn 5 o hyffordd atbygu hefyd dod, mae'r leidio hefyd yn rhan i'ch fyw yma, byddai'n fyw o daethau hefyd. Wrth gwrs, ddweud y wahanol, 5% wedi arlesad hynny ei fod yn ymmydd i leidio hefyd o'r plac o braedd oherwydd oed o myd ei heddiw i leidio hefyd o! I don't want anyone to feel shame or discriminated against due to their HIV status. The most effective way to address stigma is through education. We'll also develop an HIV awareness training programme to address misunderstanding and stigma in the healthcare sector, which will be mandatory for all healthcare providers. There are 26 actions in the plan and some overarching actions including turning Wales into a fast track nation. This will build on the success of Fast Track Cardiff and Vale, which is a collaboration between public bodies and organisations, which created Wales's HIV testing week and piloted new services. This will support regional networks of health, social care and community groups to reach out to make sure that we reach our 2030 ambitions to eliminate new HIV infections and stigma. To make this happen, we need to hear from you. If you have lived experience or worked with people with HIV, then please get in touch. Yn mwyn i hyn, ddigwydd mae angen i ni gweld wrthoch chi, a os ysgen gyda chi brofyr personol HIV neu os ydych chi wedi gweithio gyda pobol sydd a HIV, please ky sylwch anu. We're putting this plan out to consultation for 12 weeks to make it as strong as possible, so we can make a real difference to the lives of people living with HIV now and in the future. Diolch yn fawr i chi'ch argyged, and now I'm happy to take questions from journalists and I'll start with Carey Daithes in ITV Wales. Diolch yn fawr, thank you minister. Bawd yn lleol, ychydig i'r targedd, cyffredin ni'n gallu bod iawn i'r regu Llywodraeth yn oed weithio ar y cyffredin ni'n gweithio at y twyd yw ymgylchedd a'r cyfan a'r rhaglen Cymru, ac mae'n gweithio i'r rhaglen Cymru i'r Rhaglen Cymru. Rhyw un o'r ffaith, mae'n rhaid i'r rhaid i'r rhaglen Cymru oherwydd ydych chi'n rhaid i'r hyn. Wyddech chi'n gwybod eich priechyd oherwydd ar wahanol y ffwrdd oedd o'r prif o'r hoff NOW. Felly ond yng nghyrchu i Gwyrddolahen Gwybethau i'r unrhyw should lift y gall gwреilol i yw'r ffordd i chi weithio cwestiynau hynny, ond mae'n cwrwch ar gyfer gweld ar gyfer gwirionedd a'u cyfoelaf'r prif. Felly, mae gennym ni bod yn y trajectori yn gwybod hwnnw.endaeth, ac Ry'Swen, felly through all, will ensure that people access the testing and they need to come forward early and that's the key thing for us is to get people coming forward early, to get the test quicker they get the treatment quicker and they less likely to pass it on and all of that helps us, we hope, to get to the target by 2030 How much money overall is being invested in the plan then because £3.9 million outlined so far、 ond, ychydig i'r cyfaint yn ymydd yma, yma'r ffordd, yma'r ffordd? Mae'r ffordd ffordd yma. Mae'r ffordd yn ymydd yma. Mae'r ffordd yma mae'r gwaith yn eich bod yn mynd i'r gweithio. Yn ystod, mae'r ffordd yn ei wneud i'r ffordd yma yma. Mae'r gweithio yma. So mae'n dechrau'n ffordd ar y gweithbrydau i'r gweithbrydau yma. Dan Bevan? Oh, sorry. Do you have an estimate, a ballpark figure that you'd be expecting? Wel, we can get back from the different health boards and we can get that to you, if that's okay, Carrie. So, Dan Bevan. Thank you minister. Good afternoon to you. We know that one of the underlying problems in the pandemic was the effect that it had on treatment for other conditions beyond Covid. How much of an effect do you think the pandemic has had on plans to eradicate new HIV infections in Wales? And is that the reason why these plans have been stepped up? And if I could have that answer in Welsh and English, that would be much appreciated. Thanks. Well, ironically, Dan, one of the things that happened during the pandemic is we were able to do a lot more online requests for testing. And actually what we saw is more people coming forward for testing than we've seen before. So, ironically, the pandemic has helped us to get people to step forward who may otherwise not have done so. So, I think in that sense, there's been a positive