Thank you for the question. In north Wales, people access a specialist service in Liverpool and there isn’t a particular issue about access. The challenge here in south Wales is how—. There is the ability, for people who wish to, to access services in England while we’re working on a model here. It is a specialist service and it’s a relatively rare indication. The challenge has been working through the previous recommendations. We had a stakeholder meeting in September—literally three weeks ago. That’s been carried forward and I expect that the Welsh Health Specialised Services Committee’s management board will then make a choice about the future delivery of the service model.

I recognise that the pace has not be as quick as both people in the service and patients would want it to be, but there is a recognition that a choice needs to be made and then people need to get on with delivering that model for the future. At this point in time, I think people are travelling further than they perhaps could do or should do. Having a properly specialist service organised in this manner should actually mean that we can improve outcomes for people as well as access.