Vaughan Gething: Health boards are expected to deliver care in line with guidance from the National Institute for Health and Care Excellence on referral for suspected cancer and the diagnosis of prostate cancer. Our approach to helping health boards and supporting them is set out in the cancer delivery plan for Wales.
Vaughan Gething: The pilot you refer to in England is a London-only pilot, so it's not a national pilot that takes in the whole of England in any event. We have pilots that are being run here in Wales in a variety of health boards. As I say, we will continue to provide a service that is in line with NICE guidance. The NICE guidance is due to be updated in April 2019. If we have the Welsh urology...
Vaughan Gething: As I said in my first answer to Mark Isherwood, there are pilots running in Wales. If there is a new clinical consensus, underpinned by evidence, in Wales, we can make a system-wide shift. That is where we are. There are pilots in the three health boards that you mention. The evidence base for that is gathering and growing, and we will then be able to make a choice on the basis of the...
Vaughan Gething: The cancer delivery plan outlines our vision for cancer services in Wales. It brings stakeholders together to drive improvement in cancer services and outcomes. The plan was updated and re-published in November 2017 and will take us through to 2020.
Vaughan Gething: Yes, and I'm grateful to the Member for raising the issue. It highlights, in some ways, how an announcement made in England will often grab attention and headlines, whereas work we are already doing in advance of England often doesn't reach the same pick-up. In this area, we've actually been looking at what we're calling a vague symptom pathway, which is essentially a one-stop shop, and...
Vaughan Gething: The points on staff capacity we've discussed in answer to a previous question on work that is already under way, about the fact that our diagnostic capacity is showing an increase, an that there's an improvement in waiting times for people here in Wales. We've also discussed what we're doing to improve outcomes in answer to the question raised by your colleague David Melding. I'm looking to...
Vaughan Gething: I can't answer all of that question, because otherwise I'm in danger of putting myself into a position of not being able to make a decision at the end of the consultation. What I would say about healthcare in every part of Wales is that every community in Wales deserves excellent healthcare, and I agree with you about every community deserving excellent healthcare. As ever, when we talk...
Vaughan Gething: I've been very clear that this is a public consultation for members of the public to get involved with. I've also been very clear there's got to be clinical leadership about any other proposals, which is why it was important that clinicians took part not only in a presentation and conversation at board, they've got to be part of the conversation with the public. If I intervene now and if I...
Vaughan Gething: I'm happy to respond positively and say that Hywel Dda should respond positively to requests for further public engagement. It is in everyone's interest to have the maximum level of public engagement, not just with the health board at a leadership level but actually with clinicians in their local communities, whether in general practice or whether in hospital-based services or other...
Vaughan Gething: Yes. We will consult on a cross-Government strategy to prevent and reduce levels of obesity later this year. It will outline the actions needed at a Wales and UK level to complement existing measures like the Active Travel (Wales) Act 2013, our Healthy Child Wales programme, and, of course, nutritional standards in schools.
Vaughan Gething: I recognise this is a major, significant public health challenge. That's why we've already taken some of the steps we've already taken, but it is about looking at what we do next, and I'd be very interested in the committee's report and its recommendations because we have not yet signed off a consultation on our strategy. Then I will finalise what the strategy should be and how we'll use our...
Vaughan Gething: Yes. The treatment of kerataconus in adults is currently determined by health board local guidelines, which will include specialty guidelines and college guidelines and other best practice.
Vaughan Gething: I'd always want to consider how—. I think you recognise that it's a rare and complex condition, and the challenge is how we provide a proper service for people in this position, even if that is commissioning a service at some distance, whether within Wales or outside. I'm actually due to have a review that's been undertaken by both the Welsh Health Specialised Services Committee and Health...
Vaughan Gething: Diolch, Llywydd. On 3 May, the Health and Social Care Advisory Service published the outcome of its investigation into the care and treatment provided on the Tawel Fan ward. I am acutely aware that this has been a very difficult period for all individuals, families and staff directly affected by the concerns over care and treatment at Tawel Fan. I acknowledge the additional strain caused by...
Vaughan Gething: I do understand that many will have been surprised by the findings of their report. However, anyone who has taken the time to read the report carefully should appreciate the thoroughness of the investigation and understand how the conclusions have been reached. In relation to the care on Tawel Fan the independent findings are that the levels of care and treatment provided on Tawel Fan ward...
Vaughan Gething: I recognise that there'll be a range of people who won't accept the findings produced in the independent HASCAS investigation report. I recognise that there'll be a range of families who will simply not be able to accept the conclusions they have reached, and I think it's easy to understand why that might be, where people have witnessed challenges that they have reported on. But, as the...
Vaughan Gething: I, again, refer back to the reality, the factual, undeniable reality, that this report by HASCAS, an independent group, an independent organisation, considered a much wider range of evidence than previous reports. And it should not be surprising that, when more evidence is available, including the 108 clinical records that were reviewed, it is possible to reach a different conclusion. That...
Vaughan Gething: I want to start again by reiterating that this report is certainly not a whitewash or a cover-up. If the report, on the basis of the evidence available, had come to a different conclusion, then, again, I would have been in a position where, of course, I would have been duty bound to accept that. There is precious little point in having an exhaustive independent investigation process, taking...
Vaughan Gething: Thank you for the range of questions. Forgive me if I don't answer all of them now in the time available, but I'm happy to take them up with you directly after today's proceedings as well. I think, actually, the point you raise about accident and emergency shows the scale of the challenge we face in dementia care, because people with dementia are a regular feature already of care within the...
Vaughan Gething: I think it's important that HASCAS were given a remit to independently investigate and reflect back on the evidence they found. That was the remit that they were given. You then have to accept that when that independent review is undertaken, when you accept the integrity of the people, that may well provide very difficult messages that are critical of the Government, critical of the health...