move because we've seen those increases in people coming forward as a result of that online availability. Felly, dwi'n mynd yn meddwl bod ffaith bod pandemic wedi digwydd wedi golygu bod un i'n cynnig profion nawr arlau'n mewn ffordd na genny'n neud yn y gorffennol. A mae mwy o bobl wedi dod ymlaen i ofyn am y profion, ac wrth gwrs, y profion a'r profion cynnar sydd yn helpu bobl wedi'n i gael y triniad syiang yn arnyn nhw fel bod nhw ddim yn pasio HIV ymlaen. And we know, on a separate topic, but nevertheless still important, the first plane is due to leave with asylum seekers on board through Rwanda later today. I wonder how you feel about the policy and does the UK Government's policies on immigration affect Welsh Government's ambition to be a nation of sanctuary and again in Welsh and English, if you don't mind? Well I think we should measure societies on the treatment of its most vulnerable and these are certainly vulnerable people. People who very often have been subject to very difficult conditions in their home countries, they are fleeing very often the horror of war and all that lots of human rights abuses in their own countries and whilst of course we are clear gallu allwch argyfriddon yw eich trafodd y Deyrnas allir. Mae'n fawr wedi wneud beth yr frywyr o bob ychydig o gyfrifio'r ddod. Efallai'r grwyran â'r rhai ddweud, gallwn rhai ddweud mewn cyfmhiliadau i'r ddynnu gyfanell i'r ffrifio'r ddynnu i ddwy laf yn ddweud sy'n ddyddion ofsig ffiaillol i'r ddynnu cyfeirlo. Wrth gydig i'r erbyn ei wneud o'r ddysgu, We are very uncomfortable with the actions of the UK government and we would like them to think again because we think this is a very dark day for the UK with this very cruel and human approach to asylum seekers. Mae pobl sydd yn edrych am ysailem yn bobl sydd yn amlwedd i dioddau lot yn ei gwledydd nhw. Mae nhw'n dod amlochus i'n gwlad ni a dwi'n meddwl bod yn gwbl anhawyr i'n i ffwrn mewn sefyllfa. Llein i'n allforio e'n cyfrifoldebau ethicol o ran beth sydd ddalen i fod yn ymdrin ar pobl o yma, ac yn sicr fel gwlad sydd yn cynnig sancturi bobl i ni yn siomedig iawn gyda'r ffordd mae Llywodraeth prydden yn bwriadu bwrw ymlaen gyda'r syniad yma o allforio sefyllfa i rwanda. Benjamin Price, BBC Wales. Diolch yn ei ddod. Os cyflig allw tebyg yn Gymraeg, hefyd. First question. One person with HIV that we've spoken to says he's concerned people aren't taking the risks seriously enough because of the success of preventative measures. Is that a concern that you share? I think that that's one of the reasons why we're very keen for this action plan to be a success where today you're helping to raise the profile of the fact that actually it is important that you come forward that there are risks if you're not treated. But actually there are lots of actions that you can do, one to prevent yourself from being infected in the first place but if you are infected then of course there are treatments that can help you to live a very normal life if you catch it early enough. And it's that message of making sure if you can take that preventative action or that action after you've contracted HIV quickly so that we can avoid complications from building in the future. Dwi'n meddwl bod yn bwysig bod y rhaglen yma yn denu selw at y ffaith bod yn bwysig bod pobl yn cymryd HIV o ddifrif ond yn bod ni'n tanlynedd allu'r ffaith bod na help ar gael i bobl cyn i ddyn nhw'n contractio os maen nhw mewn sefysfa o gymryd risks allwn ni helpu trwy gynnig prep iddyn nhw. Ond hefyd os maen nhw yn cael HIV mae angen estyn allan am yr helpu chwanegol fel bod nhw ddim yn datblygu sympt ome sydd yn gallu arwen at problemau fwy hwys dim o'r. Os ych chi'n cael yr helpu'n gynnar wedyn mi allwch chi byw bwyd normal a mae hwnna'n bwysig i ni wrth gwrs fel cymdeithas hefyd. Felly ymgyllgor hwyl hwyl a Llywodraeth yn gwahod llawer o'r ffrind. Ond ydych chi'n gafodd o'n ymgylcheddau sydd y ddau ffordd ar gyfer y cyfrifiadol o gwahodeg yna? Mae'n oeg yn ymgylchedd ymgylchedd a mae'n olygu ddim yn rhan, teimlo, wrth gwrs, ond hynny yn y fwy gwasanaeth switched. in England if you are transferred from one hospital to another then that doesn't count in England where it does in Wales. So there are some mitigating measures but I as health minister can tell you that I am very focused on this that we recognise that there are cases where we do need to get people out of our hospital much quicker. Our care service ymarGI Excuse of course is it a very fragile state and we're trying now to see what we can do to go much further in terms of recruiting, reablement carers so that we can get people out of hospital quicker, make those assessments in the home and release those hospital beds for those emergency cases that are currently accumulating at the back door of us, at the front door of our hospitals at A&E. Yngo mwy proposal aibl yn I. Rwy'n ei wneud yn mwy bod oly iawn bod pobl yn aros yn herach mewn rhai o'n ysbytain i yng Nghymru. Mae pobl sy'n gweithio yn yr ardyniach iddyn nhw'n edrych mewn i rhai o'r ffigurau yma, ac mae'r ffordd i ni'n cyfri. Mae hannol i'r ffordd i ni'n cyfri yn llwigur ar enghraifft os mae rwy'n yn claf yn symud o un ysbytiau'r llal yn llwigur mae'r cloc yn dechrau'n oedd etol. Dwi'n hynny ddim yn digwydd yng Nghymru. Ond mae system gofal yn i'n fregyst dros ben, nid jyst yma yng Nghymru ond hefyd yn llwigur, ond ni'n gweithio ar hyn yn y drwyad li iawn ar hyn o bryd, ac yn edrych i weld os yllwan ni'n recriwtio mwy o bobl dros yr haf fel bod ni'n barod am y gei anesa, ac yn gallu stopio cymaint o bobl yn aros am eitrin i eithennu wrth y drwsfrynt os gwrsgyda ac sy'n tynnu'n mynd i'n sydd anbwysau llethol ar hyn o bryd. Will Hayward. Thank you, Minister. There is huge pressure at the moment on waiting lists and ambulances, and there has been for years, even before Covid. People want to know when it's going to get better. Can you guarantee people in Wales at this time next year the situation will have significantly improved? Well, I can assure you, Will, that all of my efforts at the moment are being put into trying to take the pressure off hospitals. It's a very complicated jigsaw that we have to put together because it is a huge system that goes from the red ambulance call through to the fragility of our care system. We need to sort out the system all along. That is certainly something that I'm very focused on working with my colleague Julie Morgan to make sure that we work with local authorities to try and do what we can to reinforce the support that is given in the care service. If we can release more people from hospitals, there are still around a thousand people in hospital beds who should be ready to go back to their communities. But that recruitment issue, which of course we've tried to address through introducing the real living wage, is something that we're trying to do to try to address. But I can assure you, Will, that we are putting a lot of effort into this. We know that it's been a very tough year and that the year is not over. But we're also very aware that we could hit another COVID wave in the winter. We could see more flu next winter, and so we're putting those preparation measures in place now. And that means recruitment, training of additional people beyond what we've already planned for. OK, we've seen COVID cases and hospitalisations rise in England. Do you expect to see this in Wales, if so, when? And is the Welsh NHS in a position to cope with it, given the current pressures and the backlog? Well, I'm pleased to say that our COVID rates have been going down, so at the moment we're in a good situation. We are obviously making sure that we keep an eye on the situation, that we're analysing it. In this situation now, we're about one in 75 people in our communities are living with COVID. What we're trying to do, Will, to avoid that situation from happening, is to make sure that we are ready for an awesome booster campaign. We're just finishing off the spring campaign now, making sure that the most vulnerable are protected. But the best hope for us to keep people out of hospital is to make sure that that autumn booster campaign is in the place where it should be. And certainly I know that health boards across Wales are working hard to make sure that that strategy is in place. OK, Harry Hansen. Thank you. Good afternoon, Minister. You've mentioned today about the introduction of HIV education into the curriculum. How is that really going to affect to be carried out across schools in Wales? Well, as you know, Harry, there's a new curriculum that's being introduced and so it'll be important that teachers take account of that new curriculum and the extra flexibility that that curriculum allows to make sure that they introduce this subject in a sensitive and a timely manner. But what is important is that nobody lives in ignorance in relation to HIV. The dark days of the 1980s where HIV very often led to AIDS and very often to death are very much behind us, very much behind us. We now have the ability to address these issues and it's really important that people get up to date with the changes that have happened since the 1980s. So we genuinely think that this is something within our reach that we can get to 2030 and that we will be able to see no more cases of HIV in Wales. Thank you for that. I suppose I'm on a slightly different note. How concerned is the government that Wales has the highest proportion of GPs over 60 in the UK? Almost a quarter of GPs in Wales are approaching or at retirement age. We are very aware of that and of course we are making sure that we're in a situation where we are preparing for the support that we can. We've got a different model in Wales where we're trying to make sure that we get people like advanced nurse practitioners who can help us out. If you look at the number of GPs in Wales compared to England, of course the Nuffield Trust came out with that report recently. There are 63 GPs per 100,000 people in Wales compared to 57 GPs per 100,000 in England. In the last three years we have recruited 90 more doctors than the original target, which was 160 per year and of course we have got the new medical school opening in north Wales and that already is recruiting people into Cardiff, which people will then be transferred into north Wales. Tom Magner. Good afternoon Minister. I appreciate you're here to speak about HIV principally. You mentioned a few moments ago about working with local authorities. Unpaid carers have the right to needs assessment under the Social Services Wellbeing Wales Act, but yet I'm hearing from increasing numbers of viewers to carers as well live who are telling me they're being poorly treated by local authorities. What intervention will you make as the responsible minister to ensure that unpaid carers have the highest priority for prompt, accurate and compassionate needs assessment from local authorities, given that unpaid carers provide 96% of care across the nation? Thanks very much Tom and I'd like to put on record once again our thanks to the army of unpaid carers who very much are helping us out as a society. As you're aware Tom we are trying to show our appreciation for that through a number of ways. First of all we have invested 4.5 million into carers support fund over the next three years and this will provide grants to help unpaid carers with the rising costs of living. We've announced a one-off £500 payment for unpaid carers receiving carers allowance. That was in March 2022 as a part of a £29 million package and a £9 million scheme was announced in April 2022 to help unpaid carers take a break from their caring role. Now you're absolutely right that it's important that local authorities step into this position and make sure that those assessments are promptly made. Thank you for that. I'm sure our viewers are grateful for the extra money but five years on the act is ineffective according to carers Wales. Local authorities seem unwilling to get on with the job according to our viewers. How can you be satisfied that all is well without these assessments? Without these assessments unpaid carers can't get the support they so desperately need over and above any extra money? Well I can tell you Tom is that we spend about 30% more on care than they do in England. This is something again that came from the Nuffield Trust's investigation. I think it is important that people understand that we absolutely are committed to this space and are massively appreciative of the incredible work that our unpaid carers do. Diolch yn fawr iawn i chi gyd. Thank you very much.